Ann Surg Oncol3 Dec 2023
Examining 115 elderly esophageal cancer patients, researchers assessed preoperative sarcopenia comprehensively using skeletal mass index, handgrip strength, and gait speed. Sarcopenia, identified in 20% of patients, correlated with older age and advanced cancer stage. Although postoperative complications showed no significant difference, slow gait speed was…
Ann Surg Oncol3 Dec 2023
A cohort study involving 205 gastric adenocarcinoma patients treated with neoadjuvant chemotherapy aimed to improve prognosis prediction. The developed radiomic model, incorporating pre- and post-treatment features, outperformed pathological T stage models. The final radiomic model, integrating radiomic and clinicopathological data, demonstrated superior accuracy in predicting…
Perspectives, Opinions and Curiosities3 Dec 2023
Navigating change in a large healthcare entity, like a major surgical department, poses challenges. This study emphasizes aligning projects with institutional and departmental strategic plans. Key steps involve defining missions, setting short- and long-term goals, resource analysis, and understanding expectations. Careful project design is crucial…
BMC Surg3 Dec 2023
In right hepatic trisectionectomy with bile duct resection, this study explored the impact of Future Liver Remnant volume-to-body weight ratio (FLR/BW) and indocyanine green plasma clearance rate (ICGK-F) on posthepatectomy liver failure. Among 91 patients, a FLR/BW ≥ 0.65% significantly reduced the risk of liver…
Ann Surg2 Dec 2023
In the No.2-Trial, comparing sacral neuromodulation (SNM) to personalized conservative treatment (PCT) for refractory idiopathic slow-transit constipation, SNM demonstrated significant success (53.7%) compared to PCT (3.8%) after six months. SNM patients reported lower constipation severity and fatigue, along with improved quality of life. Serious adverse…
Ann Surg2 Dec 2023
Analyzing data from the Logica randomized controlled trial (RCT) and the Dutch Upper Gastrointestinal Cancer Audit (DUCA), researchers explored the influence of the Logica RCT on laparoscopic gastrectomy practice in the Netherlands (2012-2021). While the Logica RCT showed no significant impact on outcomes, the DUCA…
JAMA Surg2 Dec 2023
Examining 877,430 patients, this retrospective cohort study discerns that undergoing surgery within 11.3 months of a prior cardiovascular event escalates 30-day postoperative mortality risk. Subgroup analyses reveal specific intervals for elective (14.2 months) and emergency surgery (7.3 months). While stroke and myocardial infarction exhibit similar…
J Am Coll Surg2 Dec 2023
A meta-analysis scrutinizing 33 cohort studies explores the impact of hospital and surgeon volume on mortality in intra-abdominal emergency surgery. High hospital volume proves beneficial overall, except for low-complexity procedures, while high surgeon volume consistently associates with lower mortality. Notably, mortality is significantly lower when…
Ann Surg Oncol2 Dec 2023
Researchers detail an improved version of Huang's Loop for intracorporeal inflow control during minimally invasive hepatectomy. Utilizing a modified soft urinary catheter with an adjustable loop, the team ensures atraumatic and adaptable control around the porta hepatis. Additionally, they introduce a liver sling, crafted from…
BMJ Open2 Dec 2023
Investigating the implementation of telenursing in surgical oncology, researchers unveil a scoping review protocol. Adhering to Joanna Briggs Institute guidelines, the study explores global evidence through databases and grey literature. Two independent reviewers, aided by Rayyan software, will extract data on program details, challenges, and…