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Bariatric surgery reduces the risk of developing hidradenitis suppurativa

Bariatric surgery significantly reduces the risk of developing hidradenitis suppurativa (hs) in individuals with obesity, with a protective effect on hs recurrence. Individuals without a history of hs who underwent bariatric surgery had a significantly lower risk of de novo hs. Those with hs history showed a trend towards reduced hs recurrence after bariatric surgery. This study highlights the potential benefits of bariatric surgery in managing hs in individuals with obesity.

Journal Article by Chierici A, Bulsei J (…) Iannelli A et 4 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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Prophylactic and Adjuvant Hyperthermic Intraperitoneal Chemotherapy in Advanced Colorectal Cancer

Hyperthermic intraperitoneal chemotherapy (HIPEC) combined with cytoreductive surgery shows potential in preventing peritoneal metastases in high-risk colorectal cancer. Recent randomized controlled trials, including Hipect4, demonstrate improved locoregional disease control with HIPEC, without an increase in complications. Despite negative results in trials like Prophylochip and Colopec, the methodology and patient selection criteria provide valuable insights. Ongoing trials aim to further explore the role of HIPEC in advanced colorectal cancer prevention.

Review by Sun BJ, Daniel SK and Lee B in J Clin Med

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Preoperative Factors and Middle Rectal Artery Evaluation in Lateral Lymph Node Metastasis of Lower Rectal Cancer

Study identifies preoperative factors like clinical lymph node metastasis and PET/CT status as key predictors of lateral lymph node metastasis in rectal cancer. The presence of middle rectal artery significantly correlates with pathological lymph node metastasis, particularly in the internal iliac region. Combination of clinical factors and imaging techniques shows high negative predictive value for excluding lateral lymph node dissection in select cases, offering a useful approach for treatment decision-making.

Journal Article by Shiraishi T, Ogawa H (…) Saeki H et 7 al. in Surg Today

© 2024. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.

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Colorectal Signet-Ring Cell Carcinoma: Risk Factors, Prognosis, and Management

Colorectal signet-ring cell carcinoma (CSRCC) is a rare entity with poor prognosis, often diagnosed at advanced stages. Studies show an incidence of 0.1%-2.4%, associated with lower survival rates than other adenocarcinomas. Surgical intervention is challenging, and exploratory laparoscopy is advised to assess peritoneal metastases. Tailored treatment approaches are necessary due to the unique characteristics of CSRCC, emphasizing the need for updated insights on risk factors, prognosis, and management.

Journal Article by Nuytens F, Drubay V (…) Piessen G et 2 al. in World J Gastrointest Oncol

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

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Lymph Node Staging Systems and Prognosis of Colorectal Neuroendocrine Neoplasms

Colorectal neuroendocrine neoplasms prognosis in surgical treatment can be predicted by lymph node staging systems like LNR, PLN, and LODDS. A cohort study of 895 patients showed significant predictive values for mortality. After adjusting confounders, these systems were linked with patient outcomes, proving their effectiveness in assessing prognosis. This study highlights the importance of lymph node staging systems in determining the prognosis of surgically treated colorectal neuroendocrine neoplasms.

Journal Article by Zhang YY, Cai YW and Zhang X in World J Gastrointest Oncol

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

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Improving Prognosis in Pancreatic Head Cancer

TRIANGLE operation, combined with adequate adjuvant chemotherapy, can improve the prognosis of pancreatic head cancer. The triangle operation is safe for PDAC patients undergoing PD, reduces local recurrence rates, and may enhance patient survival with proper adjuvant chemotherapy support, according to a retrospective study. This surgical approach shows promising long-term oncological outcomes for patients with resectable pancreatic ductal adenocarcinoma.

Journal Article by Chen JH, Zhu LY (…) Jiang CY et 7 al. in World J Gastrointest Oncol

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

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Association Between Liver Stiffness Changes and Risk of Liver-related Events in NAFLD

Increases and decreases in liver stiffness measurements independently predict liver-related events in NAFLD. Progression to higher stiffness levels was linked to a higher risk of liver events, while regression to lower levels decreased this risk. These findings highlight the clinical significance of monitoring liver stiffness changes as a non-invasive marker for predicting outcomes in patients with NAFLD.

Journal Article by Gawrieh S, Vilar-Gomez E (…) Chalasani N et 11 al. in J Hepatol

Copyright © 2024. Published by Elsevier B.V.

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Practice Patterns and Outcomes Among Surgical Oncology Fellowship Graduates

Rates of serious complications and 90-day mortality were comparable across different career stages for surgical oncology fellowship graduates performing complex cancer surgery in the United States. Surgeon case-specific volume was found to be a strong predictor of postoperative outcomes, highlighting the importance of individual expertise regardless of years of independent practice or career stage.

Journal Article by Tsilimigras DI, Chatzipanagiotou O (…) Pawlik TM et 4 al. in Ann Surg Oncol

© 2024. The Author(s).

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Factors Influencing Postoperative Cough in Esophageal Cancer Patients

Study reveals that postoperative cough in esophageal cancer patients varied over time, affected by factors like cancer stage, surgical duration, and positioning. Scores post-surgery were consistently lower, emphasizing the need for targeted interventions to manage cough and improve patient outcomes. Results suggest the importance of individualized care strategies in the post-esophagectomy period to address specific cough-related challenges.

Journal Article by Sun J, Liang R (…) Qin J et 6 al. in Ann Surg Oncol

© 2024. The Author(s).

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Impact of Arterial Coverage with Retromesenteric Omental Flap on Postpancreatectomy Hemorrhage

Arterial coverage with retromesenteric omental flap significantly reduces clinically relevant postpancreatectomy hemorrhage after pancreaticoduodenectomy. This novel technique, compared to no coverage, led to lower hemorrhage rates, fewer postoperative pancreatic fistulas, and decreased reoperation needs. Multivariate analysis confirmed the omental flap as an independent protective factor against hemorrhage. Prospective studies are encouraged to validate these promising results and potentially enhance postoperative outcomes in patients undergoing pancreaticoduodenectomy.

Journal Article by Marique L, Codjia T (…) Sauvanet A et 6 al. in BMC Surg

Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.

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