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Augmented Reality Improves Accuracy in Laparoscopic Liver Resection for Intraparenchymal Tumors

Augmented reality (AR) guidance significantly improves accuracy in laparoscopic liver resection for intraparenchymal tumors. The average pointing error for tumor localization was 29.4 mm for the laparoscope axis and 9.2 mm for the operator port axis, with errors increasing with tumor depth. While there was no significant dependency on tumor size, AR projection towards the operator port enhanced guidance precision, facilitating access to posterior liver lesions and reducing surgical trauma.

Journal Article by Ribeiro M, Espinel Y (…) Buc E et 3 al. in J Surg Res

Copyright © 2023. Published by Elsevier Inc.

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Improved Post-Polypectomy Colorectal Cancer Risk Prediction Using Comprehensive Model

Post-polypectomy colorectal cancer risk prediction was more accurate with a model including patient age, diabetes diagnosis, and baseline colonoscopy indication and polyp findings compared to a polyp-only model. The comprehensive model demonstrated superior performance in predicting colorectal cancer diagnosis in both the development and validation cohorts, with an area under the curve of 0.71 and 0.70, respectively.

Journal Article by Lee JK, Jensen CD (…) Corley DA et 11 al. in Am J Gastroenterol

Copyright © 2024 by The American College of Gastroenterology.

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EUS-Guided Gallbladder Drainage Outshines Cholecystostomy Tubes

EUS-guided gallbladder drainage using lumen-apposing metal stents (EUS-GBD-LAMS) is safer and associated with shorter hospital stays compared to percutaneous cholecystostomy tubes in nonsurgical candidates with acute cholecystitis. A systematic review and meta-analysis showed EUS-GBD-LAMS had lower rates of delayed and overall adverse events, making it a preferred option for high-risk surgical patients.

Journal Article by Hayat U, Al Shabeeb R (…) Adler DG et 7 al. in Gastrointest Endosc

Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

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Which method is most effective in reducing polyp recurrence after EMR of large nonpedunculated colorectal polyps?

Researchers compared different methods of EMR for large nonpedunculated colorectal polyps and found that EMR combined with snare tip soft coagulation (stsc) had the highest reduction in polyp recurrence rates (82% reduced odds), followed by underwater EMR alone (77% reduced odds) and EMR combined with argon plasma coagulation (apc). These results suggest that EMR combined with stsc may be the most effective method for reducing polyp recurrence post-resection.

Review by Radadiya D, Desai M (…) Sharma P et 6 al. in Gastrointest Endosc

Copyright © 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

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Higher Severity and Costs of Scooter Injuries Compared to Bicycle Injuries in the US: 2016 to 2020

Researchers found that scooter-related injuries have significantly increased, with patients more likely to be under 18 and require major operations compared to bicycle-related injuries. Scooter injuries were associated with higher risks of long bone fractures and paralysis. Both types of injuries had similar hospitalization durations and costs. These findings highlight the need for targeted interventions to reduce the burden of scooter-related injuries on the healthcare system.

Journal Article by Cho NY, Kim S (…) Benharash P et 5 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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Mesh type does not significantly impact long-term hernia recurrence after laparoscopic cruroplasty

Among 2170 patients undergoing laparoscopic hiatal hernia repair with follow-up, objective recurrence rates were 20.8% with suture repair, 20.6% with absorbable mesh, 13.7% with non-absorbable mesh, and 0% with partially absorbable mesh. Despite initial favor for non-absorbable mesh in the mid-term, all mesh types showed similar long-term recurrence rates (≥48 months). Mesh type did not prove superior to suture repair in preventing long-term hernia recurrence.

Review by Latorre-Rodríguez AR, Rajan A and Mittal SK in Surg Endosc

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

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Early-onset adenocarcinoma of esophagogastric junction shows significantly better postoperative survival compared to late-onset adenocarcinoma

Results from a population-based study comparing early-onset and late-onset adenocarcinoma of esophagogastric junction demonstrated significantly better overall and cancer-specific survival in early-onset cases. Kaplan-Meier curves, multivariate Cox regression analyses, propensity score matching, and competing risk models all consistently showed a more favorable prognosis in early-onset adenocarcinoma patients.

Journal Article by Chen L, Jin T (…) Yuan Y et 2 al. in J Gastroenterol Hepatol

© 2024 The Authors. Journal of Gastroenterology and Hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

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Optimizing Long-Term Outcomes: Flap-Based Perineal Reconstruction Analysis

High-risk patients undergoing abdominoperineal resection and pelvic exenteration may benefit from immediate flap reconstruction using pedicled gracilis flaps. A total of 101 patients underwent unilateral gracilis flap reconstruction, with 7.9% developing early major complications and 12.9% developing late major complications. Minor complications occurred in 32.7% of patients, mainly minor wound breakdowns. Donor site complications were rare. Anal cancer was associated with early major complications, while younger age and elevated body mass index predicted minor wound complications.

Journal Article by Rinkinen JR, Fruge S (…) Talbot SG et 7 al. in J Gastrointest Surg

Copyright © 2023 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

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Crucial Prognostic Factors in Ampullary Cancer: Nodal Staging and Lymph Node Examination

Patients with ampullary cancer benefit from examination of a minimum of 20 lymph nodes to accurately predict prognosis and minimize stage migration. The log odds transformation nodal classification scheme showed the highest accuracy in differentiating survival outcomes. Additionally, nodal metastasis in regional lymph nodes is linked to poorer outcomes post-surgery.

Journal Article by Resende V, Endo Y (…) Pawlik TM et 8 al. in J Gastrointest Surg

Copyright © 2023 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

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Surgery Prevails in Second Primary Esophageal Cancer

Survival benefit of surgery for second primary esophageal cancer following gastrointestinal cancer is significant. Surgery, year of diagnosis, regional lymph node surgery scope, tumor differentiation grade, SEER historic stage, and triple therapy are independent prognostic factors. In a cohort study of 582 patients, surgery significantly improved survival outcomes compared to no surgery or chemoradiotherapy. These findings suggest surgery should be the main treatment for second primary esophageal cancer after gastrointestinal cancer.

Journal Article by Zhao T, Jia W, Zhao C and Wu Z in J Gastrointest Surg

Copyright © 2023 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

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