Six studies with 629 patients compared 2D and 3D laparoscopic bariatric surgery. 3D laparoscopy showed significantly shorter operative times and hospital stays during gastric bypass and sleeve gastrectomy procedures. It also indicated potential benefits in preventing complications. Surgeons may find 3D laparoscopy advantageous in bariatric surgery despite limited evidence.
Review by Peltrini R, Esposito MD (…) Pilone V et 3 al. in Obes Surg
© 2024. The Author(s).
Extraversion was significantly correlated with higher 360-degree assessment scores among surgical residency applicants. Personality profiles of applicants showed higher ratings in emotional stability, agreeableness, conscientiousness, and openness compared to the norm. However, these assessments did not correlate with objective measures of technical skill using laparoscopic simulators. Objective measures should be incorporated in assessments alongside personality traits in surgical residency selection processes.
Journal Article by Pedersen H, Bäckström M and Hagelsteen K in J Surg Res
Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.
Expanding loco-regional nodes harvesting expected to increase survival in gastric cancer patients. Results from 830 patients undergoing gastrectomy show extended lymphadenectomies lead to better overall survival. Simulation to “offer 26 nodes” reveals no significant impact of stage migration. The number of negative nodes, even in large dissections, emerges as an independent prognostic factor, emphasizing their crucial role in patient management and treatment outcomes.
Journal Article by Costa PMD, Antunes C (…) Lara Santos L et 4 al. in Eur J Surg Oncol
© 2024 Published by Elsevier Ltd.
Experts from the European Society of Endocrine Surgeons provide evidence-based recommendations for surgery in advanced small bowel neuroendocrine tumours, addressing key controversial topics such as primary tumour resection, cytoreduction, lymph node clearance, and management of unknown primary tumours. The recommendations, based on a systematic literature review of 84 papers due to lack of randomized controlled trials, were strongly supported by a majority of participants.
Journal Article by Van Den Heede K, van Beek DJ (…) Nordenström E et 4 al. in Br J Surg
© The Author(s) 2024. Published by Oxford University Press on behalf of BJS Foundation Ltd. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.
Current short-term evidence suggests that oral antibiotics alone can successfully treat uncomplicated acute appendicitis. A study comparing oral antibiotic monotherapy with combined IV and oral antibiotics over a longer-term follow-up found no significant difference in treatment success rate at year 3. While a slightly higher appendectomy rate was observed with oral antibiotic monotherapy, noninferiority could not be demonstrated. Future studies are warranted to explore oral antibiotic monotherapy as a viable treatment option.
Journal Article by Selänne L, Haijanen J (…) Salminen P et 15 al. in JAMA Surg
After traumatic injury, a study found that outpatient follow-up did not significantly decrease emergency department visits or readmission rates. Factors associated with increased emergency department use included non-white race, depression, anxiety, substance use disorder, discharge disposition, and being discharged with lines or drains. Future research should focus on supporting trauma patients with mental health comorbidities and developing interventions for optimal post-discharge engagement.
Journal Article by Smith SM, Zhao X (…) Sanchez SE et 3 al. in J Am Coll Surg
Copyright © 2024 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.
Placebo-controlled trials of procedural interventions showed reduced effectiveness compared to unblinded trials for exercise-related outcomes, quality of life, and health professional-assessed endpoints. The placebo effect explained a substantial portion of the observed effect size differences. No significant differences were found for patient-reported outcomes, blood pressure, mortality, pain, or recurrent bleeding events. The study emphasizes the importance of including a placebo arm in procedural intervention trials.
Journal Article by Rajkumar CA, Thomas KE (…) Al-Lamee RK et 12 al. in JAMA Surg
Endoscopic stent placement is a viable option for traumatic bile duct injury, with a success rate of 70%. In patients with complete bile duct transection, approximately 60% can avoid surgery by implementing this nonoperative approach. Adverse events related to stent placement were minimal, suggesting that endoscopic management is a promising alternative to surgery in selected patients.
Journal Article by Shapera E, Ross S (…) Sucandy I et 2 al. in Ann Surg Oncol
© 2024. Society of Surgical Oncology.
This editorial highlights remarkable advancements in tailored medical treatment strategies for pancreatic neuroendocrine tumors. Cytoreductive surgery and somatostatin analogs are key in managing tumors, with additional treatment options available for refractory patients. Different subtypes require distinct therapeutic approaches, and ongoing research on the genetic basis and immunotherapies offers promising avenues for future patient outcomes.
Editorial by Giri S and Sahoo J in World J Gastroenterol
©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
An analysis of 34 cases of ischiorectal fossa tumors over a 30-year period found a high recurrence rate, with 35% of patients experiencing recurrence even after R0 resection. The median follow-up was 23 months, and the median time to recurrence was 6.5 months. Although there were no surgery-related mortalities, these results indicate the need for a multidisciplinary approach and close post-treatment surveillance.
Journal Article by Peponis T, Perry WRG and Kelley SR in Dis Colon Rectum
Copyright © The ASCRS 2024.