Study finds no increased risk of morbidity or mortality in patients with Cannabis Use Disorder undergoing complex cancer surgery. While a slight uptick in postoperative kidney injury was observed, in-hospital mortality was slightly lower compared to non-users. After adjusting for other risk factors, Cannabis Use Disorder was not associated with higher morbidity and mortality rates.
Journal Article by Munir MM, Woldesenbet S (…) Pawlik TM et 2 al. in J Surg Oncol
© 2024 Wiley Periodicals LLC.
Among trauma patients transferred between hospitals, 10.1% experience hemodynamic deterioration (HDD), associated with moderate-severe injuries and mechanisms like motor vehicle collisions or gunshot wounds. HDD patients are more likely to require intensive care, surgery, or interventional radiology. Their mortality rate is higher (4.9%) compared to stable patients (2.1%). This underscores the importance of meticulous patient selection, pre-transfer management, and communication between facilities in interhospital trauma transfers.
Journal Article by Michos L, Whitehorn GL (…) Kaufman EJ et 6 al. in J Surg Res
Copyright © 2024 Elsevier Inc. All rights reserved.
Optimal lymphadenectomy of ≥20 lymph nodes in IPMN-derived PDAC is associated with improved overall survival. A minimum of 10 lymph nodes is needed for accurate nodal staging. Specific optimal cut-offs were identified for different types of surgeries.
Journal Article by Habib JR, Rompen IF (…) Daamen LA et 12 al. in Ann Surg
Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.
Appendicoscopy had a technical success rate of 96.4% and a clinical success rate of 91.8% in diagnosing and treating acute obstructive appendicitis. The procedure time was brief at 20.9±10 minutes, with most patients experiencing pain relief within 6 hours. Hospital stays averaged 3.5±1.5 days, and there were no adverse events, demonstrating the feasibility and effectiveness of appendicoscopy as an alternative therapy.
Journal Article by Tao L, Wang H (…) Liu S et 3 al. in Gastrointest Endosc
Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
Mucinous and non-mucinous appendiceal adenocarcinomas exhibit differences in recurrence rates and nodal positivity. Colectomy is associated with improved disease-specific survival for non-mucinous tumors at certain stages and grades, but not for mucinous tumors. This suggests that colectomy may not be necessary for mucinous appendiceal adenocarcinoma patients.
Journal Article by Tsagkalidis V, Choe JK (…) Ecker BL et 9 al. in Ann Surg Oncol
© 2024. The Author(s).
Mesenteric-based surgery offers insights into postoperative anastomotic recurrence in Crohn’s disease. The mesenteric pole is implicated in recurrence after resection. However, the mesentery’s role remains debated. This review explores mesenteric changes, its proposed role in disease progression, and the potential of mesenteric-based surgery in managing Crohn’s disease surgically.
Review by Duan M, Coffey JC and Li Y in BMC Surg
Copyright © 2024 Elsevier Inc. All rights reserved.
Procalcitonin >0.5 ng/ml at admission indicates increased risk for complicated diverticulitis, need for surgery, and mortality. It serves as a valuable tool for severity assessment and treatment decisions. The study enrolled 503 patients, revealing procalcitonin’s independent association with complicated diverticulitis, surgery, and mortality, underscoring its clinical relevance in guiding management strategies.
Journal Article by Schena CA, Covino M (…) Rosa F et 11 al. in BMC Surg
Copyright © 2024 Elsevier Inc. All rights reserved.
The study highlights the challenges and opportunities in developing formal, professional-driven emergency medical services (Tier-2 systems) in low- and middle-income countries. These systems, which include dedicated ambulances, personnel, and equipment, can significantly reduce mortality and disability due to emergency medical and surgical conditions. Challenges include limited coverage, financial constraints, regulatory issues, and workforce shortages, while opportunities include innovative financial sustainability approaches and workforce strengthening strategies.
Journal Article by Sun JH, de Vries S and Mould-Millman NK in BMC Surg
Copyright © 2024 Elsevier Inc. All rights reserved.
Large colonic adenocarcinomas are commonly right-sided, present at advanced stages, and have adverse pathologic features. Minimally invasive surgery is linked to better overall survival and shorter-term benefits compared to open surgery, offering significantly lower rates of mortality, positive margins, and shorter hospital stays for patients with stage I-III disease.
Journal Article by Emile SH, Horesh N (…) Wexner SD et 3 al. in BMC Surg
Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.
Esophageal cancer patients who underwent endoscopic submucosal dissection (ESD) for T1B tumors showed high en-bloc (100%) and R0 (82.3%) resection rates. Only 23.5% experienced tumor recurrence post-ESD, with safer outcomes in patients receiving additional therapies. Larger studies are necessary to confirm the long-term efficacy of ESD in T1B esophageal cancer.
Journal Article by Youssef M, Hanna C, Motomura D and Bechara R in Surg Endosc
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.