Utility and costs of surveillance imaging for low- and very low-risk gastrointestinal stromal tumors
In this study, we reviewed our institutional approach to surveillance in patients with low- and very low-risk gastrointestinal stromal tumors and the costs associated with detecting recurrence. (Source: Surgery)
Source: Surgery - December 13, 2023 Category: Surgery Authors: Mariam Khan, Caitlin Urban, Austin Vanwyk, Olivia Everin, Nicole Mitchell, Mathew Chung, M. Mura Assifi, G. Paul Wright Source Type: research
Indocyanine green fluorescence versus blue dye, technetium-99M, and the dual-marker combination of technetium-99M + blue dye for sentinel lymph node detection in early breast cancer–meta-analysis including consistency analysis
Axillary sentinel lymph node biopsies are standard of care in patients with breast cancer and no clinically apparent metastases. Traditionally, technetium-99m, blue dye, or both have been used to identify sentinel lymph nodes. However, blue dyes miss up to 40% of sentinel lymph nodes, while technetium-99m use is complex, costly, and exposes patients to radiation. Over the past decade, studies have consistently found the biologically inert fluorescent indocyanine green to be 95% to 100% sensitive in detecting breast cancer sentinel lymph nodes, yet indocyanine green remains infrequently used. (Source: Surgery)
Source: Surgery - December 13, 2023 Category: Surgery Authors: Kevin P. White, Diego Sinagra, Fernando Dip, Raul J. Rosenthal, Edgar A. Mueller, Emanuele Lo Menzo, Alberto Rancati Source Type: research
The impact of surgical-oncologic textbook outcome in patients with stage I to III pancreatic ductal adenocarcinoma: A cross-validation study of two national registries
Using national registries, we aimed to evaluate oncologic textbook outcomes in pancreatic ductal adenocarcinoma patients. (Source: Surgery)
Source: Surgery - December 13, 2023 Category: Surgery Authors: Natalie Petruch, Maximiliano Servin Rojas, Keith D. Lillemoe, Carlos Fernandez-del Castillo, Ruediger Braun, Kim C. Honselmann, Hryhoriy Lapshyn, Steffen Deichmann, Thaer S.A. Abdalla, Richard Hummel, Monika Klinkhammer-Schalke, Kees Kleihues-van Tol, Syl Source Type: research
Treatment effect of ex vivo expanded allogeneic bone marrow–derived mesenchymal stem cells for the treatment of fistulizing Crohn disease are durable at 12 months
Mesenchymal stem cells have been administered via direct injection to treat perianal Crohn fistulizing disease. We herein sought to determine the safety and durability of treatment response to 12 months with 3 individual phase IB/IIA clinical trials of mesenchymal stem cells for refractory perianal, rectovaginal, and ileal pouch fistulas in the setting of Crohn disease. (Source: Surgery)
Source: Surgery - December 13, 2023 Category: Surgery Authors: Amy L. Lightner, Ana Otero Pineiro, Jane Reese, Justin Ream, Douglas Nachand, Ashley C. Adams, Neda Dadgar, Tracy Hull Source Type: research
A national study of postoperative thyroid hormone supplementation rates after thyroid lobectomy
The objectives of this study were (1) to determine thyroid hormone supplementation rates after lobectomy and (2) to evaluate the effect of the American Thyroid Association guideline change on lobectomy and hormone supplementation rates among thyroid cancer patients. (Source: Surgery)
Source: Surgery - December 13, 2023 Category: Surgery Authors: Q. Lina Hu, Ling Chen, Eric J. Kuo, James A. Lee, Jennifer H. Kuo, Jason D. Wright, Catherine M. McManus Source Type: research
Outcomes and predictors of treatment failure after anti-reflux mucosectomy for management of gastroesophageal reflux disease
Anti-reflux mucosectomy is a novel endoscopic treatment for gastroesophageal reflux disease that serves as an intermediate therapy between medical and surgical intervention. We aimed to evaluate outcomes and identify predictors of treatment failure in patients requiring anti-reflux mucosectomy. (Source: Surgery)
Source: Surgery - December 12, 2023 Category: Surgery Authors: Vanessa N. VanDruff, Julia R. Amundson, Stephanie Joseph, Chris Zimmermann, Simon Che, Shun Ishii, Kristine Kuchta, H. Mason Hedberg, Michael B. Ujiki Source Type: research
Safety of the injectable expanding biopolymer foam for non-compressible truncal bleeding in swine
A novel hydrophobically modified chitosan (hm-chitosan) polymer has been previously shown to improve survival in a non-compressible intra-abdominal bleeding model in swine. We performed a 28-day survival study to evaluate the safety of the hm-chitosan polymer in swine. (Source: Surgery)
Source: Surgery - December 12, 2023 Category: Surgery Authors: Ander Dorken-Gallastegi, Leon Naar, Dias Argandykov, Emanuele Lagazzi, Matthew Dowling, Paula Montero, Brandon Wallace, Jessica B. Pallotta, John Beagle, Kerry Breen, George C. Velmahos, Michael J. Duggan, David R. King Source Type: research
Comment on “The combination of endoscopic subcutaneous mastectomy and liposuction (Liu and Shang’s 2-hole 7-step method) as the treatment of gynecomastia”
We read with great interest the article “The combination of Endoscopic Subcutaneous Mastectomy and Liposuction (Liu and Shang’s 2-hole 7-step method) as the Treatment of Gynecomastia” by Fangjian et al. The authors present a novel surgical multistep method combining endoscopy and liposuction in gynecomastia surgical management.1 (Source: Surgery)
Source: Surgery - December 12, 2023 Category: Surgery Authors: Alessandro Innocenti, Sara Tamburello, Marzouk El Araby Mohamed Source Type: research
Discussion
Dr Kevin El-Hayek (Cleveland, OH): Again, Dr Ujiki and his research team have added a wrinkle into the treatment algorithm of patients with medically refractory reflux disease. In the US, 30,000 patients go on to have some kind of anti-reflux operation each year. Many surgeons are moving the needle towards less invasive options such as partial fundoplication and magnetic sphincter augmentation, but any transabdominal approach is going to have with it a small but real risk of complications that could be potentially avoided in patients who have a purely endoscopic method. (Source: Surgery)
Source: Surgery - December 12, 2023 Category: Surgery Source Type: research
Textbook outcome in distal pancreatectomy: A multicenter study
In this study we determined textbook outcome in a distal pancreatectomy multicenter database and propose a specific definition of textbook outcome-distal pancreatectomy that includes pancreatic fistula. (Source: Surgery)
Source: Surgery - December 9, 2023 Category: Surgery Authors: Celia Villodre, Juan del R ío-Martín, Gerardo Blanco-Fernández, Miguel Cantalejo-Díaz, Fernando Pardo, Silvia Carbonell, Elena Muñoz-Forner, Alberto Carabias, Alba Manuel-Vazquez, Pedro J. Hernández-Rivera, Isabel Jaén-Torrejimeno, Helga K. Kälvi Source Type: research
Splenic vein tumor thrombosis is a major prognostic factor in distal pancreatic adenocarcinoma
The prognostic value of splenic vessel involvement in distal pancreatic adenocarcinoma remains controversial. The aim of the study was to assess its prognostic relevance in a large multicenter cohort. (Source: Surgery)
Source: Surgery - December 8, 2023 Category: Surgery Authors: Florence Jeune, Maxime Collard, J érémy Augustin, Nathalie Guedj, Ugo Marchese, Alexandre Rouquette, Antonio Sa Cunha, Mylène Sebagh, Patrick Pessaux, Gerlinde Avérous, Mathilde Wagner, Jean-Baptiste Bachet, Jean-Christophe Vaillant, Alain Sauvanet, S Source Type: research
Efficacy of perioperative oral care management in the prevention of surgical complications in 503 patients after pancreaticoduodenectomy for resectable malignant tumor: A multicenter retrospective analysis using propensity score matching
In this study, we examined the effect of perioperative oral care management in reducing complications after pancreaticoduodenectomy, including surgical site infection. (Source: Surgery)
Source: Surgery - December 6, 2023 Category: Surgery Authors: Taihei Yamguchi, Kazuyo Mori, Yuka Kojima, Takumi Hasegawa, Junya Hirota, Masaya Akashi, Sakiko Soutome, Masako Yoshimatsu, Hiroshi Nobuhara, Yasuhiro Matsugu, Shinichiro Kato, Yasuyuki Shibuya, Hiroshi Kurita, Shin-ichi Yamada, Hirokazu Nakahara, Joint R Source Type: research
Efficacy and safety of near-infrared fluorescence identification of the thoracic duct during left lateral neck dissection
Thoracic duct leaks occur in up to 5% of left lateral neck dissections. No one imaging modality is routinely used to identify the thoracic duct intraoperatively. The goal of our study was to evaluate the efficacy and safety of indocyanine green lymphangiography for intraoperative identification of the thoracic duct compared to traditional methods using ambient and evaluate the optimal timing of indocyanine green administration. (Source: Surgery)
Source: Surgery - December 5, 2023 Category: Surgery Authors: Nicci Owusu-Brackett, Jeffery M. Chakedis, Priya Dedhia, Christopher Gilliam, Amit Agrawal, Stephan Y. Kang, Matthew Old, Barbra S. Miller, John E. Phay Source Type: research
Discussion
Bradford Mitchell (Dover, DE): Did any of your patients get cream? The anesthesiologist can give cream through the nasogastric tube. Historically, this is what was used. Also, have you spoken with any of your thoracic surgeons about the potential of using this in their thoracic cases to look at the lymphatics? (Source: Surgery)
Source: Surgery - December 5, 2023 Category: Surgery Source Type: research
The impact of hospital volume on liver resection: A systematic review and Bayesian network meta-analysis
This study aims to compare the outcomes of high-volume, medium-volume, and low-volume hospitals performing hepatic resections using a network meta-analysis. (Source: Surgery)
Source: Surgery - December 4, 2023 Category: Surgery Authors: Ye Xin Koh, Yun Zhao, Ivan En-Howe Tan, Hwee Leong Tan, Darren Weiquan Chua, Wei-Liang Loh, Ek Khoon Tan, Jin Yao Teo, Marianne Kit Har Au, Brian Kim Poh Goh Source Type: research
