Risk factors for diaphragmatic injury in subxiphoid video-assisted thoracoscopic surgery
ConclusionsWe identified the length of the xiphoid below the attachment point on the diaphragm as an independent risk factor for diaphragm injury during subxiphoid VATS. Prior to subxiphoid VATS, a 3D chest CT reconstruction is recommended to assess the patients ’ anatomic variations within the xiphoid process. For patients with longer xiphoid process, a higher incision at the middle and upper part of the xiphoid process, and partial xiphoid process resection or xiphoidectomy is preferred.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 8, 2024 Category: Surgery Source Type: research
Endoscopic lithotripsy combined with drug lithotripsy vs. drug lithotripsy for the treatment of phytobezoars: analysis of 165 cases
ConclusionDrug lithotripsy is the preferred effective and safe treatment option for phytobezoars. We advise that an endoscopy should be completed after 48 h for drug lithotripsy. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 8, 2024 Category: Surgery Source Type: research
Primary anastomosis with diverting loop ileostomy vs. Hartmann ’s procedure for acute diverticulitis: what happens after discharge? Results of a nationwide analysis
ConclusionPatients who undergo primary anastomosis for acute diverticulitis are more likely to undergo ostomy reversal and experience fewer postoperative complications upon stoma reversal. These data support the current national guidelines that recommend primary anastomosis in appropriate cases of acute diverticulitis requiring operative treatment.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 5, 2024 Category: Surgery Source Type: research
Preoperative comorbidities as a predictor of EBWL after bariatric surgery: a retrospective cohort study
ConclusionA higher baseline BMI, diabetes mellitus, hypothyroidism, and undergoing laparoscopic sleeve gastrectomy may lead to lower %EBWL in the postoperative period after bariatric surgery. At the same time, patients ’ mental health status and sleep apnea status were not related to %EBWL. This study provides new insight into which comorbidities may need tighter control in order to optimize weight loss outcomes after bariatric surgery.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 5, 2024 Category: Surgery Source Type: research
Surgical options and survival prognosis in geriatric patients beyond average lifespan with locally advanced gastric cancer: a propensity score-matched analysis
ConclusionsLG performed by experienced surgeons offers the benefits of comparable or better surgical and oncological safety profiles than OG for super-geriatric patients with LAGC.Graphical Abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 4, 2024 Category: Surgery Source Type: research
Society of American Gastrointestinal and Endoscopic Surgeons guidelines development: health equity update to standard operating procedure
ConclusionSocieties that promote guidelines within their organization must make an intentional effort to prevent the widening of health disparities as a result of their recommendations. The updates to the Guidelines Committee Standard Operating Procedure will hopefully lead to increased attention to these disparities and provide specific recommendations to reduce them. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 4, 2024 Category: Surgery Source Type: research
Survival paradox between stage IIB/C and stage IIIA colon cancer: is it time to revise the American Joint Committee on Cancer TNM system?
ConclusionStage IIB/C and Stage IIIA survival paradox persists even after accounting for receipt of adjuvant chemotherapy and adequate lymph node retrieval. Future iteration of the TNM system should take this paradox into consideration. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 4, 2024 Category: Surgery Source Type: research
Clinical outcomes and costs of retromuscular and intraperitoneal onlay mesh techniques in robotic incisional hernia repair
ConclusionDespite retromuscular repairs having lower postoperative complications than intraperitoneal onlay mesh repairs, both techniques offered encouraging results in robotic incisional hernia repair at a comparable total cost. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 3, 2024 Category: Surgery Source Type: research
Lessons learned from revision procedures: a case series pleading for reinforcement of the anterior hiatus in recurrent hiatal hernia
ConclusionIn this study, hiatal hernia recurrences occured most commonly at the left-anterior quadrant of the hiatus, however, posterior recurrences were not uncommon. Based on our results, we hypothesize that both posterior and anterior hiatal reinforcement might be a suitable solution to lower the recurrence rate of hiatal hernia. A randomized controlled trial using a circular, bio-absorbable mesh has been initiated to test our hypothesis. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 2, 2024 Category: Surgery Source Type: research
Score prediction of anastomotic leak in colorectal surgery: a systematic review
ConclusionExisting scores are heterogeneous in the identification of pre-operative variables allowing predicting AL. A majority of scores was established from small cohorts of patients which, considering the low incidence of AL, might lead to miss potential predictors of AL. AUC is seldom reported. We recommend that new scores to predict the risk of AL in colorectal surgery to be based on large cohorts of patients, to include a validation set and to report the AUC. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 29, 2024 Category: Surgery Source Type: research
Evaluation of a novel home-based laparoscopic and core surgical skills programme (Monash Online Surgical Training)
ConclusionThe MOST course demonstrates the successful implementation of a fully remote laparoscopic simulation course which participants found to be an effective tool to acquire core surgical skills.Graphical abstract (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 29, 2024 Category: Surgery Source Type: research
Patients ’ perspectives on weight recurrence after bariatric surgery: a single-center survey
ConclusionsPatients considered weight loss as the most important factor when choosing treatment modality for WR, with RBS and lifestyle changes being preferred over weight-loss medications. Large prospective randomized trials are needed to counsel this patient population better. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 29, 2024 Category: Surgery Source Type: research
Effects of laparoscopic sleeve gastrectomy on thyroid hormones and relationship between metabolic parameters and long-term total weight loss
ConclusionBeing the first study to predict long-term total weight loss based on preoperative HbA1c, it is significant. This finding has important implications for personalized patient management and could aid clinicians in identifying individuals who may benefit most from sleeve gastrectomy as a treatment modality. This is valuable in that it emphasizes multidisciplinary work, including the endocrinologist and dietician. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 29, 2024 Category: Surgery Source Type: research
Round ligament management during minimally invasive groin hernia repair in women: a systematic review and meta-analysis
ConclusionTransecting the RLU reduces the operative time during MIS GHR with no difference regarding postoperative complication rates. Although transection appears safe, further prospective randomized studies with long-term follow-up and patient-reported outcomes are necessary to define the optimal management of RLU during MIS GHR. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 29, 2024 Category: Surgery Source Type: research
Correction: Implementation of 3D printed superior mesenteric vascular models for surgical planning and/or navigation in right colectomy with extended D3 mesenterectomy: comparison of virtual and physical models to the anatomy found at surgery
(Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 29, 2024 Category: Surgery Source Type: research
