Robotic pancreaticoduodenectomy (RPD) offers similar or superior outcomes compared to open approaches for pancreatic ductal adenocarcinoma (PDAC) treatment. RPD shows reduced blood loss, lower post-operative pain, and shorter hospital stays. Despite similar operative times, RPD yields better oncological results, including margin status and survival rates. With increasing experience, RPD is poised to become the preferred minimally-invasive option for PDAC surgery.
Deep learning algorithms demonstrate high accuracy in detecting renal, liver, and spleen injuries on abdominal CT scans. With a notable performance in renal injury detection (accuracy: 0.932), the model exhibits potential for rapid preliminary screening and adjunctive diagnosis of traumatic abdominal injuries. The results suggest promising applicability in emergency settings, aiding clinicians in timely and accurate assessment of multiple organ injuries from CT imaging data.
Journal Article by Shen X, Zhou Y (…) Chen L et 5 al. in World J Emerg Surg
© 2024. The Author(s).
Patients with “oligo-like liver metastasis” (OLLM) in post-surgical pancreatic cancer have better overall survival after recurrence through surgical intervention. Key factors defining OLLM include long recurrence-free interval, stable disease interval, and fewer recurrent tumors. OLLM patients show significantly improved prognosis compared to non-OLLM patients, suggesting OLLM as a potential prognostic indicator for post-recurrence survival and guiding treatment decisions.
Journal Article by Saito R, Ban D (…) Shimada K et 4 al. in Ann Gastroenterol Surg
© 2023 The Authors. Annals of Gastroenterological Surgery published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Gastroenterological Surgery.
Painless gastroscopy significantly increases early gastric cancer detection rates compared to ordinary gastroscopy. It is safer, with shorter lesion lengths and more specific endoscopic characteristics for early detection. Painless gastroscopy is especially effective for identifying hard-to-see, small, superficial lesions. This study underscores the importance of painless gastroscopy in improving early gastric cancer screening and diagnostic efficiency.
Observational Study by Qiu L, Yao L, Hu P and He T in Medicine (Baltimore)
Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.
Comparing treatments for common bile duct stones (CBD), historical data and recent studies reveal a shift towards laparoscopic-endoscopic rendezvous (LER) technique. Before 1990, endoscopic sphincterotomy (ES) and surgery showed similar efficacy. Since 1991, LER emerged as effective, with fewer complications and shorter hospital stays. It’s favored, especially in younger, healthier patients, though its superiority over ES in older or high-risk patients remains uncertain.
Review by Stalnikowicz R and Benbassat J in Rambam Maimonides Med J
A retrospective study compared same-day discharge (SDD) ileostomy closure with traditional enhanced recovery pathways (ERP) to assess patient outcomes. Among 375 patients, the 30-day complication rate was significantly lower in the SDD group (14.8%) compared to the standard ERP group (25.7%), driven by a reduced incidence of ileus. Readmission and reoperation rates were similar between the groups. These findings suggest that SDD for ileostomy closure is a safe and effective procedure, potentially setting a new standard of care. Further research is needed to validate these results.
Comparative Study by Ferrari D, Violante T (…) Larson DW et 7 al. in J Gastrointest Surg
Copyright © 2024. Published by Elsevier Inc.
Early postoperative CRP levels are a key predictor of anastomotic leakage after esophagectomy, with a cutoff value of < 222 mg/l on day 2 showing 81% sensitivity and 88% specificity. Other biomarkers like WBC counts and albumin levels had limited diagnostic accuracy. A NUN score >10 on day 4 was unreliable. CRP < 127 mg/l on day 5 can safely guide discharge decisions, helping optimize patient management post-surgery.
Review by Van Daele E, Vanommeslaeghe H (…) Pattyn P et 3 al. in J Gastrointest Surg
Copyright © 2024 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.
Simultaneous cholecystectomy during elective colorectal cancer surgery for patients with asymptomatic gallstones reduces long-term biliary complications without increasing postoperative morbidity. Female gender, old age (≥65 years old), and small multiple gallstones are identified as independent risk factors for developing gallstone-related diseases in patients who undergo elective colorectal surgery without simultaneous cholecystectomy. Prophylactic cholecystectomy is recommended for older patients, females, and those with small multiple calculi.
Journal Article by Chi X, Li X (…) Liu J et 2 al. in J Gastrointest Surg
Copyright © 2024 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.
In patients over 70 with esophageal squamous cell carcinoma (ESCC), surgical treatment yields better clinical outcomes compared to nonsurgical approaches. A retrospective study showed that the 3-year overall survival was 59% for the surgical group and 27% for the nonsurgical group. The median progression-free survival was also higher in the surgical group (38.3 months vs. 12.3 months), with fewer adverse events. These results suggest esophagectomy may be more effective for older ESCC patients.
Comparative Study by Li K, Li C (…) Leng X et 9 al. in J Gastrointest Surg
Copyright © 2024 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.
A survey of 127 participants (25 trainers and 102 trainees) revealed dissatisfaction with the quality of surgical residency training in Nigeria, with 72% of trainers and 93% of trainees expressing discontent. The dissatisfaction stemmed from factors like inadequate mentorship, research, funding, and training facilities. While supervision was rated as adequate, both groups identified high clinical workload and workplace bullying as significant challenges. Recommendations for improvement included better mentorship, standardized training, enhanced funding, improved remuneration, and overseas training opportunities.
Journal Article by Ulasi IB, Ezeme C and Irabor DO in J Surg Res
Copyright © 2024 Elsevier Inc. All rights reserved.