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Outcome of Tailored Surgery for Chronic Pancreatitis Based on Pancreatic Morphology

The nationwide study analyzed the use and outcome of tailored surgical treatment for symptomatic chronic pancreatitis (CP) based on pancreatic morphology. The analysis revealed that surgical drainage procedures, such as extended lateral pancreaticojejunostomy, resulted in the best safety profile and excellent functional outcomes. Mortality rates were lower and major complications, pancreatic fistula, surgical reinterventions, and endocrine insufficiency occurred less frequently after surgical drainage. The study emphasizes the importance of tailoring surgery for CP based on pancreatic morphology for improved patient outcomes.

Journal Article by Van Veldhuisen CL, Leseman CA (…) Besselink MG et 15 al. in Ann Surg

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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Complete mesocolic excision in right colon cancer: Higher lymph node yield and improved surgical quality

Interim analysis of a randomized Phase III trial comparing complete mesocolic excision (CME) with conventional surgery for right colon cancer showed that CME was associated with a significantly higher lymph node yield (25 vs. 20) and improved surgical quality indicators. No differences were observed in complications, mortality, or surgery duration. Hospital stay was even shorter after CME. These findings support the feasibility and safety of CME, highlighting the importance of further investigation to assess its impact on disease-free survival and long-term outcomes.

Journal Article by Degiuli M, Aguilar AHR (…) Reddavid R et 21 al. in Ann Surg Oncol

© 2023. The Author(s).

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Smoking status predicts treatment failure in anti-reflux mucosectomy for gastroesophageal reflux disease

The study evaluated the outcomes and predictors of treatment failure in patients undergoing anti-reflux mucosectomy for gastroesophageal reflux disease. The results showed that the procedure significantly improved quality of life, with symptom improvement and resolution in a majority of patients. However, symptom resolution did not always correlate with objective reflux control. Current smoking status was identified as a predictor of treatment failure, suggesting the need to consider smoking in patient selection.

Journal Article by VanDruff VN, Amundson JR (…) Ujiki MB et 6 al. in BMC Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

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Advantages of Retroperitoneal Laparoscopic Adrenalectomy for Small Tumors

A comparative study was conducted to compare the effectiveness and safety of transabdominal and retroperitoneal laparoscopic adrenalectomies. The study involved 472 patients, with laparoscopic transabdominal adrenalectomies (LTA) being the preferred approach for most surgeons. It was found that retroperitoneal adrenalectomies (RPA) had advantages in terms of surgery time, blood loss, post-op pain, and recovery for small tumors. However, challenges were observed for large tumors due to limited space. The study also revealed differences in conversion rates, pain scores, time to resume oral intake, and hospital stays between the two procedures.

Journal Article by Grubnik VV, Parfentiev RS (…) Sliepov VV et 2 al. in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Feasibility and Safety of TICGL Technique with ICG Fluorescence Imaging in Laparoscopic Anatomical S2/3 Resection

The study evaluated the safety and accuracy of the temporary inflow control of the Glissonean pedicle (TICGL) technique combined with indocyanine green (ICG) fluorescence imaging in laparoscopic anatomical S2/3 resection. Twelve patients underwent this procedure, with 7 undergoing S2 resection and 5 undergoing S3 resection. The operation time was 76.92±11.95 minutes, blood loss was 15.42±5.82 ml, and hepatic blood inflow control time was 7.42±2.43 minutes. A strong correlation (r=0.903, p<0.05) was found between predicted resected liver volume (PRLV) and actual resected liver volume (ARLV). This study shows that the combination of TICGL technique with ICG fluorescence imaging is a feasible approach for laparoscopic anatomical S2/3 resection.

Journal Article by Lin W, Li X (…) Yang J et 3 al. in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Evolution of Laparoscopic Liver Resection: Improved Perioperative Outcomes in Challenging Cases

The study analyzed the evolution of laparoscopic liver resection (LLR) over the past two decades at a Korean referral center. The number of technically challenging LLR procedures increased significantly, but perioperative outcomes improved. The most recent period showed shorter operation time, lower blood loss, reduced transfusions, and shorter hospital stays. Technical major resections and underlying liver cirrhosis were associated with longer operation time, while tumor size, major surgeries, and cirrhosis were linked to higher blood loss. LLR indications have expanded to include more challenging procedures and frail patients.

Journal Article by Cassese G, Han HS (…) Cho JY et 4 al. in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Shorter operative time observed in manual sutures for pancreatic stump closure in robotic distal pancreatectomy

In robotic distal pancreatectomy, researchers compared manual sutures and staplers for pancreatic stump closure. Among 119 patients, the manual suture group exhibited shorter operative time, lower estimated blood loss, and a shorter postoperative hospital stay compared to the stapler group. The incidence of clinically relevant postoperative pancreatic fistulas (POPFs) was similar between groups, emphasizing the safety and feasibility of the manual suturing technique.

Journal Article by Jiang Q, Lu C (…) Jin W et 4 al. in Surg Endosc

© 2023. The Author(s).

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Lap hepatectomy has better short-term outcomes and similar long-term survival as open hepatectomy for high difficulty HCC

Propensity score analysis of 424 patients who underwent liver resection for high difficulty hepatocellular carcinoma compared laparoscopic (LLR) and open approaches. LLR had significantly fewer severe complications (3% vs. 10.8%) and shorter hospital stays (6 days vs. 8 days). Long-term outcomes, including tumor recurrence rate, 5-year overall survival rate, and 5-year recurrence-free survival rate, were comparable between LLR and open approaches. The surgical approach did not influence survival. LLR is a viable option with better short-term outcomes and similar long-term survival for selected patients with high difficulty hepatocellular carcinoma.

Journal Article by Ng KKC, Cheng KC (…) Lai PBS et 8 al. in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Weight Loss, Not BMI Alone, Predicts Wound Complication Risk in Obese Hernia Patients

A retrospective study analyzed 182 obese patients who underwent open transversus abdominis release (TAR) for complex ventral hernias. Among these patients, those with a BMI greater than 40 did not show significant differences in surgical site occurrences and infections compared to those with a lower BMI. However, patients who achieved at least a 3% preoperative weight loss had decreased rates of surgical site infections, indicating that weight loss could be a more accurate marker of wound morbidity risk following TAR than BMI alone.

Journal Article by Casson C, Blatnik J, Majumder A and Holden S in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Correlation between main and minor lesions of synchronous multiple gastric neoplasms

Researchers analyzed data from patients with early gastric cancer (EGC) who underwent endoscopic submucosal dissection (ESD) to assess the correlation between main and minor lesions of synchronous multiple gastric neoplasms (SMGNs). Among the 1013 post-ESD cases examined, 95 cases had SMGN. The study revealed a similarity in pathological type (rs = 0.37) and a positive correlation in infiltration depth (rs = 0.58) between main and minor lesions. The diameter sizes of the main and minor lesions were significantly different, with a linear correlation observed. Similarities were also found in the spatial distribution and gross endoscopic morphology of the lesions. The study suggests a significant positive correlation between main and minor lesions in terms of pathological stage and depth of infiltration.

Journal Article by Chen Y, Fang C (…) Zheng X et 4 al. in Surg Endosc

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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