Blog

Impact of Recurrent Weight Gain on Comorbid Conditions Progression Post-Laparoscopic Sleeve Gastrectomy

Recurrent weight gain after laparoscopic sleeve gastrectomy was studied in 122 patients over 2-7 years, showing significant weight loss and comorbidity remission rates. Diabetes, hypertension, and dyslipidemia had substantial remission rates, while a recurrent weight gain ≥ 20% of maximum weight loss indicated comorbidity progression. Healthcare providers can use these findings to implement targeted management strategies for better long-term health outcomes.

Journal Article by Chin WL, Tu WL (…) Hung TT et 3 al. in Obes Surg

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

read the whole article in Obes Surg

open it in PubMed

Higher Intraoperative Blood Pressure Reduces Post-Bariatric Hemorrhage

Increasing intraoperative blood pressure to 150 mmHg systolic, without staple line reinforcement, significantly reduces post-bariatric hemorrhagic complications. A retrospective study of 438 patients found a reduction in postoperative bleeding rates from 10% to 5% after implementing this intervention, with a decrease in revisional surgery for bleeding. The method shows promise in improving outcomes without additional surgical techniques.

Journal Article by Fink M, Stock S (…) Laessle C et 6 al. in Obes Surg

© 2024. The Author(s).

read the whole article in Obes Surg

open it in PubMed

Inside Stent Placement Enhances Preoperative Biliary Drainage in Perihilar Cholangiocarcinoma

Inside stent placement for preoperative biliary drainage in perihilar cholangiocarcinoma patients showed significantly lower rates of recurrent biliary obstruction, longer stent patency, fewer replacements, and reduced hospital stays and costs compared to conventional stent placement. Additionally, inside stent placement resulted in fewer complications and lower re-intervention rates, suggesting potential benefits for both patients and the healthcare system.

Comparative Study by Yamada R, Kuriyama N (…) Nakagawa H et 6 al. in BMC Gastroenterol

© 2024. The Author(s).

read the whole article in BMC Gastroenterol

open it in PubMed

The Costly Consequences of Anastomotic Leakage After Colorectal Surgery

Anastomotic leakage following colorectal surgery poses a significant financial burden on hospitals and society, with costs varying widely between countries. Hospital readmissions, intensive care stays, and reinterventions are the main drivers of these incremental expenses. Despite the high economic impact, data on societal burden and non-medical costs are lacking. Adherence to international reporting standards is crucial to comprehend and validate the reported cost estimates accurately.

Systematic Review by Nijssen DJ, Wienholts K (…) Hompes R et 4 al. in Tech Coloproctol

© 2024. The Author(s).

read the whole article in Tech Coloproctol

open it in PubMed

Tertiary Lymphoid Structures Predict Survival in Combined Hepatocellular-Cholangiocarcinoma

High intratumoural tertiary lymphoid structure (TLS) score correlated with prolonged survival, while high TLS density in adjacent tissue indicated worse prognosis in combined hepatocellular-cholangiocarcinoma. Mature TLSS linked to favorable outcomes with more CD8+ T cell infiltration. TLSS distribution and density can predict prognosis and serve as a potential immunotherapy biomarker. CXCL12 expression in tumor tissue significantly correlated with TLS presence, indicating a promising tool for assessing treatment response.

Journal Article by Gong W, Zhang S (…) Guo H et 10 al. in Hepatol Int

© 2024. The Author(s).

read the whole article in Hepatol Int

open it in PubMed

Non-Absorbable Sutures Yield Better Scars and Higher Patient Satisfaction

Non-absorbable sutures produce better scars and higher patient satisfaction compared to absorbable sutures. Results show significant advantages with non-absorbable suture in elasticity, pain, itching, color, stiffness, thickness, and overall impression at both 2 and 6 weeks post-surgery. Patients prefer non-resorptive sutures for comfort and aesthetics. This study highlights the importance of suture material choice in achieving optimal surgical outcomes and patient satisfaction.

Journal Article by Tatalović V, Marinković M, Perić R and Belopavlović R in Ir J Med Sci

© 2024. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.

read the whole article in Ir J Med Sci

open it in PubMed

Robotic Splenic Flexure Takedown: Single Docking Crossed-Arm Technique

Robotic splenic flexure mobilization during left-sided colon and rectal resections can be challenging, often requiring tedious re-docking and patient repositioning. Researchers introduce a single docking crossed-arm technique to facilitate splenic flexure takedown, eliminating arm collision and improving intraoperative flow. This technique significantly reduces operative time and enhances the mobility of instruments, allowing for tension-free anastomosis without the need for repositioning.

Journal Article by Erozkan K, Candir B and Gorgun E in Dis Colon Rectum

Copyright © The ASCRS 2024.

read the whole article in Dis Colon Rectum

open it in PubMed

Effectiveness of Upper Gastrointestinal ESD with Ultrathin Endoscope

Upper gastrointestinal endoscopic submucosal dissection (ESD) using an ultrathin endoscope boasts high en bloc resection rates, particularly in challenging locations like the esophagus, stomach, and duodenum. This retrospective study of 13 patients with 14 lesions reveals a 100% en bloc resection rate and a 92.9% en bloc complete resection rate. With minimal adverse events, ESD with an ultrathin endoscope proves to be a viable treatment option for distal gastrointestinal lesions and duodenal tumors.

Journal Article by Inokuchi Y, Furusawa K (…) Maeda S et 3 al. in Surg Endosc

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

read the whole article in Surg Endosc

open it in PubMed

Short-term Outcomes of Robotic Tumor-Specific Mesorectal Resection for Rectal Cancer

Robotic tumor-specific mesorectal resection using a rolling division technique resulted in successful outcomes for rectal cancer patients, with low complication rates, minimal blood loss, and no surgical mortality in the short term. This study reports on the feasibility and reliability of robot-assisted laparoscopic anterior resection, emphasizing the effectiveness of mesorectal division. Overall, the technique proved to be safe and efficient for achieving tumor-specific mesorectal excision in a single institution cohort.

Journal Article by Yamakawa Y, Haruki N (…) Takiguchi S et 6 al. in Surg Endosc

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

read the whole article in Surg Endosc

open it in PubMed

Prognostic Stratification in pT4bN0M0 Colorectal Cancer Patients

Colorectal cancer patients at stage pT4b exhibit varied prognoses based on invaded organs following multivisceral resection. Those with digestive or genitourinary system invasion show significantly better survival outcomes compared to gynecological system invasion. Age and type of organs invaded are key prognostic factors. Stratifying patients based on these factors reveals distinct risk groups with notable survival differences. Invasion site helps prognosticate outcomes for pT4bN0M0 colorectal cancer patients.

Journal Article by Quan J, Zuo K (…) Tang J et 9 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