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Effect of Intraoperative Music on Surgeon Stress

Researchers conducted a pilot study to determine the impact of background music on stress levels in surgeons during operations. The study involved five primary operators performing 74 elective surgeries while listening to selected music or working in a non-music environment. The protocol was well-tolerated, with no cases being abandoned. However, the presence of intraoperative music did not significantly affect the psychological or physiological outcomes measured in this study. Further research utilizing intensive physiological monitoring in a simulated environment is recommended.

Journal Article by Narayanan A, Cavadino A, Fisher JP and Khashram M in ANZ J Surg

© 2024 The Authors. ANZ Journal of Surgery published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Surgeons.

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Long-term Consequences of Necrotising Pancreatitis: Burden of Recurrent Disease, Interventions, and Insufficiency

The long-term consequences of necrotising pancreatitis, including complications, interventions, and quality of life, were assessed in a follow-up study of 373 patients. Results showed that 26% of patients were readmitted for recurrent pancreatitis, 13% received endoscopic or percutaneous drainage, and 8% underwent pancreatic necrosectomy or surgery. Endocrine and exocrine insufficiency developed less frequently in patients treated conservatively. Extensive pancreatic necrosis (>50%) during the initial admission was associated with interventions and complications during follow-up.

Journal Article by Hollemans RA, Timmerhuis HC (…) van Santvoort HC et 24 al. in Gut

© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.

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Improved Localization and Complete Resection in Pancreatic Hypoglycemia Using Intraoperative Segmental Pancreatic Occlusion and Insulin Assay

Combining intraoperative segmental pancreatic occlusion and insulin assays significantly enhances the localization and complete resection of hypersecretory pancreatic tissues in patients with pancreatic hypoglycemia. A retrospective analysis of 11 cases showed that the insulin assay, performed 30 minutes post-resection, accurately located target tissues and achieved a complete resection rate of 100%. Intraoperative blood glucose monitoring, on the other hand, had a low accuracy of 36.6%. Postoperative follow-up visits revealed normal insulin and glucose levels with no recurrence of hypoglycemic symptoms.

Journal Article by Atyah MM, Huang J and Yang Z in BMC Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

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Portal Vein Resection in Pancreatic Neuroendocrine Neoplasms

Portal vein resection in surgery for pancreatic neuroendocrine neoplasms was analyzed in this study. Among 666 patients, 8% underwent portal vein resection. Postoperative complications were comparable to standard resection, with a low 90-day mortality rate. Radical resection resulted in excellent 5-year overall and disease-specific survival rates. This study provides valuable data on the perioperative and long-term outcomes of portal vein resection, supporting its use as a potential cure for borderline resectable or locally advanced pancreatic neuroendocrine neoplasms.

Journal Article by Nießen A, Klaiber U (…) Hackert T et 5 al. in BMC Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

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Robotic True D3 Lymph Node Dissection with Superior Mesenteric Vein-Taping Technique for Advanced Right Colon Cancer

A study evaluated the safety and feasibility of a robotic true D3 lymph node dissection using a superior mesenteric vein taping technique for right colon cancer. The technique allowed for accurate exposure of the ileocolic artery and provided a good view for lymph node dissection. In 14 patients, no significant complications or mortality were observed. The findings suggest that this robotic procedure is safe and feasible, offering a promising surgical option for advanced right colon cancer patients.

Journal Article by Ishizaki T, Mazaki J (…) Nagakawa Y et 4 al. in Dis Colon Rectum

Copyright © The ASCRS 2024.

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Predictors of Persistent Pain after Extracorporeal Shockwave Lithotripsy for Chronic Pancreatitis

The study aimed to identify the predictors of persistent pain in patients with chronic calcific pancreatitis following extracorporeal shockwave lithotripsy (ESWL). A total of 640 patients were assessed, and 68% experienced pain relief after ESWL while 32% had persistent pain. Predictors of persistent pain included alcohol and tobacco consumption, longer duration of symptoms, dilated main pancreatic duct (MPD), and MPD stricture. The findings suggest that a multidisciplinary approach involving behavioral therapy and surgical options should be considered for patients with these predictors.

Clinical Trial by Gurav N, Jagtap N (…) Reddy ND et 13 al. in Endoscopy

Thieme. All rights reserved.

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Low Frequency of Early Robotic Surgery Training Found in Surgical and Surgical Subspecialty Residency

Findings from a study on early implementation of robotic training in surgical and surgical subspecialty residencies show that only 9.4% of participants had any formal robotic surgery training prior to the training session, with just 19% reporting robotic operative experience. A standardized introduction of multidisciplinary robotic surgery training is needed in medical school and early residency education to ensure appropriate exposure and training for surgical residents.

Journal Article by Newland JJ, Sundel MH (…) Brown RF et 6 al. in Am Surg

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The Geriatric Nutritional Risk Index is a Prognostic Indicator in Intrahepatic Cholangiocarcinoma Patients undergoing Hepatectomy

In a retrospective cohort study of 123 patients with intrahepatic cholangiocarcinoma (ICC) who underwent curative surgery, researchers investigated the prognostic value of the Geriatric Nutritional Risk Index (GNRI). Patients with low GNRI scores had significantly poorer outcomes in terms of recurrence-free survival (RFS) and overall survival (OS) compared to those with high GNRI scores. Lymph node metastasis, postoperative complications, and low GNRI scores were identified as independent poor prognostic factors for OS. The study suggests that GNRI may be a useful indicator for predicting outcomes in ICC patients undergoing hepatectomy.

Journal Article by Ogawa D, Miyata T (…) Baba H et 9 al. in Langenbecks Arch Surg

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Pretreatment MRI Radiomics Enhances Prediction of Rectal Carcinoma Chemoradiotherapy Responders

Machine learning models were developed utilizing pretreatment magnetic resonance imaging (MRI) radiomics and clinical parameters to predict neoadjuvant chemoradiotherapy response in patients with locally advanced rectal carcinoma. The impact of radiomics dimensionality on predictive performance was assessed. Two models were constructed, revealing moderately advantageous effects of increased dimensionality. These models outperformed the clinical parameter-only model, demonstrating the potential for routine clinical prediction of chemoradiotherapy responders using pretreatment MRI radiomics and clinicopathological features.

Journal Article by Marinkovic M, Stojanovic-Rundic S (…) Radulovic M et 7 al. in J Clin Med

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Non-Curative ER for Esophageal Squamous Cell Carcinoma: Long-Term Outcomes and Recurrence Risk with Additional Chemoradiotherapy

Among 97 patients with non-curative endoscopic resection (ER) for esophageal squamous cell carcinoma (ESCC), 73 underwent additional chemoradiotherapy (CRT). With a median follow-up of 71 months, recurrences were observed in 14% of patients. Lymphatic invasion was identified as an independent risk factor for recurrence. Notably, all patients who underwent surgery for recurrent disease survived, regardless of lymph node metastasis. The study findings suggest that careful follow-up for at least 5 years after ER with additional CRT is necessary for patients with non-curative ESCC.

Journal Article by Cho H, Abe S (…) Saito Y et 9 al. in Dis Esophagus

© The Author(s) 2024. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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