No difference between using short and long intervals for distributed proficiency-based laparoscopy simulator training: a randomized trial
ConclusionWe found no difference whether practicing with shorter intervals or longer intervals between training sessions when examining time to proficiency or retention. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 22, 2023 Category: Surgery Source Type: research
SAGES peritoneal dialysis access guideline update 2023
ConclusionsIn the adult population, conditional recommendations were made in favor of: staged hernia repair followed by PD catheter insertion over simultaneous and traditional start over urgent start of PD when medically possible. Furthermore, the panel suggested advanced laparoscopic insertion techniques rather than basic laparoscopic techniques or open insertion. Conditional recommendations were made for either advanced laparoscopic or image-guided percutaneous insertion and for either nonoperative or operative salvage. A recommendation could not be made regarding concomitant clean-contaminated surgery in adults. In the ...
Source: Surgical Endoscopy - November 21, 2023 Category: Surgery Source Type: research
The hospital frailty risk score as a predictor of readmission after ERCP
ConclusionsFrailty is associated with higher readmission rates, mortality, LOS, and hospital charges for admitted patients undergoing ERCP. Sepsis is the leading cause for readmission. Independent risk factors for readmission include liver transplantation, cancer, cirrhosis, and male gender. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 21, 2023 Category: Surgery Source Type: research
Impedance planimetry during per-oral endoscopic myotomy is associated with decreased inadvertent capnoperitoneum
ConclusionsThe routine use of EndoFLIP during POEM was associated with decreased incidence of clinically significant capnoperitoneum, potentially due to improved myotomy tailoring and decreased duration of insufflation with shorter procedure times.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 21, 2023 Category: Surgery Source Type: research
One anastomosis gastric bypass as a primary bariatric surgery: MBSAQIP database analysis of short-term safety and outcomes
ConclusionThe incidence of primary OAGB has increased since its approval by ASMBS, from 0.05% reported between 2015 and 2019 to 0.78% between 2020 and 2021. OAGB had better 30-day outcomes and shorter operative times than RYGB and SADI-S and therefore, could be considered a viable alternative. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 21, 2023 Category: Surgery Source Type: research
Hiatal hernia reporting: time to remove subjectivity?
ConclusionsEndoscopic subjective size allocations and objective axial length measurements are associated with pre-operative objective measurements and intra-operative decisions, suggesting both can be used to guide clinical decision making. However, including axial length measurements in endoscopy reports can improve outcomes reporting. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 20, 2023 Category: Surgery Source Type: research
Characterisation and mitigation of gas leaks at laparoscopy: an international prospective, multi-center cohort clinical trial
ConclusionLaparoscopic gas leaks can be sensitively detected and consistently, effectively mitigated using straightforward available-now technology with most impact on the commonest, highest energy instrument exchange leaks. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 20, 2023 Category: Surgery Source Type: research
A novel twin-grasper assisted mucosal inverted closure technique for closing large artificial gastric mucosal defects
ConclusionsThe present study suggests that TAMIC is feasible and safe in closing large artificial gastric mucosal defects and could improve mucosal recovery compared to natural healing process. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 20, 2023 Category: Surgery Source Type: research
Robotic surgery for inguinal and ventral hernia repair: a systematic review and meta-analysis
ConclusionThese results support robotic surgery as a safe, effective, and viable alternative for IHR and VHR as it can brings several intraoperative and postoperative advantages over laparoscopy and open surgery.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 20, 2023 Category: Surgery Source Type: research
Diverticular peroral endoscopic myotomy (D-POEM) for symptomatic oesophageal diverticulum: a multicentre cohort study with a minimum follow-up of 3 years
ConclusionsD-POEM is an effective and durable treatment for patients with symptomatic oesophageal diverticulum. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 20, 2023 Category: Surgery Source Type: research
Management of esophageal cancer in patients with a right aortic arch or double aortic arch: a case series of 34 cases
ConclusionsEsophageal carcinoma is rarely seen in patients with an RAA or DAA. To adequately dissect superior mediastinal LNs, an auxiliary incision (such as sternotomy), the left door open method or a preceding cervical procedure should be used appropriately. Esophagectomy, whether via thoracotomy or thoracoscopic surgery, can be performed safely for both RAA and DAA. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 17, 2023 Category: Surgery Source Type: research
It ’s not the arrow, it’s the archer: the role of the surgeon leader in a safety driven-era
ConclusionsSurgeons can harness their role as leader in the operating room by engaging with structured communication tools such as the SSC to foster improved teamwork. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 17, 2023 Category: Surgery Source Type: research
Third time ’s a charm: band to sleeve to bypass
ConclusionsPatients undergoing double conversions (AGB to SG to RYGB) do so primarily for GERD or IWL/WR. Further research is required to better define the optimal primary operation for each patient, aiming to reduce the necessity for multiple conversions.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 17, 2023 Category: Surgery Source Type: research
A multi-national, video-based qualitative study to refine training guidelines for assigning an “unsafe” score in laparoscopic cholecystectomy critical view of safety
ConclusionsA safety-based LC-CVS OPSA has the potential to significantly improve surgical training by incorporating CVS formally into learner assessment. This study documents the perspectives of expert biliary tract surgeons regarding clear identification and documentation of unsafe surgical practice for LC-CVS and enables the development of training materials to improve instrument reliability. Learnings from the study have been incorporated into rater instructions to enhance instrument reliability. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 16, 2023 Category: Surgery Source Type: research
Machine learning models to predict success of endoscopic sleeve gastroplasty using total and excess weight loss percent achievement: a multicentre study
ConclusionsAlthough preoperative data only may not be sufficient for accurate postoperative predictions, the ability of ML models to adapt and evolve with the patients changes could assist in providing an effective and personalized postoperative care. ML models predictive capacity improvement with follow-up data is encouraging and may become a valuable support in patient management and decision-making. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - November 16, 2023 Category: Surgery Source Type: research