Blog

Global Surgery Collaborations with Africa

Global surgery collaborations with Africa are dominated by European institutions, with most African countries participating. South Africa and Nigeria have the highest collaboration frequency, but most publications originate from Eastern Africa. High- and low- to middle-income countries leveraging synergies, well-defined structures, and secure data platforms facilitate collaboration. However, the underrepresentation of collaborators from LMICs remains a significant challenge.

Journal Article by Kirengo TO, Dossajee H (…) Obonyo NG et 6 al. in Syst Rev

© 2024. The Author(s).

read the whole article in Syst Rev

open it in PubMed

Low Rates of Metastases in Mucosal Esophageal Adenocarcinoma with Poor Differentiation

Patients with mucosal esophageal adenocarcinoma and poor differentiation had low rates of metastases after endoscopic resection, even when additional risk factors were present. Metastasis rates were 4.0% for single risk factor patients and 20.0% for those with additional risk factors. Overall death rates were 28.0% and 20.0% for the respective groups. A conservative approach may be justified for this patient population, pending further prospective data.

Journal Article by Probst A, Kappler F (…) Messmann H et 16 al. in Gastrointest Endosc

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

read the whole article in Gastrointest Endosc

open it in PubMed

Esophagectomy improves 5-year overall survival in locally advanced esophageal adenocarcinoma

Esophagectomy is associated with improved 5-year overall survival in locally advanced esophageal adenocarcinoma. Factors like age, race, treatment location, insurance, and tumor size influence esophagectomy use. Non-surgical treatment, government insurance, low income, non-academic centers, comorbidities, and larger tumors increase the risk of all-cause mortality. Esophagectomy and systemic therapy decrease mortality risk. Patients undergoing esophagectomy had significantly higher 5-year overall survival rates and longer median overall survival compared to those treated non-surgically.

Journal Article by Kramer SP, Swanson J (…) Baker MS 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.

read the whole article in J Am Coll Surg

open it in PubMed

Histological Growth Pattern Predicts Survival in Peritoneal Metastases

Patients with colorectal peritoneal metastases who underwent cytoreductive surgery had better disease-free and overall survival if they had a dominant pushing histological growth pattern compared to infiltrating pattern. The study confirmed the prognostic value of these patterns regardless of neoadjuvant chemotherapy or extent of peritoneal disease burden. No significant associations were found between neoadjuvant chemotherapy and the type of histological growth pattern.

Journal Article by Kamdem L, Asmar AE (…) Liberale G et 6 al. in Ann Surg Oncol

© 2024. The Author(s).

read the whole article in Ann Surg Oncol

open it in PubMed

Optimal Weight Loss Improves CVD Risk After Bariatric Surgery

After bariatric surgery, cardiovascular disease risk scores significantly decrease, showing a greater reduction in patients with optimal weight loss compared to suboptimal weight loss. 91% of patients experienced a decrease in their Framingham score one year post-surgery, with a mean CVD risk score decrease from 7.2% to 4.1%. Weight loss post-surgery is directly associated with reduced CVD risk scores, emphasizing the importance of achieving optimal weight loss for improving cardiovascular health.

Journal Article by Salih RM, Barajas-Gamboa JS (…) Corcelles R et 11 al. in Am J Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

read the whole article in Am J Surg

open it in PubMed

Anti-reflux Suture Reduces De Novo GERD After Gastric Bypass

Researchers compared the efficacy of adding an anti-reflux mechanism during one anastomosis gastric bypass (OAGB) to treat preoperative GERD and prevent de novo GERD. The study found that the anti-reflux suture reduced the incidence of de novo GERD symptoms, with a lower rate in patients who received the intervention. While there was no statistically significant difference, the findings suggest that applying an anti-reflux suture can help decrease de novo GERD symptoms after OAGB.

Journal Article by Kermansaravi M, Shahsavan M (…) Carbajo MA et 5 al. in Surg Endosc

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

read the whole article in Surg Endosc

open it in PubMed

Improving Surgeon Skilling Through Video Management and Analytics

Surgeons record a limited portion of eligible cases due to barriers such as lack of perceived value, forgetfulness, legal concerns, and difficulty accessing equipment and videos. Touch Surgery Enterprise, a new recording solution, addresses these barriers and is highly recommended by respondents for adoption due to features like ease of use, AI for privacy, full-length procedural videos, and easy access/storage. Overcoming these barriers is crucial for enhancing surgical skills.

Journal Article by Awshah S, Bowers K (…) DuCoin C et 5 al. in Surg Endosc

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

read the whole article in Surg Endosc

open it in PubMed

Deep Learning Model Successfully Segments Robotic Pancreaticojejunostomy Videos

Researchers developed a deep learning model for automated segmentation of robotic pancreaticojejunostomy videos. The model achieved an accuracy of 88.01% and mean per-class f1 scores of 85.34%, proving to be effective in identifying the tasks involved in the procedure. Future work will focus on skills assessment and outcome prediction based on the segmentation results.

Journal Article by Al Abbas AI, Namazi B (…) Sankaranarayanan G et 8 al. in Surg Endosc

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

read the whole article in Surg Endosc

open it in PubMed

Similar Outcomes of Anastomosis vs. Colostomy After Sigmoid Colectomy for Volvolus

Outcomes between primary anastomosis and end colostomy following emergency sigmoid colectomy for sigmoid volvulus were compared using ACS-NSQIP data. Results showed no significant differences in major complications, mortality, hospital stay, or readmission rate. Patients with colostomy had a higher likelihood of being discharged to a care facility. Overall, there were no statistically significant disparities in outcomes between the two surgical approaches.

Journal Article by Yang P, Ang ZH and Berney 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).

read the whole article in World J Surg

open it in PubMed

Optimizing Total Neoadjuvant Therapy for Rectal Cancer

Despite therapeutic advancements, disease-free survival and overall survival have not improved in patients with locally advanced rectal cancer due to distant metastases. Total neoadjuvant therapy (TNT) is now standard to prevent local recurrence and distant metastases. Patients with high-risk features may benefit, but non-responsive patients have poor prognosis. Integrated multi-omics analysis and AI may predict treatment response, guiding non-operative management decisions. Collaborative trials are working to better understand TNT response drivers for future optimization.

Review by Kagawa Y, Smith JJ (…) Yoshino T et 14 al. in Nat Rev Gastroenterol Hepatol

© 2024. Springer Nature Limited.

read the whole article in Nat Rev Gastroenterol Hepatol

open it in PubMed