Endoscopic incisional therapy for benign anastomotic strictures after esophagectomy or gastrectomy: a systematic review and meta-analysis
ConclusionCurrent data suggest EIT is associated with reduced odds of stricture recurrence among na ïve anastomotic strictures. Large, prospective studies are needed to characterize the safety profile of EIT, address publication bias, and to explore multimodal therapies for refractory strictures. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 22, 2024 Category: Surgery Source Type: research
Early results of eTEP access surgery with preperitoneal repair of primary midline ventral hernias and diastasis recti. A 33 patient case series of “PeTEP”
ConclusionsWe believe the preperitoneal eTEP approach for small to medium primary midline hernias is an effective and solid repair that combines excellent features of proven surgical techniques and eliminates the need for posterior rectus sheath division while saving the retrorectus space, among other benefits that will be discussed. The reproducibility of the technique remains to be proven. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 18, 2024 Category: Surgery Source Type: research
Clinical and computational development of a patient-calibrated ICGFA bowel transection recommender
ConclusionsBy benchmarking to the patient ’s own baseline perfusion, this novel QICGFA method could allow the deployment of algorithmic personalised NIR bowel transection point recommendation in a way fitting existing clinical workflow. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 18, 2024 Category: Surgery Source Type: research
The development of tissue handling skills is sufficient and comparable after training in virtual reality or on a surgical robotic system: a prospective randomized trial
ConclusionRobotic tissue handling skills improve significantly and comparably after both VR training and training on a real robotic system, but training on a VR simulator might be less efficient. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2024 Category: Surgery Source Type: research
Trends in minimally invasive and open inguinal hernia repair: an analysis of ACGME general surgery case logs
ConclusionsACGME case log data indicates a trend of general surgery residents logging overall fewer numbers of open inguinal and femoral hernia repairs, and a larger proportion of open repairs by chief residents. This trend warrants attention and further study as it may represent a skill or knowledge gap with significant impact of surgical training. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2024 Category: Surgery Source Type: research
Towards a tailored approach for patients with acute diverticulitis and abscess formation. The DivAbsc2023 multicentre case –control study
ConclusionsNon-operative treatment is generally effective for diverticular abscesses. Tobacco smoking's role as an independent risk factor for treatment failure underscores the need for targeted behavioural interventions in diverticular disease management. IIb Hinchey diverticulitis patients, particularly young smokers, require vigilant monitoring due to increased risks of treatment failure and septic progression. Further research into the efficacy of image-guided percutaneous drainage should involve randomized, multicentre studies focussing on homogeneous patient groups.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2024 Category: Surgery Source Type: research
The performance of artificial intelligence large language model-linked chatbots in surgical decision-making for gastroesophageal reflux disease
ConclusionsGastrointestinal surgeons, gastroenterologists, and patients should recognize both the promise and pitfalls of LLM ’s when utilized for advice on surgical management of GERD. Additional training of LLM’s using evidence-based health information is needed. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2024 Category: Surgery Source Type: research
Management of symptomatic, asymptomatic, and recurrent hiatal hernia: a systematic review and meta-analysis
ConclusionsThe evidence for optimal management of symptomatic and recurrent hiatal hernia remains controversial, underpinned by studies with a high risk of bias. Shared decision making between surgeon and patient is essential for optimal outcomes. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2024 Category: Surgery Source Type: research
Safety of advanced laparoscopic hepatectomy for elderly patients: a Japanese nationwide analysis
ConclusionsIn elderly patients, the safety of advanced LH was similar to that of advanced OH, or might be better in Japan under the current policy of hospital accreditation.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2024 Category: Surgery Source Type: research
TAVAC: comprehensive review of currently available hemostatic products as adjunct to surgical hemostasis
ConclusionHemostatic products come with many different types and specifications. They are valuable tools to serve as an adjunct to surgical hemostasis. Proper education and knowledge of their characteristics are important for the selection of the right agent and optimal utilization. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2024 Category: Surgery Source Type: research
Impact of operative time on textbook outcome after minimally invasive esophagectomy, a risk-adjusted analysis from a high-volume center
ConclusionsLonger operative time displayed an adverse influence on postoperative morbidity and increased lengths of postoperative stay. In the present study, the TO displayed an inverse U-shaped correlation with operative time, with a significant peak at 298 mins. Potential factors contributing to prolonged operative time may potentiate targets for quality metrics and risk-adjustment process. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2024 Category: Surgery Source Type: research
Endoscopic closure techniques of bariatric surgery complications: a meta-analysis
ConclusionObservational reports show that patients managed with OTSC were more likely to experience healing of their defect than those managed with endoscopic suturing. Larger controlled studies comparing different closure devices for bariatric leaks should be carried out to better understand the ideal endoscopic approach to these complications. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 17, 2024 Category: Surgery Source Type: research
A prospective case series to evaluate subcostal nerve injury with high-resolution ultrasound in posterior retroperitoneoscopic adrenalectomy
ConclusionIn this exporatory case series the incidence of postoperative damage to the subcostal nerve, both clinically and radiologically, was 60% after posterior retroperitoneoscopic adrenalectomy. There was no association with pain, and the spontaneous recovery rate was high.Graphical Abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 16, 2024 Category: Surgery Source Type: research
Paraesophageal hernia recurrence following repair: making the case for reoperative surgery in a propensity-matched cohort
ConclusionsMost PEHR patients have symptomatic improvement with minimal complications and reoperations despite frequent radiographic recurrence. Hernia type, crural closure, fundoplication, and mesh usage were not significantly associated with recurrence or symptom improvement. Compared to initial PEHR, reoperative PEHRs had lower rates of symptom improvement but similar rates of recurrence, complications, and need for reoperation. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 16, 2024 Category: Surgery Source Type: research
Robotic gastrectomy was reliable option for overweight patients with gastric cancer: a propensity score matching study
ConclusionRG conferred comparable lymph node dissection, postoperative recovery, and oncologic outcomes in a selected cohort of patients with BMI ≥ 25 kg/m2. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 16, 2024 Category: Surgery Source Type: research
