Journal of Gastrointestinal Surgery最新文献

{"title":"Robotic revisional pancreatojejunal anastomosis: when less is more","authors":"Marcel A. Machado, Fabio F. Makdissi, Marcel C. Machado","doi":"10.1016/j.gassur.2025.102006","DOIUrl":"10.1016/j.gassur.2025.102006","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 5","pages":"Article 102006"},"PeriodicalIF":2.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Invited commentary on “Time to unresectable recurrence – time does not pass, it continues”","authors":"Fumihiro Kawano, Claudius Conrad","doi":"10.1016/j.gassur.2025.102007","DOIUrl":"10.1016/j.gassur.2025.102007","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 5","pages":"Article 102007"},"PeriodicalIF":2.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic extended right posterior sectionectomy for epithelioid hemangioendothelioma","authors":"Tara Pattilachan, Maria Christodoulou, Iswanto Sucandy","doi":"10.1016/j.gassur.2025.102010","DOIUrl":"10.1016/j.gassur.2025.102010","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 5","pages":"Article 102010"},"PeriodicalIF":2.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Invited Commentary on \"A Systematic Review and Meta-Analysis of Factors Associated with Esophageal Stent Migration and a Comparison of Anti-Migration Techniques \".","authors":"Maria S Altieri","doi":"10.1016/j.gassur.2025.102008","DOIUrl":"https://doi.org/10.1016/j.gassur.2025.102008","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":" ","pages":"102008"},"PeriodicalIF":2.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of textbook outcome as a quality metric in hepatopancreaticobiliary surgery: a systematic review and meta-analysis","authors":"Zaiba Shafik Dawood ,&nbsp;Mujtaba Khalil ,&nbsp;Usama Waqar ,&nbsp;Illiyun Banani ,&nbsp;Zayan Alidina ,&nbsp;Timothy M. Pawlik","doi":"10.1016/j.gassur.2025.102005","DOIUrl":"10.1016/j.gassur.2025.102005","url":null,"abstract":"<div><h3>Background</h3><div>Textbook outcomes (TOs) represent the optimal course after surgery. To date, no meta-analysis has assessed the pooled TOs of patients undergoing hepatopancreatobiliary (HPB) surgery and the effect of TO achievement on patient outcomes. This systematic review and meta-analysis aimed to assess TO achievement across different studies and to characterize the effect of TO achievement on patient-related outcomes, including disease-free survival (DFS) and overall survival (OS).</div></div><div><h3>Methods</h3><div>PubMed, Embase, and Scopus databases were searched (1990–2024). The criteria used to define TO and the median overall TO in HPB surgery were obtained. In addition, a random-effects meta-analysis was conducted to assess the effect of TO achievement on 5-year OS and DFS.</div></div><div><h3>Results</h3><div>A total of 27 studies involving 517,304 patients met inclusion criteria. The main criteria used to define TO included absence of readmission and mortality within 30 days after discharge, severe postoperative complications, prolonged hospital stay, and negative surgical margin (R0). Of note, the main factors related to TO achievement were younger patient age and lower American Society of Anesthesiologists score. Overall, the median rates of TOs achieved across procedures were 62.0% (IQR, 48.0%−69.0%) for hepatic procedure, 54.0% (IQR, 41.0%−68.0%) for biliary procedure, 46.0% (IQR, 42.0%−46.5%) for combined hepatopancreatic procedure, 45.0% (IQR, 30.5%−59.0%) for pancreatic procedure, 33.0% (IQR, 32.2%−34.0%) for liver transplantation, and 19.5% (IQR, 16.8%−22.3%) for combined hepatobiliary procedure. TO achievement was associated with improved odds of 5-year OS (odds ratio [OR], 1.22 [95% CI, 1.20–1.24]) and 5-year DFS (OR, 1.26 [95% CI, 1.16–1.37]).</div></div><div><h3>Conclusion</h3><div>Overall, hepatic and biliary operations had the highest TO achievement, followed by pancreatic procedures. In contrast, hepatobiliary surgery and liver transplantation had the lowest TO. There was a significant discrepancy in the definition of TO across different studies, highlighting the need for consensus on the definition of TO.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 5","pages":"Article 102005"},"PeriodicalIF":2.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor regarding “Bariatric surgery in patients with severe obesity obstructive sleep apnea”","authors":"Tomoyuki Kawada","doi":"10.1016/j.gassur.2025.102002","DOIUrl":"10.1016/j.gassur.2025.102002","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 4","pages":"Article 102002"},"PeriodicalIF":2.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients with class III obesity are at elevated risk of postoperative morbidity after surgery for left-sided diverticular disease: a retrospective population-level study","authors":"Tyler McKechnie ,&nbsp;Luke Heimann ,&nbsp;Sahil Sharma ,&nbsp;Phillip Staibano ,&nbsp;Keean Nanji ,&nbsp;Richard Garfinkle ,&nbsp;Zoe Garoufalia ,&nbsp;Aristithes Doumouras ,&nbsp;Sameer Parpia ,&nbsp;Mohit Bhandari ,&nbsp;Cagla Eskicioglu","doi":"10.1016/j.gassur.2025.102004","DOIUrl":"10.1016/j.gassur.2025.102004","url":null,"abstract":"<div><h3>Background</h3><div>Although obesity is a well-established risk factor for the development of diverticular disease, studies focusing on the effect of body mass index (BMI) on postoperative outcomes require updating. This population-level retrospective cohort study was designed to evaluate the effect of BMI on postoperative outcomes after operative intervention for left-sided diverticular disease.</div></div><div><h3>Methods</h3><div>This was a population-based retrospective cohort study using the Healthcare Cost and Utilization Project National Inpatient Sample (NIS) (September 1, 2015 to December 31, 2019). The International Classification of Diseases, 10th Revision, Clinical Modification codes were used to identify a cohort of adult patients with a primary admission diagnosis of diverticulitis. Patients were stratified according to obesity status (ie, not obese: BMI of &lt;30.0 kg/m²; class I obesity: BMI of 30.0–34.9 kg/m²; class II obesity: BMI of 35.0–39.9 kg/m²; class III obesity: BMI of &gt;40.0 kg/m²). The primary outcome was overall in-hospital postoperative morbidity. The multivariate regression models were fit.</div></div><div><h3>Results</h3><div>There were 33,029 patients identified in the NIS who underwent left-sided colonic resection for diverticular disease. There were 27,212 patients who were not obese, 2209 patients with class I obesity, 1710 patients with class II obesity, and 1898 patients with class III obesity. Patients with class III obesity (ie, a BMI of &gt;40.0 kg/m²) had 72.7% higher odds (95% CI, 1.54–1.94) of experiencing in-hospital postoperative morbidity than patients with a BMI of &lt;30.0 kg/m². Patients with class III obesity had 26.9% higher odds (95% CI, 0.98–1.65) of experiencing in-hospital postoperative infection, 54.6% higher odds (95% CI, 1.35–1.77) of experiencing in-hospital postoperative gastrointestinal complications, and 70.9% higher odds (95% CI, 1.48–1.97) of experiencing in-hospital postoperative genitourinary complications than those with a BMI of &lt;30.0 kg/m².</div></div><div><h3>Conclusion</h3><div>Patients with class III obesity undergoing operative intervention for colonic diverticular disease are at increased risk of short-term postoperative morbidity compared with those with a BMI of &lt;30.0 kg/m².</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 5","pages":"Article 102004"},"PeriodicalIF":2.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety of in-hospital delay of appendectomy – a propensity score–matched analysis of 4900 consecutive patients undergoing surgery for suspected appendicitis","authors":"Andrea Mair ,&nbsp;Stefan Schiele ,&nbsp;Lena Anthuber ,&nbsp;Michael Hoffmann ,&nbsp;Gernot Müller ,&nbsp;Matthias Anthuber ,&nbsp;Matthias C. Schrempf","doi":"10.1016/j.gassur.2025.102003","DOIUrl":"10.1016/j.gassur.2025.102003","url":null,"abstract":"<div><h3>Background</h3><div>Historically, urgent surgery was advocated in patients with suspected appendicitis because of the risk of perforation and possible complications. Although recent studies have shown that it is safe to delay surgery under certain circumstances, many studies do not report adjusted data and exclude patients based on risk factors. Furthermore, it is unclear whether an ultrasound-based diagnostic workup is sufficient to safely delay surgery. This large retrospective study aimed to analyze the risk-adjusted association between delayed appendectomy and perforation and complication rates.</div></div><div><h3>Methods</h3><div>Data from consecutive patients who underwent appendectomy for suspected appendicitis at a single institution were reviewed and analyzed. The investigated outcomes were perforation and complication rates. Propensity score (PS) matching was used to create equal groups regarding confounding factors, and multivariate analysis was performed to control for risk factors and to calculate adjusted odds ratios (ORs) for in-hospital delay.</div></div><div><h3>Results</h3><div>Between January 2008 and June 2023, 4900 patients underwent appendectomy for suspected appendicitis. Ultrasound imaging was performed in 4754 patients. Multivariate analysis of PS-matched data showed no association between a waiting time of &gt;12 h and perforation rate (OR, 0.93; 95% CI, 0.67–1.31; <em>P</em> =.69) or complication rate (OR, 0.90; 95% CI, 0.62–1.30; <em>P</em> =.56). Similar results were obtained for a waiting time of 18 h and perforation rate (OR, 0.96; 95% CI, 0.48–1.56; <em>P</em> =.88) or complication rate (adjusted OR, 0.97; 95% CI, 0.57–1.68; <em>P</em> =.93).</div></div><div><h3>Conclusion</h3><div>This large PS-matched analysis showed that it is safe to delay surgery by 12 and 18 h, even when the diagnostic workup is based on ultrasound. In patients with risk factors for complications, postponement of the procedure can be considered if it can improve overall conditions or allow the procedure to be performed with a higher level of expertise.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 4","pages":"Article 102003"},"PeriodicalIF":2.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Colonic metastasis of primary lung adenocarcinoma","authors":"Ming Zhou ,&nbsp;Zuguang Wu ,&nbsp;Zhiwang Li","doi":"10.1016/j.gassur.2025.102001","DOIUrl":"10.1016/j.gassur.2025.102001","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 4","pages":"Article 102001"},"PeriodicalIF":2.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The first international experience with histotripsy: a safety analysis of 230 cases","authors":"Chase J. Wehrle ,&nbsp;Kevin Burns ,&nbsp;Evan Ong ,&nbsp;Allison Couillard ,&nbsp;Neehar D. Parikh ,&nbsp;Elaine Caoili ,&nbsp;JaeKeun Kim ,&nbsp;Federico Aucejo ,&nbsp;Andrea Schlegel ,&nbsp;Emily Knott ,&nbsp;Paul Laeseke ,&nbsp;J. Philip Boudreaux ,&nbsp;Philipp von Breitenbuch ,&nbsp;Mikhail Silk ,&nbsp;Mohamed Alassas ,&nbsp;Andrew Guzowski ,&nbsp;Brian Fuller ,&nbsp;Erica Knavel Koepsel ,&nbsp;Brock Hewitt ,&nbsp;Mishal Mendiratta-Lala ,&nbsp;David C.H. Kwon","doi":"10.1016/j.gassur.2025.102000","DOIUrl":"10.1016/j.gassur.2025.102000","url":null,"abstract":"<div><h3>Background</h3><div>Histotripsy is a novel, noninvasive, nonionizing, and nonthermal approach that uses focused ultrasound waves to treat liver tumors. This technology received a de novo Food and Drug Administration grant in late 2023. This study aimed to provide the first report on post-trial real-world clinical safety data.</div></div><div><h3>Methods</h3><div>Safety outcomes within 30 days of histotripsy were collected after obtaining Food and Drug Administration clearance (December 22, 2023 to July 26, 2024). All centers that performed histotripsy were invited to participate in this study. Complications requiring treatment were graded using the Clavien-Dindo classification and Comprehensive Complication Index (CCI).</div></div><div><h3>Results</h3><div>A total of 295 patients underwent histotripsy for 510 tumors at 18 centers. The treated liver tumor types included colorectal metastases (n = 140), neuroendocrine tumors (n = 46), hepatocellular carcinomas (n = 31), pancreatic tumors (n = 30), and breast metastases (n = 26). The most common numbers of tumors treated per procedure were 1 (n = 170), 2 (n = 69), and 3 (n = 37). All 8 liver segments were treated for tumors. Safety data were available for 230 patients from 9 centers. Of note, 12 of 230 patients (5.2%) experienced complications of any grade. Most patients (9 [75%]) had minor cases (Clavien-Dindo grade ≤ II). The median and mean CCIs were 0.00 (IQR, 0.00–0.00) and 0.00 (95% CI, 0.00–0.75). All 3 major complications (Clavien-Dindo grade &gt; II [1.3%]) were death due to disease progression. All 3 patients underwent histotripsy with palliative intent for known advanced intra- and extrahepatic diseases.</div></div><div><h3>Conclusion</h3><div>To the best of our knowledge, this is the first study to report on the real-world therapeutic use of histotripsy for liver tumors. Histotripsy was well tolerated, with few overall complications and rare serious complications, indicating a safety profile that compares favorably with that of other liver-directed and surgical therapies for the treatment of liver tumors. Long-term follow-up data, including oncologic outcomes, were collected.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 4","pages":"Article 102000"},"PeriodicalIF":2.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}