Transverse Coloplasty Pouch versus Straight Coloanal Anastomosis Following Intersphincteric Resection for Low Rectal Cancer: the Functional Benefits May Emerge After Two Years
ConclusionThis study suggests that TCP is a safe technique that may decrease bowel dysfunction after ISR for low rectal cancer compared with SCAA 2 years after ileostomy closure. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 17, 2023 Category: Surgery Source Type: research

Reconsidering the absence of extrapancreatic extension in T staging for pancreatic adenocarcinoma in the AJCC (8th ed) Staging Manual using the National Cancer Database
ConclusionsEPEx was an important prognostic factor in the overall cohort and in differentiating between T stages. This study strongly suggests that staging systems should reinstate EPEx and apply it to all T-stages, especially in T1, where EPEx was absent in 36% of patients. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 17, 2023 Category: Surgery Source Type: research

Barriers and Facilitators of Surgical Prehabilitation Adherence from the Patient Perspective: a Mixed Method Study
ConclusionsWe identified key barriers to be addressed and facilitators to be leveraged in future prehabilitation programs.Trial RegistrationNCT04504266 (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 17, 2023 Category: Surgery Source Type: research

Pure Laparoscopic Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy (ALPPS) for a Giant Hepatocellular Carcinoma ( & gt;  15 cm) Abutting the Liver Hilum
ConclusionThe use of MIS for in 2-stage ALPPS procedure for giant HCCs larger than 10  cm is technically feasible and safe when attempted in high-volume centres by experienced surgeons, while benefiting from the advantages of MIS liver resection. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 17, 2023 Category: Surgery Source Type: research

Real-time First-In-Human Comparison of Laser Speckle Contrast Imaging and ICG in Minimally Invasive Colorectal & amp; Bariatric Surgery
(Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 17, 2023 Category: Surgery Source Type: research

A Systematic Review and Meta-analysis of Randomized Clinical Trials on the Prevention and Treatment of Pouchitis after Ileoanal Pouch Anastomosis
ConclusionsProbiotics are effective in preventing pouchitis after IPAA. Antibiotics, including ciprofloxacin and metronidazole, are likely effective in treating active pouchitis. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 10, 2023 Category: Surgery Source Type: research

Liver Anatomy 2.0 Quiz: Test Your Knowledge
AbstractThe liver is one the largest organs in the abdomen and the most frequent site of metastases for gastrointestinal tumors. Surgery on this complex and highly vascularized organ can be associated with high morbidity even in experienced hands. A thorough understanding of liver anatomy is key to approaching liver surgery with confidence and preventing complications. The aim of this quiz is to provide an active learning tool for a comprehensive understanding of liver anatomy and its integration into clinical practice. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 6, 2023 Category: Surgery Source Type: research

Transduodenal Sphincteroplasty: A Visual Case Study
ConclusionThe embedded video demonstrates a case of operative transduodenal sphincteroplasty, which can provide durable results in appropriate patient populations. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 3, 2023 Category: Surgery Source Type: research

Incidence of Kidney Stones After Bariatric Surgeries: Comparing Roux-en-Y Gastric Bypass and Sleeve Gastrectomy
ConclusionRNYGB is associated with a higher risk of nephrolithiasis when compared to LSG. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 2, 2023 Category: Surgery Source Type: research

Is Lymphadenectomy Reasonable for Elderly Intrahepatic Cholangiocarcinoma Patients?
ConclusionsAdvanced age ( ≥ 70 years) was not a contraindication for LND, which facilitates accurate nodal staging and guides postoperative management. Appropriately selected elderly populations could benefit from LND. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 2, 2023 Category: Surgery Source Type: research

Postoperative Liver Failure: Definitions, Risk factors, Prediction Models and Prevention Strategies
ConclusionGiven the absence of randomized data specifically related to the management of PHLF, current strategies are based on the principles of management of acute liver failure  from any cause. In addition, goal-directed therapy for organ dysfunction, as well as identification and treatment of reversible factors in the postoperative period are critical. (Source: Journal of Gastrointestinal Surgery)
Source: Journal of Gastrointestinal Surgery - October 2, 2023 Category: Surgery Source Type: research

Surgical Planning for “Borderline Resectable” and “Locally Advanced” Pancreatic Cancer During Open Pancreatic Resection
AbstractPancreatic resection for pancreatic ductal adenocarcinoma (PDAC) is one of the most complex procedures in abdominal surgery due to the technical and oncological challenges given by its local aggressive growth. The improvement of new multidrug chemotherapy regimens and surgical techniques has increased the caseload of “borderline resectable” (BR) or even “locally advanced” (LA) PDAC candidates for surgical resection. As a result, the increased heterogeneity of surgical scenarios has made it essential to utilize a tailored surgical strategy for each individual case. Notably, the strategy employed to approa ch...
Source: Journal of Gastrointestinal Surgery - October 2, 2023 Category: Surgery Source Type: research