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Gender-specific Nutrition and Body Composition Guidelines Improve Metabolic-Bariatric Surgery Outcomes

Researchers developed preliminary body composition guidelines for post-surgical patients based on gender-specific goals, leading to significant fat mass reduction and lean mass-sparing outcomes below obesity thresholds. Serial body composition analysis and evidence-based nutrition practices consistently influenced patient outcomes, supporting the effectiveness of the guidelines in enhancing metabolic-bariatric surgery success.

Journal Article by Knopp KB in Obes Surg

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

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Comparison of hybrid and open surgery for oesophageal cancer: similar recovery and cost-effectiveness

Hybrid oesophagectomy with minimally invasive gastric mobilization and thoracotomy did not result in faster recovery or greater cost-effectiveness compared to open surgery for patients with oesophageal cancer. Physical function and complication rates over the first 3 months post-randomization were similar between the two groups. Surgeons can continue to use their preferred approach without changing practice, as both methods were completed safely with comparable outcomes.

Journal Article by None None in Br J Surg

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

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Clinicians tend to overestimate liver remnant volume, increasing risk of liver failure post-surgery

Clinicians inaccurately estimate future liver remnant volume visually, tending to overestimate it, especially in cases with small remnants leading to higher risk of post-hepatectomy liver failure. Accuracy is lower for right hepatectomy (mean percent overestimation of 22%) and right trisectionectomy (mean percent overestimation of 25%), with specialists in hepatopancreatobiliary surgery having even higher overestimations. Experience level affects accuracy, with less experienced providers being more inaccurate in estimations.

Journal Article by Forton C, Sandoval V (…) Mayo SC et 5 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Using Risk-Adjusted Cumulative Sum to Monitor Surgeon, Divisional, and Institutional Outcomes after Colorectal Operations

Researchers demonstrated the feasibility of using risk-adjusted cumulative sum to monitor outcomes after colorectal operations and identify performance variations. This method accurately tracked surgeon-specific outcomes, adjusting for patient-level risk factors. Outliers in performance were promptly identified at the surgeon, divisional, and institutional levels, contributing to quality assurance, root-cause analysis, and incentivization.

Journal Article by Blackburn KW, Cooper LE (…) Brown RF et 2 al. in BMC Surg

Published by Elsevier Inc.

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Impact of KRAS status on surgical margins in liver resection for colorectal liver metastases

Patients with KRAS-mutated colorectal liver metastases had shorter overall and disease-free survival after liver resection. In these cases, the resection margin did not affect oncologic outcomes. However, for KRAS wild-type tumors, achieving an R0 resection was crucial for prolonged overall and disease-free survival. Primary tumor location was the only predictor of survival in multivariable analysis. These results suggest tailoring surgical strategies based on KRAS status for better outcomes in colorectal liver metastases.

Journal Article by Rhaiem R, Duramé A (…) Di Martino M et 19 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Factors influencing late recurrence and survival outcomes in hepatocellular carcinoma patients post-resection

Analysis of 1,701 patients with hepatocellular carcinoma after curative resection revealed 38.4% experienced late recurrence, with median time to recurrence of 4.0 years. Risk factors for late recurrence included age >60, chronic hepatitis C, cirrhosis, high albumin-bilirubin grade, absence of family history, and specific tumor characteristics. Surgical treatment was associated with better survival outcomes post-recurrence. Early identification and treatment of risk factors, particularly underlying hepatitis, are crucial for improving long-term outcomes.

Journal Article by Hsiao CY, Ho CM (…) Hu RH et 4 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Factors influencing conversion to bailout procedures in interval cholecystectomy for cholecystitis with gallstones

Interval laparoscopic cholecystectomy for cholecystitis with gallstones poses challenges due to factors like impacted stones, post-choledocholithiasis, and older age. A study of 269 patients found that these factors were independent risk factors for conversion to bailout procedures. While bile duct injuries were rare (0.4%), caution is advised for patients with these risk factors during interval cholecystectomy.

Journal Article by Shiihara M, Sudo Y (…) Inoue T et 4 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Impact of Hospital Readmissions on Healthcare Costs following Robotic Hepatectomy for Neoplastic Disease

Readmission post-robotic hepatectomy correlates with hypertension, higher Child-Pugh scores, and R1 margins. Neoadjuvant chemotherapy is associated with lower readmission rates due to less diffuse liver disease. While not affecting five-year survival, readmissions elevate hospital costs significantly. The study found 44 out of 244 patients were readmitted within 90 days, with risk factors including hypertension, Child-Pugh score, and margin status, highlighting the impact on healthcare economics.

Journal Article by Dugan MM, Ross S (…) Sucandy I et 4 al. in Am J Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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High Mortality and Predictors of Death in Ileosigmoid Knotting: Insights from a Low-Resource Setting

Ileosigmoid knotting, a severe form of bowel obstruction, carries high mortality in low-resource settings. A retrospective cohort study at Jimma University Medical Center revealed a 27.5% death rate among 40 patients, with shock at presentation and comorbidities significantly impacting survival. Age and intra/postoperative pulse rates were also predictors of death. The study underscores the urgent need for improved management strategies for this life-threatening condition in resource-constrained environments.

Journal Article by Bayleyegn NS, Zelelew AN and Sisay AL in World J Surg

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

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High Endoscopic Cuffitis Rates Post-Ileal Pouch-Anal Anastomosis: Association with Extensive Disease and Biologic Exposure

Endoscopic cuffitis occurred in approximately 60% of patients who underwent restorative proctocolectomy with stapled ileal pouch–anal anastomosis, and was significantly associated with extensive disease and exposure to multiple biologics before colectomy. Older age, extensive disease, exposure to biologics before colectomy, and exposure to at least 2 or more biologics before colectomy were all significantly associated with subsequent cuffitis post-ileal pouch-anal anastomosis in patients with ulcerative colitis.

Journal Article by Posner H, Lombard R (…) Kayal M et 5 al. in Inflamm Bowel Dis

© The Author(s) 2024. Published by Oxford University Press on behalf of Crohn’s & Colitis Foundation. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
© The Author(s) 2024. Published by Oxford University Press on behalf of Crohn’s & Colitis Foundation. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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