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High risk of venous thromboembolism in peritoneal mesothelioma patients highlights need for vigilant monitoring

Peritoneal mesothelioma patients had a high venous thromboembolism (VTE) risk, with 21.7% experiencing VTE, mainly symptomatic pulmonary emboli. 4-week thromboprophylaxis post-surgery resulted in acceptable 90-day VTE rates. Surgical patients and those with low serum albumin had higher VTE risk, but overall survival did not significantly differ between patients with and without VTE. These findings underscore the importance of ongoing VTE surveillance in peritoneal mesothelioma patients.

Journal Article by Bansal VV, Mitchell O (…) Turaga KK et 11 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

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Surgeon and Anesthesiologist Well-being: A Tailored Approach

Surgeons and anesthesiologists at an academic medical center completed surveys revealing higher global well-being scores linked to workplace satisfaction and support. Anesthesiologists reported lower satisfaction and control than surgeons. Template analysis identified five intervention areas. Both specialties prioritized patient care, but differed in other priorities. Surgeons’ well-being threats were inefficiencies/delays and workload, while anesthesiologists cited understaffing and unpredictable hours. The study highlights shared needs and synergistic pain points, providing a foundation for tailored interventions.

Journal Article by Sinskey JL, Schwartz R (…) Lebares CC et 3 al. in Ann Surg

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

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Enhancing Surgical Discharge: Addressing Gaps for Better Outcomes

Mapping the surgical discharge process in US hospitals revealed key components and challenges specific to surgical patients. Current care transition models do not address wound care education, pain control, non-home post-discharge locations, and follow-up plans. Challenges include social situations, team communication issues, and post-discharge care coordination. Addressing these components and challenges in care transitions for surgical patients can lead to improved outcomes and reduced care fragmentation.

Journal Article by Graham LA, Illarmo S (…) Wren SM et 5 al. in JAMA Surg

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Metastatic Lymph Nodes and Survival in Esophageal Cancer

Patients with 1 metastatic lymph node had a median overall survival of 49.8 months, while those with 2 metastatic lymph nodes had an overall survival of 33.3 months. Survival was not significantly different between patients with 1 metastatic lymph node in 1 lymph node metastasis station and those with 2 metastatic lymph nodes in the same station, but significantly differed from those with 2 metastatic lymph nodes in 2 different stations. Number of lymph node metastasis stations significantly impacted overall survival in pN1 esophageal squamous cell carcinoma.

Journal Article by Li K, Du K (…) Leng X et 10 al. in Ann Surg Oncol

© 2024. The Author(s).

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Long-Term Oncologic Outcome Similar Between Proximal Gastrectomy and Total Gastrectomy for Upper-Third AGC and EGJ Cancer

Proximal gastrectomy (PG) and total gastrectomy (TG) for upper-third advanced gastric cancer (AGC) and Siewert type II esophagogastric junction (EGJ) cancers yield similar overall survival rates (61.7% vs. 68.3%) and recurrence-free survival rates (86.7% vs. 83.3%). PG group had eight recurrences, but operation method was not identified as a prognostic factor of tumor recurrence in multivariate analysis. Results suggest long-term oncologic outcomes for patients undergoing PG are comparable to TG for upper-third AGC and EGJ cancer.

Journal Article by Lee S, Chae YS (…) Yang HK et 9 al. in Ann Surg Oncol

© 2024. The Author(s).

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Stapled Hemorrhoidopexy Plus Ligation Anopexy Improves Long-Term Results

Researchers conducted a randomized trial comparing stapled hemorrhoidopexy alone to stapled hemorrhoidopexy plus ligation anopexy for grade III-IV hemorrhoids. Although short-term outcomes were similar, the combined approach showed significantly better long-term results. After 36 months, the stapled-only group had a 16% recurrence rate, requiring redo surgery, while the combined group had only 5% recurrence with no redo surgery. Patient satisfaction was notably higher in the combined approach, highlighting its superiority in long-term management.

Journal Article by Elshazly WG, Abo Elros MA, Ali AS and Radwan AM in Dis Colon Rectum

Copyright © The ASCRS 2024.

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Identification of Predictive Factors for Postoperative Pancreatic Fistula in Distal Pancreatectomy Using Novel Model

Researchers proposed a novel predictive model based on preoperative imaging parameters and stapler handling for postoperative pancreatic fistula (POPF) in distal pancreatectomy. Among 81 patients who underwent the procedure using a linear stapler, 38.2% developed POPF. The model identified computed tomography-measured pancreatic thickness and pancreas-to-muscle signal intensity ratio as significant risk factors. The model also highlighted thick cartridge use and long pre-firing compression as protective factors against POPF, providing valuable insights for preventive strategies.

Journal Article by Morino K, Nakano K (…) Machimoto T et 2 al. in World J Surg

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

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Laparoscopic Roux-en-Y Gastric Bypass Outperforms Sleeve Gastrectomy in Weight Loss and Diabetes Remission

Researchers compared laparoscopic sleeve gastrectomy (LSG) with laparoscopic Roux-en-Y gastric bypass (LRYGB) in treating obesity. The meta-analysis of 20 studies involving 1270 patients showed that LRYGB was superior to LSG in terms of BMI loss at six months and short-term T2DM remission efficacy. However, LSG had less complications and shorter operating times. Therefore, LRYGB is more effective in short- and mid-term weight loss and T2DM remission, while LSG is preferred for its lower complication rates and quicker surgeries.

Journal Article by Apaer S, Aizezi Z (…) Tuxun T et 7 al. in Obes Surg

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

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Elevated Fibrinogen-to-Prealbumin Ratio and Glasgow Prognostic Score Predict Poor Survival in Colorectal Cancer Patients Post Laparoscopic Surgery

High preoperative Fibrinogen-to-Prealbumin Ratio (FPR) and Glasgow Prognostic Score (GPS) are independently associated with worse overall survival in colorectal cancer patients after laparoscopic surgery. Combining FPR and GPS provides more accurate prognostic assessment, outperforming single indicators. Patients with elevated FPR and GPS values have a significantly poorer prognosis.

Journal Article by Liu B, Qian J (…) Zhao H et 5 al. in Med Sci Monit

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Impact of Fine-Needle Aspiration Cytology on Thyroidectomy Extent and Surgical Morbidity in Thyroid Cancer

Results show that fine-needle aspiration cytology results influence surgical planning in thyroid cancer, with intermediate categories leading to more partial thyroidectomies. Inadequate procedures due to inconclusive cytology are encountered in up to 15% of cases. Completion thyroidectomies after initial partial procedure do not significantly increase morbidity. Primary partial thyroidectomy is safer than total thyroidectomy in terms of nerve paralysis and hypoparathyroidism complications, suggesting the latter should be reserved for larger cancers with suspicion of malignancy.

Journal Article by Lind P, Nordenström E (…) Daskalakis K et 2 al. in Langenbecks Arch Surg

© 2024. The Author(s).

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