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Robotic colectomy reduces postoperative morbidity and mortality compared to laparoscopic colectomy

Significantly lower rates of postoperative morbidity, mortality, and postoperative ileus were observed in robotic colectomy compared to laparoscopic colectomy. However, robotic approach was associated with longer operative times, though with shorter hospital stays. No significant difference was found in anastomotic leak rates. This study provides evidence supporting the benefits of robotic colectomy in minimizing postoperative complications and improving patient outcomes.

Journal Article by de Almeida Leite RM, Araujo SEA (…) Ricciardi R et 9 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 Hepatic Arterial Infusion Pump Placement Shortens Recovery Time for Unresectable Intrahepatic Cholangiocarcinoma

Researchers compared robotic versus open hepatic arterial infusion pump placement for unresectable intrahepatic cholangiocarcinoma. The study found that robotic placement led to a significantly shorter time to functional recovery (2 versus 5 days) and hospital stay (3 versus 5 days) compared to open placement. Both groups had similar rates of postoperative complications. Robotic placement allowed more patients to start chemotherapy promptly post-surgery. Overall, robotic haip placement was deemed safe and effective for patients with unresectable ICCA.

Journal Article by Ten Haaft BHEA, Franssen S (…) Swijnenburg RJ et 7 al. in Ann Surg Oncol

© 2024. The Author(s).

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Increased Relative Risk of Cancer in Patients with Diverticular Disease

Patients with diverticular disease had an increased long-term relative risk of cancer, excluding colorectal cancer, possibly due to shared risk factors. The highest standardized incidence ratios were for lung, bronchi, trachea, and kidney cancers. The decreased risk of colorectal cancer may be due to increased colonoscopy rates in diverticular disease patients, potentially leading to early detection and prevention. Overall, patients with diverticular disease should be monitored closely for various cancer risks beyond colorectal cancer.

Journal Article by Troelsen FS, Farkas DK (…) Sørensen HT et 3 al. in Clin Gastroenterol Hepatol

Copyright © 2024. Published by Elsevier Inc.

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Extreme gradient boost machine learning model accurately predicts mortality risk in primary appendiceal cancer patients

Researchers developed a novel machine learning algorithm using extreme gradient boost to predict 1-, 5-, and 10-year mortality risk in patients with primary appendiceal cancer. The model exhibited high prediction accuracy, with a maximum area under the curve of 0.909 for the 10-year model. Variables such as disease grade, histology, lymph node involvement, and distant disease significantly influenced predictive ability. The model outperformed previous nomograms, incorporating a wide range of patient, surgical, and pathologic variables for improved prognosis prediction.

Journal Article by Winicki NM, Radomski SN (…) Greer JB et 3 al. in BMC Surg

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

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Hybrid Surgical Approach in Esophageal Cancer: Real-World Validation of MIRO Trial

A national cohort study validated the external validity of the MIRO randomized controlled trial in a real-life population within France by comparing postoperative complications in esophageal cancer patients. The hybrid approach was found to be protective against severe respiratory complications, with no significant difference in 30-day mortality or leakage rate between surgical approaches.

Journal Article by Challine A, Kirouani M (…) Voron T et 7 al. in BMC Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

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Enhanced digital education improves patient understanding of consent for laparoscopic cholecystectomy

Using a digital education platform alongside standard verbal consent significantly increased patient knowledge of risks and benefits of laparoscopic cholecystectomy (LC) immediately after the intervention, as well as in delayed assessments. Patient retention of acquired knowledge was also higher in the intervention group. Satisfaction with the consent discussion did not differ between groups. This study demonstrates that incorporating digital education into the consent process can improve patient understanding of surgical procedures in an acute care setting.

Journal Article by Alqaydi A, Williams E, Nanji S and Zevin B in Surg Endosc

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

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Disparities in overall survival between rural and urban patients with pancreatic neuroendocrine tumors

Rural patients with pancreatic neuroendocrine tumors (pnets) have significantly shorter overall survival (OS) following primary pnet resection compared to urban patients. After adjustments for various factors, living in a rural area remained significantly associated with worse OS. This study highlights survival disparities between rural and urban pnet patients and emphasizes the need for targeted interventions to improve outcomes in rural populations.

Journal Article by Mirza MB, Baechle JJ (…) Idrees K et 8 al. in Am J Surg

Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

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Penetrating Trauma Patients Benefit from Spleen-Conserving Surgery in Nationwide Study

Spleen-conserving surgeries are more common in patients with penetrating trauma, age under 65, stable vital signs, and low-grade injuries. These procedures were associated with a lower risk of pneumonia and venous thromboembolism compared to total splenectomy. Clinicians should consider spleen-conserving surgeries for appropriate patients to improve outcomes in splenic injuries.

Journal Article by Tang-Tan A, Chien CY (…) Matsushima K et 5 al. in Am J Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Development of a predictive model for post-operative cardiovascular complications using heart rate variability

Heart rate variability parameters, measured immediately post-operatively and combined with patient age, were used to develop a predictive model with an AUC of 0.980, providing a negative predictive value of 1.00 for post-operative cardiovascular complications in patients undergoing major abdominal surgery. This model has the potential to aid in early risk stratification, clinical decision-making, and patient triaging post-operatively, allowing for safe step-down care for low-risk patients.

Journal Article by Koo CH, Xue B (…) Tan EK et 3 al. in World J Surg

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

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Prognostic Factors for Liver Metastasis in Small Intestinal Stromal Tumors

Researchers analyzed data from 1582 patients with small intestinal stromal tumors to identify risk factors for liver metastasis. They found that poor tumor grade, absence of surgery, later T-stage, and no chemotherapy were associated with an increased risk of liver metastasis. A nomogram prediction model showed good performance in predicting liver metastasis, and patients with liver metastasis had significantly lower overall survival rates compared to those without liver metastasis.

Journal Article by Liu L, Zhang R (…) Xu X et 4 al. in World J Surg

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

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