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Objective Assessment of Laparoscopic Cholecystectomy Safety Proven Highly Reliable

A new, procedure-specific assessment called the Laparoscopic Cholecystectomy Critical View of Safety (LC-CVS OPSA) was developed to evaluate laparoscopic cholecystectomy performance. In a multinational study, this assessment exhibited high inter-rater reliability when used by expert laparoscopic cholecystectomy surgeons. The LC-CVS OPSA consists of six items focusing on safe surgical practices, offering a valuable tool for surgical training programs. Its use in conjunction with video-based assessments has the potential to create datasets for developing artificial intelligence, such as computer vision, for automated assessments.

Journal Article by Adrales G, Ardito F (…) Woods MS et 12 al. in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Customizing Common Channel Length Improves Outcomes in Duodenal Switch Surgery

In the world of single-anastomosis duodenal switch surgery (SADI-S), many surgeons follow a one-size-fits-all approach when it comes to common channel length. However, this study shows that tailoring the common channel length based on individual measurements of total bowel length (TBL) significantly reduces reoperations and late complications. A group that underwent SADI-S with TBL measurements had notably fewer reoperations and complications compared to the pre-TBL group. This approach enhances patient outcomes and ensures better postoperative recovery.

Journal Article by Fair L, Waddimba AC (…) Davis D et 6 al. in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Racial Disparities in High-Grade Soft Tissue Sarcoma Outcomes Revealed

This study dives into the world of high-grade soft tissue sarcoma, a rare and challenging condition. Researchers at a southeastern U.S. cancer center examined racial and ethnic variations in patient presentation and outcomes. Black patients represented a higher percentage than national averages, with differences in histological subtype noted. Disturbingly, black patients faced worse survival rates compared to white patients. However, in non-metastatic cases, multi-modal treatment helped alleviate this discrepancy. The study underscores the importance of early, multidisciplinary care to address racial disparities in high-grade sarcoma survival.

Journal Article by Braswell AC, Jiminez V (…) Eulo V et 3 al. in Am J Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

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Enhanced Recovery: Patient Engagement Technology Boosts Postoperative Results

In the world of colorectal surgery, patient engagement technologies (PET) teamed up with electronic medical record (EMR) patient portals to determine whether they could enhance postoperative outcomes. Among 484 patients undergoing elective colorectal surgery, those who used PET, especially older adults and highly engaged users, experienced improved results. They had reduced odds of prolonged hospital stays, readmissions, morbidity, and more. This study suggests that integrating PET into patient care could be a valuable strategy for improving surgical outcomes, especially among older individuals.

Journal Article by Melucci AD, Flodman K (…) Fleming FJ et 6 al. in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Bariatric Surgery Lowers NAFLD Risk in High-Risk Patients

A study analyzed the long-term impact of bariatric surgery on the progression of liver fibrosis in a population without pre-existing liver disease. Over a 5-year post-operative follow-up, there was a steady increase in patients at risk of liver fibrosis, with the Fib-4 score showing the most significant increase. Patients with diabetes and those who underwent sleeve gastrectomy were more prone to liver fibrosis. Despite this increase, bariatric surgery demonstrated a reduction in NAFLD risk in a high-risk population, although the increase in fibrosis scores remained lower than previous literature reported.

Journal Article by Ahmed L, Gebran S (…) Suman P et 7 al. in Obes Surg

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Factors Influencing Liver Remodeling After Right Hepatectomy

Researchers investigated the volumetric changes in the left liver after right hepatectomy and the factors influencing the degree of hypertrophy and severe post-hepatectomy liver failure (PHLF). After right hepatectomy, the left liver remnant exhibited a 25% hypertrophy with varying growth rates. Factors like gender, middle hepatic vein resection, and standardized future liver remnant influenced hypertrophy. Severe PHLF risk was linked to intraoperative transfusion, biliary tumors, and male gender. This study emphasizes the non-uniform nature of liver volumetric remodeling and its impact on postoperative outcomes.

Journal Article by de Mathelin P, Noblet V (…) Addeo P et 5 al. in J Gastrointest Surg

© 2023. The Society for Surgery of the Alimentary Tract.

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Longer Operating Times Linked to Extended Hospital Stays and Higher Complication Rates in Colorectal Surgery

This study, covering various colorectal surgeries, reveals that extended operative times have consistent effects across different surgical approaches. Prolonged operative time results in longer hospital stays and a greater likelihood of complications. Interestingly, minimally invasive methods partially mitigate these negative effects, showcasing their benefits. These findings highlight the importance of balancing surgical efficiency and patient outcomes when performing colorectal surgeries.

Journal Article by Unruh KR, Bastawrous AL (…) Simianu VV et 5 al. in Dis Colon Rectum

Copyright © The ASCRS 2023.

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Assessing Skill Transfer in Laparoscopic and Robot-Assisted Surgery

This systematic review dives into the world of surgical skills, focusing on the transferability between laparoscopic and robot-assisted surgery. Out of 33 studies that explored the shift from laparoscopy to robotic procedures, 17 found a positive transfer, while 15 did not. Interestingly, only three out of 11 studies examined the reverse transition from robot-assisted to laparoscopic surgery with positive results. The findings suggest that while laparoscopy skills can adapt to robot-assisted surgery, the same may not hold true in the opposite direction, impacting future surgeon training programs.

Review by Pietersen PI, Hertz P (…) Bjerrum F et 3 al. in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Low Adherence to Guidelines in Acute Appendicitis Surgery Reveals Impact on Outcomes

This study delves into the challenges of applying international clinical practice guidelines (CPG) for acute appendicitis (AA). Researchers found that adherence to CPG is alarmingly low, particularly concerning peritoneal irrigation, abdominal drains, and antibiotic stewardship. Non-compliance, especially in complicated cases and technically challenging laparoscopic surgeries, leads to increased complications and higher costs. The study emphasizes the need for structured educational programs and institutional bundles to improve adherence and enhance patient outcomes in acute appendicitis management.

Journal Article by Cioffi SPB, Altomare M (…) Cimbanassi S et 11 al. in Surg Endosc

© 2023. The Author(s).

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Long-Term Success of Laparoscopic SADI-S for Weight Loss and Comorbidity Resolution

A systematic review of 10 studies explored the extended outcomes of duodeno-ileostomy with sleeve gastrectomy (SADI-S) for over 3 years. Findings indicate SADI-S delivers lasting results, with 80.4% excess weight loss at the 10-year mark and impressive comorbidity remission rates. Although some patients experienced late complications like malabsorption and gastroesophageal reflux disease, SADI-S proves to be a safe and effective surgical method for sustained weight loss and improved overall health in the mid and long term.

Review by Esparham A, Roohi S (…) Khorgami Z et 4 al. in Obes Surg

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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