Blog

Impact of Weekday Surgery on Colorectal Cancer Outcomes

Weekday surgeries for colorectal cancer patients showed no significant difference in mortality rates but were associated with slightly longer operative times and increased blood loss for colon cancer patients. Rectal cancer patients operated on Fridays had lower respiratory issues but higher rates of complications and longer hospital stays. The study’s findings suggest that the day of the week for surgery may impact short-term outcomes for colorectal cancer patients.

Journal Article by Imaoka K, Shimomura M (…) Ohdan H et 12 al. in J Surg Res

Copyright © 2024. Published by Elsevier Inc.

read the whole article in J Surg Res

open it in PubMed

Developing a nuanced preoperative strategy for hernia repair

This viewpoint highlights the need for a nuanced preoperative optimization strategy in hernia repair, emphasizing patient and disease-specific factors to determine optimal surgical timing for personalized care. It discusses the variability in adherence to preoperative optimization and the lack of detailed data guiding surgical decision-making, calling for a more patient-centered approach to enhance outcomes and minimize delays in surgical care.

Journal Article by Bidwell SS, Fry BT and Telem DA in JAMA Surg

read the whole article in JAMA Surg

open it in PubMed

Systemic Barriers for Black Trainees in Canadian Surgical Residency

The study explores the barriers faced by Black medical students and residents in completing surgical residency in Canada. Lack of mentorship, representation, experiences with racism, and systemic racism were identified as key obstacles. Gender intersectionality further exacerbated these challenges. There is a pressing need for diverse mentorship, acknowledgment of systemic racism, and creation of safe spaces to support Black students and trainees in their surgical training.

Journal Article by Akuffo-Addo E, Dalson J (…) Simpson JS et 4 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

Colorectal Surgeons Associated with Better Outcomes in Colorectal Surgeries

Surgeons found that outcomes of elective colectomies, proctectomies, and urgent colectomies were better when performed by colorectal surgeons (CRS) compared to general surgeons (GS). CRS had lower complication and mortality rates in all procedures analyzed. Hospitals lacking CRS may benefit from recruiting these specialists to improve patient outcomes.

Journal Article by Purdy AC, Murphy S (…) Nguyen NT 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

Improved Pain Management and Recovery After Implementation of ERAS Protocol for CRS-HIPEC

Enhanced Recovery After Surgery (ERAS) protocol implementation for cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) led to increased epidural use, decreased oral and intravenous opioid requirements, and earlier restoration of bowel function. Patients with epidurals had significantly lower opioid needs post-ERAS, with improved ambulation, diet initiation, and return of bowel function compared to pre-ERAS patients. ERAS may offer effective pain management and enhanced recovery for CRS-HIPEC patients.

Journal Article by Yue TM, Sun BJ (…) Lee B et 3 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

read the whole article in Ann Surg Oncol

open it in PubMed

Spectral CT and Machine Learning Improve Preoperative Prediction of Gastric Cancer Invasion

Accurate preoperative prediction of lymphovascular and perineural invasion status in gastric cancer patients is crucial for identifying high-risk individuals. This study developed and tested a machine learning model that successfully combines spectral CT parameters and clinical indicators to accurately predict LVI/PNI status. The integration of portal venous and ep spectral CT parameters significantly enhances the detection of LVI/PNI, with CT stage, N status, and EMVI status also playing important roles in predicting invasion status.

Journal Article by Ge HT, Chen JW (…) Lin WW et 5 al. in World J Gastroenterol

©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.

read the whole article in World J Gastroenterol

open it in PubMed

Safe Implementation of ERAS and Early Discharge Protocols for Robotic eTEP Hernia Surgery

Initial experience with enhanced recovery after surgery (ERAS) and early discharge protocols for robotic extended totally extraperitoneal (eTEP) hernia surgery demonstrates safety, feasibility, and acceptable short-term outcomes, with 69% of patients discharged on the same day as surgery.

Journal Article by Liu YZ, Luhrs A (…) Giorgi M et 3 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

Key non-technical skills in robotic surgery

Non-technical skills such as communication, environmental factors, anticipation, and teamwork are crucial in robotic-assisted surgery. Team-related factors like ambient noise and poor design of the operating room can compromise patient safety. The review identified three novel assessment tools and emphasized the need for further research on the benefits of non-technical skills in improving patient safety during robotic surgery.

Review by Mahendran V, Turpin L, Boal M and Francis NK in Surg Endosc

© 2024. Crown.

read the whole article in Surg Endosc

open it in PubMed

Assessing Abdominal Contour Post eTEP Rives-Stoppa Surgery

The study evaluated the impact of eTEP Rives-Stoppa procedure on abdominal contour using the Ellipse 9 tool. Most patients showed improved abdominal contour, but 17% developed upper abdominal bulging. Significant differences were found between bulging and non-bulging patients in various measurements. The Ellipse 9 tool provided valuable objective analysis, revealing a discrepancy between patient perceptions and clinical findings. The cause of bulging post-eTEP RS is likely multifactorial.

Journal Article by Daes J, Luque E, Hanssen A and Rocha J 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

Extended 96-hour Acid Reflux Monitoring Diagnosed More Patients with GERD Compared to Standard 48-hour Testing

Prolonged acid reflux monitoring for 96 hours diagnosed more patients with GERD compared to standard 48-hour testing. Extended monitoring led to clinically significant changes in study interpretation, with almost half of patients showing abnormal results after a normal study on day 1. Results suggest that only monitoring for 48 hours may miss a diagnosis of GERD in a significant number of patients.

Journal Article by Lee ME, Ghosh G (…) Katz P et 3 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