Article
Gastroenterology & Hepatology
Alexander M. Fagenson, Benjamin D. Powers, Konstantinos A. Zorbas, Sunil Karhadkar, Andreas Karachristos, Antonio Di Carlo, Kwan N. Lau
Summary: Frailty is associated with postoperative morbidity and mortality in patients undergoing laparoscopic cholecystectomy for acute cholecystitis, with intermediate and high levels of frailty showing significantly higher rates of complications and mortality. The Modified Frailty Index (mFI) was found to have excellent accuracy in predicting postoperative outcomes.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Surgery
Justin J. Turcotte, Adam S. Weltz, Ian Bussey, Peter L. Abrams, Cristina B. Feather, J. Robert Klune
Summary: The study found that transfer status is not independently associated with mortality, postoperative complications, or prolonged length of stay in patients with advanced liver disease undergoing acute cholecystectomy. This suggests that these patients may not benefit from interfacility transfer.
JOURNAL OF SURGICAL RESEARCH
(2022)
Article
Medicine, General & Internal
Kojiro Omiya, Kazuhiro Hiramatsu, Yoshihisa Shibata, Masahide Fukaya, Masahiro Fujii, Taro Aoba, Atsuki Arimoto, Takayuki Yamaguchi, Takehito Kato
Summary: Preoperative MRI assessment can predict surgical difficulty during laparoscopic cholecystectomy in acute cholecystitis patients, with low signal intensity of the gallbladder wall being associated with higher rates of bailout procedures and prolonged operating times.
Article
Gastroenterology & Hepatology
Marcello Di Martino, Ismael Mora-Guzman, Victor Vaello Jodra, Alfonso Sanjuanbenito Dehesa, Dieter Morales Garcia, Ruben Caina Ruiz, Francisca Garcia-Moreno Nisa, Fernando Mendoza Moreno, Sara Alonso Batanero, Jose Edecio Quinones Sampedro, Paola Lora Cumplido, Altea Arango Bravo, Ines Rubio-Perez, Luis Asensio-Gomez, Fernando Pardo Aranda, Sara Senti Farrarons, Cristina Ruiz Moreno, Clara Maria Martinez Moreno, Aingeru Sarriugarte Lasarte, Mikel Prieto Calvo, Daniel Aparicio-Sanchez, Eduardo Perea Del Pozo, Gianluca Pellino, Elena Martin-Perez
Summary: This study identified factors associated with an increased risk of postoperative complications in patients with acute calculous cholecystitis (ACC) undergoing early laparoscopic cholecystectomy (ELC) and developed a preoperative score (Chole-Risk Score) to predict these complications. The score was validated through correlation analysis and showed a progressive increase in postoperative complications with higher scores.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Geriatrics & Gerontology
Malek Barka, Mohamed Salah Jarrar, Zied Ben Abdessalem, Fehmi Hamila, Sabri Youssef
Summary: This study aimed to evaluate the outcomes of early laparoscopic cholecystectomy for acute calculous cholecystitis in older adult patients. The results showed no significant differences in operative time, conversion rate, and intra- and postoperative morbidity between the older adult group and the younger group, indicating that early laparoscopic cholecystectomy can be safely proposed for older adult patients.
GERIATRICS & GERONTOLOGY INTERNATIONAL
(2023)
Article
Surgery
Philippe Malvaux, Dario Gherardi, Fillip Gryspeerdt, Charles De Gheldere
Summary: The use of the CADISS (R) system in laparoscopic cholecystectomy for acute cholecystitis showed promising results in facilitating dissection and reducing complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Pinky Thapar, Prashant Salvi, Madhura Killedar, Philip Roji, Muktachand Rokade
Summary: This study evaluated the utility and safety of LC in complex ACC through a set protocol and intraoperative steps. Analysis of 145 patients showed that outcomes of LC were influenced by preoperative assessment, treatment algorithm, and safety steps.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Nina Sonne Bundgaard, Aske Bohm, Anna Koldbro Hansted, Anders Peter Skovsen
Summary: This study evaluated the safety of ELC compared to DLC for acute cholecystitis, finding that ELC is safe even beyond 5 days of symptoms. The duration of symptoms in AC does not independently predict perioperative outcomes.
LANGENBECKS ARCHIVES OF SURGERY
(2021)
Article
Gastroenterology & Hepatology
Anthony Yuen Bun Teoh, Chi Ho Leung, Prudence Tai Huen Tam, Kitty Kit Ying Au Yeung, Richard Chung Ying Mok, Daniel Leonard Chan, Shannon Melissa Chan, Hon Chi Yip, Philip Wai Yan Chiu, Enders Kwok Wai Ng
Summary: A comparison study of EUS-GBD and LC for acute cholecystitis found similar outcomes in terms of technical and clinical success rates, lengths of hospital stay, 30-day adverse events, and mortality rates. Additionally, the rates of recurrent biliary events, reinterventions, and unplanned readmissions within 1 year were also similar between the two procedures. These findings support EUS-GBD as a viable alternative to LC for patients who may not be suitable for definitive cholecystectomy.
GASTROINTESTINAL ENDOSCOPY
(2021)
Article
Surgery
Toshiyuki Mori, Hideki Endo, Takeyuki Misawa, Shigeki Yamaguchi, Yoshihiro Sakamoto, Masafumi Inomata, Yoshiharu Sakai, Yoshihiro Kakeji, Hiroaki Miyata, Yuko Kitagawa, Masahiko Watanabe
Summary: This study evaluated the impact of ESSQS-certified surgeons on short-term outcomes of laparoscopic cholecystectomy for acute cholecystitis. The findings suggest that ESSQS-certified surgeons have lower surgical mortality rates.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Emergency Medicine
Giuseppe Borzellino, Safi Khuri, Michele Pisano, Subhi Mansour, Niccolo Allievi, Luca Ansaloni, Yoram Kluger
Summary: This study did not confirm the hypothesis that immediate cholecystectomy performed within 24 hours of admission may reduce post-operative complications unless surgery could be performed within 72 hours of the onset of symptoms.
WORLD JOURNAL OF EMERGENCY SURGERY
(2021)
Article
Surgery
Szabolcs Abraham, Illes Toth, Ria Benko, Maria Matuz, Gabriella Kovacs, Zita Morvay, Andras Nagy, Aurel Ottlakan, Laszlo Czako, Zoltan Szepes, Daniel Vaczi, Andras Negyessy, Attila Paszt, Zsolt Simonka, Andras Petri, Gyorgy Lazar
Summary: This retrospective study of 162 patients undergoing PTGBD between 2010 and 2020 demonstrates promising clinical success rates in the treatment of acute cholecystitis, with PTGBD being a definitive treatment in a significant percentage of cases. However, the severity of gallbladder inflammation, particularly in grade III cases, plays a decisive role in clinical outcomes, with low success rates and high mortality rates to be considered.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Malek Barka, Mohamed Salah Jarrar, Jihene Sahli, Zied Ben Abdessalem, Fehmi Hamila, Sabri Youssef
Summary: This study aimed to evaluate the outcomes of early laparoscopic cholecystectomy (ELC) in patients with acute calculous cholecystitis (ACC) who had symptoms for more than 7 days. The results showed that there were no significant differences in conversion rate, intra- and postoperative complications, and length of stay between the two groups. Therefore, ELC could be considered as a treatment option for patients with ACC even after 7 days of symptoms.
LANGENBECKS ARCHIVES OF SURGERY
(2023)
Article
Medicine, General & Internal
S. Yuksekdag, G. Bas, I Okan, A. Karakelleoglu, O. Alintoglu, A. Akcakaya, M. Sahin
Summary: The study found that early laparoscopic cholecystectomy is the treatment of choice for acute cholecystitis, but is associated with a high conversion rate. The timing of surgery does not affect the conversion rate, and the risk of bile duct injury postoperatively is relatively low.
NIGERIAN JOURNAL OF CLINICAL PRACTICE
(2021)
Article
Surgery
Gregory Metzger, Chelsea Horwood, J. C. Chen, Ryan Eaton, Scott A. Strassels, Robert M. Tamer, Jonathan Wisler, Heena Santry, Amy Rushing
Summary: The study found that patients with disseminated cancer undergoing cholecystectomy face higher risks of complications and mortality. Care decisions should be individualized based on the patient's disease status and treatment goals.
JOURNAL OF SURGICAL RESEARCH
(2021)
Editorial Material
Surgery
Meghal Shah, Tejas S. Sathe, Sukriti Bansal, Anai N. Kothari, Sophie Dream
JOURNAL OF SURGICAL RESEARCH
(2024)
Letter
Surgery
Zafer Turkyilmaz, Ramazan Karabulut, Kaan Sonmez
JOURNAL OF SURGICAL RESEARCH
(2024)
Letter
Surgery
Priyanka Jadhav, Gerald Gollin
JOURNAL OF SURGICAL RESEARCH
(2024)
Review
Surgery
Kheira Hireche, Ludovic Canaud, Pierre Antoine Peyron, Linda Sakhri, Isabelle Serres, Sanaa Kamel, Youcef Lounes, Thomas Gandet, Pierre Alric
Summary: This study evaluated the elastic properties of commonly used vascular substitutes for pulmonary artery replacement and compared their compliance and stiffness indexes to human pulmonary artery. The results showed that allogenic arterial grafts appeared to be the most suitable vascular substitutes in terms of compliance and stiffness for PA replacement.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Margaret Siu, Aixa Perez Coulter, Heather M. Grant, Reginald Alouidor, Michael Tirabassi
Summary: There is no significant difference in adverse respiratory events between intubated, critically ill patients requiring operative intervention who are kept NPO for 6 hours or longer compared to those kept NPO for less than 6 hours. Patients commonly experience periods of fasting much longer than the recommended 6-hour period by the American Society of Anesthesiologists.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Whitney Elks, Allison G. McNickle, Matthew Kelecy, Kavita Batra, Shirley Wong, Shawn Wang, Lisa Angotti, Deborah A. Kuhls, Charles St Hill, Syed F. Saquib, Paul J. Chestovich, Douglas R. Fraser
Summary: This study aimed to compare the effects of early and late enteral feeding after PEG placement on achieving nutritional therapy goals and adverse outcomes. The results showed that patients with early initiation of feeds achieved a higher percentage of goals on day 0 without an increased rate of adverse events.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Manisha B. Bhatia, Cassandra M. Anderson, Abdiwahab N. Hussein, Brian Opondo, Nereah Aruwa, Otieno Okumu, Sarah G. Fisher, Tasha Sparks Joplin, JoAnna L. Hunter-Squires, Brian W. Gray, Peter W. Saula
Summary: This study aimed to understand postoperative pediatric nutrition practices in Kenya and the United States. The results showed that in the United States, patients initiated enteral nutrition earlier and had shorter hospital stays. However, in Kenya, patients initiated enteral nutrition earlier but had no significant difference in hospital stays.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
David P. Stonko, Joseph Edwards, Hossam Abdou, Rebecca Treffalls, Patrick Walker, Jonathan J. Morrison
Summary: Raising mean arterial pressure (MAP) >90 mmHg with norepinephrine can increase gastroduodenal artery (GDA) flow and delay bowel ischemia.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
David R. Mann, Kathryn E. Engelhardt, Barry C. Gibney, Macelyn E. Batten, Eric C. Klipsch, Rupak Mukherjee, Ian C. Bostock
Summary: Pathologic upstaging is associated with decreased overall survival in cT1b esophageal cancer. Esophagectomy has better survival outcomes compared to endoscopic local tumor excision. Neoadjuvant chemoradiation therapy does not improve overall survival in cT1b lesions.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Ross Mudgway, Zachary Tran, Juan C. Quispe Espiritu, Woo Bin Bong, Hayden Schultz, Vamsi Vemireddy, Aarthy Kannappan, Marcos Michelotti, Kaushik Mukherjee, Jeffrey Quigley, Keith Scharf, Daniel Srikureja, Sharon S. Lum, Esther Wu
Summary: Comparison of medium-term outcomes between robotic-assisted cholecystectomy (RC) and laparoscopic cholecystectomy (LC) using validated quality of life (QoL) and pain assessments did not show significant differences.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Ningjie Chen, Haitao Wang, Yang Shao, Jincun Yang, Guodong Song
Summary: This study aimed to compare the therapeutic effects of activated platelet-rich plasma (PRP) prepared from elderly individuals and young adults in treating pressure ulcers (PUs). The results showed that PRP from young adults had higher platelet concentrations and greater production of growth factors, leading to better wound healing.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Brendin R. Beaulieu-Jones, Margaret T. Berrigan, Kortney A. Robinson, Jayson S. Marwaha, Tara S. Kent, Gabriel A. Brat
Summary: Introduction: Prescription opioids, including those prescribed after surgery, have greatly contributed to the US opioid epidemic. Educating opioid prescribers is a crucial component of ensuring the safe use of opioids among surgical patients. This study implemented an annual education curriculum for new surgical prescribers, resulting in significant improvements in knowledge and comfort levels. However, there remains a persistent knowledge and comfort gap among these prescribers.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Sneha G. Bhat, Madhuri Nagaraj, Courtney Balentine, Timothy Hogan, Jennie Meier, Hillary Prince, Kareem Abdelfattah, Herbert Zeh, Benjamin Levi
Summary: This pilot study examined the effects of a structured mental fitness program on academic surgeons and found significant improvement in Positive Intelligence (PQ) scores, as well as increased connectedness and shared language among participants. However, there were no significant changes in sleep, well-being, or teaching evaluations.
JOURNAL OF SURGICAL RESEARCH
(2024)
Article
Surgery
Kristin E. Cox, Michael A. Turner, Siamak Amirfakhri, Thinzar M. Lavin, Mojgan Hosseini, Pradipta Ghosh, Marygorret Obonyo, Takashi Murakami, Robert M. Hoffman, Paul J. Yazaki, Michael Bouvet
Summary: This study demonstrates the potential of using humanized anti-carcinoembryonic antigen (CEA) antibodies conjugated with near-infrared dyes to specifically label gastric cancers in mouse models. Orthotopic models showed bright and specific labeling with more than ten times higher tumor-to-background ratios compared to the control. This tumor-specific fluorescent antibody has promising potential as a clinical tool for improving visualization of gastric cancer margins during surgical resection.
JOURNAL OF SURGICAL RESEARCH
(2024)
Review
Surgery
Sarah Maki, Melissa Leon, Emily Glenn, Tiffany Tanner, Crystal Krause
Summary: This scoping review analyzed the literature on the use of broadband personality tests in the bariatric surgical population to optimize weight loss outcomes. The study found significant associations between personality scales and weight loss, but inconsistent reporting of outcome measures made it challenging to draw concrete conclusions. The American Society for Metabolic and Bariatric Surgery recommends standardization of outcome reporting to improve the reliability of predicting weight loss outcomes.
JOURNAL OF SURGICAL RESEARCH
(2024)