Is weight trajectory a better marker of wound complication risk than BMI in hernia patients with obesity?
ConclusionWeight loss may be a better indicator of a patient ’s risk for wound morbidity following TAR than BMI alone, as weight loss of at least 3% resulted in fewer SSIs despite similar BMIs at time of surgery. Further research into optimal timing and amount of weight loss, as well as effects on long-term outcomes, is needed to confirm these findings.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 11, 2023 Category: Surgery Source Type: research
Risk factor analysis of conversion in laparoscopic liver resection for intrahepatic cholangiocarcinoma
ConclusionConversion during LLR should be anticipated in ICC patients with prior upper abdominal surgery or tumor proximity to major vessels as features. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 11, 2023 Category: Surgery Source Type: research
Risk factors for post-polypectomy bleeding in patients with end-stage renal disease undergoing colonoscopic polypectomy
ConclusionsColonoscopic polypectomy should be performed with caution in patients with ESRD, especially in those with the following risk factors: advanced age (> 70 years), polyp size > 7 mm, and EMR as the polypectomy method. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 11, 2023 Category: Surgery Source Type: research
The short- and long-term outcomes of laparoscopic D2 lymphadenectomy plus complete mesogastrium excision for lymph node-negative gastric cancer
ConclusionLaparoscopic D2 + CME for T1-3N0M0 GC is safe and feasible. Furthermore, it not only reduces the local recurrence rate but also improves the 5-year DFS in cases of T1b-3N0M0 GC.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 11, 2023 Category: Surgery Source Type: research
A generic scope actuation system for flexible endoscopes
ConclusionsThe proposed scope actuation system enhances the maneuverability of flexible endoscopes. It also lays the groundwork for future development of modular and generic scope assistant systems that can be used in both laparoscopic and endoscopic procedures. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 8, 2023 Category: Surgery Source Type: research
Robotic versus open pancreatoduodenectomy in patients with pancreatic duct adenocarcinoma after the learning curve: a propensity score-matched analysis
ConclusionAfter the learning curve, RPD had improved oncologic outcomes in PDAC patients compared to OPD. Future prospective randomized clinical trials will be required to validate these findings. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 8, 2023 Category: Surgery Source Type: research
Robot-assisted laparoscopy does not have demonstrable advantages over conventional laparoscopy in endometriosis surgery: a systematic review and meta-analysis
ConclusionRAL does not have statistically demonstrable advantages over CL in terms of perioperative outcomes for endometriosis-related surgery.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 7, 2023 Category: Surgery Source Type: research
Patient-reported oral function and psychological well-being outcomes of papillary thyroid cancer patients (PTC) after surgery: a cross-sectional study
ConclusionGasless TOETVA had a temporary impact on oral function, but it did not alleviate the state of anxiety. Furthermore, we observed a significant increase in trait-anxiety scores among PTC patients who underwent gasless-TOETVA after 1 year. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 7, 2023 Category: Surgery Source Type: research
Prognosis and safety of laparoscopic hepatectomy for BCLC stage 0/A hepatocellular carcinoma with clinically significant portal hypertension: a multicenter, propensity score-matched study
ConclusionsCSPH has a negative impact on the prognosis of BCLC stage 0/A HCC patients after laparoscopic hepatectomy. Laparoscopic hepatectomy is still recommended for treatment, but careful patient selection is essential. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 7, 2023 Category: Surgery Source Type: research
ReSleeve or revisional one anastomosis gastric bypass for failed primary sleeve gastrectomy with dilated gastric tube: a retrospective study
ConclusionBoth procedures (RLOAGB and ReLSG) were relatively safe and effective in terms of WL. RLOAGB led to higher WL compared to ReLSG in all types of patients despite higher Caloric intake. IWL patients had more WL compared to WR patients. WL was not related to GT dilation type. Large-scale longer-FU studies are still needed.Trial registrationPACTR202310644487566 (retrospectively registered). (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 6, 2023 Category: Surgery Source Type: research
High-resolution 3-dimensional tomography may be a useful tool for understanding the anatomy of hiatal hernias and surgical planning of patients eligible for laparoscopic or robotic antireflux surgery
ConclusionsThe anatomy of HH and the hiatus can be well defined by 3D CT. The EGJ-hiatus distance may be equally measured by 3D CT or upper digestive endoscopy. DeMeester score did not correlate with any anatomical parameter. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 6, 2023 Category: Surgery Source Type: research
Long-term quality of life is better after laparoscopic compared to open pancreatoduodenectomy
ConclusionThis monocentric study found improved long-term QoL in patients undergoing LPD, as compared to OPD, for benign and premalignant diseases. These results could be considered when choosing the surgical approach in these patients. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 5, 2023 Category: Surgery Source Type: research
Laparoscopic and open minor liver resection for hepatocellular carcinoma with clinically significant portal hypertension: a multicenter study using inverse probability weighting approach
ConclusionsLLR for HCC patients with CSPH is clinically advantageous by lowering the volume of intraoperative blood loss and incidence of postoperative complications, thereby offering feasible long-term survival.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 5, 2023 Category: Surgery Source Type: research
Combined pre-operative risk score predicts pancreatic leak after pancreatic resection
ConclusionMPD and BMI were independent risk factors predictive for the development of pancreatic leak. CPLPS, was an independent predictor of pancreatic leak following pancreatectomy and could be used to help guide surgical decision making and patient counseling. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 4, 2023 Category: Surgery Source Type: research
Variability in surgical approaches to hernias in patients with ascites
ConclusionA population-level, ventral and incisional hernia database capturing operative details for 176 patients with ascites. There was variation in the surgical approaches performed for this rare event and opportunities for optimization in patient selection and timing of repair. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - December 4, 2023 Category: Surgery Source Type: research
