Blog

Robotic vs. Laparoscopic Total Mesorectal Excision: Superior 5-Year Survival

Robotic total mesorectal excisions show higher 5-year overall survival rates and comparable long-term oncological outcomes compared to laparoscopic approach for rectal cancer. Additionally, robotic surgery results in lower conversion rates, shorter hospital stays, and fewer postoperative complications. This study suggests robotic surgery as a safe and favorable alternative to traditional approaches for rectal cancer treatment, based on analysis of 594 patients over an 8-year period.

Journal Article by Duhoky R, Rutgers MLW (…) Khan JS et 5 al. in Ann Surg Open

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

read the whole article in Ann Surg Open

open it in PubMed

Revisional Bariatric Surgery Reduces Antidiabetic Costs

Revisional bariatric surgery showed a positive impact on antidiabetic treatment reimbursement over a 4-year follow-up, reducing or discontinuing treatments and decreasing costs per patient. A study in France compared different revisional surgery sequences after sleeve gastrectomy and adjustable gastric banding, revealing significant changes in reimbursed antidiabetic treatments. These findings suggest the potential cost-effectiveness of revisional surgery in managing diabetes in bariatric patients.

Journal Article by Thereaux J, Bennani M (…) Oppert JM et 6 al. in Ann Surg Open

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

read the whole article in Ann Surg Open

open it in PubMed

Improved Outcomes with Comprehensive Gastric Cancer Surgery Program

Comprehensive regional program, including the mirec pathway, significantly reduced hospital stays after laparoscopic gastrectomy without increasing adverse events. Gastric cancer surgery outcomes improved with decreased hospital stays and lower complication rates. The program revolutionizes care delivery, enhancing quality and value for patients through regionalization, laparoscopic approach, oncologic care, subspecialization, and mirec pathway integration. Chemotherapy utilization also increased, indicating potential for broader impact on patient outcomes.

Journal Article by Teh SH, Shiraga S (…) Lee JM et 7 al. in Ann Surg Open

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

read the whole article in Ann Surg Open

open it in PubMed

High Success Rate and Safety of Through-the-Needle ESD Knife

Retrospective study found a newly developed through-the-needle injection-capable electrosurgical knife achieved successful en-bloc resection in 82.1% of gastrointestinal lesions. Good safety profile and curative resection rates were observed, with a median ESD time of 1.0 hour. Notably, success rates were lower in patients with submucosal fibrosis. The study highlights the effectiveness of the new knife for endoscopic submucosal dissection procedures.

Journal Article by Aihara H, Othman MO (…) Nishimura M et 6 al. in Gastrointest Endosc

Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

read the whole article in Gastrointest Endosc

open it in PubMed

AI Platform Outperforms CT in Diagnosing Acute Appendicitis

Researchers validated an artificial intelligence platform for diagnosing acute appendicitis. The platform demonstrated high sensitivity (92.2%), specificity (97.2%), and negative predictive value (98.7%), outperforming CT scanning in accuracy metrics. Decision curve analysis showed a substantial net benefit, indicating the platform’s clinical utility in decision-making. The AI platform may assist clinicians in cases where access to CT scanning is limited, providing accurate and reliable diagnostic support for patients with suspected acute appendicitis.

Journal Article by Ghareeb WM, Draz E (…) Emile SH et 16 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

read the whole article in BMC Surg

open it in PubMed

Improved Resident Well-being Through Palliative Care Curriculum

A palliative care curriculum was shown to reduce moral injury symptoms in surgical residents, with over 50% reporting guilt and functional impairment pre-intervention. Post-intervention, 30% experienced improvements. The curriculum focused on self-reflection, communication skills, and peer support, offering a practical and impactful tool for enhancing resident well-being in surgical training programs.

Journal Article by Koti S, Demyan L (…) Deutsch G et 2 al. in J Surg Res

Copyright © 2024 Elsevier Inc. All rights reserved.

read the whole article in J Surg Res

open it in PubMed

Analgesia efficacy of erector spinae plane block in laparoscopic abdominal surgeries

Erector spinae plane block (ESPB) effectively reduces postoperative opioid consumption, intraoperative opioid consumption, nausea, vomiting, and pain scores in laparoscopic abdominal surgeries. Subgroup analysis on laparoscopic colorectal surgeries further supports these findings. The study concludes that ESPB is a valuable technique for optimizing pain control, minimizing opioid requirements, and potentially promoting faster postoperative recovery.

Journal Article by Jin-Yang Sia C, Wee SL (…) Koh FH et 6 al. in Int J Surg

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

read the whole article in Int J Surg

open it in PubMed

Primary Suturing for CBD Stone Removal: Safe and Effective

Primary suturing after microincision of the cystic duct confluence is safe and effective for treating CBD stones in patients with a normal CBD diameter. A retrospective study on 104 patients with gallstone complications showed no significant differences in perioperative outcomes between normal and dilated CBD groups, with no biliary tract injuries or laparotomy conversions. This approach offers a promising treatment option for CBD stones, particularly in patients with preoperative imaging indicating a normal CBD diameter.

Journal Article by Liu L, Zhou T (…) Shen B et 3 al. in Surg Laparosc Endosc Percutan Tech

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

read the whole article in Surg Laparosc Endosc Percutan Tech

open it in PubMed

Braun Anastomosis Improves Recovery in Laparoscopic Gastrectomy

Patients undergoing laparoscopic distal gastrectomy with billroth-ii braun reconstruction had a shorter hospital stay and quicker post-op recovery compared to billroth-ii reconstruction. Additionally, they experienced fewer complications, weight loss, and postoperative syndrome symptoms such as reflux esophagitis. This technique offers better nutritional status, electrolyte balance, and enhances overall quality of life for gastric cancer patients.

Journal Article by Fu Y, Ren J (…) Wang D et 5 al. in J Gastrointest Cancer

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

read the whole article in J Gastrointest Cancer

open it in PubMed

Preoperative Education Improves Adherence and Outcomes in Colorectal Surgery

Preoperative education significantly increases adherence to enhanced recovery program components among colorectal surgery patients, leading to improved surgical outcomes. A retrospective cohort study of 997 patients revealed higher adherence rates in those who received preoperative education, particularly in areas like fasting protocols. This study underscores the importance of incorporating preoperative education as a key element in enhancing surgical recovery and patient outcomes.

Journal Article by Jones BA, Richman J (…) Chu DI et 9 al. in Ann Surg Open

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

read the whole article in Ann Surg Open

open it in PubMed