Blog

Improved Detection of Lymph Nodes in Esophageal Squamous Cell Carcinoma Using Indocyanine Green-Near-Infrared Fluorescence Imaging

Indocyanine green-near-infrared fluorescence imaging showed a 100% success rate and significantly improved the detection rate of lymph nodes in esophageal squamous cell carcinoma. Seven cases with lymph node metastases were all near-infrared positive, while near-infrared-negative nodes were nonmetastatic. The technique accurately identified sentinel lymph nodes and increased the number of resected mediastinal lymph nodes, suggesting its potential in predicting and detecting lymph nodes in this type of cancer.

Journal Article by Du J, Zeng T (…) Zheng B et 9 al. in BMC Surg

Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.

read the whole article in BMC Surg

open it in PubMed

Postoperative Ambulation Predicts Emergency Department (ED) Utilization in Outpatient Surgery

The study examined postoperative ambulation using accelerometers in outpatient abdominal surgeries and its impact on 30-day readmissions and ED utilization. Out of 106 patients, those who failed to reach their preoperative step count within one week were 6× more likely to visit the ED. Geriatric patients had a lower likelihood of meeting their preoperative baseline by postoperative day 7. Postoperative ambulation measured by wearable technology can serve as an indicator of recovery and predict ED utilization after outpatient surgery.

Journal Article by Abbitt D, Choy K (…) Jones EL et 3 al. in Surg Endosc

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

read the whole article in Surg Endosc

open it in PubMed

Regional mock oral board exercises improve first-time pass rates for board certification in general surgery

Regional mock oral board exercises, known as regional mobs, can be effectively conducted in a multi-institutional setting to prepare chief residents in general surgery for the American Board of Surgery certifying examination. These exercises expose residents to unfamiliar proctors and diverse contexts, closely resembling the actual exam. The study reports high satisfaction rates from faculty and trainees who participated in regional mobs, and findings suggest that these exercises have a positive impact on improving residents’ first-time pass rates for board certification.

Editorial by Zmijewski P, Lanka SP (…) Fazendin J et 3 al. in Am J Surg

Copyright © 2023 Elsevier Inc. All rights reserved.

read the whole article in Am J Surg

open it in PubMed

Neoadjuvant calcium electroporation is a safe and effective treatment for potentially curable colorectal cancer.

Neoadjuvant calcium electroporation was found to be a safe and feasible treatment modality for potentially curable colorectal cancer. In a study of 21 patients, no procedure-related complications were reported, and surgery was able to be performed as planned in 19 patients. Limited side effects and no significant impact on quality of recovery or inflammatory markers were observed.

Journal Article by Broholm M, Vogelsang R (…) Gögenur I et 7 al. in Surg Endosc

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

read the whole article in Surg Endosc

open it in PubMed

Risk-Scoring Model for Lymph Node Metastasis in T1b-T2 Esophageal Cancer

Researchers constructed and validated a risk-scoring model to predict lymph node metastasis in T1b-T2 esophageal cancer. Multivariate analysis identified primary site, tumor grade, tumor size, depth, and lymphovascular invasion as independent risk factors for lymph node metastasis. The risk-scoring model, based on these factors, showed good predictive accuracy in both the primary cohort and the validation cohort. This model can guide the selection of optimal treatment options for patients with T1b-T2 esophageal cancer.

Journal Article by Lin JP, Chen XF (…) Wang F et 8 al. in Surg Endosc

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

read the whole article in Surg Endosc

open it in PubMed

Age-adjusted Charlson Comorbidity Index is an Independent Prognostic Factor for Hilar Cholangiocarcinoma Patients Undergoing Laparoscopic Resection

The prognostic value of age-adjusted Charlson comorbidity index (ACCI) in laparoscopic resection for hilar cholangiocarcinoma was assessed in this study. Data from 136 patients undergoing laparoscopic resection were analyzed, and ACCI scores were divided into high and low groups. Higher ACCI scores (ACCI > 4.0) were found to be an independent risk factor significantly impacting overall survival and recurrence-free survival in postoperative patients with hilar cholangiocarcinoma.

Journal Article by Cai C, Tao L (…) Li D et 6 al. in Scand J Gastroenterol

read the whole article in Scand J Gastroenterol

open it in PubMed

Antibiotic Prophylaxis: Varied Efficacy and Safety Across Surgical and Non-Surgical Scenarios

Antibiotic prophylaxis is generally effective in reducing infections during surgical and non-surgical procedures. However, evidence from an umbrella review of randomized controlled trials shows that its efficacy varies across different scenarios. For most surgeries, antibiotic prophylaxis is beneficial, but there is limited evidence for certain procedures. In non-surgery invasive procedures, antibiotic prophylaxis shows low certainty benefits. It is more effective in non-emergency medical prophylaxis situations, particularly in patients with weakened immune systems or a risk of recurrent infections. However, antibiotic resistance and adverse events are potential concerns.

Journal Article by Liu L, Jian Z (…) Wang K et 9 al. in Int J Surg

Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.

read the whole article in Int J Surg

open it in PubMed

Surgical inpatients show high satisfaction and recognition of resident care

The study investigated inpatient satisfaction with surgical resident care, as they are often the primary providers of care to surgical inpatients. The researchers conducted a survey with English-speaking general surgery inpatients recovering from elective gastrointestinal and oncologic surgery. Results showed that patients could identify their resident physicians with high frequency and rated resident care highly overall. This suggests that patients may serve as a willing source of feedback for residents’ development. Future work should focus on incorporating patient evaluation of surgical resident care routinely to support resident development.

Journal Article by McKinley SK, Wojcik BM (…) Phitayakorn R et 5 al. in Ann Surg

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

read the whole article in Ann Surg

open it in PubMed

The Impact of Surgical Overlap on Patient Outcomes: No Detrimental Effect Found

Overlapping surgery does not detrimentally affect most patient outcomes, particularly with overlap of <75%. In-hospital mortality decreased as overlap increased, while operative time increased. There was no significant difference in readmission rates, and rates of patient safety indicators (PSIs) were lower in groups with overlap. The study included 87,426 cases, with varying levels of overlap. Overall, the results suggest that a detrimental level of surgical overlap does not exist in terms of patient outcomes.

Journal Article by Pitts CC, Ponce BA (…) Wills BW et 5 al. in Ann Surg

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

read the whole article in Ann Surg

open it in PubMed

Effect of Online Educational Modules on Anastomotic Leak Rates Following Right Colectomy

The EAGLE study aimed to reduce anastomotic leak rates following right colectomy through a standardized quality improvement intervention. The study included 332 hospital teams from 64 countries, with completion of online educational modules by half of the surgeons. The primary analysis showed that completion of the educational modules significantly decreased leak rates in high-engagement centers but not in low-engagement hospitals. The study concluded that globally available digital training can effectively reduce anastomotic leak rates.

Journal Article by None None in Br J Surg

© The Author(s) 2023. Published by Oxford University Press on behalf of BJS Society Ltd.

read the whole article in Br J Surg

open it in PubMed