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Factors Influencing Liver Remodeling After Right Hepatectomy

Researchers investigated the volumetric changes in the left liver after right hepatectomy and the factors influencing the degree of hypertrophy and severe post-hepatectomy liver failure (PHLF). After right hepatectomy, the left liver remnant exhibited a 25% hypertrophy with varying growth rates. Factors like gender, middle hepatic vein resection, and standardized future liver remnant influenced hypertrophy. Severe PHLF risk was linked to intraoperative transfusion, biliary tumors, and male gender. This study emphasizes the non-uniform nature of liver volumetric remodeling and its impact on postoperative outcomes.

Journal Article by de Mathelin P, Noblet V (…) Addeo P et 5 al. in J Gastrointest Surg

© 2023. The Society for Surgery of the Alimentary Tract.

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Longer Operating Times Linked to Extended Hospital Stays and Higher Complication Rates in Colorectal Surgery

This study, covering various colorectal surgeries, reveals that extended operative times have consistent effects across different surgical approaches. Prolonged operative time results in longer hospital stays and a greater likelihood of complications. Interestingly, minimally invasive methods partially mitigate these negative effects, showcasing their benefits. These findings highlight the importance of balancing surgical efficiency and patient outcomes when performing colorectal surgeries.

Journal Article by Unruh KR, Bastawrous AL (…) Simianu VV et 5 al. in Dis Colon Rectum

Copyright © The ASCRS 2023.

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Assessing Skill Transfer in Laparoscopic and Robot-Assisted Surgery

This systematic review dives into the world of surgical skills, focusing on the transferability between laparoscopic and robot-assisted surgery. Out of 33 studies that explored the shift from laparoscopy to robotic procedures, 17 found a positive transfer, while 15 did not. Interestingly, only three out of 11 studies examined the reverse transition from robot-assisted to laparoscopic surgery with positive results. The findings suggest that while laparoscopy skills can adapt to robot-assisted surgery, the same may not hold true in the opposite direction, impacting future surgeon training programs.

Review by Pietersen PI, Hertz P (…) Bjerrum F 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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Low Adherence to Guidelines in Acute Appendicitis Surgery Reveals Impact on Outcomes

This study delves into the challenges of applying international clinical practice guidelines (CPG) for acute appendicitis (AA). Researchers found that adherence to CPG is alarmingly low, particularly concerning peritoneal irrigation, abdominal drains, and antibiotic stewardship. Non-compliance, especially in complicated cases and technically challenging laparoscopic surgeries, leads to increased complications and higher costs. The study emphasizes the need for structured educational programs and institutional bundles to improve adherence and enhance patient outcomes in acute appendicitis management.

Journal Article by Cioffi SPB, Altomare M (…) Cimbanassi S et 11 al. in Surg Endosc

© 2023. The Author(s).

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Long-Term Success of Laparoscopic SADI-S for Weight Loss and Comorbidity Resolution

A systematic review of 10 studies explored the extended outcomes of duodeno-ileostomy with sleeve gastrectomy (SADI-S) for over 3 years. Findings indicate SADI-S delivers lasting results, with 80.4% excess weight loss at the 10-year mark and impressive comorbidity remission rates. Although some patients experienced late complications like malabsorption and gastroesophageal reflux disease, SADI-S proves to be a safe and effective surgical method for sustained weight loss and improved overall health in the mid and long term.

Review by Esparham A, Roohi S (…) Khorgami Z et 4 al. in Obes Surg

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

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Identifying Lifestyle Patterns in Patients 5+ Years After Bariatric Surgery

The study delves into the behaviors of patients who had metabolic bariatric surgery (MBS) more than 5 years ago. Analyzing various factors like diet, physical activity, sleep, smoking, and alcohol consumption, researchers uncovered two distinct lifestyle patterns. One pattern linked processed foods, risky alcohol consumption, and smoking, while the other associated with unprocessed foods and more sleep. These findings underscore the need for continued clinical support for long-term MBS patients to maintain healthier postoperative lifestyles.

Journal Article by de O Alencar L, Silva SA (…) de Carvalho KMB et 2 al. in Obes Surg

© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

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Using Allogeneic Vessels in Pancreaticoduodenectomy: Risk of Portal Vein Thrombosis and Impact on Prognosis

This study delves into the use of allogeneic vessels (AV) in pancreaticoduodenectomy (PD) with portal vein resection (PVR) and its relationship with portal vein thrombosis (PVT). The findings reveal that PVT is notably prevalent, especially in cases involving AV reconstructions. Independent risk factors for PVT include diabetes, the surgical procedure performed, and AV reconstruction. Furthermore, PVT is linked to tumor recurrence and long-term survival in pancreatic cancer patients. These results highlight the importance of considering PVT in the management of PD with PVR.

Journal Article by Cui S, Wang H (…) Lang R et 3 al. in J Gastrointest Surg

© 2023. The Society for Surgery of the Alimentary Tract.

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Pelvic Exenteration Effectiveness for Chronic Fistulating Pelvic Sepsis Post-Multimodal Pelvic Cancer Treatment

This study focuses on pelvic exenteration as a solution for chronic fistulating pelvic sepsis, a rare complication stemming from pelvic cancer treatment. The research includes 19 patients who underwent radical resection after previous pelvic cancer treatments. Promisingly, the procedure proved safe and effective, with no intraoperative or postoperative deaths. While some patients faced major complications and readmissions, 74% ultimately showed no signs or symptoms of persistent pelvic sepsis, emphasizing the efficacy of pelvic exenteration for selected cases.

Journal Article by Brown KGM, Risbey C (…) Byrne CM et 3 al. in Eur J Surg Oncol

© 2023 Published by Elsevier Ltd.

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Effectiveness of High Ligation of Inferior Mesenteric Artery in Left-Sided Colon and Rectal Cancer Surgery

This study assessed the success rates and outcomes of high ligation of the inferior mesenteric artery (IMA) in left-sided colon and rectal cancer surgery. Results showed that high ligation was technically successful in the majority of cases, with 61.5% of operative reports indicating high ligation. However, there was no significant difference in patient outcomes between high and low ligation. This suggests that while high ligation of the IMA is frequently achieved, its impact on short-term patient outcomes remains limited.

Journal Article by Meece MS, Davis JK (…) Paluvoi NV et 4 al. in Am Surg

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Successful Laparoscopic Management of Iatrogenic Colon Perforation: A Promising Approach

Iatrogenic colon perforation, a rare but serious complication of colonoscopy, was studied to determine effective treatment approaches. Out of 51 cases, 84% required surgery. Notably, laparoscopic surgery was performed in 88% of cases, demonstrating its safety and feasibility. Laparoscopic primary suturing was successful in 80% of cases, with a high recovery rate of 96%. The study supports the use of laparoscopy as the preferred approach for managing iatrogenic colon perforation, showcasing its potential in this challenging scenario.

Journal Article by Loberman B, Kuhnreich E, Matter I and Sroka G in Int J Colorectal Dis

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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