Review
Surgery
Elisabeth C. McLemore, Lawrence Lee, Traci L. Hedrick, Laila Rashidi, Erik P. Askenasy, Daniel Popowich, Patricia Sylla
Summary: As enhanced recovery programs (ERPs) have evolved, the length of hospitalization following elective minimally invasive colorectal surgery has decreased. The interest in ambulatory colectomy has increased during the COVID-19 pandemic, leading to further reductions in length of stay.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Bruce Su'a, Tony Milne, Rebekah Jaung, Weisi Xia, James Jin, Darren Svirskis, Tim Eglinton, Ian Bissett, Andrew G. Hill
Summary: The study compared the inflammatory response in patients undergoing elective colectomy without complications, specifically between open and laparoscopic approaches. Patients undergoing laparoscopy had significantly reduced levels of several inflammatory markers postoperatively, showing the influence of surgical approach on the postoperative inflammatory response.
ANZ JOURNAL OF SURGERY
(2022)
Article
Medicine, General & Internal
Omair A. Shariq, Katherine A. Bews, David A. Etzioni, Michael L. Kendrick, Elizabeth B. Habermann, Cornelius A. Thiels
Summary: This study investigates the association between the COVID-19 pandemic and the transition from inpatient to outpatient general surgery procedures. The study finds that the onset of the pandemic is significantly associated with an increased odds of outpatient surgery for 8 procedures out of 16 common general surgery operations. However, the percentage increase in outpatient cases is small, except for 4 procedures. These findings suggest that despite the advocacy for expanding outpatient surgery, its uptake is limited to a small subset of operations.
Article
Medicine, General & Internal
Wan-Hsiang Hu, Samuel Eisenstein, Lisa Parry, Sonia Ramamoorthy
Summary: Recommendations for elective colectomies after recovery from uncomplicated acute diverticulitis should be individualized. However, the specific risk factors associated with this approach are still undetermined. This retrospective study aimed to identify the risk factors associated with postoperative outcomes in patients with diverticular disease after receiving an elective colectomy. Through the analysis of a large database, the study found that age, BMI, smoking status, dyspnea, hypertension, current kidney dialysis, chronic steroid use, ASA III, and open colectomy were independent risk factors associated with overall complications. These risk factors were also found in laparoscopic colectomy cases, indicating the importance of considering them when making decisions about elective colectomies. By identifying patient-specific risk factors, this study provides valuable insights for mitigating postoperative complications and improving outcomes.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Alexander T. Booth, Shelby Allen, Vlad V. Simianu, Christine C. Jensen, Marc L. Schermerhorn, Virgilio V. George, Thomas Curran
Summary: Preoperative type and screen is recommended for all colectomy patients, but predicting transfusion risk based on patient characteristics can help avoid unnecessary testing.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Gastroenterology & Hepatology
Numa P. Perez, David C. Chang, Robert N. Goldstone, Liliana Bordeianou, Rocco Ricciardi, Paul M. Cavallaro
Summary: This study found that patients undergoing laparoscopic surgery for diverticulitis have a higher risk of incisional hernia compared to those undergoing similar surgery for colon cancer. Therefore, surgeons should adhere to evidence-based guidelines for fascial closure to prevent this complication when performing resections for diverticulitis.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Clinical Neurology
Gabriel Hanna, Alejandro Pando, Stephen Saela, Arash P. Emami
Summary: The study aimed to identify patients at risk of developing postoperative CSF leak after lumbar fusion. Risk factors included patient age, surgical approach, chronic deficiency anemia, obesity, and pulmonary circulatory disease.
EUROPEAN SPINE JOURNAL
(2022)
Article
Geriatrics & Gerontology
Jessica M. Ross, Emiliano Santarnecchi, Shu Jing Lian, Tamara G. Fong, Alexandra Touroutoglou, Michele Cavallari, Thomas G. Travison, Edward R. Marcantonio, Towia A. Libermann, Eva M. Schmitt, Sharon K. Inouye, Mouhsin M. Shafi, Alvaro Pascual-Leone
Summary: Post-surgical delirium is a serious complication that can lead to cognitive decline and loss of function. This study found that neurophysiologic measures, such as resting-state EEG and transcranial magnetic stimulation, could predict the risk of delirium in older patients undergoing surgery.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Oncology
Malcolm H. Squires, Erin E. Donahue, Michelle L. Wallander, Sally J. Trufan, Reilly E. Shea, Nicole F. Lindholm, Joshua S. Hill, Jonathan C. Salo
Summary: The study used the NSQIP dataset to investigate the factors associated with length of stay and early discharge in cancer patients undergoing colectomy. Factors such as independent functional status, minimally invasive approach, and absence of ostomy or additional bowel resection were significantly associated with shorter hospital stays. A model based on perioperative variables could be developed to identify patients eligible for early discharge and efforts should be focused on optimizing modifiable risk factors to decrease overall hospital stays.
Article
Gastroenterology & Hepatology
Christy E. Cauley, David C. Chang, Stuart R. Lipsitz, Mary Brindle, Zara Cooper, Christine S. Ritchie
Summary: This study aims to examine the rates of non-home discharge and identify the predictors among adults undergoing elective diverticulitis surgery. The study found that advancing age, preoperative functional dependence, and low preoperative albumin level were significant predictors of non-home discharge.
JOURNAL OF GASTROINTESTINAL SURGERY
(2022)
Review
Oncology
Doerte Wichmann, Stefano Fusco, Christoph R. Werner, Sabrina Voesch, Benedikt Duckworth-Mothes, Ulrich Schweizer, Dietmar Stueker, Alfred Koenigsrainer, Karolin Thiel, Markus Quante
Summary: Flexible endoscopy plays an important role in the diagnosis and treatment of postoperative complications after esophageal cancer surgery, offering effective therapy with minimal invasiveness. During the past 20 years, significant advancements have been made in endoscopic treatment techniques for anastomotic bleeding, anastomotic insufficiency, anastomotic stenosis, and delayed gastric emptying.
Article
Surgery
Cory Lee, Russyan Mark Mabeza, Arjun Verma, Sara Sakowitz, Zachary Tran, Joseph Hadaya, Hanjoo Lee, Peyman Benharash
Summary: Frailty, as assessed by the mFI-5, was found to be associated with increased perioperative morbidity and hospital resource use in patients undergoing elective colon resection for diverticular disease. Frail patients had higher odds of major adverse events, surgical site infection, postoperative ileus, prolonged length of stay, nonhome discharge, and unplanned readmission compared to non-frail patients. Deployment of frailty instruments may help improve patient selection for elective colectomy.
Article
Oncology
Huida Zheng, Yurong Liu, Zhenze Chen, Yafeng Sun, Jianhua Xu
Summary: This study retrospectively analyzed data from 424 patients who underwent right colectomy, and established a nomogram to predict the incidence of early small bowel obstruction (EPSBO) after the surgery. The predictive performance of the model was evaluated using an area under the receiver operating characteristic curve and calibration chart.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2022)
Article
Infectious Diseases
Verena Gloeckner, Mathias W. Pletz, Gernot Rohde, Jan Rupp, Martin Witzenrath, Grit Barten-Neiner, Martin Kolditz
Summary: This study found that the 30-day post-discharge mortality rate in CAP patients is influenced by multiple independent risk factors, including older age, lower BMI, comorbidities, and extended length of hospital stay. Early post-discharge deaths account for a quarter of all CAP-associated deaths, underscoring the importance of post-discharge management for CAP patients. Further research is needed to validate these findings in independent cohorts.
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
(2022)
Article
Surgery
Tiffany Paradis, Stephan Robitaille, Teodora Dumitra, A. Sender Liberman, Patrick Charlebois, Barry L. Stein, Julio F. Fiore Jr, Liane S. Feldman, Lawrence Lee
Summary: This study aimed to investigate the impact of patient activation level on the effectiveness of a digital health application. The results showed that low patient activation level was associated with higher emergency department visit rates, while the patient activation level did not affect app usage metrics. Therefore, improving patient activation level may improve postoperative outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)