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Adverse Impact of Perioperative Blood Transfusions on Pancreatic Cancer Surgery Survival

Researchers investigated perioperative factors influencing survival in pancreatic ductal adenocarcinoma (PDAC) surgery. Analyzing a Danish cohort (2011–2020), they found that perioperative blood transfusions were linked to significantly shorter overall survival (OS) in resected PDAC patients (HR 2.53, p = 0.005), with a marked difference at 72 months post-surgery. No significant associations were observed for surgery duration or anesthesia/analgesia techniques. These findings highlight the adverse impact of blood transfusions on long-term survival in PDAC surgery.

Journal Article by Spore LM, Dencker EE (…) Sillesen M et 6 al. in BMC Surg

© 2024. The Author(s).

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Absence of a pancreatic microbiome in intraductal papillary mucinous neoplasm: a study on microbial presence and diversity

Researchers analysed 338 cyst fluid samples from 190 IPMN patients and found no significant difference in microbiome signatures compared to negative controls. In patients who recently had invasive procedures, a gut-associated microbe outlier signal was evident. The study concluded that IPMNs and pancreatic cystic neoplasms do not have a distinct microbiome, supporting the concept of a sterile environment, with outlier signals potentially appearing post-endoscopic procedures. No correlations were found between microbial patterns and clinical or cyst parameters.

Journal Article by Pust MM, Rocha Castellanos DM (…) Xavier RJ et 6 al. in Gut

© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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Impact of Laparoscopic HIPEC on Safety and Perioperative Outcomes in Gastric Cancer with Peritoneal Metastasis

Laparoscopic HIPEC for gastric cancer with peritoneal metastasis is safe and associated with minimal perioperative complications. Approximately one third of patients undergoing initial laparoscopic HIPEC proceeded to cytoreduction and gastrectomy. Preliminary survival data from this study indicate a median overall survival of 11 months from the initial procedure and 19.3 months from the diagnosis, suggesting that laparoscopic HIPEC may offer benefits in treating patients with gastric cancer and peritoneal metastasis.

Journal Article by Read MD, Drake J (…) Dineen SP et 5 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

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Benchmarking Report Guides Infection and Antibiotic Control in Pediatric Appendicitis

Complete liver splitting along the demarcation line induced higher portal vein pressure and more rapid future liver remnant hypertrophy than partial or ectopic liver splitting after portal vein ligation in a rat model. The portal hemodynamic alterations, rather than inflammatory cytokine release, played a significant role in accelerating liver hypertrophy. Extrahepatic organ injury, such as spleen ablation, also impacted portal hemodynamics and liver regeneration.

Journal Article by Chen X, Zhou B (…) Chen G et 4 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Majority of Rectal Cancer Survivors Show Continued Improvement in Low Anterior Resection Syndrome Beyond 3 Years Post-Surgery

Rectal cancer survivors with low anterior resection syndrome showed improvement beyond 3 years post-proctectomy, with a decrease in mean syndrome score from 29.5 to 18.6. 31.5% experienced a shift from major to no/minor severity, while 3.4% required a new stoma. Long-term improvement was negatively associated with neoadjuvant radiation. This study emphasizes the importance of long-term follow-up beyond two years in managing postoperative bowel dysfunction in rectal cancer survivors.

Journal Article by He S, Zhang J (…) Dou R et 6 al. in Dis Colon Rectum

Copyright © The ASCRS 2024.

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Identifying Risk Factors for Postoperative Infection in Choledochoscopy for IHDs

Preoperative biliary obstruction and operation time were identified as significant risk factors for postoperative infection in choledochoscopy for intrahepatic bile duct stones. Biliary tract infections, particularly with Escherichia coli, were the main cause of postoperative infection. Biliary tract obstruction and body mass index were independent risk factors for postoperative biliary tract infection in this real-world setting study involving 126 patients.

Journal Article by Ou Y, Li J (…) Yan Y et 5 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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Why are Intraoperative Adverse Events Important in Robotic Radical Gastrectomy for Gastric Cancer?

Assessment of intraoperative adverse events (IAEs) during robotic radical gastrectomy for gastric cancer revealed that IAEs significantly correlated with postoperative complications and poor long-term prognosis. The presence of IAEs was associated with worse overall and disease-free survival rates compared to patients without IAEs. Utilizing the classintra grading system for quality control and prognostic evaluation is recommended in routine surgical practice.

Journal Article by Liu ZY, Zhong Q (…) Zheng CH et 10 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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Modified 2-stage IPAA shows similar outcomes to 3-stage IPAA in patients with ulcerative colitis

The study compared perioperative complications, quality of life, and functional outcomes in patients with ulcerative colitis undergoing either 3-stage or modified 2-stage IPAA. Results showed similar rates of anastomotic leak, surgical site infection, ileus, quality of life, and pouch function between the two approaches. However, modified 2-stage IPAA had significantly lower postoperative bowel obstruction rates compared to 3-stage IPAA, suggesting it may be a safer option in select patients.

Journal Article by Clement E, Lin W (…) Phang PT et 3 al. in Am J Surg

Copyright © 2024. Published by Elsevier Inc.

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Simulation Model Enhances Surgery Throughput Efficiency

Researchers developed a discrete-event simulation model for assessing operating room efficiency in thoracic, gastrointestinal, and orthopedic surgeries. Utilizing the model, they found that improving operating room preparation time and reducing operative time were the most effective strategies for increasing throughput. Large reductions in operative time resulted in significant increases in surgery throughput, ranging from 12% to 38%, depending on the surgical department.

Journal Article by Pu Z, Wu S and Han Y in World J Surg

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

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Time to First Mobilisation After Surgery: Factors and Outcomes

Approximately 52% of patients were mobilised within 6 hours post surgery, increasing to 96% within 24 hours. Patients with daytime postoperative recovery unit arrival, shorter anaesthesia duration (<4 hours), and lower ASA classification (1-2) were more likely to be mobilised within 6 hours. Major upper abdominal surgery patients had the longest time before mobilisation, averaging 11 hours post surgery.

Journal Article by Fagevik Olsén M, Sehlin M (…) Svensson-Raskh A et 4 al. in BMJ Open

© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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