Early primary care physician follow-up after gastrointestinal cancer surgery significantly lowered 90-day readmission rates by 38% and decreased mortality risk by 50%. Patients with post-discharge PCP visits had lower healthcare costs and better outcomes. Integrating in-hospital and community-based care is crucial for improving patient results after surgery.
Journal Article by Khalil M, Woldesenbet S (…) Pawlik TM et 7 al. in J Surg Oncol
© 2024 Wiley Periodicals LLC.
Anatomical liver resection (AR) significantly reduces local and early recurrence rates compared to nonanatomical liver resection (NR) in patients with solitary hepatocellular carcinoma (HCC) ≤5cm. AR group exhibited lower recurrence rates, improved overall survival, and fewer instances of early recurrence. NR was identified as an independent risk factor for early recurrence and a prognostic factor for local recurrence. AR proves superior in preventing local and early recurrence post-surgery for solitary HCC ≤5cm.
Journal Article by Shimizu A, Kubota K (…) Soejima Y et 7 al. in J Hepatobiliary Pancreat Sci
© 2024 The Author(s). Journal of Hepato‐Biliary‐Pancreatic Sciences published by John Wiley & Sons Australia, Ltd on behalf of Japanese Society of Hepato‐Biliary‐Pancreatic Surgery.
Exposing the middle colic artery (MCA) first in laparoscopic pancreatoduodenectomy allows for safe and efficient determination of the superior mesenteric artery (SMA), first jejunal artery (J1A), and inferior pancreatoduodenal artery (IPDA). An anatomical correlation study found that 90.9% of MCA started at 12-3 o’clock from SMA, with mean distances of 56.4 mm to MCA, 37.4 mm to J1A, and 19 mm between SMA and J1A. This technique facilitates complete dissection of the mesopancreas and lymph nodes.
Journal Article by Nguyen HH, Nguyen TK (…) Nguyen DV et 8 al. in World J Surg Oncol
© 2024. The Author(s).
An innovative ostomy protector, in conjunction with a compression binder, was proven safe and effective in reducing parastomal hernia in ostomates. With a low incidence of hernia-related complications, patients reported high satisfaction levels with the prototype, signifying its potential clinical value as a preventive measure. Collaborative design efforts between healthcare professionals and end-users yielded a promising solution for addressing this common complication, offering hope for improved patient outcomes.
© 2024. The Author(s).
General surgery residents demonstrated improved compliance and robotic performance in virtual and inanimate domains through a 2-week robotic curriculum incorporating a virtual reality (VR) simulation. Residents completing the VR curriculum showed significant improvement in VR test scores, objective structured assessment of technical skills (OSATS) scores, and decreased time to complete exercises. Mastery of all modules correlated with higher post-test VR scores, highlighting the effectiveness of the program.
Journal Article by Hays SB, Rojas AE (…) Hogg ME et 4 al. in J Robot Surg
© 2024. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.
Acute traumatic coagulopathy is prevalent in patients with battlefield injuries, with one-third exhibiting coagulopathy upon arrival at medical facilities. Laboratory evidence showed low platelet counts, elevated INR levels, or both in 36% of patients. Early diagnosis and intervention are essential for improved outcomes, highlighting the need for advanced diagnostic tools and timely administration of blood products with extended shelf life.
Journal Article by Inman BL, Long B (…) Schauer SG et 3 al. in J Spec Oper Med
Findings from the BAMBINI trial show that bariatric surgery significantly increased rates of spontaneous ovulation in women with polycystic ovary syndrome (PCOS) and obesity compared to medical care. The surgical group had 2.5 times more ovulations than the medical group, indicating greater efficacy in improving fertility prospects. Although complications were more frequent in the surgery group, there were no long-term adverse effects. These results highlight the potential of bariatric surgery in enhancing fertility for women with PCOS and obesity.
Journal Article by Samarasinghe SNS, Leca B (…) Miras AD et 19 al. in Lancet
Copyright © 2024 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license. Published by Elsevier Ltd.. All rights reserved.
Minimally invasive surgery (MIS) shows comparable long-term survival outcomes to open surgery for ileal neuroendocrine tumors (i-NETs), with no significant difference in overall survival rates at around 99 to 103 months follow-up. MIS is a viable alternative for i-NETs resection, especially in cases without bulky mesenteric masses or concurrent liver resections. The study suggests MIS achieves similar oncological outcomes to open surgery in the long term.
Journal Article by Yogo A, Paciorek A (…) Nakakura EK et 5 al. in Ann Surg Oncol
© 2024. The Author(s).
Induction immunochemotherapy leads to higher conversion surgery rates and improved overall survival compared to induction chemotherapy in patients with initially unresectable esophageal squamous cell carcinoma. The immunochemotherapy cohort exhibited a notably superior conversion rate and higher pathological complete response rates, resulting in significantly better overall survival outcomes. This study suggests that immunochemotherapy alongside conversion surgery may offer a more effective treatment approach for patients with unresectable esophageal squamous cell carcinoma.
Journal Article by Huang S, Wang S (…) Qiao G et 7 al. in Ann Surg Oncol
© 2024. Society of Surgical Oncology.
Prehospital emergency medical services are crucial for reducing mortality in low- and middle-income countries. However, challenges in transportation and equipment availability hinder timely care delivery. Many areas rely on inadequate transportation methods, leading to delays in reaching healthcare facilities. Developing tier-1 and tier-2 emergency medical services, utilizing existing transportation infrastructure and sustainable local supply chains, could improve response times and care quality. Further research and investment are needed to enhance healthcare services in resource-limited communities.
Journal Article by Eisner ZJ, Smith NJ and Wylie C in BMC Surg
Copyright © 2024 Elsevier Inc. All rights reserved.