Anastomotic leakage after anterior resection for rectal cancer has a minor negative impact on male urinary function, leading to increased urinary incontinence rates. However, it does not significantly affect sexual function or increase risks of urinary frequency, permanent urinary catheter use, or sexual inactivity in the long term.
Journal Article by Rutegård M, Jutesten H (…) Lydrup ML et 2 al. in Int J Colorectal Dis
© 2024. The Author(s).
A significant association was found between appendicitis and subsequent diverticular disease in a large German cohort study. Men had a stronger risk compared to women, with a higher 10-year incidence of diverticular disease in those with appendicitis. The findings emphasize the need for further research on the relationship and potential therapeutic interventions, such as probiotics, in managing both conditions.
Journal Article by Krieg S, Kolbe EW (…) Kostev K et 3 al. in Int J Colorectal Dis
© 2024. The Author(s).
Development and testing of a prototype deep learning surgical guidance system showed improved performance in identifying peritoneal surface metastases compared to oncologic surgeons. The system demonstrated potential for increasing identification of metastases by 5% and reducing unnecessary biopsies by 28% in a simulated clinical environment.
Journal Article by Schnelldorfer T, Castro J, Goldar-Najafi A and Liu L in Ann Surg
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
Autofluorescence significantly improved parathyroid gland identification in hemithyroidectomy, boosting surgical confidence. The near-infrared camera enabled better visualization pre-procedure, leading to higher parathyroid identification rates compared to conventional surgery. This approach may benefit low-volume institutions without parathyroid surgery experience.
Journal Article by Abood A, Rolighed L (…) Triponez F et 3 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.
© 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.
Establishing patient-derived tumor organoids (PDTOs) from endoscopic ultrasound-guided biopsies yields success rates comparable to surgical specimens, offering viable options for personalized medicine in pancreatic cancer. In a meta-analysis of 24 studies, overall success rate was 63%. Pooled success rates for PDTO establishment from endoscopic ultrasound-guided biopsies, percutaneous biopsies, and surgical specimens were 60%, 36%, and 62%, respectively. This suggests that both endoscopic ultrasound-guided biopsies and surgical specimens are suitable for PDTO tissue acquisition.
Journal Article by Grützmeier SE, Sodal HMM (…) Klausen P et 3 al. in Gastrointest Endosc
Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
Prior studies found low skeletal muscle mass on CT scans linked to postoperative complications. This retrospective study analyzed body composition from CT scans to predict frailty and adverse outcomes after abdominal surgery. Results showed that higher muscle quantity and quality scores correlated with reduced risk of readmission, mortality, and morbidity, suggesting CT analysis offers an objective measure of patient frailty.
Journal Article by Fumagalli IA, Le ST (…) Cespedes Feliciano EM et 7 al. in JAMA Surg
This study presents the implementation of surgical activity regulation methodology in operating rooms to mitigate organizational dysfunction, enhance surgical staff’s quality of work life, and reduce overtime. Utilizing a scrub nurse as a real-time regulator akin to an air traffic controller, decisions are made collaboratively with surgeons and anesthesiologists, optimizing scheduling, including emergency surgeries. Live footage from OR cameras enables centralized monitoring, eliminating physical visits, improving efficiency, and enhancing air quality.
Journal Article by Mathon B and Kletz F in JAMA Surg
Endoscopic ultrasound-guided pancreatic cyst ablation (EUS-PCA) demonstrated superior long-term safety and pancreatic function preservation compared to surgery in selected patients with pancreatic cystic tumors. EUS-PCA group had lower rates of morbidities, adverse events, readmission, and diabetes development, with shorter hospital stay. However, surgery group showed higher complete resolution rate and lower relapse rate. EUS-PCA is a viable alternative to surgery for managing pancreatic cystic tumors.
Journal Article by Cho SH, Seo DW (…) Lee SK et 2 al. in Clin Gastroenterol Hepatol
Copyright © 2024. Published by Elsevier Inc.
Radioactive iodine administration did not significantly improve disease-specific survival in intrathyroidal classic papillary thyroid carcinoma >4 cm, suggesting limited benefit and questioning routine use in this patient population. Age ≥55 and larger tumor size were associated with increased risk of disease-specific death, emphasizing the need for personalized treatment approaches.
Journal Article by Lee-Saxton YJ, Palacardo F (…) Finnerty BM et 7 al. in BMC Surg
Copyright © 2023 Elsevier Inc. All rights reserved.
Robotic incisional hernia repairs using intraperitoneal onlay mesh (ipom) showed more perioperative complications, higher postoperative pain, and readmission rates than retromuscular (rm) repairs. However, rm repairs had higher defect closure rates and lower postoperative complications. Despite higher postoperative complication costs in ipom, total costs were comparable between the techniques. Recurrence rates and hospital costs did not significantly differ between the two groups.
Journal Article by Kudsi OY, Kaoukabani G, Bou-Ayash N and Gokcal F in Surg Endosc
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.