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Nonoperative Management of Diverticulitis with Extraluminal Air

Nonoperative management of acute complicated diverticulitis with pericolic and/or distant extraluminal air is feasible and safe, with an 88% success rate among patients. While pericolic extraluminal air had a 93.1% success rate, distant extraluminal air had a 71.1% success rate. Distant subgroup showed higher failure rates but remains a challengingly feasible treatment option, with 18.3% distant recurrence rate and 11.3% elective surgery rate.

Journal Article by Morini A, Zizzo M (…) Fabozzi M et 3 al. in World J Surg

© 2024 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).

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TPIAT Outcomes Differ by Pancreatitis Etiology

Total pancreatectomy with islet autotransplantation (TPIAT) outcomes in patients with chronic pancreatitis differ based on genetic or nongenetic etiology. Patients with genetic pancreatitis undergo TPIAT at a younger age and have longer symptom duration. Despite lower islet yields, they maintain metabolic function similar to nongenetic patients post-TPAIT. Genetic patients also experience better pain relief and decreased narcotic usage after the procedure. Early TPIAT consideration is crucial for genetic pancreatitis cases.

Journal Article by Darden CM, Mohammed ARH (…) Naziruddin B et 7 al. in J Gastrointest Surg

Copyright © 2024 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

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Optimal Lymph Node Retrieval Enhances Prognosis in Rectal Cancer

Key study findings reveal that removing 14 lymph nodes during surgery for T3-4/N+ rectal cancer patients post neoadjuvant therapy significantly impacts survival outcomes. Notably, elderly and non-elderly patients showed distinct differences in overall and cancer-specific survival rates, supporting 14 lymph nodes as the optimal benchmark for personalized treatment decisions. These results present a crucial cutoff point for prognostic differentiation in this patient population.

Journal Article by Liang B, Xie S (…) Lin S et 6 al. in Int J Colorectal Dis

© 2024. The Author(s).

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Machine Learning Predicts Kidney Allograft Survival

Using machine learning, researchers identified serum creatinine levels, pre-transplant body weight, age of patients, and bkpyv infection as key predictors for early allograft loss in kidney transplant patients. The model achieved a high precision of 0.81, sensitivity of 0.61, specificity of 0.89, and auc value of 0.84. These findings highlight the potential of machine learning tools to aid in clinical decision-making for kidney transplantation.

Journal Article by Fabreti-Oliveira RA, Nascimento E (…) Veloso AA et 2 al. in Transpl Immunol

Copyright © 2024. Published by Elsevier B.V.

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Vaginal Route: Minimally Invasive Surgery Guide

Vaginal approaches, once rare in general surgery, are now gaining traction as a minimally invasive option. This study provides a practical guide for general surgeons to proficiently utilize the vaginal route, covering key aspects like specimen extraction and cuff closure. Understanding and mastering this technique is crucial, given its association with fewer complications and its relevance in modern surgery trends, including robot-assisted procedures.

Review by Pavone M, Lecointre L (…) Forgione A et 6 al. in Minim Invasive Ther Allied Technol

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Prognostic Value of Textbook Outcome Score in Pancreatic Surgery

Textbook Outcome Score (TOPS) in pancreaticoduodenectomy for ampullary carcinoma showed a significant 1-year survival benefit, with 34.2% achieving a positive score. TOPS proved valuable in assessing hospital quality metrics and short-term survival, with a 6.3% failure-to-rescue rate. Major complications affected a quarter of patients, highlighting the importance of TOPS as a prognostic indicator in pancreatic surgery.

Journal Article by Leech N, Krige JEJ (…) Jonas EG et 4 al. in S Afr J Surg

Copyright© Authors.

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AI Revolutionizes Liver Resection Management

Artificial intelligence in perioperative planning and management of liver resection holds immense promise for the future of liver cancer care. AI-driven advancements enable precise tumor detection, patient-specific treatment predictions, enhanced surgical precision, streamlined patient monitoring, and accelerated research development. The integration of AI revolutionizes liver cancer care, offering personalized, efficient, and effective solutions that improve patient quality of life and survival rates.

Review by Gairola S, Solanki SL, Patkar S and Goel M in Indian J Surg Oncol

© The Author(s), under exclusive licence to Indian Association of Surgical Oncology 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

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Benefits of ERAS Protocol in Esophagectomy for Cancer Patients

Comparing outcomes between Enhanced Recovery After Surgery (ERAS) protocol and conventional care in esophagectomy, ERAS patients had fewer complications, shorter hospital stay, and better quality of life scores up to 3 months post-surgery. ERAS group outperformed in functional and symptom domains, showing advantages in dysphagia, speech difficulties, and eating. Optimal technique for cervical anastomosis is crucial for maintaining these benefits.

Journal Article by Huang Y, Xie Q (…) Fang Q et 7 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

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Bowel Dysfunction Post Rectal Cancer Surgery

Bowel dysfunction post rectal cancer surgery significantly impacts health-related quality of life. Key findings reveal traditional quality-of-life tools lack crucial concepts like mental functions and sexual functions, failing to fully capture the impact. By identifying these gaps, patient-centered care in rectal cancer surgery can be enhanced, emphasizing the importance of a comprehensive assessment of health-related quality of life post-surgery.

Journal Article by Maalouf MF, Robitaille S (…) Lee L et 5 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Minimally Invasive Surgery for Pancreatic Neuroendocrine Tumors

Minimally invasive surgery for left pancreatic resection in patients with resectable pancreatic neuroendocrine tumors reduces major complications and offers comparable long-term oncologic outcomes. A study comparing minimally invasive and open surgery showed lower rates of major morbidity, postoperative complications, and better outcomes with minimally invasive surgery. This suggests that minimally invasive surgery can be safely recommended for patients with distal pancreatic neuroendocrine tumors.

Journal Article by Addeo P, de Mathelin P (…) El Amrani M et 34 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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