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Advancing Rectal Cancer Care: Safe Implementation of a Stent-Assisted Ileal Bypass

In a study spanning January 2022 to January 2023, researchers explored the safety and viability of a pioneering stent-assisted ileal bypass for individuals undergoing sphincter-preserving surgery for rectal cancer. With 11 successful cases, the innovative approach, involving a biofragmentable ileal stent and diversion tube, proved safe and feasible. Results indicated potential benefits, including the avoidance of protective stomas and reduced need for secondary surgeries, offering a promising alternative for rectal cancer patients.

Journal Article by Wen ZL, Bai L and Zhou X in ANZ J Surg

© 2023 Royal Australasian College of Surgeons.

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Laparoscopic Liver Tunnel for Hepatocaval Confluence Tumors

Researchers present a groundbreaking laparoscopic liver tunnel technique for tumors at the hepatocaval confluence, expanding parenchyma-sparing surgery possibilities. A case study involving synchronous colorectal liver metastases demonstrates the feasibility of this approach, allowing resection of ill-located tumors with complex vascular relationships through minimally invasive means. The method significantly enhances the scope of liver surgery, particularly for challenging cases involving the hepatic confluence, showcasing its potential for improved patient outcomes.

Journal Article by Ferrero A, Lo Tesoriere R (…) Russolillo N et 3 al. in Ann Surg Oncol

© 2023. Society of Surgical Oncology.

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Pancreatic Adenocarcinoma: ASO Guidelines on Surgical and Multimodal Management

Addressing the aggressive nature of pancreatic adenocarcinoma, this study outlines ASO practice guidelines for surgical and multimodal management. Focusing on resectable, borderline resectable, and locally advanced cases, the guidelines aim to equip surgical oncologists with current recommendations. By delving into the supporting data, the study provides a comprehensive framework for effectively managing pancreatic adenocarcinoma, emphasizing the evolving paradigms that enhance survival in well-selected patients.

Review by Turner KM, Wilson GC, Patel SH and Ahmad SA in Ann Surg Oncol

© 2023. Society of Surgical Oncology.

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Grant Rejection: Strategies for Success and Funding

In addressing the common challenge of rejected grants, researchers explore the crucial decision between revising and resubmitting. With only about 15% of initial submissions securing funding, the study emphasizes a success rate exceeding 30% with proper revision strategies. Recommendations include collaborative consultation, hypothesis modification, and crafting a concise introduction. The article guides investigators through post-rejection options, revealing that, with strategic adjustments and responsive revisions, obtaining funding for an original grant becomes more attainable than anticipated.

Journal Article by Hunter CJ, Leiva T and Dudeja V in BMC Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

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Neoadjuvant Therapy Impact on Pancreatic Cancer: Fibrotic Response Variation and Survival Associations

Examining pancreatic ductal adenocarcinoma (PDAC) cases (1991-2020) with neoadjuvant treatment (NAT), this study categorizes fibrotic responses and explores their links to different NAT strategies (chemotherapy, chemoradiation, or total neoadjuvant therapy, TNT). Major fibrosis, most prevalent in TNT cases, correlates with superior outcomes, including higher rates of downstaging, complete responses, favorable margins, and improved overall and disease-free survival. The study underscores the significance of fibrotic response assessment in understanding treatment efficacy and predicting PDAC patient outcomes.

Journal Article by Akumuo RC, Villano AM (…) Reddy SS et 3 al. in Am J Surg

Copyright © 2023. Published by Elsevier Inc.

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Enhancing Surgical Ergonomics: Literature Review and Practical Illustrations for Open, Laparoscopic, and Robotic-Assisted Surgery

Addressing the high prevalence of work-related musculoskeletal disorders in surgery, this study reviews existing literature on surgical ergonomics. Collaborating with surgeons, the researchers create practical pictorial reminders for open, laparoscopic, and robotic-assisted surgical settings. These illustrations, derived from evidence-based ergonomic recommendations, are evaluated for practicality by residents and surgeons. The resulting visual guidelines aim to facilitate ergonomic education, improve awareness of ergonomic risks, and enhance operative postures across different surgical modalities.

Review by Tetteh E, Wang T (…) Hallbeck MS et 7 al. in Am J Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

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Surgeon Leadership Impact on Teamwork: Utilizing Surgical Safety Checklist for Enhanced Communication

Investigating the surgeon’s role in teamwork, this study explores the effectiveness of the Surgical Safety Checklist (SSC) in practice. Through interviews with operating room staff, engaged use of the SSC by attending surgeons emerged as a crucial factor. Surgeons actively employing the checklist to foster group discussion improved intraoperative teamwork, preventing later tensions. The study emphasizes the surgeon’s leadership potential in leveraging structured communication tools, like the SSC, to enhance teamwork and patient safety.

Journal Article by Lia H, Hammond Mobilio M, Rudzicz F and Moulton CA in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Refining Training Guidelines for Laparoscopic Cholecystectomy Safety Assessment: Expert Perspectives on “Unsafe” Practices

A multinational study involving 11 expert laparoscopic cholecystectomy surgeons aimed to enhance the Laparoscopic Cholecystectomy Critical View of Safety (LC-CVS OPSA). By analyzing ratings of “unsafe” practices, the study identified three major categories: failure to achieve critical view, suboptimal technique despite safe completion, and safe completion with potential future risks. Findings informed modifications to enhance the reliability of LC-CVS OPSA, offering valuable insights for training guidelines and formal assessment of learner proficiency in laparoscopic cholecystectomy safety.

Journal Article by Adrales G, Ardito F (…) Woods MS et 12 al. in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Abdominal Surgery Outcomes: Nationwide Variations in Failure to Rescue

Analyzing 598,736 patients across 52 Norwegian hospitals from 2011 to 2021, this study investigates failure to rescue (FTR30) after abdominal surgery. Despite a 30% decrease in FTR30 rates over a decade, substantial variations persist among similar hospitals. General surgical complications, with circulatory collapse and cardiac arrhythmia prevalent, were linked to FTR30. Surprisingly, hospital factors and proximity to intensive care units didn’t explain FTR variations. The study underscores the need for addressing microsystem issues affecting FTR30 in hospitals, emphasizing a complex interplay beyond geographic and institutional characteristics.

Journal Article by Augestad KM, Skyrud KD, Lindahl AK and Helgeland J in BMJ Open

© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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Enhancing Recovery: Postoperative Stellate Ganglion Block for Colorectal Cancer Surgery

Investigating the potential cardiovascular benefits of postoperative stellate ganglion block (SGB) after laparoscopic colorectal cancer surgery, this randomized trial aims to enroll 950 patients with at least one risk factor for myocardial injury after non-cardiac surgery. Assessing outcomes such as myocardial injury incidence, pain levels, delirium, and recovery quality, the study explores whether SGB, traditionally used in algiatry, can mitigate adverse cardiac events and improve the overall recovery experience in colorectal cancer patients.

Journal Article by Hu Z, Li W (…) Li K et 2 al. in BMJ Open

© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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