Single-incision laparoscopic appendectomy versus conventional three-port laparoscopic appendectomy for acute appendicitis: A meta-analysis of randomized controlled trials
Asian J Surg. 2024 Jan 6:S1015-9584(23)02147-4. doi: 10.1016/j.asjsur.2023.12.179. Online ahead of print.ABSTRACTWhile consensus on single-incision laparoscopic appendectomy (SILA) for acute appendicitis is lacking, our meta-analysis evaluated the safety and efficacy of SILA compared to conventional three-port laparoscopic appendectomy (CTLA). A computer-based search was conducted in the China National Knowledge Infrastructure (CNKI), VIP, Wanfang, China Biological Medicine (CBM), PubMed, Embase, and Cochrane Library databases to identify randomized controlled trials (RCTs) comparing SILA with CTLA groups. Meta-analysis wa...
Source: Asian Journal of Surgery - January 7, 2024 Category: Surgery Authors: Yin Han Hao Yuan Shuang Li Wei-Fa Wang Source Type: research
Single-incision laparoscopic appendectomy versus conventional three-port laparoscopic appendectomy for acute appendicitis: A meta-analysis of randomized controlled trials
Asian J Surg. 2024 Jan 6:S1015-9584(23)02147-4. doi: 10.1016/j.asjsur.2023.12.179. Online ahead of print.ABSTRACTWhile consensus on single-incision laparoscopic appendectomy (SILA) for acute appendicitis is lacking, our meta-analysis evaluated the safety and efficacy of SILA compared to conventional three-port laparoscopic appendectomy (CTLA). A computer-based search was conducted in the China National Knowledge Infrastructure (CNKI), VIP, Wanfang, China Biological Medicine (CBM), PubMed, Embase, and Cochrane Library databases to identify randomized controlled trials (RCTs) comparing SILA with CTLA groups. Meta-analysis wa...
Source: Asian Journal of Surgery - January 7, 2024 Category: Surgery Authors: Yin Han Hao Yuan Shuang Li Wei-Fa Wang Source Type: research
Bariatric surgery is as safe as other common operations: an analysis of the ACS-NSQIP
CONCLUSIONS: MBS demonstrates a remarkably promising safety profile and compares favorably to other common procedures in the short-term. PCPs and surgeons from other specialties can confidently refer patients for these low-risk, lifesaving operations.PMID:38182525 | DOI:10.1016/j.soard.2023.11.017 (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - January 5, 2024 Category: Surgery Authors: Benjamin Clapp Kamal Abi Mosleh Amy E Glasgow Elizabeth B Habermann Barham K Abu Dayyeh Konstantinos Spaniolas Ali Aminian Omar M Ghanem Source Type: research
Bariatric surgery is as safe as other common operations: an analysis of the ACS-NSQIP
CONCLUSIONS: MBS demonstrates a remarkably promising safety profile and compares favorably to other common procedures in the short-term. PCPs and surgeons from other specialties can confidently refer patients for these low-risk, lifesaving operations.PMID:38182525 | DOI:10.1016/j.soard.2023.11.017 (Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery)
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - January 5, 2024 Category: Surgery Authors: Benjamin Clapp Kamal Abi Mosleh Amy E Glasgow Elizabeth B Habermann Barham K Abu Dayyeh Konstantinos Spaniolas Ali Aminian Omar M Ghanem Source Type: research
Appendiceal Neuroendocrine Neoplasms: an Update for 2023
AbstractPurpose of ReviewTo summarize the literature from the last 5 years on treatment of appendiceal neuroendocrine neoplasms (aNEN). Furthermore, to evaluate the prognostic significance of lymph node metastases, indications for adjuvant treatment, and challenges of the current follow-up regimen.Recent FindingsSimple appendectomy is sufficient in tumors < 1 cm while extended surgery is indicated in tumors > 2 cm. In a multicenter study of aNENs measuring 1–2 cm, extended surgery offered no significant prognostic advantage and is now limited to incomplete tumor resection or high-grade G2 or G3 aNEN...
Source: Current Oncology Reports - January 2, 2024 Category: Cancer & Oncology Source Type: research
Which is the appropriate surgical procedure for appendiceal adenocarcinoma: appendectomy, partial colectomy or right hemicolectomy?
ConclusionsRight hemicolectomy may not always be necessary for appendiceal adenocarcinoma patients. An appendectomy could be sufficient for therapeutic effect of stage I patients, but limited for stage II patients. Right hemicolectomy was not superior to partial colectomy for advanced stage patients, suggesting omission of standard hemicolectomy might be feasible. However, adequate lymphadenectomy should be strongly recommended. (Source: Clinical and Translational Oncology)
Source: Clinical and Translational Oncology - January 1, 2024 Category: Cancer & Oncology Source Type: research
Comment on: Bariatric surgery is as Safe as Other Common Operations: An Analysis of the ACS-NSQIP
We read with much interest the manuscript titled "Bariatric Surgery is as Safe as Other Common Operations: An Analysis of the ACS-NSQIP"[1]. This robust study, encompassing 1.6 million patients, meticulously compares outcomes including readmission, length of stay, complications, and mortality among patients undergoing metabolic and bariatric surgery (MBS) – specifically laparoscopic sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) – with those undergoing common operations like hip arthroplasty, and laparoscopic procedures such as cholecystectomy, appendectomy, colectomy, hysterectomy, and hernia repairs. (So...
Source: Surgery for Obesity and Related Diseases - December 30, 2023 Category: Surgery Authors: Komol Chaivanijchaya, Jerry T. Dang Tags: Editorial Source Type: research
Impact of the coronavirus disease 2019 pandemic on 20 representative surgical procedures in Japan based on the National Clinical Database: annual surveillance of 2021 by the Japan Surgical Society
ConclusionThis near-complete enumeration survey identified the polarization of 20 representative procedures in terms of resumption of surgical service after the pandemic. (Source: Surgery Today)
Source: Surgery Today - December 22, 2023 Category: Surgery Source Type: research
Lack of Routine Postoperative Labs Not Associated With Complications in Pediatric Perforated Appendicitis
Postoperative (postop) management of pediatric perforated appendicitis varies significantly, and postop intra-abdominal abscesses (IAA) remain a significant issue. Between 2019 and 2020, our standardized protocol included routine postop labs after an appendectomy for perforated appendicitis. However, given the lack of predictive utility of these routine labs, we discontinued this practice in 2021. We hypothesize that discontinuing routine postop labs will not be associated with an increase in complication rates after an appendectomy for pediatric perforated appendicitis. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - December 15, 2023 Category: Surgery Authors: Jennifer Yang, Lucy Yang, Susan Zheng, Eiichi A. Miyasaka Tags: Pediatric Surgery Source Type: research
Top tips for endoscopic retrograde appendicitis therapy (with video)
“Organ preservation” is a term of increasing significance in GI endoscopy, inasmuch as techniques such as endoscopic submucosal dissection are able to remove early malignancies and large spreading lesions or the esophagus, stomach, and colorectum without requiring surgical resection of the entir e organ. Organ preservation now has come to the appendix. No longer are the only options for treatment of acute appendicitis either antibiotic therapy or appendectomy. It is indeed possible to “unclog” an obstructed appendiceal lumen and leave a stent as treatment for acute appendicitis and avoi d the need for appendectomy....
Source: Gastrointestinal Endoscopy - December 14, 2023 Category: Gastroenterology Authors: Bing-Rong Liu Tags: Top tips Source Type: research
Bezoars: Culprits of gastrointestinal obstruction that may lead to surgical intervention and potentially surgical complications
This report demonstrates that although bezoars are rare, they can cause significant obstruction of the gastrointestinal tract leading to the need for management, such as surgery, which carries its own risks. It is important to note that the postsurgical complication of pelvic abscess can occur due to surgery itself and not because of bezoar specifically. Abdominal surgery in general poses the risk of pelvic abscess. The consideration is to expectantly decrease the occurrence of bezoars so that consequently there will not be a need for surgery in removal of bezoars due to obstruction. The effects of bezoars can be prevented...
Source: Pain Physician - December 11, 2023 Category: Anesthesiology Authors: Shannon D Powell Nicholas Pereira Source Type: research
Bezoars: Culprits of gastrointestinal obstruction that may lead to surgical intervention and potentially surgical complications
This report demonstrates that although bezoars are rare, they can cause significant obstruction of the gastrointestinal tract leading to the need for management, such as surgery, which carries its own risks. It is important to note that the postsurgical complication of pelvic abscess can occur due to surgery itself and not because of bezoar specifically. Abdominal surgery in general poses the risk of pelvic abscess. The consideration is to expectantly decrease the occurrence of bezoars so that consequently there will not be a need for surgery in removal of bezoars due to obstruction. The effects of bezoars can be prevented...
Source: Pain Physician - December 11, 2023 Category: Anesthesiology Authors: Shannon D Powell Nicholas Pereira Source Type: research
Association between bacterial resistance profile and the development of intra-abdominal abscesses in pediatric patients with perforated appendicitis: cohort study
ConclusionE. coli was the most commonly isolated microorganism, with a low rate of ESBL-producing isolates. No association between resistance and risk of postoperative intra-abdominal abscess was found. However, it was identified that being a high-risk patient on admission was associated with this complication.Type of studyPrognosis study.Level of evidenceLevel I. (Source: Pediatric Surgery International)
Source: Pediatric Surgery International - December 11, 2023 Category: Surgery Source Type: research
