Aspartate transaminase to platelet ratio index (APRI) ≥0.7 is independently associated with perioperative transfusion, overall morbidity, and 30-day mortality following minor hepatectomy. This suggests APRI could serve as a noninvasive tool for risk stratification in elective hepatectomy patients.
Journal Article by Patel DJ, LeCompte MT, Jin Kim H and Gleeson EM in Am Surg
Implementing a multidisciplinary intraoperative model significantly reduced 30-day mortality in bowel obstruction surgery by favoring definitive over palliative procedures. The strategy also increased laparoscopic interventions and decreased stoma creations, indicating improved surgical outcomes.
Journal Article by Tolstrup MB, Skovsen AP and Gögenur I in Langenbecks Arch Surg
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Minimally invasive esophagectomy (TMIE) was associated with improved disease-free survival (DFS) postoperatively compared to open esophagectomy (OE), while both TMIE and hybrid minimally invasive esophagectomy (HMIE) were linked to enhanced overall survival (OS). TMIE showed increased rates of R0 resection and nodal yield, suggesting improved surgical quality. This European multicenter study suggests TMIE as a favorable approach for esophageal cancer.
Journal Article by Henckens SP, Schuring N (…) Gisbertz SS et 9 al. in Ann Surg
Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.
A systematic review of 41 articles on autonomous suturing revealed significant progress in robotic technology, showcasing a variety of engineering solutions to enhance accuracy and efficiency in surgical tasks. Most studies focused on different suturing subtasks, indicating a growing interest in surgical automation and notable technological advancements post-2014.
Review by Ostrander BT, Massillon D (…) Orosco RK et 3 al. in Surg Endosc
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Revision procedures for recurrent hiatal hernia revealed that most recurrences occurred in the left-anterior quadrant of the hiatus. Posterior recurrences were also notable. Both anterior and posterior hiatal reinforcement may be necessary to decrease recurrence rates. A randomized controlled trial using a circular, bio-absorbable mesh is underway to validate this hypothesis.
Review by Geerts JH, de Haas JWA and Nieuwenhuijs VB in Surg Endosc
© 2024. The Author(s).
Initial outcomes of minimally invasive pancreatoduodenectomy (MIPD) by a well-trained junior surgeon were comparable to a veteran surgeon, despite longer operation times. Both groups showed similar results in blood loss, complications, pancreatic fistula, and hospital stay length. This suggests that junior surgeons may achieve comparable MIPD outcomes with appropriate training.
Journal Article by Kim SH, Hong SS and Kang CM in World J Surg
© 2024 The Authors. World Journal of Surgery published by John Wiley & Sons Ltd on behalf of International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).
Patients with gallbladder dysmotility who underwent laparoscopic cholecystectomy showed significant improvement in biliary pain symptoms and quality of life compared to those who did not undergo the procedure. This retrospective analysis supports the effectiveness of laparoscopic cholecystectomy in managing symptoms associated with gallbladder dysmotility.
Journal Article by Alamin N, Iqbal S, Baumert A and Fernandes R in World J Surg
© 2024 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).
Neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune inflammation index (SII) significantly predict the necessity for therapeutic surgery in patients with anterior abdominal stab wounds (AASW), aiding in clinical decision-making. NLR showed high accuracy in predicting therapeutic surgery, outperforming PLR and SII.
Journal Article by Demirpolat MT and İslam MM in World J Surg
© 2024 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).
Researchers found that suremediks, a digital lifestyle intervention platform using AI, helped participants lose an average of 14% body weight over 24 weeks. Almost all participants successfully lost at least 5% of body weight, with positive correlations observed with female sex, accountability circle size, and participation in challenges. These results suggest that AI-powered lifestyle interventions can effectively reduce obesity co-morbidities and complement traditional weight loss approaches.
Journal Article by Khokhar S, Holden J, Toomer C and Del Parigi A in Obes Surg
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Frail cancer patients undergoing hepatectomy show improved outcomes with the minimally invasive approach, with lower risks of complications and shorter length of stay. The study analyzed 3,116 patients and found that the minimally invasive approach conferred lower risk of prolonged hospital stay, discharge not-to-home, transfusion, and major complications. This approach may be beneficial for frail cancer patients undergoing liver resection.
Journal Article by Al Abbas AI, Kuchta K, Talamonti MS and Hogg ME in J Gastrointest Surg
Copyright © 2024. Published by Elsevier Inc.