Blog

Econsent via Patient Portal Reduces Surgical Delays

Econsent delivery through a patient portal significantly improves operational efficiency by allowing patients to complete their consent forms prior to surgery. In a cohort of 7,672 patients, those who signed their consent via the portal experienced fewer first-start delays compared to those who did so on the day of surgery (odds ratio, 1.59). Patients expressed satisfaction with the portal experience, although many reported engaging minimally with the consent form, underscoring the need for trust and discussion with surgeons.

Journal Article by Trang K, Decker HC (…) Wick EC et 4 al. in JAMA Surg

read the whole article in JAMA Surg

open it in PubMed

Anatomic resection improves survival for intrahepatic cholangiocarcinoma patients

A systematic review and meta-analysis involving 930 patients revealed that anatomic resection (AR) significantly enhances both overall survival (OS) and disease-free survival (DFS) compared to non-anatomic resection (non-AR) for resectable intrahepatic cholangiocarcinoma. The OS rates at 1, 3, and 5 years were 71.5%, 46.1%, and 34.3% for AR versus 63.6%, 32.9%, and 24.8% for non-AR. DFS also favored AR, indicating its oncologic superiority without impacting postoperative outcomes.

Journal Article by Berardi G, Risi L (…) Viganò L et 4 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

read the whole article in Ann Surg Oncol

open it in PubMed

Preoperative anticoagulation increases postoperative morbidity in bariatric patients

A recent analysis of 1,178,090 patients reveals that those undergoing sleeve gastrectomy or Roux-en-Y gastric bypass with preoperative therapeutic anticoagulation face significantly higher risks of postoperative complications. Specifically, these patients exhibited increased rates of anastomotic leaks, deep vein thrombosis, and gastrointestinal bleeding, as well as longer operative times and hospital stays. Moreover, sleeve gastrectomy patients had higher odds of adverse cardiovascular events, while those undergoing Roux-en-Y experienced more readmissions and unplanned ICU admissions.

Journal Article by Leon S, Rouhi AD (…) Dumon KR et 6 al. in Surg Obes Relat Dis

Copyright © 2024 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

read the whole article in Surg Obes Relat Dis

open it in PubMed

Higher BMI does not worsen outcomes in hernia repair

The study finds no significant correlation between body mass index (BMI) and perioperative outcomes or short-term recurrence after paraesophageal hernia repair in a cohort of 884 patients. Key metrics such as blood loss, length of hospital stay, major complications, and mortality were unaffected by increasing BMI levels. Notably, overweight and obese patients showed no increased risks compared to normal-weight patients, suggesting that higher BMI should not delay surgical management for giant paraesophageal hernias.

Journal Article by Han S, Qaraqe T (…) Low DE et 6 al. in Dis Esophagus

© The Author(s) 2024. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

read the whole article in Dis Esophagus

open it in PubMed

Endoscopic full-thickness resection proves effective for tumors

A study analyzing 232 patients undergoing endoscopic full-thickness resection (EFTR) demonstrates its feasibility, safety, and effectiveness for treating upper gastrointestinal submucosal tumors, including predominantly extraluminal lesions. The procedure achieved an en-bloc resection rate of 98.7%, with a negligible recurrence observed over a mean follow-up of 3.7 years. Notably, complications occurred in 9.1% of cases, with higher postoperative fever rates in extraluminal tumor patients. These findings warrant further prospective studies to validate results.

Journal Article by Guo Y, Yin F (…) Mao T et 8 al. in Dig Endosc

© 2024 Japan Gastroenterological Endoscopy Society.

read the whole article in Dig Endosc

open it in PubMed

Volumetric assessment of liver remnant is crucial for surgery.

A study involving 1511 major hepatectomies found that preoperative future liver remnant (FLR) volume assessment significantly impacts posthepatectomy liver failure (PHLF) risk. High-risk patients with FLR <30% faced a 32% incidence of PHLF, while low-risk patients showed lower rates at higher FLRs. The research underlines the necessity of volumetric analysis, particularly for those with factors like diabetes, cirrhosis, and specific cancers, as a 30% FLR threshold may be inadequate for preventing complications.

Journal Article by Reese T, Gilg S (…) Sparrelid E et 7 al. in Eur J Surg Oncol

Copyright © 2024 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

read the whole article in Eur J Surg Oncol

open it in PubMed

Nomograms improve survival prediction in gastric cancer patients

Incorporating a systemic oxidative stress score (soss) based on fibrinogen, albumin, and cholesterol significantly enhances prognostic accuracy for gastric cancer patients post-radical gastrectomy. Among 3,820 patients, nomograms utilizing soss outperformed traditional staging methods in predicting overall and disease-free survival (AUC: 0.830 vs. 0.778, AUC: 0.824 vs. 0.775). Moreover, high-risk groups demonstrated significantly increased recurrence rates, indicating the potential for tailored interventions and surveillance strategies to improve patient outcomes.

Journal Article by Zheng H, Zheng H (…) Li P et 12 al. in Eur J Surg Oncol

Copyright © 2024 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

read the whole article in Eur J Surg Oncol

open it in PubMed

ADV score effectively identifies high-risk hepatocellular carcinoma patients

A multicenter study evaluated the ADV score’s efficacy in identifying hepatocellular carcinoma (HCC) patients at high risk of recurrence. The analysis involved 755 patients and established risk groups based on microvascular invasion and Edmonson-Steiner grade. Results showed that the ADV score differentiates these groups effectively, with a 70.2% sensitivity in the training cohort and 78.8% in the validation cohort. A cut-off value of 5.7 log for high-risk identification could significantly aid clinical decision-making.

Multicenter Study by Cao S, Zhou Z (…) Wang K et 10 al. in World J Surg Oncol

© 2024. The Author(s).

read the whole article in World J Surg Oncol

open it in PubMed

Nomogram predicts survival in pancreatic head cancer patients

A novel nomogram utilizing the number of positive lymph nodes has demonstrated effectiveness in predicting overall survival (OS) for patients with pancreatic head cancer following radical surgery. Analyzed data from over 3,200 patients identified key independent risk factors, including age, tumor extent, and chemotherapy. The nomogram achieved a c-index of 0.652 in the development set and 0.661 in the validation set, indicating its strong predictive capability, as confirmed by calibration and decision analysis curves.

Journal Article by You K, Lei K (…) Liu Z et 4 al. in World J Surg Oncol

© 2024. The Author(s).

read the whole article in World J Surg Oncol

open it in PubMed

Enhanced recovery after surgery shows improved outcomes and satisfaction.

Enhanced recovery after surgery (ERAS) significantly improves clinical outcomes, patient satisfaction, and reduces medical costs. While traditionally implemented in numerous surgical specialties, recent advancements have led to ERAS protocols being adapted for new surgeries, including pediatric and robotic-assisted procedures. Although the overall costs are higher than traditional methods, the benefits for patients are substantial. Challenges such as frailty, nutrition, and training also need addressing to enhance ERAS adoption globally.

Editorial by Wishahi M, Kamal NM and Hedaya MS in World J Clin Cases

©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.

read the whole article in World J Clin Cases

open it in PubMed