Comparing oncologic and surgical outcomes of robotic and laparoscopic pancreatoduodenectomy in patients with pancreatic cancer: a propensity-matched analysis
ConclusionLPD and RPD have similar surgical and oncologic outcomes, with a lower rate of conversion to open in the robotic cohort. The robotic technique does not appear to eliminate the “learning curve”, with higher volume centers demonstrating improved outcomes, especially seen at minimum annual volume of 5 cases. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 18, 2024 Category: Surgery Source Type: research

The development of a deep learning model for automated segmentation of the robotic pancreaticojejunostomy
ConclusionThe deep learning model performed well for automated segmentation of PJ videos. Future work will focus on skills assessment and outcome prediction. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 15, 2024 Category: Surgery Source Type: research

Safety of skipping the tract dilation step for EUS-guided biliary drainage in patients with unresectable malignant biliary obstruction (with video)
ConclusionEmploying the tract dilation step during EUS-BD was a significant risk factor for early AEs. Metal stents with a delivery diameter  <  7.5 Fr can be inserted directly without the tract dilation step, resulting in lower early AE rates. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 15, 2024 Category: Surgery Source Type: research

Correction: Acute cholecystitis, obesity, and steatohepatitis constitute the lethal triad for bile duct injury (BDI) during laparoscopic cholecystectomy
(Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 15, 2024 Category: Surgery Source Type: research

Current trends and barriers to video management and analytics as a tool for surgeon skilling
ConclusionTools that address barriers to recording, accessing, and managing surgical case videos are critical for improving surgical skills. Touch Surgery Enterprise is a valuable tool that can help overcome these barriers.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 14, 2024 Category: Surgery Source Type: research

Large language models and bariatric surgery patient education: a comparative readability analysis of GPT-3.5, GPT-4, Bard, and online institutional resources
ConclusionOur study highlights the efficacy of LLMs in enhancing the readability of bariatric surgery PEMs. GPT-4 outperformed other models, generating simplified PEMs from 6th to 9th grade reading levels. Unlike GPT-3.5 and GPT-4, Bard ’s simplified responses were graded as less comprehensive. We advocate for future studies examining the potential role of LLMs as dynamic and personalized sources of PEMs for diverse patient populations of all literacy levels. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 12, 2024 Category: Surgery Source Type: research

Endoscopic resection and laparoscopic lymph node dissection for early gastric cancer beyond conventional endoscopic treatment indications: a 10-year outcome study
ConclusionsWhen the procedures were properly applied, EFTGR with LLND and ESD with LLND did not increase the 10-year mortality in patients with EGC beyond the absolute ESD indications compared with conventional radical gastrectomy. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 12, 2024 Category: Surgery Source Type: research

Assessment and application of non-technical skills in robotic-assisted surgery: a systematic review
ConclusionThis systematic review highlighted the paucity of reporting on non-technical skills in robotic surgery with only three bespoke objective assessment tools being identified. Communication, environmental factors, anticipation, and teamwork are the key non-technical skills reported in robotic surgery, and further research is required to investigate their benefits to improve patient safety during robotic surgery. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 11, 2024 Category: Surgery Source Type: research

Enhancing endoscopic measurement: validating a quantitative method for polyp size and location estimation in upper gastrointestinal endoscopy
ConclusionsThe proposed method of measurements of polyp size and location was found to be highly accurate, offering great potential for clinical implementation to improve polyp assessment. This level of performance represents a notable improvement over visual estimation technique used in clinical practice. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 11, 2024 Category: Surgery Source Type: research

Robot-assisted gastric endoscopic submucosal dissection significantly improves procedure time at challenging dissection locations
ConclusionThe procedure time was significantly shortened when robot-assisted gastric ESD procedures were performed at challenging locations. Therefore, our robotic device provides simple, effective, and safe multidirectional traction for endoscopic submucosal dissection at challenging locations, thereby reducing difficulty of the procedure. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 11, 2024 Category: Surgery Source Type: research

Prolonged acid reflux monitoring using acid exposure time and DeMeester score: two days are not enough
ConclusionsIn patients undergoing extended pH monitoring, almost half were found to have an abnormal pH study after a normal study on Day 1. An additional 25% of patients had a change in study interpretation by extending the study beyond 48  h. Our findings suggest only 48 h of pH monitoring will miss a diagnosis of GERD in a clinically important number of patients. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 11, 2024 Category: Surgery Source Type: research

Efficacy of endoscopic surveillance for pharyngeal mucosa during endoscopic resection for pharyngeal carcinoma: a multicenter prospective study
ConclusionsEndoscopic surveillance for pharyngeal sublesions during ER for pharyngeal SCC is feasible and useful. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 11, 2024 Category: Surgery Source Type: research

Acute cholecystitis, obesity, and steatohepatitis constitute the lethal triad for bile duct injury (BDI) during laparoscopic cholecystectomy
ConclusionsThe lethal triad of acute cholecystitis, obesity, and steatohepatitis significantly increases the risk of a BDI. This prognostic measure can help better counsel patients and potentially alter management. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 8, 2024 Category: Surgery Source Type: research

A nomogram for prediction of ERCP success in patients with bile duct leaks: a multicenter study
ConclusionLeak-bridging drainage and cystic duct leak are positive predictors for the success of ERCP, while SIRS and high-grade leak are negative predictors. This prediction model with nomogram has good predictive ability and practical clinical value, and may be helpful in clinical decision-making and prognostication.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 8, 2024 Category: Surgery Source Type: research

Comparing a virtual reality head-mounted display to on-screen three-dimensional visualization and two-dimensional computed tomography data for training in decision making in hepatic surgery: a randomized controlled study
ConclusionsA VR environment with 3D visualization using a HMD is useful as a surgical training tool to accurately and quickly determine liver anatomy and tumor involvement in surgery. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 8, 2024 Category: Surgery Source Type: research