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Changes in J-Pouch Phenotypes Over Time

Endoscopic pouch phenotypes in patients with inflammatory bowel disease can transition over time, with normalization of pouches associated with favorable outcomes. Subsequent development of diffuse inflammation, pouch-related fistulas, and afferent limb/inlet stenoses significantly worsen pouch outcomes. Patients with pouch inflammation who achieve subsequent normalization have lower pouch excision risks. Understanding these changes is crucial for managing patients post-proctocolectomy with ileal pouch-anal anastomosis.

Journal Article by Akiyama S, Ollech JE (…) Rubin DT et 17 al. in Inflamm Bowel Dis

© The Author(s) 2024. Published by Oxford University Press on behalf of Crohn’s & Colitis Foundation. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.
© The Author(s) 2024. Published by Oxford University Press on behalf of Crohn’s & Colitis Foundation. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.

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Omentoplasty Reduces Complications in Various Surgeries

Omentoplasty significantly lowers overall complications, particularly in gastrointestinal and liver surgery. It reduces postoperative infection in thoracic and liver surgery. Patients with a BMI over 25 undergoing esophageal or gastrointestinal surgery benefit the most. No significant differences in pelvi-perineal surgery were found, except for specific cases. Overall, omentoplasty effectively prevents postoperative infection and decreases complications in gastrointestinal and liver surgeries.

Meta-Analysis by Peng Y, Xiong S (…) Deng T et 5 al. in Int J Surg

Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.

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Shock Index Predicts Outcomes in Major Abdominal Emergency Surgery Patients

Shock index (SI) is a valuable tool for predicting postoperative mortality, acute kidney injury (AKI), ICU admission, and ICU length of stay in major abdominal emergency surgery patients. Significant associations were found between SI and mortality at 1 month, 3 months, and 2 years. Multivariate analysis confirmed the relationship between SI and 1-month and 3-month mortality. SI does not significantly impact 2-year mortality, highlighting its relevance in short-term outcomes.

Journal Article by Loh CJL, Cheng MH (…) Ke Y et 3 al. in Ann Acad Med Singap

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Positive reaction to immersive robotic surgical training

Researchers found that using 3D visors for immersive robotic surgery training garnered positive feedback from medical students and residents. Nearly 90% of participants expressed high engagement and intention to use the technology. The median System Usability Scale score was 80, and the median Simulator Sickness Questionnaire score was 44.88. These results suggest that immersive reality could be an effective tool for enhancing surgical training, with trainees reacting favorably to the enhanced intracorporeal vision and overall experience.

Journal Article by La Raja C, Carvello M (…) Spinelli A et 3 al. in J Robot Surg

© 2024. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.

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High Incidence of Aberrant Hepatic Artery in Patients with Hepatocellular Carcinoma

Aberrant hepatic artery is common in patients with hepatocellular carcinoma, with complex variations impacting treatment. A retrospective study of 1250 patients showed a high incidence of aberrant hepatic artery (21.3%), affecting operation duration and postoperative outcomes. Variations included aberrant left and right hepatic artery origins. Differences in tace operation duration, nausea, vomiting, and laboratory results were significant between patients with and without aberrant hepatic artery.

Comparative Study by Du D, Zhang Z (…) Wu N et 2 al. in Ann Ital Chir

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Preoperative Chemotherapy Enables Resection in Advanced Pancreatic Cancer

Establishing preoperative chemotherapy (PCT) with FOLFIRINOX and gemcitabine/nab-paclitaxel enabled resectability in 61.2% of 139 patients with initially unresectable locally advanced pancreatic cancer. PCT did not increase perioperative mortality or morbidity, with 92.9% achieving R0 resection. Median postoperative survival was 31 months, highlighting the significant potential of PCT in extending recurrence-free and overall survival for resected patients.

Journal Article by Petrikowski M, Fahlbusch T (…) Belyaev O et 4 al. in Hepatobiliary Surg Nutr

2024 Hepatobiliary Surgery and Nutrition. All rights reserved.

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Superiority of Laparoscopic Surgery for Gallbladder Cancer

Laparoscopic surgery shows improved survival rates, less bleeding, shorter hospital stays, and lower complication rates compared to open surgery for gallbladder cancer. However, concerns remain due to factors like incidental cancer, heterogeneity, publication bias, and lymph node dissection. Subgroup analyses suggest ethnicity, sample size, and follow-up duration as potential sources of variability. Further research is needed to confirm the safety and overall benefit of laparoscopic surgery in treating gallbladder cancer.

Journal Article by Li D, Xu L (…) Yang Z et 7 al. in Hepatobiliary Surg Nutr

2024 Hepatobiliary Surgery and Nutrition. All rights reserved.

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Decision Support Tool Clarifies Appendicitis Treatment Choices

Introduction of decision support tool (DST) for appendicitis treatment led to reduced uncertainty in treatment choice, with significant shifts from undecided to antibiotic or surgery preference. Over half of users reported low decisional conflict levels post-DST, indicating enhanced clarity. The publicly available DST, appyornot.org, showed promise in aiding treatment decision-making and is now part of a nationwide initiative to improve patient-surgeon communication on appendicitis options.

Journal Article by Rosen JE, Monsell SE (…) Flum DR et 13 al. in Ann Surg

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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Positive Safety and Efficacy of Miniaturized Robotic Assisted Surgery Device in Colectomy

Novel miniaturized robotic-assisted surgery device demonstrated safety and efficacy in colectomy procedures, with no conversions to open surgery, adverse events, or mortalities. The study included 30 patients, showcasing successful completion of procedural steps and minimal morbidity rates. Results suggest potential for expanded clinical and economic effectiveness in colorectal surgery. Further assessments and long-term follow-up planned to validate device performance.

Journal Article by Marks JH, Keller DS (…) Jobst MA et 4 al. in Dis Colon Rectum

Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Colon and Rectal Surgeons.

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Robotic natural orifice specimen extraction surgery is superior for rectal cancer

Robotic natural orifice specimen extraction surgery (r-noses) exhibits advantages over robotic transabdominal specimen extraction surgery (r-tses) for early-stage rectal cancer. A multicenter study in China revealed r-noses resulted in longer operation time, but shorter times to first flatus and oral intake, reduced hospital stay, lower wound complications, and improved surgical stress response compared to r-tses. Patients also reported less pain, better body image and functional outcomes with r-noses.

Journal Article by Liu D, He G (…) Li T et 20 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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