J Am Coll Surg2 Nov 2023
A study scrutinized conflict of interest (COI) disclosures in gastrointestinal and abdominal wall surgery research related to robotics. It found that a substantial majority (86.4%) of these studies had inaccurate or undisclosed COI statements. Moreover, many authors who received funding from robotics companies failed to…
JAMA Surg2 Nov 2023
In a randomized clinical trial, researchers compared laparoscopic and open pancreaticoduodenectomy for patients with pancreatic ductal adenocarcinoma. The study found that, despite longer operative times, laparoscopic procedures led to less blood loss. Both groups had similar 90-day mortality, rates of complications, and postoperative length of…
BMC Surg2 Nov 2023
This study delved into the rare world of mixed neuroendocrine-non-neuroendocrine neoplasms in colorectal cancer and their more aggressive counterpart, neuroendocrine carcinomas. They found that adjuvant chemotherapy significantly improved survival for patients with stage III mixed neuroendocrine-non-neuroendocrine neoplasms and neuroendocrine carcinomas. The median survival for these…
Surg Endosc2 Nov 2023
A survey of 79 surgeons in an academic hospital system compared workload, physical discomfort, and neuromusculoskeletal disorders (NMSDs) across four surgical modalities: endoscopic, laparoscopic, open, and robot-assisted (Da Vinci). Physical demand and mental workload were highest in open surgery. Robotic surgeons reported lower shoulder and…
Intestine and Lower Gastrointestinal Tract2 Nov 2023
This meta-analysis evaluated the outcomes of transanal total mesorectal excision (TaTME) versus laparoscopic TME (LaTME) for rectal cancer. Analyzing data from 22 studies comprising 5056 patients, including randomized controlled trials and prospective studies, revealed that TaTME had a lower conversion rate and better circumferential resection…
Surg Endosc2 Nov 2023
This study delves into bariatric surgery access for Medicaid patients and reveals stark disparities among programs. Involving a comprehensive data registry spanning 14 years and 43 programs, it highlights that the proportion of Medicaid cases varies significantly between institutions. Programs with more Medicaid patients treated…
Surg Endosc2 Nov 2023
This innovative study tackles the challenge of precisely locating tumors during minimally invasive colorectal surgery. Traditionally, blue dye has been used for preoperative marking, but it can lead to complications when spilled inside the body. The researchers introduced a new method using a near-infrared (NIR)…
World J Surg2 Nov 2023
This systematic review explored existing quality performance indicators (QPIs) for the surgical management of oesophageal cancer (OC). Researchers collected data from articles, guidelines, and consensus reports. QPIs were categorized as process, outcome, or structural measures, covering aspects like multidisciplinary involvement, reoperation rates, and the role…
Ann Surg1 Nov 2023
Researchers examined the post-recurrence progression in patients with resected pancreatic ductal adenocarcinoma (PDAC) and the implications for treatment. Most PDAC patients experience recurrence within two years, with varying survival outcomes depending on the site of recurrence. Lung recurrence showed significantly longer post-recurrence survival. A subset…
Ann Surg1 Nov 2023
Researchers conducted a multicenter study to assess the impact of continuing preoperative aspirin monotherapy in patients on antiplatelet therapy (APT) during gastroenterological surgery. The study revealed that patients who continued aspirin had significantly lower rates of thromboembolic complications compared to those who discontinued aspirin or…