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3D Reconstruction and Virtual Reality for Body Image Improvement in Bariatric Metabolic Surgery

3D Reconstruction and Virtual Reality proved effective in improving body image satisfaction and psychological outcomes for bariatric metabolic surgery patients. Participants reported a more accurate perception of their body changes and overall appearance, with positive feedback on group workshops and VR discussions. This method offers a feasible and acceptable approach to supporting patients in adjusting to post-surgery body changes, potentially enhancing intervention outcomes.

Journal Article by Assaf N, Scholtz S (…) Bello F et 3 al. in Obes Surg

© 2024. The Author(s).

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Prognostic Value in Gastric Cancer Patients

The age-adjusted Charlson Comorbidity Index and sarcopenia are significant independent risk factors for prognosis in gastric cancer patients. A new prognostic score, ACCIS, combining these factors, accurately predicts prognosis and enhances predictive accuracy. Integration of ACCI score and sarcopenia improves prognostic predictions, leading to the development of a nomogram with a high concordance index for accurate prognosis prediction in gastric cancer patients post-resection.

Journal Article by Shao J, Gao Z (…) Shen X et 9 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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Clinical Significance of C-Reactive Protein-Albumin-Lymphocyte Index in Gastric Cancer Patients

The preoperative C-reactive protein-albumin-lymphocyte (CAlly) index is an independent prognostic factor for overall and disease-free survival in patients with gastric cancer. It is also a valuable predictive marker for postoperative surgical site infection, highlighting its potential clinical significance in perioperative and oncologic management of gastric cancer patients.

Journal Article by Okugawa Y, Ohi M (…) Toiyama Y et 12 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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WeChat-based Nursing Interventions on Mental Distress and Satisfaction

WeChat online education and care (WOEC) interventions significantly lowered depression and anxiety levels in caregivers of elderly postoperative colorectal cancer patients. Patient satisfaction scores were notably higher in the WOEC group compared to the control group. Subgroup analysis revealed that caregivers with lower performance status and higher education levels benefitted the most from WOEC. Overall, WOEC effectively reduced mental stress in caregivers and increased satisfaction in elderly postoperative CRC patients.

Journal Article by Lu H, Wang H (…) Ye F et 4 al. in Clin Res Hepatol Gastroenterol

Copyright © 2024. Published by Elsevier Masson SAS.

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Outcomes of Robotic Radical Surgery for Rectal GIST

Favorable short-term and long-term outcomes were observed in patients undergoing robotic radical surgery for rectal gastrointestinal stromal tumor (GIST), with 100% 5-year overall survival and recurrence-free survival rates. The majority of patients had negative surgical margins, underwent sphincter-preserving surgery, and experienced low postoperative complication rates, highlighting the potential utility of robotic surgery for this condition.

Journal Article by Maeda C, Yamaoka Y (…) Nanishi K et 5 al. in BMC Surg

© 2024. The Author(s).

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Comparing Local and Remote Ischemic Preconditioning in Hepatectomy

Local ischemic preconditioning (LIPC) and remote ischemic preconditioning (RIPC) were found to be superior to no-preconditioning in reducing postoperative serum transaminase levels in hepatectomy. There was no significant difference between the two methods in postoperative liver function and surgical outcomes. RIPC showed potential benefits in improving liver function, particularly in patients with cirrhosis or those undergoing major resections. Both LIPC and RIPC are effective strategies for reducing hepatic ischemia-reperfusion injury during hepatectomy.

Journal Article by Chen Y, Yan J, Wang K and Zhu Z in Transl Gastroenterol Hepatol

2024 Translational Gastroenterology and Hepatology. All rights reserved.

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Effectiveness of Laparoscopic Indocyanine Green Tracer-guided Lymphadenectomy for Locally Advanced Gastric Cancer

Indocyanine green (ICG) guidance significantly improves lymph node dissection quality in patients with locally advanced gastric cancer undergoing laparoscopic radical gastrectomy after neoadjuvant chemotherapy. ICG led to higher numbers of retrieved lymph nodes, reduced noncompliance rates, and improved lymphadenectomy quality for patients with complete response. Surgical outcomes were similar between ICG and non-ICG groups, suggesting ICG’s efficacy in enhancing surgical precision.

Research Support, Non-U.S. Gov’t by Huang ZN, Tang YH (…) Huang CM et 11 al. in Ann Surg

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

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Long-term Benefits of Body Contouring Surgery Post-Bariatric Surgery

Body contouring surgery after bariatric surgery leads to sustained improvements in health-related quality of life and satisfaction with appearance over a significant period. Patients who underwent body contouring surgery maintained or even improved their scores, contrasting with those who only had bariatric surgery. This highlights the significant role of body contouring surgery in enhancing the overall weight loss journey, based on a comprehensive international longitudinal cohort study.

Multicenter Study by Dalaei F, de Vries CEE (…) Sørensen JA et 20 al. in Ann Surg

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

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Advancing Surgical Performance Assessment Through Digital Metrics

Surgeons evaluated 81 studies on digital metrics for nontechnical skills, highlighting diverse objective measures for cognitive load, situation awareness, and communication. Surgical sabermetrics, using sensors, offers promising outcomes for performance optimization. Gaps remain in assessing decision-making objectively. Future integration of physiological sensors could enhance holistic surgical performance evaluation and patient safety.

Research Support, Non-U.S. Gov’t by Howie EE, Ambler O (…) Yule SJ et 4 al. in Ann Surg

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

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Impact of Same-Day Discharge on Bariatric Surgery Outcomes

Same-day discharge for bariatric surgery increased from 2.4% to 7.4% between 2016 and 2021. Black race, history of MI, renal insufficiency, DVT, and smoking were associated with higher complications. Roux-en-Y had a 72% higher risk than sleeve gastrectomy. While overall major complications were lower, there were significantly more deaths, cardiac arrests, and cases of dehydration requiring treatment in the same-day discharge group. Further research is needed to select appropriate outpatient candidates.

Journal Article by Bharani T, Tavakkoli A (…) Sheu EG et 2 al. in J Am Coll Surg

Copyright © 2024 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

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