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Comparable Long-Term Survival Rates of Endoscopic Therapy and Surgical Resection for 2-5 cm Gastrointestinal Stromal Tumors

In a comparative study of endoscopic therapy (ET) versus surgical resection for 2-5 cm gastrointestinal stromal tumors, long-term outcomes showed no significant difference in overall or cancer-specific survival rates. After propensity score matching, both groups had comparable survival rates, suggesting that ET may be a viable treatment option for these tumors. Further research is needed to confirm its role in managing 2-5 cm gastrointestinal stromal tumors.

Journal Article by Chai Y, Lin B (…) Gu C et 7 al. in Eur J Surg Oncol

© 2024 Published by Elsevier Ltd.

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Prospective Benchmarking of Distal Pancreatectomy Outcomes

This prospective study assessed benchmark outcomes for distal pancreatectomy (DP) across Spanish HPB centers. Key findings include a median DP rate of 7 per center, 69.3% performed minimally invasively, with a major complication rate of 21.1% and a 90-day mortality of 1.6%. Compared to previous benchmarks, this study showed an increasing rate of minimally invasive surgery and shorter hospital stays, likely influenced by ERAS protocols and comprehensive data collection.

Journal Article by Ramia JM, Alcázar-López CF (…) Serradilla-Martín M et 4 al. in J Am Coll Surg

Copyright © 2024 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

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Scoring System of Appendicitis Severity 2.0 Accurately Predicts Complicated Appendicitis

External validation of the Scoring System of Appendicitis Severity (SAS) fell short in distinguishing complicated appendicitis. The SAS 2.0 was developed and externally validated, showing high accuracy in predicting complicated appendicitis in patients. It provides individual probability estimates with a 95% confidence interval, aiding in decision-making for nonoperative treatment.

Journal Article by Scheijmans JCG, Bom WJ (…) Boermeester MA et 13 al. in JAMA Surg

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Higher 28-Day Mortality and Respiratory Complications in Oncology Patients During COVID-19 Pandemic

During the COVID-19 pandemic, oncology patients had a higher hazard of 28-day mortality, with a 4.35 adjusted hazard ratio. They also experienced higher odds of respiratory complications (OR 5.35) and pulmonary infections (OR 1.53), although the adjusted incidence of other infections was lower. This study highlights the significant impact of the pandemic on postoperative outcomes for surgical oncology patients, emphasizing the need for careful clinical decision-making during this challenging time.

Journal Article by Vianna FSL, Neves LL (…) da Silva JM et 10 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

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Potent Nomogram Predicts Lymph Node Involvement in Early Gastric Cancer

A potent nomogram incorporating tumor budding accurately predicts lymph node involvement in early gastric cancer patients, providing exceptional discriminative power and precise predictive capabilities. Tumor budding, along with other clinicopathological factors, demonstrated a robust association with lymph node involvement, improving clinical decision-making by reducing the risk of overtreatment in endoscopic curability C-2.

Journal Article by Wang X, Yang X (…) Deng J et 7 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

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Superior Outcomes of Modified Billroth-II in Gastric Cancer Reconstruction

Comparing modified Billroth-II with hinged anti-peristaltic afferent loop and Roux-en-Y reconstruction after distal gastrectomy for gastric cancer, the former showed superior outcomes in terms of operating time, postoperative hospital stays, and time to semi-solid diet tolerance. However, both methods had similar functional outcomes. The study suggests that Billroth-II could be a favorable alternative to Roux-en-Y in reconstruction after distal gastrectomy.

Journal Article by Thong DQ, Le Minh Quoc H (…) Long VD et 6 al. in BMC Surg

Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.

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Optimal Drain Amylase Cutoff Values Differ Between Open and Laparoscopic Distal Pancreatectomy

Drain amylase on postoperative day three is an independent predictor of clinically relevant postoperative pancreatic fistula after both open and laparoscopic distal pancreatectomy. However, the optimal cutoff value for predicting this complication is significantly higher after laparoscopic surgery than after open surgery. This difference suggests that the threshold for drain removal may need to be tailored based on the type of surgery performed.

Journal Article by Ishida J, Toyama H (…) Fukumoto T et 12 al. in Surg Endosc

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

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Robotic-assisted abdominopelvic surgery: Meta-analysis finds lower complications and shorter hospital stays

Robotic surgery showed similar overall complications to laparoscopic surgery, better than open surgery, with fewer open conversions and shorter hospital stays. Longer operative times were noted for robotic surgery but were offset by benefits for experienced robotic surgeons in reducing complications and open conversions. These findings suggest that robotic surgery may improve outcomes in terms of hospital length of stay and open conversion rates compared to laparoscopy.

Review by Choi JH, Diab AR (…) DuCoin CG et 6 al. in Surg Endosc

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

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Superior Weight Loss with Gastric Band to Roux-en-Y Revision

Revisional bariatric surgery from adjustable gastric band to Roux-en-Y gastric bypass (RYGB) resulted in significantly greater weight loss at 5 years compared to conversion to sleeve gastrectomy (LSG). RYGB patients had higher percentage total weight loss, excess weight loss, and decreased BMI. There were no significant differences in remission or new comorbidities. Further multicenter studies with larger sample sizes are needed to better understand intermediate-term outcomes of revisional bariatric surgery.

Journal Article by Carbonaro J, McLaughlin T (…) Papasavas P et 7 al. in Surg Endosc

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

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Addressing Disparities in Access to Surgical Devices through Global Regulations

Researchers found significant disparities in access to quality surgical equipment and supplies worldwide, particularly in low- and middle-income countries. Regulatory disparities and complexities in device lifecycle management pose challenges in effective regulation, distribution, and waste management. Improved communication and harmonization of manufacture and disposal regulations are necessary to address these disparities and ensure appropriate responses to the challenges faced by healthcare systems worldwide.

Journal Article by Wahlstedt ER, Wahlstedt JC, Rosenberg JS and deVries CR 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).

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