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Factors Influencing Outcomes in Laparoscopic Gastrectomy: A Prognostic Link to Survival

A total of 994 out of 1540 patients (64.5%) achieved textbook outcomes (TO) in laparoscopic gastrectomy (LG). Factors independently associated with reduced TO likelihood included older age, higher BMI, higher ASA score, conversion to open surgery, longer operation time, and greater estimated blood loss. Achieving TO in LG was linked to improved 5-year overall survival and disease-free survival. Implementing the TO concept in LG can enhance surgical care quality and lead to better prognoses for gastric cancer patients.

Journal Article by Lin X, Tan C (…) Zhao Y et 3 al. in Eur J Surg Oncol

© 2024 Elsevier Ltd, BASO ∼ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

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Surgeon Volume and Outcomes in Adrenal Surgery: Centralization for Higher-Volume Surgeons Recommended

A total of 4464 adrenal surgery patients were analyzed from the United Kingdom Registry of Endocrine and Thyroid Surgery. The study found that increasing surgeon volume is associated with shorter hospital stays and fewer postoperative complications. Surgeons performing a minimum of 12 adrenal operations per year had significantly lower complication rates and shorter hospital stays compared to surgeons performing fewer operations. The results support the centralization of adrenal surgery for cancer and bilateral tumors to high-volume surgeons.

Journal Article by Rajan S, Patel N (…) Aspinall S et 3 al. in Br J Surg

© The Author(s) 2024. Published by Oxford University Press on behalf of BJS Foundation Ltd. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
© The Author(s) 2024. Published by Oxford University Press on behalf of BJS Foundation Ltd. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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Patients in Highly Deprived Neighborhoods with Insurance Face Healthcare Disparities

Patients with private insurance or Medicare living in highly deprived neighborhoods have lower odds of positive surgical outcomes and higher presentation acuity, despite having insurance coverage. These findings suggest that insurance expansion alone is inadequate to address healthcare disparities, as barriers to preventive care and other complex factors contribute to inequities in health outcomes. The study emphasizes the need for comprehensive approaches to improve access to care and reduce disparities in deprived communities.

Journal Article by Schmidt S, Jacobs MA (…) Shireman PK et 9 al. in JAMA Surg

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Legal Remedies for Hand-Tool Size Mismatch: Addressing Challenges Faced by Surgeons

Surgeons, especially those with smaller hands and women, face challenges due to the mismatch between hand size and surgical tools, leading to pain, injuries, and disabilities. This mismatch contributes to musculoskeletal disorders, impacting female surgeons and potentially causing workforce shortages. Legal revisions are proposed to address these occupational hazards, ensuring better-fitted tools and mitigating the impact on surgeons’ well-being and workforce sustainability.

Journal Article by Braman A, Robertson C and King L in JAMA Surg

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Improved Localization and Safety of Indocyanine Green-Macroaggregated Albumin-Hyaluronic Acid Mixture for Recurrent Thyroid Cancer Surgery

Researchers investigated the efficacy and safety of an indocyanine green-macroaggregated albumin-hyaluronic acid (ICG-MAA-HA) mixture for surgical localization of recurrent thyroid cancer. Nine patients received preoperative injections of the dye into recurrent lesions, and surgery was performed using an imaging system for lesion identification. No side effects were reported, and the dye effectively located metastatic and recurrent thyroid cancer. The study suggests that ICG-MAA-HA dye has the potential to assist surgeons and further large-scale studies are needed to establish its clinical significance for patient survival and disease control.

Journal Article by Kim SK, Seok J (…) Jung YS et 12 al. in Ann Surg Oncol

© 2024. Society of Surgical Oncology.

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Prone Jack-Knife Transanal Minimally Invasive Surgery: A Safe and Effective Approach for Anterior Low Rectal Gastrointestinal Stromal Tumors

Prone Jack-Knife Transanal Minimally Invasive Surgery (tamis) is a feasible and safe approach for managing subepithelial rectal lesions, specifically anterior low rectal gastrointestinal stromal tumors (gist). This surgical technique, performed with the patient in the prone jack-knife position and using transanal access, provides excellent surgical ergonomics and avoids the need for radical resection. The study demonstrates the effectiveness of tamis as an alternative to more radical surgical approaches, offering a less invasive option for managing anterior low rectal subepithelial lesions.

Journal Article by Muniandy J, Huang CW, Ke TW and Chen WT in Dis Colon Rectum

Copyright © The ASCRS 2024.

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Robotic Gastrectomy Using the Hinotori Surgical Robot System: Feasibility and Safety for Gastric Cancer

The first clinical experiences of robotic gastrectomy for gastric cancer using the Hinotori surgical robot system were evaluated in a single-institution retrospective study. Twenty-four patients underwent robotic gastrectomy with Hinotori. The results showed that the procedure can be safely performed, with a low postoperative complication rate within 30 days after surgery. The study also reported favorable surgical outcomes, including minimal intraoperative adverse events, shorter operative time, reduced blood loss, and adequate dissected lymph nodes.

Journal Article by Inoue S, Nakauchi M (…) Suda K et 9 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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Anterior Gastric Wall Anastomosis Reduces Delayed Gastric Emptying in Minimally Invasive Esophagectomy

Research comparing the effect of esophagogastrostomy on the anterior and posterior walls of the gastric conduit in minimally invasive esophagectomy revealed that placing the anastomosis on the anterior wall resulted in a lower rate of delayed gastric emptying. Out of the 439 patients included in the study, those with anterior wall anastomosis experienced fewer complications, including a significantly lower rate of delayed gastric emptying and nosocomial pneumonia, compared to the patients with posterior wall anastomosis.

Journal Article by Uzun E, d’Amore A (…) Grimminger PP et 5 al. in Surg Endosc

© 2024. The Author(s).

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Laparoscopic appendectomy with single port has a longer operative time compared to conventional access

The systematic review and meta-analysis of randomized clinical trials compared laparoscopic appendectomy with single port (SILA) to the conventional three-access laparoscopic appendectomy (CLA). The analysis included 21 studies with 2646 patients. The results showed that SILA had a significantly longer operative time, especially in pediatric cases, but no statistically significant difference in postoperative morbidity. SILA had shorter hospital stays, fewer wound infections, and a higher conversion rate, but these results were not statistically significant. Further research is needed to assess postoperative pain and cosmetic outcomes.

Review by Cirocchi R, Cianci MC (…) Morabito A et 10 al. in Surg Endosc

© 2024. The Author(s).

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Postoperative Adjuvant Chemotherapy Improves Overall Survival in Colorectal Cancer Liver Metastases Patients

A retrospective study investigated the impact of postoperative adjuvant chemotherapy (POAC) on outcomes in patients with colorectal cancer liver metastases (CRLM) undergoing simultaneous resection. After propensity score matching analysis, 478 patients were enrolled and assigned to POAC or non-POAC groups. The study found that POAC significantly improved overall survival (OS) but not progression-free survival (PFS) in patients with resectable CRLM. Furthermore, POAC was identified as an independent prognostic factor for OS, and it enhanced OS in patients with low or high clinical risk scores.

Journal Article by Zhong W, Xu B (…) Che X et 4 al. in J Gastroenterol Hepatol

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

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