Am J Surg26 Oct 2023
A cutting-edge training model for laparoscopic Roux-en-Y gastric bypass surgery (LRYGB) has emerged, revolutionizing training for this intricate and high-risk procedure. Leveraging 3D printing technology, the models are designed to mimic the core surgical steps of LRYGB. The innovative use of fluorescent marking techniques allows…
Surg Endosc26 Oct 2023
In a study involving 40 medical students new to surgical robotics, researchers compared two training methods: remote training via a multi-channel video system and traditional one-on-one guidance. The remote training group scored higher in specific exercises on a robotic simulator, suggesting its effectiveness for skill…
World J Surg26 Oct 2023
In the evaluation of disease progression within high-risk thyroid nodules during active surveillance, researchers compared the effectiveness of tracking tumor diameter versus volume. Among 468 patients with a total of 569 high-risk thyroid nodules, only 2.5% showed a significant diameter increase of ≥3 mm, while…
Obes Surg26 Oct 2023
Bariatric surgery is a game-changer for physical activity (PA) and social support. In a Swedish study, adults undergoing metabolic and bariatric surgery (MBS) experienced significant improvements in PA levels, including light and total PA and step counts. Additionally, self-reported PA, enjoyment, self-efficacy for exercise, and…
Obes Surg26 Oct 2023
The debate on the optimal distance between the starting point of gastric transection and the pylorus in laparoscopic sleeve gastrectomy (LSG) remains unresolved. Some opt for a shorter distance to maximize weight loss, while others prefer a longer distance, believing it offers protection against post-surgery…
Endocrine Surgery26 Oct 2023
The transoral endoscopic thyroidectomy vestibular approach (TOETVA) offers a cosmetic edge over traditional thyroid surgery. Researchers assessed TOETVA's learning curve and its effectiveness in treating carcinoma showing thymus-like differentiation (CASTLE) tumors. The study found longer operation times in TOETVA, but it excelled in skin numbness…
Dig Surg26 Oct 2023
Sarcopenia, a condition involving muscle loss, is common in esophageal cancer patients. This study delved into how sarcopenia, particularly during neoadjuvant chemotherapy (NAC), affects postoperative complications, especially postoperative pneumonia (PP). By analyzing 113 patients, they found that the criteria of the modified European Working Group…
Dig Surg26 Oct 2023
In colorectal cancer surgery, the debate about whether to perform high or low ligation of the inferior mesenteric artery (IMA) continues. This study compared the outcomes of both approaches and examined the extent of lymph node dissection of the IMA. The results, after matching patient…
Am J Gastroenterol25 Oct 2023
Endoscopic findings reveal that post-COVID-19 cholangiopathy resembles secondary sclerosing cholangitis, affecting critically ill patients. It emerges early during intensive care, causing significant and often irreversible damage to bile ducts. Typical cholangiographic features include a centripetal pattern of bile duct destruction, "vanishing bile ducts," and intraductal…
Ann Surg Oncol25 Oct 2023
Researchers assessed the Pan-Immune-Inflammation Value (PIV) as an indicator of neoadjuvant immunochemotherapy (NICT) response in esophageal squamous cell carcinoma. Among 218 patients, PIV was linked to achieving a pathological complete response. High PIV predicted poorer 3-year overall survival and disease-free survival compared to low PIV.…