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Postoperative Hyperamylasemia Reduces Pancreatectomy Outcomes

Postoperative hyperamylasemia significantly increases complications and reduces textbook outcomes after pancreatoduodenectomy compared to distal pancreatectomy. Hyperamylasemia is an independent predictor of poorer outcomes in pancreatoduodenectomy patients. This highlights the importance of monitoring amylase levels postoperatively to anticipate potential systemic complications and guide treatment decisions.

Journal Article by Radulova-Mauersberger O, Mibelli N (…) Oehme F et 5 al. in J Gastrointest Surg

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

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Simultaneous Resection of Liver Metastases Combined with HIPEC Improves Clinical Outcomes in Synchronous Colorectal Cancer Liver Metastasis

The study showed that simultaneous resection of liver metastases combined with HIPEC resulted in a significantly higher complete resection rate, total effective rate, and negative change of CEA compared to resection alone. This approach demonstrated superior efficacy in treating synchronous colorectal cancer liver metastases, potentially extending patient survival and improving quality of life.

Journal Article by Li W, Ren H (…) Xing M et 4 al. in J Gastrointest Surg

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

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Optimizing Treatment and Expanding Indications in Non-Curative Endoscopic Submucosal Dissection

The study highlights the importance of assessing the quality of endoscopic submucosal dissection (ESD) not only for curative cases but also for non-curative ones. With unclear management strategies for Ecurac-1 tumors, research primarily focuses on additional surgical procedures for high-risk patients. Exploring management strategies and follow-up outcomes for non-curative cases and the use of molecular imaging could greatly impact the management of early-stage gastric cancer patients.

Journal Article by Zhu YN, Yuan XL (…) Ye LS et 4 al. in World J Gastroenterol

©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.

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Post-Discharge Outcomes for Acute Diverticulitis: Primary Anastomosis vs. Hartmann’s Procedure

Primary anastomosis with diverting loop ileostomy showed higher 1-year ostomy closure rates and less complications upon stoma closure compared to Hartmann’s procedure for acute diverticulitis. Despite increased unplanned readmissions, primary anastomosis patients had favorable outcomes, supporting guidelines favoring this approach.

Journal Article by Rios Diaz AJ, Bevilacqua LA (…) Palazzo F et 5 al. in Surg Endosc

© 2024. The Author(s).

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Safety and Viability of Laparoscopic Subtotal Cholecystectomy

Laparoscopic subtotal cholecystectomy is a safe option for complex cholecystitis, with 8.5% of cholecystectomies requiring this procedure. Factors such as male sex, older age, necrotic gallbladder, and other complications increase the likelihood of needing lsc. Postoperative complications occurred in 26.4% of lsc patients, mainly bile leaks. Despite challenges, lsc remains a viable surgical choice in difficult cases.

Journal Article by Booyse K, Lindemann J (…) Kloppers C et 3 al. in World J Surg

© 2024 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).

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Positive Effects of Laparoscopic Sleeve Gastrectomy

Significant weight loss and improvements in body composition and metabolic biomarkers were observed in obese patients after laparoscopic sleeve gastrectomy. These positive effects were seen regardless of the presence of metabolic syndrome. Visceral fat area and liver fat were notably reduced, indicating the effectiveness of this surgical intervention in improving health outcomes.

Journal Article by Hong W, Tang W (…) Zhou Y et 4 al. in Obes Surg

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Comparable Textbook Outcomes: Open vs Minimally Invasive Hepatectomy for HCC

Patients with hepatocellular carcinoma undergoing minimally invasive hepatectomy (MIH) showed comparable likelihood of achieving textbook outcome in liver surgery (TOLS) compared to open hepatectomy (OH). MIH was associated with a shorter hospital stay, with TOLS incidence similar between the two approaches after propensity score matching. Tumor burden influenced MIH’s TOLS success, highlighting benefits and limitations in liver resection for hepatocellular carcinoma.

Journal Article by Endo Y, Tsilimigras DI (…) Pawlik TM et 19 al. in J Gastrointest Surg

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

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Enhancing Laparoscopic Skills Through Simulation

Laparoscopic simulation significantly improves surgical skills and reduces errors and time, even for participants with limited experience. In contrast, robotic simulation is less effective without prior laparoscopic experience. Transfer of skills from simulation to real surgical settings is feasible. Simulation is a valuable tool for optimizing laparoscopic skills and improving training outcomes.

Review by Sarmiento-Altamirano D, Ormaza F (…) Di Saverio S et 4 al. in J Gastrointest Surg

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

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High-intensity Interval Training Safety in Postoperative Inpatients

High-intensity interval training (HIT) is safe for postoperative inpatients, with favorable physiologic outcomes and recovery. Results show higher perceived exertion, shorter exercise completion time, and trend towards faster gait speed compared to low-intensity ambulation. HIT may be beneficial in promoting positive recovery after major surgery.

Journal Article by Rao SJ, Solsky I (…) Clark CJ et 3 al. in J Gastrointest Surg

Copyright © 2024. Published by Elsevier Inc.

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MGPS Predicts Survival in Biliary Tract Cancer

The modified Glasgow prognostic score (MGPS) is linked to poorer overall and disease-free survival in biliary tract cancer (BTC) patients, indicating its potential as an independent prognostic indicator. Meta-analysis of 15 studies, encompassing 2447 patients, underscores the significance of MGPS in predicting clinical outcomes in BTC.

Review by Zhou Y, Liu Z (…) Fu W et 2 al. in J Gastrointest Surg

Copyright © 2024. Published by Elsevier Inc.

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