Blog

Laparoscopic vs. Open Surgery After Colorectal Stent in Obstructive Cancer

Comparing laparoscopic and open surgery in obstructive colorectal cancer patients following stent placement, a meta-analysis of 12 cohort studies found no difference in 30-day mortality rates. While laparoscopic surgery had less blood loss, longer operation time, and shorter hospital stay, open surgery had more complications. Although not statistically significant, some data suggest favorable long-term outcomes with laparoscopic surgery. In patients with obstructive colorectal cancer and stent insertion, laparoscopic surgery may have a modest advantage over open surgery.

Review by Zeng K, Zhang F (…) Fang S et 2 al. in Surg Endosc

© 2024. The Author(s).

read the whole article in Surg Endosc

open it in PubMed

Association of Irish Selection Performance with Future Surgical Training Success

Trainees with higher composite scores at Irish selection had higher odds of progressing to higher specialist training. Technical aptitude scores were positively correlated with future operative performance in both workplace and simulated environments. Interpersonal skills assessed during selection were associated with future performance in communication skill assessments. Multimodal assessment during selection was predictive of future performance, requiring further investigation into the validity and unintended effects of selection processes.

Journal Article by Toale C, Morris M (…) Kavanagh DO et 6 al. in JAMA Surg

read the whole article in JAMA Surg

open it in PubMed

Low Colorectal Cancer Risk After Resection of High-Risk Pedunculated Polyps

CRC incidence is significantly higher in patients with high-risk adenomas (HRAs) diagnosed at colonoscopy, with a 1.53-fold increase in risk. However, patients with only distal pedunculated polyps without high-grade dysplasia do not have an increased CRC risk. The presence of certain risk factors explains most of the excess CRC risk in the HRA group, indicating potential reduced burden of surveillance in FIT programs.

Journal Article by Zorzi M, Battagello J (…) Hassan C et 24 al. in Clin Gastroenterol Hepatol

Copyright © 2024 AGA Institute. Published by Elsevier Inc. All rights reserved.

read the whole article in Clin Gastroenterol Hepatol

open it in PubMed

Gasless Endoscopic Thyroidectomy Improves Quality of Life and Recovery in Female Patients with Thyroid Carcinoma

Gasless endoscopic thyroidectomy through an axillary approach shows better postoperative physical quality of life, cosmetic satisfaction, and faster recovery in psychological and emotional aspects compared to traditional open thyroidectomy in female patients with differentiated thyroid carcinoma.

Journal Article by Xu T, Qin X (…) Wei T 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

Robotic distal pancreatectomy has longer operative times but shorter postoperative stays compared to laparoscopic approach

Robotic distal pancreatectomy (rdp) had longer operative times but shorter postoperative stays compared to laparoscopic distal pancreatectomy (ldp). RDP also had fewer pancreatic leaks and required fewer interventions. While RDP was more expensive than LDP, reduced hospital stays and lower reintervention rates partially offset this cost difference. The study found that RDP is a viable alternative with potential benefits in postoperative outcomes despite the slightly higher cost.

Journal Article by Timmerhuis HC, Jensen CW (…) Visser BC 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

Comparison of Laparoscopic and Open Liver Resections for HCC with PVTT: Similar Clinical Outcomes

Analysis of 86 patients with hepatocellular carcinoma and portal vein tumor thrombosis showed no significant difference in overall survival and recurrence-free survival between laparoscopic and open liver resections. The only predictors of recurrence-free survival were specific pathological factors, not the type of surgery. Laparoscopic resection for HCC with PVTT provides comparable short- and long-term outcomes to open resection.

Journal Article by Kim KS, Choi GS, Rhu J and Kim 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

Endoscopic Ultrasound-Guided Gastroenterostomy Superior to Enteral Stenting for Malignant Gastric Outlet Obstruction

Endoscopic ultrasound-guided gastroenterostomy was found to be superior to enteral stenting in reducing treatment failure and prolonging time until treatment failure in a propensity score-matched cohort study of patients with malignant gastric outlet obstruction. The study showed a significantly higher treatment failure rate in the enteral stenting group compared to the EUS-GE group, with longer median time until treatment failure in the EUS-GE group. No differences were detected in technical and clinical success rates between the two treatment modalities.

Journal Article by Seitz N, Meier B, Caca K and Wannhoff A 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

IFSO Worldwide Survey: Shifting Trends in Bariatric and Metabolic Procedures (2020-2021)

IFSO Worldwide Survey 2020-2021 shows a decrease in the number of metabolic and bariatric surgeries in 2020, but a positive trend in 2021, with sleeve gastrectomy remaining the most performed procedure. Regional protocols for surgery during COVID-19 were reported by 52% of national societies, with limited change in telemedicine and mortality data collection between 2020 and 2021.

Journal Article by Angrisani L, Santonicola A (…) Shikora S et 5 al. in Obes Surg

© 2024. The Author(s).

read the whole article in Obes Surg

open it in PubMed

Cost-effectiveness of Bariatric Surgery in Treating Obesity

Researchers reviewed 15 studies on economic evaluations of bariatric surgeries and pharmacotherapy for obesity treatment in adults. They found that bariatric surgery was seen as a cost-effective approach, but there was varying opinion on the cost-effectiveness of pharmacological interventions. Most evaluations were done from healthcare system perspectives, and the researchers suggest future studies should consider societal perspectives and longer-term time horizons.

Review by Sharif FV, Yousefi N and Sharif Z in Obes Surg

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

read the whole article in Obes Surg

open it in PubMed

Visceral Adipose Tissue Predicts Survival in Resectable Pancreatic Adenocarcinoma

In patients with resectable pancreatic adenocarcinoma, a study analyzed body composition metrics from baseline CT scans in the SWOG S1505 trial. Visceral adipose tissue (VATA) was associated with overall survival, but no significant links were found between survival and sarcopenia or sarcopenic obesity. This prospective multicenter trial revealed novel insights, suggesting a potential role for VATA in predicting outcomes for resectable pancreatic cancer patients.

Journal Article by Sohal DPS, Boutin RD (…) Chang VT et 10 al. in J Gastrointest Surg

Copyright © 2023. Published by Elsevier Inc.

read the whole article in J Gastrointest Surg

open it in PubMed