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Minimally Invasive Esophagectomy Outperforms Open Esophagectomy for Locally Advanced Esophageal Cancer

Minimally invasive esophagectomy (MIE) demonstrated superior outcomes over open esophagectomy (OE) for esophageal squamous cell carcinoma. MIE patients had lower postoperative complications, higher R0 resection rate, better 3-year survival rates, and reduced locoregional recurrence. This benefit was especially pronounced in patients with CT3-4 tumors. Overall, MIE proved more advantageous for locally advanced esophageal squamous cell carcinoma cases.

Journal Article by Terayama M, Okamura A (…) Watanabe M et 5 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

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Quality Metric Adherence and Survival in Pancreatic Cancer Patients

Adherence to surgical quality metrics in pancreatic ductal adenocarcinoma resections significantly correlates with improved overall survival. A study of 38,228 patients revealed that higher quality metric scores led to better outcomes, with mortality hazards decreasing in a stepwise manner. These findings emphasize the importance of quality metric compliance in enhancing long-term survival for patients undergoing surgical resection for pancreatic cancer.

Journal Article by Munir MM, Rashid Z (…) Pawlik TM et 3 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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CT Findings Predicting Surgery in Delayed Perforation After Endoscopic Tumor Resection

CT findings of gross perforation and peritonitis are significant factors associated with surgery in delayed perforation after endoscopic tumor resection. These factors can guide patients towards an appropriate treatment plan, with a low rate of 0.50% experiencing delayed perforation. Clinical factors and pneumoperitoneum amount were not significant predictors for surgery, emphasizing the importance of imaging findings in decision-making.

Journal Article by Heo S, Huh J, Kim JK and Lee KM in J Clin Gastroenterol

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

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High Efficacy and Low Complication Rate of Radiofrequency Ablation for Papillary Thyroid Microcarcinoma

Radiofrequency ablation (RFA) demonstrates a 99.81% volume reduction rate with minimal complications in treating low-risk papillary thyroid microcarcinomas. Over 46.59 months follow-up, only 69 patients experienced local recurrence, positioning RFA as a compelling alternative to surgery and active surveillance. Notably, retreatment rates were significantly lower post-RFA, highlighting its effectiveness as a long-term treatment option with enduring results.

Review by Xu X, Peng Y and Han G 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.

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Improved Surgical Performance with AI Coaching in Laparoscopic Cholecystectomy

AI-assisted coaching program, SmartCoach, significantly enhanced surgical performance and safety for novice surgeons in laparoscopic cholecystectomy procedures. Surgeons in the coaching group showed substantial improvement in performance scores and critical view of safety achievement compared to self-learning counterparts. Participants expressed high satisfaction with the program, underscoring its potential to advance surgical education and standardize procedural skills.

Journal Article by Wu S, Tang M (…) Wang X et 22 al. in Int J Surg

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

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Robotic Assisted Common Bile Duct Exploration in Complex Gallstone Disease

Robotic-assisted cholecystectomy with common bile duct exploration provides a single-stage solution for complex gallstone disease. A series of emergent and expedited robotic procedures showed feasibility, safety, and effectiveness in treating patients. The robotic platform, alongside innovative adjuncts, enhances precision and outcomes in managing complex gallstone disease. Results indicate successful clearance of bile duct stones, low postoperative complications, and no retained stones after follow-up, affirming the potential of robotic-assisted procedures in this context.

Journal Article by Latif J, Lewis H (…) Awan A et 2 al. in Int J Surg

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

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Deep Learning Model for Predicting Gastric Cancer Recurrence

Using CT imaging data, a deep learning model accurately predicts postoperative recurrence in gastric cancer patients. Developed and validated on 2,813 patients, the model showed excellent performance in identifying high-risk cases of recurrence. The deep learning fusion signature outperformed clinical models and baseline deep learning signatures, demonstrating its potential as a prognostic factor for patients undergoing radical surgery for gastric cancer.

Journal Article by Cao M, Hu C (…) Cheng X et 11 al. in Int J Surg

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

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Development and Validation of the GAASThyriC Model to Predict Suboptimal Responses After Laparoscopic Sleeve Gastrectomy

Study developed a predictive model – GAASThyriC – utilizing age, glucose, TSH, alcohol use, SII, and tobacco to forecast patient outcomes post laparoscopic sleeve gastrectomy. The GAASThyriC score demonstrated high accuracy in identifying individuals unlikely to have optimal responses in weight loss. This model serves as a valuable tool for clinicians to anticipate patient populations at risk of suboptimal weight loss outcomes post-surgery.

Journal Article by Demirpolat MT and İslam MM in Surg Laparosc Endosc Percutan Tech

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

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Lower SSI Rate with Surgical Antimicrobial Prophylaxis in Low-Risk Cholecystectomies

Researchers found that surgical antimicrobial prophylaxis (SAP) halved the risk of surgical site infections (SSI) in low-risk cholecystectomy (LR-CCE) patients. In a cohort study of 12,521 patients from 66 Swiss hospitals, SAP was administered to 74% of patients and associated with a 50% reduction in SSI rates (adjusted odds ratio 0.50). The overall SSI rate was 1.1%, and the number needed to treat to prevent one SSI episode was 100. This suggests routine SAP benefits LR-CCE patients.

Journal Article by Florinett L, Widmer A (…) Sommerstein R et 4 al. in Ann Surg

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

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Extended Regular Follow-Up Improves Survival Rates in Gastric Cancer Patients

Extended regular follow-up after 5 years postgastrectomy in gastric cancer patients significantly reduced overall mortality rates and improved postrecurrence survival rates. The combination of endoscopy and abdominopelvic CT had the highest 5-year postrecurrence survival rate. A time interval of more than 2 years between previous imaging and late recurrence or gastric remnant cancer diagnosis led to reduced postrecurrence survival rates. These findings support implementing extended regular follow-up in clinical practice for improved patient outcomes.

Journal Article by Lee JH, Kim J and Choi JY in JAMA Surg

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