Comparing Outcomes in Patients Undergoing Colectomy at Veteran Affairs Hospitals and Non-Veteran Affairs Hospitals: A Multiinstitutional Study
The Veteran Affairs Surgical Quality Improvement Program (VASQIP) and National Surgical Quality Improvement Program (NSQIP) are large databases designed to measure surgical outcomes for their respective populations. We sought to compare surgical outcomes in patients undergoing colectomies at Veterans Affairs (VA) hospitals versus non-VA hospitals. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - December 8, 2023 Category: Surgery Authors: Alexander Simmonds, Lucas Keller-Biehl, Adam Khader, William Timmerman, Michael Amendola Tags: Gastrointestinal Surgery Source Type: research
Prevalence and risk factors for early medical and surgical complications following an admission for acute severe ulcerative colitis
CONCLUSION: Early complications following an ASUC admission is prevalent although the majority are not serious. Risk factors associated with complications include low serum albumin, older age and a higher comorbidity score. Induction infliximab dose intensity, however, is not a risk factor.PMID:38059014 | PMC:PMC10697038 | DOI:10.1177/17562848231215148 (Source: Adv Data)
Source: Adv Data - December 7, 2023 Category: Epidemiology Authors: Angel Li Matthew Coote Lena Thin Source Type: research
Prevalence and risk factors for early medical and surgical complications following an admission for acute severe ulcerative colitis
CONCLUSION: Early complications following an ASUC admission is prevalent although the majority are not serious. Risk factors associated with complications include low serum albumin, older age and a higher comorbidity score. Induction infliximab dose intensity, however, is not a risk factor.PMID:38059014 | PMC:PMC10697038 | DOI:10.1177/17562848231215148 (Source: Adv Data)
Source: Adv Data - December 7, 2023 Category: Epidemiology Authors: Angel Li Matthew Coote Lena Thin Source Type: research
Liver Venous Deprivation for Rapid Liver Hypertrophy Before Major Hepatectomy: A Case Report
This report discusses LVD's utilization and technical challenges in managing a 49-year-old male with recurrent multifocal colorectal liver metastases (CRLM). The patient initially underwent neoadjuvant FOLFOX chemotherapy followed by a simultaneous laparoscopic sigmoid colectomy and liver surgery (microwave ablation of segment V and wedge resections of segment one and IVb), followed by completion of chemotherapy. The patient had an R0 resection with clear colon and liver surgical margins. Nine months after the initial surgery, the patient had a rise in tumor markers, and surveillance imaging demonstrated recurrence of live...
Source: The American Surgeon - December 5, 2023 Category: Surgery Authors: Nathan John Lisandro Montorfano Arun Nagarajan Conrad H Simpfendorfer Steven D Wexner Parag Amin Mayank Roy Source Type: research
Novel Preoperative Risk Stratification Using Digital Phenotyping Applying a Scalable Machine-Learning Approach
CONCLUSIONS: For 3 frequently performed surgeries, we identified 3 digital phenotypes. The typical profiles of each phenotype were described and could be used to anticipate adverse postoperative events.PMID:38051671 | DOI:10.1213/ANE.0000000000006753 (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - December 5, 2023 Category: Anesthesiology Authors: Pascal Laferri ère-Langlois Fergus Imrie Marc-Andre Geraldo Theodora Wingert Nadia Lahrichi Mihaela van der Schaar Maxime Cannesson Source Type: research
Recurrent sclerosing cholangitis post-transplant: increased recurrence rates following re-transplantation
Discussion/conclusionRecurrent PSC following liver transplantation is common, particularly in younger patients. It occurs earlier and is more frequent following a second transplant. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - December 5, 2023 Category: General Medicine Source Type: research
Same-day colectomy: are we throwing caution to the wind?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 1, 2023 Category: Surgery Source Type: research
Laparoscopic Right Colectomy for Cancer: Should We Ligate the Vessel Intracorporeally or Extracorporeally?
(Source: World Journal of Surgery)
Source: World Journal of Surgery - December 1, 2023 Category: Surgery Source Type: research
Impact of drinking chinese green tea on postoperative short outcomes for gastric cancer: A randomized controlled trial
Rationale: Early intake after surgery can decrease postoperative ileus. Several studies show coffee can stimulate bowel activity and be safe in patients after elective colectomy, mainly due to caffeine. It was postulated that drinking Chinese green tea as rich caffeine beverage after subtotal distal gastrectomy accelerates postoperative recovery in patients. (Source: Clinical Nutrition ESPEN)
Source: Clinical Nutrition ESPEN - December 1, 2023 Category: Nutrition Authors: Y. Zhou, D. Liu, S. Cao, X. Liu, X. Tan, H. Jiang, Z. Niu, M. Su, X. Zhang, S. Shen Source Type: research
Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries
CONCLUSION: Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov).PMID:38029386 | DOI:10.1093/bjs/znad370 (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - November 29, 2023 Category: Surgery Authors: ESCP EAGLE Safe Anastomosis Collaborative and NIHR Global Health Research Unit in Surgery Source Type: research
Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries
CONCLUSION: Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov).PMID:38029386 | DOI:10.1093/bjs/znad370 (Source: The British Journal of Surgery)
Source: The British Journal of Surgery - November 29, 2023 Category: Surgery Authors: ESCP EAGLE Safe Anastomosis Collaborative and NIHR Global Health Research Unit in Surgery Source Type: research
Incisional Hernia After Laparoscopic Right Colectomy for Colorectal Cancer: A Prospective Study with Retrospective Control on Intracorporeal Versus Extracorporeal Anastomosis
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print. (Source: Journal of Laparoendoscopic)
Source: Journal of Laparoendoscopic - November 29, 2023 Category: Surgery Authors: Antonio Pesce Francesca Petrarulo Nicol ò Fabbri Mattia Portinari Carlo Vittorio Feo Source Type: research
Pure Laparoscopic Anatomic Resection of Liver Segment 4 with Middle Hepatic Vein Involvement Using Indocyanine Green Fluorescence Staining
CONCLUSIONS: Laparoscopic anatomic hepatectomy 4 with middle hepatic vein invasion using indocyanine green (ICG) fluorescence staining is a feasible and effective technique.PMID:38017125 | DOI:10.1245/s10434-023-14559-0 (Source: Ann Oncol)
Source: Ann Oncol - November 28, 2023 Category: Cancer & Oncology Authors: Yani Liu Yufu Peng Yonggang Wei Source Type: research
Pure Laparoscopic Anatomic Resection of Liver Segment 4 with Middle Hepatic Vein Involvement Using Indocyanine Green Fluorescence Staining
CONCLUSIONS: Laparoscopic anatomic hepatectomy 4 with middle hepatic vein invasion using indocyanine green (ICG) fluorescence staining is a feasible and effective technique.PMID:38017125 | DOI:10.1245/s10434-023-14559-0 (Source: Ann Oncol)
Source: Ann Oncol - November 28, 2023 Category: Cancer & Oncology Authors: Yani Liu Yufu Peng Yonggang Wei Source Type: research
Association of time to resection with survival in patients with colon cancer
ConclusionsPatients with CC who underwent resection ≥ 25 days following diagnosis demonstrated similar 1-year, but inferior 5- and 10-year survival, compared to those who underwent surgery within 25 days. Socioeconomic factors, including race and Medicaid insurance, were linked with greater odds of delayed resection. Efforts to balance appro priate preoperative evaluation with expedited resection are needed to optimize patient outcomes. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 27, 2023 Category: Surgery Source Type: research
