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Identification of Mesenteric Entry Site as Weak Point in Gastrointestinal Anastomoses

Biomechanical analysis of gastrointestinal anastomoses reveals the mesenteric entry site as a potential weak point, exhibiting significantly higher rates of leakage and bursting compared to other sections. The study underscores the importance of refining surgical techniques to optimize outcomes, particularly in addressing complications like anastomotic leakage, which are associated with increased morbidity and mortality in gastrointestinal surgery.

Journal Article by Cira K, Janett SN (…) Neumann PA et 5 al. in Langenbecks Arch Surg

© 2024. The Author(s).

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Disappointing Results of SMART Technique for Parastomal Hernia Repair

The study assesses the Modified Stapled Mesh Stoma Reinforcement Technique (mSMART) for parastomal hernia repair, revealing a high recurrence rate of 57.1% during follow-up. Despite low rates of surgical site occurrence and infection, disappointing outcomes indicate the need for alternative approaches in addressing parastomal hernias to improve patient outcomes and reduce recurrence.

Journal Article by Romain B, Villemin A (…) Manfredelli S et 3 al. in Hernia

© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.

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Practice Patterns of Non-certified Surgeons Treating Medicare Patients

Non-certified surgeons treating Medicare patients show unique practice patterns, handling more non-white patients, those with lower socioeconomic status, and operating frequently in rural and critical-access hospitals. They’re less likely to be fellowship-trained and more likely to be foreign medical graduates. Non-certified surgeons perform a higher proportion of emergency admissions. However, there were no differences in the gender or age of patients treated by certified versus non-certified surgeons.

Journal Article by Moreci R, Gates RS (…) George BC et 8 al. in Ann Surg

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

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Feasibility and Safety of Hepatic Arterial Infusion Pump Chemotherapy for Colorectal Liver Metastases

Feasible and safe, hepatic arterial infusion pump chemotherapy combined with systemic chemotherapy (HAIP-SYS) for colorectal liver metastases (CRLMs) showed promising results in a phase II study in the Netherlands. With a completion rate of 90% for two cycles, it demonstrated favorable disease control rates at first radiological evaluation and six months post-treatment. Although some patients experienced grade 3 complications and chemotherapy toxicity, the study supports further investigation into its oncological benefits in a phase III trial.

Journal Article by Krul MF, Kok NFM (…) Kuhlmann KFD et 18 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.

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Higher Rates of Late ERCP Post-Cholecystectomy Associated with Adverse Outcomes

Despite an increase in non-invasive biliary imaging, the rate of late-ERCP post-cholecystectomy has significantly risen, with high rates of adverse events including pancreatitis, hospitalization, and new chronic opioid use. Factors linked to late-ERCP included gut-brain interaction disorders, liver disease, and use of specific medications. Late-ERCPs are associated with disproportionately worse outcomes, suggesting the need for improved patient selection and management.

Journal Article by Thiruvengadam NR, Saumoy M (…) Coté GA et 6 al. in Clin Gastroenterol Hepatol

Copyright © 2024. Published by Elsevier Inc.

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Laparoscopic Liver Resection Shows Comparable Outcomes to Open Liver Resection for High Tumour Burden Colorectal Liver Metastases

Laparoscopic liver resection (LLR) matches open liver resection (OLR) in outcomes for ≥ 3 colorectal liver metastases (CRLM), showing similar morbidity, mortality, and survival rates. LLR offers shorter hospital stays, advocating its consideration for selected patients with high tumour burden disease. This study, analyzing 277 patients, demonstrates comparable major hepatectomy rates between LLR and OLR. Although OLR has a longer median overall survival (41.1 months) than LLR (median not reached), disease-free survival remains similar (18.3 vs. 27.9 months).

Journal Article by Russolillo N, Ciulli C (…) Ferrero A 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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Overweight and Thin Rectus Abdominis are Risk Factors for Stoma Prolapse After Laparoscopic Loop Colostomy

Being overweight (BMI ≥ 25) and a thin rectus abdominis penetration (< 8.9 mm) during stoma construction were significantly associated with a higher incidence of stoma prolapse (SP) after laparoscopic loop colostomy. This study analyzed data from 140 patients, with SP occurring in 23.6% of cases. Selecting a construction site that penetrates the thicker rectus abdominis muscle may be crucial for preventing SP.

Journal Article by Takashima Y, Hino H (…) Tanaka Y et 6 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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Understanding Upper Gastrointestinal and Hepatopancreaticobiliary Surgery in New Zealand

New Zealand is a low-volume center for upper gastrointestinal surgery, with most complex procedures concentrated in national cancer centers. There is evidence of regionalization, where larger centers perform procedures more frequently. Palliative procedures are more widely performed, but indigenous Māori are less likely to be treated in designated cancer centers. The challenge lies in optimizing complex surgery skills while ensuring equitable access for all patients.

Journal Article by Koea J, Chao P, Srinivasa S and Gurney J in World J Surg

© 2024 The Authors. World Journal of Surgery published by John Wiley & Sons Ltd on behalf of International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).

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Hyperthermic Intraperitoneal Chemotherapy Improves Survival in Gastric Cancer Patients

Hyperthermic intraperitoneal chemotherapy (HIPEC) significantly improved overall survival and reduced recurrence rates in both prophylactic and therapeutic settings for peritoneal carcinomatosis of gastric origin. This systematic review and meta-analysis of randomized trials highlights the efficacy of HIPEC as a safe and effective tool for prophylaxis and a promising resource for treatment, emphasizing the need for further large-cohort studies to provide definitive recommendations.

Review by Stefano M, Perrina D (…) Catena F et 13 al. in J Gastrointest Surg

Copyright © 2024. Published by Elsevier Inc.

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Comparison of Stapled vs Handsewn Anastomosis and Anastomotic Leaks in Gastric Cancer Surgery

Results showed no significant association between stapled or handsewn anastomosis and anastomotic leaks in gastric cancer surgery. This population-based study included 2164 patients in Finland, with 21.8% having handsewn anastomosis and 78.2% having stapled anastomosis. Regardless of the type of gastrectomy, the choice of anastomotic technique did not impact the occurrence of leaks.

Journal Article by Kvist E, Helminen O (…) Kauppila JH et 20 al. in J Gastrointest Surg

Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

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