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Bowel Perfusion in Emergency Setting: Fluorescence Imaging Meta-Analysis

Fluorescence imaging with indocyanine green in emergency settings showed promising results for assessing bowel perfusion, with statistically significant findings supporting its feasibility and safety. The meta-analysis, including six studies, demonstrated comparable outcomes to traditional assessment methods. Further high-quality studies are warranted to validate the utility of this methodology in emergency settings.

Journal Article by Rizzo R, Vallicelli C (…) Catena F et 6 al. in Int J Surg

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

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Improved Efficacy and Safety with HARO-ALPPS Procedure for HCC Treatment

Novel HARO-ALPPS procedure significantly restricts hepatic artery blood supply post-surgery, enhancing liver regeneration in HCC patients with severe fibrosis. Results show superior outcomes in terms of mortality and liver function compared to conventional ALPPS procedure. Further studies required to confirm oncologic benefits of HARO-ALPPS in long-term follow-up.

Journal Article by Wen Z, Jin Z (…) Guo Y et 15 al. in Int J Surg

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

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Enhancing Surgical Performance in Robotic Gastrectomy for Gastric Cancer Patients

Optimizing surgical performance in robotic gastrectomy for gastric cancer patients led to improved short-term outcomes. The study established a learning curve for robotic gastrectomy and evaluated its impact by analyzing data from 527 patients. With phase advancement, postoperative complication rates decreased, more lymph nodes were retrieved, and textbook outcome attainment improved. These findings support the safe dissemination of robotic gastrectomy in the minimally invasive era.

Journal Article by Xue Z, Lu J (…) Zheng CH et 11 al. in Int J Surg

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

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Impact of Intraoperative Anastomotic Testing on Colorectal Surgery Outcomes

Surgeons’ perception of anastomotic perfusion and integrity during left-sided colorectal resections significantly affects anastomotic leakage (AL) rates and related morbidity. The use of indocyanine green fluorescent angiography (ICG-FA) and air-leak test (ALT) did not mitigate the higher risk in the subgroup where both tests were performed. AL, major morbidity, and reoperation for AL risks were significantly elevated in this subgroup, emphasizing the importance of surgeon evaluation in clinical practice.

Journal Article by Catarci M, Guadagni S (…) Baiocchi GL et 7 al. in Updates Surg

© 2024. Italian Society of Surgery (SIC).

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Feasibility of Percutaneous Transhepatic Cholangioscopy-Assisted Biliary Polypectomy for Intraductal Papillary Neoplasm of the Bile Duct

Effective local palliative treatment of intraductal papillary neoplasm of the bile duct using percutaneous transhepatic cholangioscopy-assisted biliary polypectomy. Feasible, safe, and successful in five patients, with technical and therapeutic success achieved. Patients with mucin-hypersecreting cast-like or polypoid type tumors benefited, with no serious adverse events. Resulted in curative resection and clinical success for mucin-hypersecreting ipnb. Valuable alternative with potential for wider application.

Journal Article by Ren X, Qu YP (…) Xue HP et 4 al. in World J Gastrointest Oncol

©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.

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Quality of Life in Esophageal Cancer Patients

Quality of Life (QoL) significantly impacts mortality risk in patients with esophageal cancer. A systematic review and meta-analysis found that overall QoL, as well as physical, emotional, role, cognitive, and social QoL, were all associated with mortality risk. Subgroup analyses by timing of QoL assessment and types of treatment further supported these findings. Regular QoL assessments before and after treatment can help predict life expectancy and guide interventions to improve QoL.

Review by Inoue J, Morishita S (…) Fukushima T et 4 al. in Esophagus

© 2024. The Author(s), under exclusive licence to The Author(s) under exclusive licence to The Japan Esophageal Society.

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Revisiting Lesion Classification in Pancreatic Cancer: PanIN or IPMN?

3D imaging challenges traditional size-based classification of precancerous lesions in pancreatic ductal adenocarcinoma. Over 1400 lesions meeting size criteria for pancreatic intraepithelial neoplasia (PanIN) were identified in 3D analysis, with a quarter digitally sectioning as intraductal papillary mucinous neoplasms (IPMN). Half of these large lesions were visible on preoperative CT scans. Current classification based on 2D size assessment fails in high-resolution 3D evaluation, necessitating updated guidelines.

Journal Article by Kiemen AL, Dequiedt L (…) Hruban RH et 12 al. in Am J Surg Pathol

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

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Technical Difficulty in Laparoscopic Sphincter-Preserving Radical Resection for Rectal Cancer

Colorectal surgeons developed a nomogram model to predict technical challenges in performing laparoscopic sphincter-preserving radical resection for rectal cancer. Parameters such as surgical approach, intraoperative preventive ostomy, sacrococcygeal distance, and pelvic inlet diameter were identified as independent risk factors for operative difficulty. Understanding these predictive factors could aid clinicians in anticipating surgical challenges and optimizing patient outcomes during laparoscopic procedures for rectal cancer.

Journal Article by Zhou XC, Guan SW (…) Chen BF et 3 al. in World J Gastroenterol

©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.

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Long-term Complications of Lateral Pelvic Node Dissection in Rectal Cancer Patients

Rectal cancer patients undergoing lateral pelvic node dissection post preoperative chemoradiotherapy face high long-term complication rates, with lymphocele and anastomotic leakage as common issues. Half of them experience asymptomatic lymphoceles, mostly resolving spontaneously, while pelvic node metastases and number of nodes harvested correlate with long-term complications. Efforts to minimize complications from pelvic node dissection are warranted.

Journal Article by Kim HJ, Choi GS (…) Cho SH et 5 al. in Dis Colon Rectum

Copyright © The ASCRS 2024.

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Impact of County Health Ranking on Short-Term Bariatric Surgery Outcomes

Study examines the influence of social determinants of health, race/ethnicity, and surgical risk factors on short-term metabolic surgery outcomes. Patients from counties with lower County Health Rankings (CHRs) were at higher risk but CHR was not independently linked to 30-day outcomes. Racial disparities in outcomes persisted despite adjustments. Middle and worst CHR tercile patients were more likely to be older, non-Hispanic Black or Hispanic, and have preexisting conditions. Surgical approaches varied across CHR terciles with no significant difference in short-term outcomes.

Journal Article by Trooboff S, Pohl A (…) Edwards MA et 2 al. in Surg Obes Relat Dis

Copyright © 2024 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

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