Blog

Short- and Long-term Abdominal Consequences of Omentectomy

This systematic review explores short- and long-term effects of omentectomy, highlighting low complication rates. Short-term complications include ileus, bowel stenosis, abscess, and sepsis (0.0%-23%). Long-term risks mainly involve donor-site hernia (up to 32%), with minimal gastrointestinal complications. However, evidence quality and follow-up duration are limited, underscoring the need for further research.

Journal Article by Smit JM, Plat VD (…) Negenborn VL et 2 al. in J Surg Oncol

© 2024 The Authors. Journal of Surgical Oncology published by Wiley Periodicals LLC.

read the whole article in J Surg Oncol

open it in PubMed

BRAF Mutations and Survival After Liver Surgery in Patients with Colorectal Liver Metastases

BRAF mutations in colorectal cancer patients with liver metastases are linked to poorer survival outcomes. However, liver resection shows a significant 56% reduction in the risk of death for patients with BRAF-mutated colorectal liver metastases. Surgical intervention offers a clear survival benefit, with a reduced hazard ratio of 0.44 favoring surgery.

Review by Petrelli F, Arru M (…) Sozzi A et 11 al. in Eur J Surg Oncol

© 2024 Published by Elsevier Ltd.

read the whole article in Eur J Surg Oncol

open it in PubMed

Impact of Case Volume on Sarcoma Prognostic Nomograms

Updated nomograms for primary retroperitoneal sarcoma patients differ in survival outcomes between high and low-volume centers. Case volume significantly influences overall and disease-free survival and nomogram performance. High-volume centers demonstrate better calibration than low-volume centers. Case volume should be considered in prognostic nomogram development for sarcoma patients.

Journal Article by Callegaro D, Barretta F (…) Gronchi A et 15 al. in Ann Surg

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

read the whole article in Ann Surg

open it in PubMed

Prognostic Value of Cachexia Index in Oesophagogastric Cancer Patients

A novel prognostic marker, the cachexia index (cxi), is associated with disease progression, postoperative mortality, and overall survival in patients with locally advanced oesophagogastric cancer. Patients with low cxi had higher rates of disease progression, worse postoperative mortality, and decreased overall survival compared to those with normal cxi values. The cxi measurement could aid in improving prognostication and clinical decision-making for these patients.

Journal Article by Brown LR, Thomson GG (…) Skipworth RJE et 9 al. in Br J Surg

© The Author(s) 2024. Published by Oxford University Press on behalf of BJS Foundation Ltd.

read the whole article in Br J Surg

open it in PubMed

Expeditionary Surgeons: Key Leaders in World War II and Today

This address explores the origins of expeditionary surgeons and examines the leadership of COL Edward D Churchill during World War II. Churchill’s evolution from an ivory tower surgeon to an expeditionary leader highlights essential traits for surgical leadership in austere settings. It advocates for formal training and designation of surgical leaders for military and other challenging environments, emphasizing their vital role in preserving the fighting force.

Journal Article by Cannon JW 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

open it in PubMed

13.3% Incidence and Spontaneous Resolution of Gas-Bloat Syndrome Post-Magnetic Sphincter Augmentation

Gas-Bloat Syndrome affects 13.3% of patients at 1 year post-Magnetic Sphincter Augmentation, resulting in worse GERD-HRQL scores, medication use, and satisfaction. However, it resolves spontaneously in the majority of cases, leading to quality-of-life improvement. Patients with preoperative bloating, high GERD-HRQL scores, or smaller device size are at increased risk.

Journal Article by Eriksson SE, Ayazi S (…) Jobe BA et 3 al. in J Am Coll Surg

Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American College of Surgeons.

read the whole article in J Am Coll Surg

open it in PubMed

Patterns of Lymph Node Metastases in Non-pancreatic Periampullary Cancers

Study identifies variations in lymph node metastases among different non-pancreatic periampullary cancer subtypes. Pancreatobiliary-type ampullary adenocarcinoma had higher lymph node metastasis rates. Distinct patterns of metastases were observed, with certain lymph node stations more frequently affected in different cancer types. Research highlights the need for standardized lymphadenectomy and pathology assessment for improved management of these cancers.

Journal Article by Uijterwijk BA, Lemmers DH (…) Abu Hilal M et 30 al. in Ann Surg Oncol

© 2024. The Author(s).

read the whole article in Ann Surg Oncol

open it in PubMed

Increased Long-Term Risk of Cancer in Patients with Diverticular Disease

Study findings show elevated relative risk of cancer, excluding colorectal, following diverticular disease diagnosis. There is a higher risk for lung, bronchi, trachea, and kidney cancers. The decreased risk of colorectal cancer may be due to colonoscopy with polypectomy in diverticular disease patients. Prevalence of cancer risk factors in diverticular disease patients likely contributes to increased cancer risk.

Journal Article by Troelsen FS, Farkas DK (…) Sørensen HT et 3 al. in Clin Gastroenterol Hepatol

Copyright © 2024. Published by Elsevier Inc.

read the whole article in Clin Gastroenterol Hepatol

open it in PubMed

Frailty and TG/PG Increase Risk of Postoperative Pneumonia in Gastric Cancer Patients

Frailty and total or proximal gastrectomy (TG/PG) were found to be independent risk factors for postoperative pneumonia (POP) in patients with gastric cancer undergoing gastrectomy. A simple risk assessment method combining these factors effectively predicted and prepared patients for POP, with a 5.5% incidence rate and an area under the receiver operating characteristic curve of 0.740.

Journal Article by Sakurai K, Kubo N (…) Maeda K et 6 al. in J Gastrointest Surg

Copyright © 2024 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

read the whole article in J Gastrointest Surg

open it in PubMed

Validation of Textbook Outcome Parameter in Esophageal Cancer Surgery

This study validates textbook outcome (TO) as a quality performance indicator (QPI) for esophageal cancer surgery. Postoperative complications, including Clavien-Dindo grade ≥3 complications, and 30-day readmission rate are associated with reduced survival. Updating TO parameters to include severe complications strengthens its association with increased survival, suggesting the need for a more precise QPI definition in esophageal cancer surgery.

Journal Article by D’Souza J, Cinelli DP, McCombie A and Roberts R in J Gastrointest Surg

Copyright © 2024 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

read the whole article in J Gastrointest Surg

open it in PubMed