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Endoscopic Treatment Outperforms Surgery in Necrotizing Pancreatitis

The study compared endoscopic and surgical treatment in acute necrotizing pancreatitis, showing that endoscopic treatment resulted in lower peri-interventional morbidity, shorter hospital stays, and lower mortality rates. Endoscopic treatment also led to better long-term outcomes with reduced renal insufficiency, ventilation dependency, and recurrence rates, along with improved exocrine functionality. These findings suggest a preference for endoscopic intervention whenever possible.

Journal Article by Timmermann L, Schönauer S (…) Jürgensen C et 4 al. in Langenbecks Arch Surg

© 2024. The Author(s).

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What are the predictors of 30-day postoperative complications following cholecystectomy for benign gallbladder disease?

Researchers conducted a multinational study including 21,706 surgical patients from 57 countries to assess 30-day morbidity and mortality rates after cholecystectomy for benign gallbladder disease. They found that patient age, ASA physical status class, surgical setting, operative approach, and Nassar operative difficulty grade were the top predictors of postoperative complications. They also identified a need for ongoing global collaborative efforts to enhance quality assurance and outcomes in cholecystectomy.

Journal Article by Wong GYM, Wadhawan H (…) Mahawar K et 57 al. in Ann Surg

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

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Early Endoscopy Safely Predicts Anastomotic Leakage After Esophagectomy

Early postoperative endoscopy after minimally invasive esophagectomy is safe and effective in predicting anastomotic leakage. A retrospective study with 436 patients showed that early endoscopy did not increase adverse events but significantly decreased the incidence of anastomotic leakage (9.8% vs 22.7%) and shortened hospital stays. Findings under early endoscopy also identified gastric graft ischemia as a risk factor for anastomotic leakage occurrence.

Journal Article by Ma S, Zhu J (…) Zhao J et 8 al. in BMC Surg

Copyright © 2024 Elsevier Inc. All rights reserved.

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Defining Major Abdominal Surgery: A Scoping Review

This scoping review aimed to determine the terminology used to describe major abdominal surgical procedures. Content analysis of 312 included articles revealed 4 main categories, with operation-related factors being predominant. Gastrointestinal resection was the most frequently coded reference. Based on these findings, major abdominal surgery was defined as an intra-peritoneal operation involving luminal or solid organ resection associated with the gastrointestinal tract. However, further validation with real-world data is necessary.

Journal Article by Courtney A, Clymo J (…) Dorudi S et 2 al. in World J Surg

© 2024 The Authors. World Journal of Surgery published by John Wiley & Sons Ltd on behalf of International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).

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High Success Rate of Laparoscopic Curative Surgical Treatment for Common Bile Duct Stones

Curative laparoscopic surgical treatment for symptomatic common bile duct stones showed a 93.1% success rate, with low immediate postoperative morbidity (24.4%) and reintervention rate (5.3%). Mortality rates were zero and 0.4% at immediate and 6-week postoperative, respectively, with an average length of stay of 11.3 days. Factors contributing to procedure failure included early postoperative complications and readmission. The study suggests laparoscopic surgery can be effective for treating symptomatic CBD stones without needing additional procedures.

Journal Article by Pouplin J, Maulat C (…) Muscari F et 11 al. in World J Surg

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

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Improved Quality of Life and Weight Loss in Patients Undergoing Conversion from Sleeve Gastrectomy to Roux-en-Y Gastric Bypass

Studies on 196 participants reveal that converting sleeve gastrectomy (SG) to Roux-en-Y gastric bypass (RYGB) significantly improves quality of life (QoL). Following conversion, there’s a notable reduction in gastroesophageal reflux disease (GERD) symptoms, proton pump inhibitor (PPI) use, and positive outcomes in excess weight loss (EWL). However, the limited number of studies and varied QoL assessment methods emphasize the need for standardized tools in evaluating QoL after SG to RYGB conversion.

Review by Ganam S, Tang R (…) Docimo S et 2 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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Predictive Nomogram for Positive CRM in Rectal Cancer Surgery

A predictive nomogram was developed to identify patients at risk for a positive circumferential resection margin (CRM) in rectal cancer surgery. Factors associated with positive CRM included tumor grade, lack of neoadjuvant chemotherapy, specific tumor histology, surgical approach, and other tumor characteristics. These findings can be used to predict CRM positivity in the preoperative period, allowing clinicians to plan surgical strategies accordingly.

Journal Article by Shroder M, Ford MM (…) Hawkins AT et 5 al. in J Surg Res

Published by Elsevier Inc.

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HIPEC in Appendiceal Adenocarcinoma After Perforated Appendicitis: Encouraging 5-Year Survival

Among patients diagnosed with appendiceal adenocarcinoma after acute perforated appendicitis, half may have peritoneal metastasis. Prophylactic cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) in cases without identified metastasis during CRS may lead to an encouraging rate of disease-free survival at 5 years, with a recurrence rate of 12.5% and 100% overall survival. Surgical complications were seen in 36% of patients who underwent CRS and HIPEC.

Journal Article by Leiritz E, Rezai J (…) Pocard M et 3 al. in Eur J Surg Oncol

© 2024 Published by Elsevier Ltd.

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Comparison of laparoscopic liver resection outcomes in centers with and without liver transplant programs

Centers with liver transplant programs in France perform more difficult laparoscopic liver resections for hepatocellular carcinoma in cirrhotic patients compared to centers without transplant programs. Despite this complexity, both types of centers showed comparable safety and quality of care in terms of postoperative severe morbidity and mortality rates, demonstrating that all centers can achieve good outcomes in laparoscopic liver resections regardless of their transplant program status.

Journal Article by Laroche S, Lim C (…) Scatton O et 25 al. in HPB (Oxford)

Copyright © 2024 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.

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Induction Chemotherapy Leads to Increased Pathologic Downstaging in Locally Advanced Rectal Cancer Patients treated with Total Neoadjuvant Therapy

Increased utilization of induction chemotherapy in total neoadjuvant therapy for locally advanced rectal cancer led to higher pathologic downstaging rates compared to consolidation chemotherapy. From 2006 to 2017, 46.7% of patients experienced downstaging, with induction chemotherapy resulting in a higher rate of pathologic downstaging (58% vs. 44.7%). These findings suggest that induction chemotherapy may be preferable for achieving downstaging prior to surgery in this patient population.

Journal Article by Fan A, Zhao B (…) Liu S et 5 al. in J Clin Med

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