Surgical Endoscopy19 Oct 2023
In North America, where esophageal cancers often stem from Barrett's esophagus, researchers are exploring the effectiveness of endoscopic submucosal dissection (ESD) for treatment. This study analyzed eleven patients who underwent 100% circumferential esophageal ESD. Impressively, all procedures were technically successful with clear margins in most…
Br J Surg19 Oct 2023
This multicenter study investigated the use of autofluorescence, specifically the Fluobeam® LX device, in thyroid surgery. Researchers aimed to determine if it helps identify and protect parathyroid glands during total thyroidectomy, potentially reducing low parathyroid hormone (PTH) levels after surgery. Among 535 patients, autofluorescence didn't…
Ann Surg Oncol19 Oct 2023
Centralizing surgical care, this study investigated small intestinal neuroendocrine tumor (SI-NET) resections' outcomes based on procedure volume. High-volume centers (HVCs) performed over five SI-NET resections annually, while low-volume centers (LVCs) did fewer. HVCs showcased better surgical quality, with more lymph nodes resected, advanced techniques, and…
BMC Surg19 Oct 2023
In the debate over how to treat appendicitis, a systematic review compared endoscopic retrograde appendicitis therapy (ERAT) with surgery and antibiotics. While ERAT resulted in shorter procedural times and hospital stays, it posed a higher risk of appendicitis recurrence at one year. The study found…
Endocrine Surgery19 Oct 2023
A study exploring healthcare cost-efficiency in thyroid surgeries found that high-volume endocrine surgeons, performing over 50 cases annually, managed thyroidectomies at significantly lower costs compared to their low-volume counterparts. The cost reduction was even more pronounced when cases were categorized by relative value units, demonstrating…
Am J Surg19 Oct 2023
In a study analyzing over 64,000 patients undergoing elective colon cancer resection, it was found that robotic colectomy led to fewer complications in minority patients compared to laparoscopic colectomy. After adjusting for various factors, there were no significant differences in mortality based on surgical approach…
Am J Surg19 Oct 2023
Researchers investigated if referrals to non-surgical providers, following the initial presentation of symptomatic cholelithiasis, lead to delays in surgical management. Their study included 482 patients who had cholecystectomies from 2015 to 2019. Among these patients, 61.2% received direct surgical referrals, while 38.8% were referred to…
Perspectives, Opinions and Curiosities19 Oct 2023
This study delves into the challenges faced by women surgeons due to an androcentric bias in surgical equipment. Surveys were distributed to female surgeons in North America and Australasia. Out of 480 respondents, 453 were surgeons. A significant number (89%) reported difficulties in using surgical…