Laparoscopic right hemicolectomy: a SICE (Societ à Italiana di Chirurgia Endoscopica e Nuove tecnologie) network prospective study on the approach to right colon lymphadenectomy in Italy: is there a standard?—CoDIG 2 (ColonDx Italian Group)
ConclusionsThis analysis shows how lymphadenectomy is performed in Italy to achieve oncological outcomes in RH, although the technique to achieve a higher lymph node count has not yet been standardized.Trial registration (ClinicalTrials.gov) ID: NCT05943951. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 8, 2024 Category: Surgery Source Type: research
Effects of endoluminal vacuum sponge therapy on the perfusion of gastric conduit in a porcine model for esophagectomy
ConclusionsEndoVAC therapy with a pressure of − 125 mmHg significantly increased tissue perfusion of ischemic gastric conduit. With better understanding of underlying physiology the optimal use of EndoVAC therapy can be determined including a possible preemptive use for gastric conduits with impaired arterial perfusion or venous congestion.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 5, 2024 Category: Surgery Source Type: research
Defining digital surgery: a SAGES white paper
ConclusionDigital Surgery will continue to evolve and has great potential to bring value to all levels of the healthcare system. The surgical community has an essential role in understanding, developing, and guiding this emerging field. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 5, 2024 Category: Surgery Source Type: research
Perforated peptic ulcer disease in transferred patients is associated with significant increase in length of stay
ConclusionPatients transferred for definitive care of PPUD in a population otherwise notable for high mortality and high readmission rates: their average length of stay compared to non-transfer patients was over twice the length, which was statistically significant. Transferred patients also had higher rates of ICU care requirement although this was not statistically significant. Further inquiry to identify modifiable variables to facilitate the care of transferred patients is warranted, especially in the context of improving quality metrics known to enhance patient outcomes, satisfaction, and value.Graphical abstract (Sou...
Source: Surgical Endoscopy - January 5, 2024 Category: Surgery Source Type: research
Perioperative outcomes for single-port robotic versus single-incision laparoscopic surgery: a comparative analysis in colorectal cancer surgery
ConclusionsSingle-port robotics provided high quality oncologic surgery, adding the technical benefits of robotics to clinical and cosmetic benefits of single-port surgery. There were comparable operative time, complication rates, and oncologic outcomes in CRC cases, with shorter hospital stays with SP robotics. This early data is encouraging for expansion SP robotic technology. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 4, 2024 Category: Surgery Source Type: research
Epidural versus general anesthesia for laparo-endoscopic single-site cholecystectomy: a randomized controlled trial
ConclusionsPatients undergoing LESS cholecystectomy with general vs. epidural anesthesia had similar demographics, LOS, and pain scores. Patients that received epidural anesthesia reported less pain and incurred less cost. Utilization of epidural anesthesia in lieu of general anesthesia for LESS cholecystectomy is safe, reduces pain, and offers potential cost savings. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 3, 2024 Category: Surgery Source Type: research
Challenge in optimizing robotic pancreaticoduodenectomy including nerve plexus hanging maneuver: a Japanese single center experience of 76 cases
ConclusionOperation time and major complications decreased along the learning curve from the introduction of RPD. In addition, optimization of the procedure, including hanging maneuver of the retropancreatic tissue seemed to be effective in reducing operation time and educating new RPD surgeons. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 2, 2024 Category: Surgery Source Type: research
Fluorescence imaging to visualize the recurrent laryngeal nerve during thyroidectomy procedures: analysis of 65 cases and 81 nerves
ConclusionsIn 65 patients and 81 nerves, RLN detection was markedly and consistently enhanced with autofluorescence neuro-imaging during thyroidectomy, with 100% sensitivity and specificity. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 2, 2024 Category: Surgery Source Type: research
Correction: The impact of sarcopenia on adverse events associated with gastric endoscopic submucosal dissection
(Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 2, 2024 Category: Surgery Source Type: research
Impedance planimetry and panometry (EndoFLIP ™) can replace manometry in preoperative anti-reflux surgery assessment
ConclusionImpedance planimetry and panometry can assess motility under general anesthesia or sedation and is highly sensitive to peristaltic dysfunction. Panometry is a novel tool that has potential to streamline and improve patient care and therefore should be considered as an alternative to HRM, especially in patients in which HRM would be inaccessible or poorly tolerated. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 1, 2024 Category: Surgery Source Type: research
Correction: Clinical outcomes in patients with complicated appendicitis
(Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 1, 2024 Category: Surgery Source Type: research
Correction: Cyanoacrylate mesh fixation for laparoscopic inguinal hernia repair: a prospective, multicenter, single-arm study
(Source: Surgical Endoscopy)
Source: Surgical Endoscopy - January 1, 2024 Category: Surgery Source Type: research
Effect of gender discordance on surgical outcomes in predominantly female patient surgeries in NYS
Conclusion(s)Overall, our results show DC between patient and surgeon has significant effect on patient outcomes. A negative effect is seen for female patients in certain specialties, most pronounced in foregut surgery. This emphasizes need for surgeons to be conscious of care provided to opposite gender patients and underscores increasing female surgeons in high FP f ields.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 27, 2023 Category: Surgery Source Type: research
Lumen-apposing metal stents versus traditional self-expanding metal stents for endoscopic ultrasound-guided drainage of pancreatic fluid collections: a systematic review and meta-analysis
ConclusionCompared to traditional SEMS, LAMS has a higher clinical success rate, faster procedure time, fewer adverse events, similar hospital stay and lower recurrence rate in EUS-guided drainage of PFCs. LAMS is a good choice with a high technical success rate over 95%, and using a shorter length or “one-step” operation can further improve it. Richer placement experience is required for LAMS placement under EUS-guidance. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 27, 2023 Category: Surgery Source Type: research
Endoscopic resection for the treatment of gastric gastrointestinal stromal tumors: a retrospective study from a large tertiary hospital in China
ConclusionER is an appropriate alternative method for the treatment of gastric GISTs, with an en bloc resection rate of 88.85% and a complication rate of 0.93%. No recurrence was noted during follow-up, even for GISTs with piecemeal resection. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 26, 2023 Category: Surgery Source Type: research
