Robot-assisted pancreatoduodenectomy with the da Vinci Xi: can the costs of advanced technology be offset by clinical advantages? A case-matched cost analysis versus open approach
ConclusionsRobot-assisted surgery is more expensive because of higher acquisition and maintenance costs. However, although RPD is associated to higher material costs, the advantages of the robotic system associated to lower hospital stay costs and the absence of difference in terms of personnel costs thanks to the similar operative time with respect to OPD, make the OVCs of the two techniques no longer different. Hence, the higher costs of advanced technology can be partially compensated by clinical advantages, particularly within a high-volume multidisciplinary center for both robot-assisted and pancreatic surgery. These ...
Source: Surgical Endoscopy - May 10, 2022 Category: Surgery Source Type: research

Impact of antiplatelet agents and anticoagulants on the performance of fecal immunochemical tests: a systematic review and meta-analysis
ConclusionsAspirin, antiplatelet agents, and OACs significantly lowered the PPV of FIT for detecting ACRN. These drugs may increase the false-positive of FIT. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 10, 2022 Category: Surgery Source Type: research

Outcomes of simultaneous endoscopic submucosal dissection for synchronous multiple gastric neoplastic lesions: a retrospective comparative study
ConclusionsSimultaneous ESD is safe and effective in the treatment of SMGL. However, separate ESD is recommended for SMGL with longer procedure time. Besides, the metachronous gastric neoplastic lesions should be paid attention to during follow-up. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 10, 2022 Category: Surgery Source Type: research

External validation of different difficulty scoring systems of laparoscopic liver resection for hepatocellular carcinoma
ConclusionsAll DSSs performed well in predicting applying bleeding control, surgical time, estimated blood loss, postoperative major complications, and postoperative hospital stay, while only the IWATE-DSS was able to predict whether conversion to laparotomy or not for HCC patients underwent LLR. The IWATE-DSS was also able to help surgeons on the LLR learning curve choose cases and guide clinical practices. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 10, 2022 Category: Surgery Source Type: research

Chronological age does not predict postoperative outcomes following transversus abdominis release (TAR)
ConclusionOpen and robotic TARs can be safely performed in older adults and chronological age alone is a poor predictor of patient morbidity following TAR. Further investigation of alternative preoperative screening tools that do not rely solely on age are needed to better optimize surgical outcomes in older adults following TAR. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 10, 2022 Category: Surgery Source Type: research

Comparison of long-term outcomes of endoscopic submucosal dissection and surgery for undifferentiated-type early gastric cancer meeting the expanded criteria: a systematic review and meta-analysis
ConclusionAlthough OS after curative ESD for UD EGC was not different from that after surgery in the PSM cohort, DFS and recurrence were inferior after ESD. Limitations included a lack of randomized trials. Further prospective studies comparing the long-term outcomes of ESD and surgery for UD EGC are needed (PROSPERO CRD 42021237097). (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 10, 2022 Category: Surgery Source Type: research

Challenges of virtual interviewing for surgical fellowships: a qualitative analysis of applicant experiences
ConclusionsAccording to fellowship applicants, virtual interviews resulted in a lack of information for rank-list decision making ultimately requiring them to rely on other information avenues to base their decisions. These applicants have offered advice to fellowship program directors and future applicants to better optimize this process. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 10, 2022 Category: Surgery Source Type: research

Clinical outcomes after one anastomosis gastric bypass versus sleeve gastrectomy in super-super-obese patients
ConclusionIn this retrospective analysis, OAGB was superior to LSG in terms of weight loss in SSO patients. Procedure length and hospital stay were shorter after OAGB in comparison to LSG and there were fewer severe complications. OAGB can therefore be regarded a safe and effective treatment modality for SSO patients. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 10, 2022 Category: Surgery Source Type: research

Comparison of oncological outcomes for hand-assisted and pure laparoscopic radical nephroureterectomy: results from the Taiwan Upper Tract Urothelial Cancer Collaboration Group
ConclusionsThe performance of hand-assisted or pure LNU does not significantly affect the all-cause mortality, cancer-specific mortality, or extra-vesical recurrence for patients with non-metastatic UTUC. However, the hand-assisted laparoscopic approach could increase the risk of intra-vesical recurrence for patients who undergo LNU. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 10, 2022 Category: Surgery Source Type: research

Correction to: Single-site laparoscopic burnia for inguinal hernias in girls: comparison with open repair
(Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 10, 2022 Category: Surgery Source Type: research

Correction to: Characterisation of trocar associated gas leaks during laparoscopic surgery
(Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 10, 2022 Category: Surgery Source Type: research

Variation in pre-operative insurance requirements for bariatric surgery
ConclusionThe greater frequency of pre-operative requirements in Medicaid plans compared to Medicare/TriCare and commercial plans demonstrates inequity across insurance types which may negatively impact access to bariatric surgery. Pre-operative insurance requirements must be reevaluated and standardized using established evidence to ensure all individuals have access to this life-saving intervention. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 5, 2022 Category: Surgery Source Type: research

Reducing surgical site infections after colectomy: bundle item compliance, process, and outlier identification
ConclusionSurgeons compliant with colectomy checklists decreased elective and emergency colectomy infection rates. Ceiling compliance rates  >  95% for bundle items are suggested to achieve optimal reductions in SSIs and efforts should be focused on surgeons with NHSN infection rates >  3%. Oral antibiotic prep and mechanical bowel prep compliance rates in elective colectomy appeared to differentiate high infection rate surgeons from low infection rate surgeons.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 5, 2022 Category: Surgery Source Type: research

Laparoscopic hydrocelectomy with transabdominal preperitoneal hernioplasty or iliopubic tract repair for treatment of encysted spermatic cord hydrocele
ConclusionsLaparoscopic hydrocelectomy with IPTR or TAPP hernioplasty is safe and feasible for treatment of ESCHs in adults. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 5, 2022 Category: Surgery Source Type: research

Application of in vivo traction-assisted resection of proximal colon lesions: a case series (with video)
ConclusionIn vivo traction-assisted ESD can be used to resect proximal colon lesions in selected patients (precancerous lesions and early colon cancer limited to the mucosa or with a submucosa infiltration depth of  <  1000 µm). (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - May 5, 2022 Category: Surgery Source Type: research