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Similar Weight Loss and Psychological Health in Bariatric Surgery Patients with Chronic Pain

Patients with chronic pain syndromes showed similar improvements in weight and psychological wellbeing after bariatric metabolic surgery (BMS) compared to patients without pain. However, the relationship between weight loss and improved self-efficacy to control eating behaviors was weaker in patients with chronic pain. Further research is needed to understand the mechanism underlying pain and postoperative changes in psychological wellbeing and weight loss.

Journal Article by Pyykkö JE, Zwartjes M (…) Gerdes VEA et 6 al. in Obes Surg

© 2024. The Author(s).

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Medicaid Insurance Linked to Increased Postoperative Care Encounters for Patients on Long-Term Opioid Therapy

Patients on long-term opioid therapy with Medicaid insurance had a higher likelihood of experiencing postoperative unplanned care encounters compared to those with private insurance after abdominopelvic surgery. The study, involving 1212 patients in Michigan, found a 4.5 percentage point higher probability of such encounters among Medicaid-insured individuals within 30 days post-discharge. This suggests disparities in social determinants of health, highlighting the need for tailored postoperative care pathways for this population.

Journal Article by Sharif L, Zubieta CS (…) Brummett CM et 5 al. in Ann Surg

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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Overprescribing opioids for emergency surgery patients does not improve postoperative outcomes

Patients undergoing emergency surgery in Michigan were prescribed an average of 9.6 opioid pills, but only consumed 4.6 pills on average. Larger prescriptions were associated with higher consumption, but did not lead to reduced pain, higher satisfaction, improved quality of life, or less regret about undergoing surgery. These findings suggest that opioids may be excessively prescribed to emergency surgery patients, with no added benefit in terms of patient experience.

Journal Article by Rosenthal L, Gunaseelan V (…) Howard R et 3 al. in Ann Surg

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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Robotic Liver Surgery Achieves Higher Textbook Outcome Rates Than Laparoscopic Surgery

Robotic liver surgery (RLS) showed higher rates of textbook outcome in liver surgery (TOLS) and TOLS+ compared to laparoscopic liver surgery (LLS), with lower blood loss, transfusions, morbidity, and higher R0 resection margins, despite longer operative times. In subgroup analyses, RLS tended to have higher TOLS rates for minor and major resections.

Journal Article by Sijberden JP, Hoogteijling TJ (…) Abu Hilal M et 58 al. in Ann Surg

Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.

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Long-term Pancreatic Complications from Trauma: Unique Pathology in Focal Duct Stenosis

Patients with focal stenosis of the main pancreatic duct without pancreatic cancer may have unique pathology including fibrosis, inflammation, and calcifications. Blunt trauma, such as from motor vehicle accidents, can cause long-term complications in the pancreas, leading to obstructive changes. Awareness of this distinctive pathology is crucial for pathologists to accurately diagnose and understand the history of trauma in patients presenting with pancreatic duct stenosis.

Journal Article by Wu AA, Thompson ED (…) Hruban RH et 8 al. in Am J Surg Pathol

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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Minimally Invasive Techniques Improve Quality of Life in Pilonidal Surgery

Minimally invasive surgery in pilonidal disease treatment shows better quality of life, less pain, fewer complications, and quicker return to normal activities compared to major excisional surgery. However, it also has a higher risk of treatment failure. Complications were common, with 25% reporting unhealed wounds and 10% unable to resume normal activities at the study end. This real-world study suggests that although minimally invasive techniques have benefits, treatment failure remains a significant issue in pilonidal surgery.

Journal Article by Brown SR, Hind D (…) Lee MJ et 9 al. in Br J Surg

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

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Validation of Genetic and Morphological Evaluation Score for Patients with Colorectal Liver Metastases

Researchers validated the genetic and morphological evaluation score as a prognostic tool for patients with colorectal liver metastases, showing that the high-risk group had significantly lower median relapse-free survival and overall survival compared to the low-risk group. The histopathological, clinical, and molecular score was also developed, including variables such as age, tumour burden score, and immune phenotypes, and could be useful for assessing adjuvant treatment after hepatic resection.

Journal Article by Martín-Cullell B, Virgili AC (…) Páez D et 7 al. in Br J Surg

© The Author(s) 2024. Published by Oxford University Press on behalf of BJS Foundation Ltd. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.

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Increased Odds of Post-Operative Endoscopic Retrograde Cholangiography in Subtotal Cholecystectomy Patients

Researchers conducted a retrospective review of laparoscopic cholecystectomies at a large center. Among 1222 cases, 7% were subtotal cholecystectomies (SC). SC patients were more likely to be male, older, have higher ASA class, and experience longer hospital stays. SC increased the odds of requiring endoscopic retrograde cholangiography (ERC) postoperatively. Reconstituting SC lowered the odds of post-op ERC, but its impact on long-term outcomes is uncertain. Access to ERC and interventional radiology is crucial for SC patients.

Journal Article by Nordness MF, Smith MC (…) Gunter OL et 3 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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Robotic Surgery Shows Promising Results for Resectable Esophageal Cancer

Robotic surgery in esophagectomy for resectable esophageal cancer offers advantages such as reduced postoperative pain and pulmonary complications. A review of 113 studies shows that outcomes include a weighted mean postoperative pneumonia rate of 11%, anastomotic leak rate of 10%, and a 95% success rate in achieving a clear resection margin. There is a potential correlation between procedural volume and outcomes, supporting the potential of robot-assisted surgery as a beneficial approach for patients.

Journal Article by Patel NM, Patel PH (…) Kumar S et 7 al. in Ann Surg Oncol

© 2024. The Author(s).

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Enucleation is Safe for Solid Pseudopapillary Tumor of the Pancreas

Patients who underwent enucleation (en) for solid pseudopapillary tumor of the pancreas had a shorter hospital stay and similar rates of 30-day and 90-day mortality compared to those who underwent partial pancreatectomy (pp) or pancreaticoduodenectomy (pd). Survival analysis showed no difference in overall survival between en and resection groups. Patients with lymph node metastases had worse outcomes, with predictors including lymphovascular invasion, higher T category, and M1 status. Enucleation may be a safe option for select patients.

Journal Article by Salirrosas O, Vega EA (…) Conrad C et 4 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

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