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Advanced Laparoscopic Hepatectomy Safety in Elderly Japanese Patients

Advanced laparoscopic hepatectomy in elderly Japanese patients showed similar or better safety compared to open hepatectomy, with lower mortality rates, reduced blood product use, and shorter hospital stays. The study highlights the feasibility and safety of advanced laparoscopic hepatectomy in elderly patients, supporting its use as a viable surgical option in Japan.

Journal Article by Kusakabe J, Taura K (…) Kawakami K et 3 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Comparative Analysis of Hemostatic Products for Surgical Hemostasis

A review of commercially available hemostatic agents in the US provides a comprehensive guide for general surgeons. The paper summarizes each product’s mechanism of action, indications, contraindications, best-use cases, and expected results. Hemostatic agents are critical adjuncts for minimizing postoperative bleeding risks, and proper education on their characteristics is essential for optimal selection and use in clinical practice.

Journal Article by Sucandy I, Ross S (…) Renton D et 8 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Optimal Management of Hiatal Hernia

A systematic review and meta-analysis of 45 studies on hiatal hernia management, including data from randomized controlled trials and observational studies, found that the use of mesh was associated with a lower recurrence risk (RR = 0.50, 95% CI 0.28, 0.88). Despite the overall high risk of bias in most studies, this evidence suggests that mesh use may be beneficial in reducing recurrence rates. Shared decision-making between surgeons and patients remains crucial for optimal outcomes.

Journal Article by Hanna NM, Kumar SS (…) Daly S et 12 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Improving Adrenal Incidentaloma Evaluation Through a Quality Improvement Initiative

Implementation of a quality improvement program led to increased primary care provider-initiated evaluation of adrenal incidentalomas, with 35.5% meeting the primary endpoint in the quality improvement cohort compared to 27.6% in the historical cohort. Patients in the quality improvement cohort had 1.70 times higher odds of undergoing primary care provider-initiated evaluation. Adrenal surgery rates did not significantly differ between cohorts.

Journal Article by Woods AP, Feeney T (…) Drake FT et 3 al. in J Am Coll Surg

Copyright © 2023 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

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Improving Adrenal Incidentaloma Evaluation Through a Quality Improvement Initiative

Implementation of a quality improvement program led to increased primary care provider-initiated evaluation of adrenal incidentalomas, with 35.5% meeting the primary endpoint in the quality improvement cohort compared to 27.6% in the historical cohort. Patients in the quality improvement cohort had 1.70 times higher odds of undergoing primary care provider-initiated evaluation. Adrenal surgery rates did not significantly differ between cohorts.

Journal Article by Woods AP, Feeney T (…) Drake FT et 3 al. in J Am Coll Surg

Copyright © 2023 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

read the whole article in J Am Coll Surg

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Improved Detection of Residual Peritoneal Metastases with Pegsitacianine Imaging Agent

Use of pegsitacianine, a pH-sensitive imaging agent, detected residual disease in 50% of patients undergoing cytoreductive surgery. Pegsitacianine showed high sensitivity, improved surgeon assessment, and had acceptable safety profile. This agent has the potential to enhance detection of residual disease and improve outcomes in peritoneal carcinomatosis patients.

Journal Article by Wagner P, Levine EA (…) Bartlett DL et 12 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

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Improved Detection of Residual Peritoneal Metastases with Pegsitacianine Imaging Agent

Use of pegsitacianine, a pH-sensitive imaging agent, detected residual disease in 50% of patients undergoing cytoreductive surgery. Pegsitacianine showed high sensitivity, improved surgeon assessment, and had acceptable safety profile. This agent has the potential to enhance detection of residual disease and improve outcomes in peritoneal carcinomatosis patients.

Journal Article by Wagner P, Levine EA (…) Bartlett DL et 12 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

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Clinical Characteristics and Outcomes of Adrenal Hemorrhage

Adrenal hemorrhage, often triggered by trauma, presents diverse clinical manifestations. A retrospective analysis of 193 cases revealed a majority of unilateral hemorrhages, with trauma as the leading cause. Notably, many adrenal nodules went undetected initially, underscoring the importance of thorough evaluation. Follow-up imaging demonstrated varied changes in hemorrhage size, suggesting the need for continued monitoring to identify nodules requiring hormonal assessment.

Journal Article by Wang TN, Padmanaban V (…) Dedhia PH et 6 al. in BMC Surg

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

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Clinical Characteristics and Outcomes of Adrenal Hemorrhage

Adrenal hemorrhage, often triggered by trauma, presents diverse clinical manifestations. A retrospective analysis of 193 cases revealed a majority of unilateral hemorrhages, with trauma as the leading cause. Notably, many adrenal nodules went undetected initially, underscoring the importance of thorough evaluation. Follow-up imaging demonstrated varied changes in hemorrhage size, suggesting the need for continued monitoring to identify nodules requiring hormonal assessment.

Journal Article by Wang TN, Padmanaban V (…) Dedhia PH et 6 al. in BMC Surg

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

read the whole article in BMC Surg

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Performance of AI Chatbots in Surgical Decision-making for Gastroesophageal Reflux Disease

Large language model-linked chatbots showed varying accuracy in providing surgical management recommendations for gastroesophageal reflux disease. Google Bard had the highest accuracy, while Copilot and Perplexity had lower performance. Additional training using evidence-based health information is needed to maximize the potential of chatbots in clinical practice.

Journal Article by Huo B, Calabrese E (…) Vosburg W et 8 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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