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Surgeons and surgeon trainees in Canada demonstrate higher levels of divergent thinking but lower originality

Surgeons and surgeon trainees in Canada showed higher levels of divergent thinking compared to the adult norm, with increased fluency and flexibility in generating ideas. However, their ability to produce original ideas was below average. Female participants had higher divergent thinking scores. The study also found that surgical training did not significantly impact creative potential.

Journal Article by Thabane A, McKechnie T (…) Bhandari M et 4 al. in BMJ Open

© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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Agile Scores Highly Accurate in Predicting Liver-Related Events in Masld Patients

Researchers found that agile 3+ and agile 4 scores from vibration-controlled transient elastography had the highest discriminatory power in predicting liver-related events in patients with metabolic dysfunction-associated steatotic liver disease. These scores accurately categorized patients between high and low risk categories, with a decrease in agile 3+ score by more than 20% linked to a substantial reduction in event risk. This suggests that single or serial agile scores could serve as alternatives to liver biopsy in clinical practice and clinical trials for steatohepatitis.

Journal Article by Lin H, Lee HW (…) Wong VW et 36 al. in JAMA

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Post-ERCP Cholecystitis: Incidence, Characteristics, and Outcomes

The study describes 17 cases of post-ERCP cholecystitis out of 4428 patients undergoing ERCP (incidence 0.38%). Cover metal stenting resulted in a higher incidence of cholecystitis (1.50%). Symptoms appeared at a median of 5 days post-ERCP. Management strategies included cholecystectomy and endoscopic stent removal. These findings can help in understanding procedural risks and guiding treatment decisions.

Journal Article by Khan R, Osman H (…) Forbes N et 19 al. in Gastrointest Endosc

Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

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High Success Rate of Colonic-Enteric Lumen-Apposing Metal Stents for Small-Bowel Obstruction

Colonic-enteric lumen-apposing metal stents (LAMS) showed high technical success (100%) and clinical success (92.3%) in managing small-bowel obstruction (SBO) in patients who are not surgical candidates due to malignancy. Adverse events occurred in 15.4% of patients, including bleeding, diarrhea, and postprocedure sepsis. Patients were able to resume enteral nutrition in 84.6% of cases. Further research with larger sample sizes is needed to validate the safety and efficacy of this approach.

Journal Article by Mitsuhashi S, Kamal F (…) Kowalski T et 10 al. in Gastrointest Endosc

Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

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Female Surgeons Experience More Ergonomic Discomfort Than Males

Surgeons across specialties experience musculoskeletal discomfort, with new techniques adding complexity. Gender disparities in surgeon ergonomics are not well understood. Female surgeons, especially pregnant ones, suffer more ergonomic discomfort than males. To address this, the study suggests: 1) improved education on ergonomic injury prevention, 2) institutional support for ergonomic solutions, 3) collaborations with industry, and 4) further research on surgical ergonomic challenges and gender differences.

Journal Article by Jacovides CL, Guetter CR (…) Henry MC et 6 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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Improved Pancreatic Cancer Surgery with SMA-First Approach and Triangle Operation

Utilizing the SMA-first approach in robotic pancreaticoduodenectomy (RPD) resulted in notable improvements in surgery for pancreatic cancer. The technique involved early dissection of the superior mesenteric artery (SMA) from the posterior aspect, facilitating a more systematic mesopancreatic dissection. The approach, demonstrated in a video, included a standardized SMA-first technique and triangle clearance, showing promising results that warrant further evaluation in prospective studies.

Journal Article by Bhandare MS, Varty GP, Chaudhari VA and Shrikhande SV in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

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Substantial Increase in Gastric Surgery Volume During General Surgery Residency Training in the US

General surgery residents in the US have experienced a significant increase in gastric surgery volume from 2009 to 2022, mainly driven by a rise in laparoscopic gastric reduction for morbid obesity. There was also a notable growth in laparoscopic partial gastric resections, repair of gastric perforation, and “other major stomach procedures,” while open gastrostomy, open partial gastric resections, and open vagotomy decreased. Further training may be necessary to ensure comprehensive general surgical skills.

Journal Article by Sohail AH, Flesner SL (…) Goyal A et 11 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Ultrasound-guided robotic surgical procedures enhance surgical precision and efficiency

Ultrasound-guided robotic procedures offer significant advantages in general and oncological surgeries, including precise tumor localization, feasibility testing, and comparison with laparoscopic probes. The systematic review of 20 studies highlights the potential of robotic intraoperative ultrasound to support surgeons, reduce procedure times, and improve outcomes in various surgical fields. Robotic instrumentation’s ergonomics and dexterity make it a valuable tool for ultrasound guidance, enhancing surgical precision and efficiency.

Review by Pavone M, Seeliger B (…) Querleu D et 10 al. in Surg Endosc

© 2024. The Author(s).

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Stenting as a bridge to surgery increases peritoneal recurrence risk in non-metastatic obstructing left-sided colorectal cancer.

Stenting as a bridge to surgery for non-metastatic obstructing left-sided colorectal cancer increases the risk of peritoneal recurrence, especially in cases of T4 tumors, diabetes, and nodal positivity. However, no significant differences were found in overall survival, cancer-specific survival, or recurrence-free survival between stenting and upfront emergency surgery.

Journal Article by Lin W, Chok AY, Seow-En I and Tan EK in Surg Endosc

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

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Comparison of Single Anastomosis Duodenal Switch and Roux-en-Y Gastric Bypass in High-BMI Patients

Patients with BMI ≥ 50 kg/m undergoing single anastomosis duodenal switch (SADI-S) had higher and sustained weight-loss results compared to Roux-en-Y gastric bypass (RYGB), along with better comorbidity resolution. Both procedures showed similar safety profiles, but further research is needed to confirm the long-term safety of SADI-S. This multicenter retrospective study included 968 patients, indicating the potential benefits of SADI-S for high-BMI individuals.

Journal Article by Hage K, Teixeira AF (…) Ghanem OM 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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