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Enhanced Precision in Laparoscopic Left Hemihepatectomy for Hepatolithiasis

Augmented reality navigation combined with indocyanine green fluorescence imaging significantly improves safety and precision in laparoscopic left hemihepatectomy for hepatolithiasis. The new method successfully aided in guiding hilar vessel dissection and identifying liver resection boundaries, with no major complications reported. This combined approach offers enhanced surgical accuracy and may be particularly beneficial when fluorescence imaging alone is insufficient.

Journal Article by Deng H, Zeng X (…) Xiang N et 5 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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ctDNA as a Prognostic Biomarker in Locally Advanced Rectal Cancer

Circulating tumor DNA (ctDNA) shows promise as a prognostic biomarker in locally advanced rectal cancer (LARC), with meta-analysis revealing a significantly increased risk of recurrence in post-neoadjuvant and post-operative periods for ctDNA-positive patients. This systematic review underscores the value of ctDNA in identifying LARC patients at higher risk of disease recurrence, providing insights into disease progression and treatment response. Quality assessment of included studies was generally satisfactory, highlighting ctDNA’s potential as a prognostic tool.

Review by O’Sullivan NJ, Temperley HC (…) Kelly ME et 11 al. in Int J Colorectal Dis

© 2024. The Author(s).

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Improved Patient Outcomes with SPARC Collaboration

Establishing the SPARC program led to improved patient outcomes for retroperitoneal sarcoma at RPAAH and COBLH. The program saw an increase in operations from 15 to 35 cases annually, with liposarcomas and leiomyosarcomas being the most common types resected. The majority of cases underwent extended resections, resulting in a high rate of R0/R1 resections. Collaboration, centralized referrals, and a dedicated research team were key factors in the program’s success.

Journal Article by Lee PJ, Kim TJ (…) Hong AM et 7 al. in ANZ J Surg

© 2024 The Author(s). ANZ Journal of Surgery published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Surgeons.

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Comparable Long-Term Survival Prognoses in Gastrointestinal Neuroendocrine Neoplasms

Endoscopic treatment and surgery show similar overall and cancer-specific survival rates in gastrointestinal neuroendocrine neoplasms. Endoscopic treatment may offer a better cancer-specific survival in certain cases such as stage I tumors and those smaller than 10mm. Both treatment options are viable for patients, with endoscopic treatment as a potential alternative for those hesitant about surgery.

Journal Article by Gao F and Xu X in Surg Laparosc Endosc Percutan Tech

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

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GLR as an Independent Prognostic Marker in Colorectal Cancers

Preoperative glucose/lymphocyte ratio (GLR) in colorectal cancers independently predicts prognosis. Analysis of 222 patients showed high GLR (≥3.04) correlated with increased mortality (p=0.001) and lower overall survival rates. GLR levels (p≤0.001) significantly related to age, perineural invasion, tumor grade, TNM stage, and surgery time. GLR ≥3.04 raised mortality risk 2.9 times (p=0.003). GLR could aid in survival analysis and warrants further research in similar patient groups.

Journal Article by Aydin İC, Subasi IE (…) Polat E et 5 al. in Int J Gen Med

© 2024 Aydin et al.

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Improved Outcomes with Robotic and Transanal Total Mesorectal Excision

Robotic total mesorectal excision (TME) and transanal TME showed better postoperative results compared to laparoscopic TME in locally advanced rectal cancer patients. Robotic TME had lower rates of anastomotic leakage and open surgery conversions, while transanal TME had shorter hospital stays and time to flatus. No significant differences were observed in operating time, complications, blood loss, or survival. These findings support the use of robotic and transanal techniques for improved outcomes in rectal cancer surgery.

Comparative Study by de’Angelis N, Marchegiani F (…) Ris F et 14 al. in BJS Open

© The Author(s) 2024. Published by Oxford University Press on behalf of BJS Foundation Ltd.

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Shift in Treatment Outcome Valuation for Low-Risk Thyroid Cancer

Patients with low-risk thyroid cancer changed their valuation of treatment outcomes after surgical decisions, favoring quality of life factors post-treatment. Emotional impact led to overuse of total thyroidectomy. Those choosing lobectomy increased importance on risk of recurrence, while total thyroidectomy patients valued it less. Surgeons can better discuss post-surgery effects on energy levels with patients based on these changing priorities.

Journal Article by Antunez AG, Sinco BR (…) Pitt SC et 11 al. in Ann Surg

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

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Impact of Socioeconomic Vulnerability on Emergency General Surgery Outcomes

Study finds that socioeconomic vulnerability is independently associated with increased in-hospital mortality, perioperative complications, longer hospital stays, higher costs, non-home discharge, and readmission rates after emergency general surgery. Results highlight the need for new interventions to address healthcare disparities and improve outcomes for vulnerable patient populations.

Journal Article by Sakowitz S, Bakhtiyar SS (…) Benharash P et 3 al. in BMC Surg

Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

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Factors Associated with Lymph Node Metastasis in Gastric Cancer

Researchers analyzed 5606 gastric cancer patients, identifying key risk factors for lymph node metastasis (LNM) in early gastric cancer (EGC). Significant predictors include female gender, lower tumor location, tumor size >2 cm, mixed and undifferentiated histologic types, t1b stage, ulceration, and lymphovascular invasion. A nomogram was developed to preoperatively predict LNM risk in EGC, aiding in personalized treatment planning.

Journal Article by Yu Z, Liang C (…) Zhao X et 6 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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Machine Learning Predictive Model for Distal Cholangiocarcinoma Recurrence

Integration of machine learning into prognostic modeling for distal cholangiocarcinoma yielded a robust predictive model for disease-free survival after pancreaticoduodenectomy. Significant predictors of recurrence included lnr15, neural invasion, n stage, surgical radicality, and differentiation grade. The model demonstrated strong discriminatory capacity with internal and external validations showing high accuracy levels. This tool can enhance tailored treatments and follow-up, benefiting both patients and healthcare providers.

Journal Article by Perez M, Palnaes Hansen C (…) Ielpo B et 30 al. in Eur J Surg Oncol

© 2024 Elsevier Ltd, BASO ∼ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

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