Papers in Surgery - Peeref

Article Gastroenterology & Hepatology

Endoscopic submucosal dissection for superficial gastrointestinal lesions: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022

Pedro Pimentel-Nunes, Diogo Libanio, Barbara A. J. Bastiaansen, Pradeep Bhandari, Raf Bisschops, Michael J. Bourke, Gianluca Esposito, Arnaud Lemmers, Roberta Maselli, Helmut Messmann, Oliver Pech, Mathieu Pioche, Michael Vieth, Bas L. A. M. Weusten, Jeanin E. van Hooft, Pierre H. Deprez, Mario Dinis-Ribeiro

Summary: This guideline provides recommendations for the evaluation and treatment of superficial gastrointestinal lesions. It suggests that experienced endoscopists should use high definition white-light and chromoendoscopy for evaluation and recommends endoscopic submucosal dissection for most lesions. Different treatment approaches are suggested for specific situations. The guideline also provides recommendations for post-resection surveillance and treatment.

ENDOSCOPY (2022)

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Article Surgery

First clinical-grade porcine kidney xenotransplant using a human decedent model

Paige M. Porrett, Babak J. Orandi, Vineeta Kumar, Julie Houp, Douglas Anderson, A. Cozette Killian, Vera Hauptfeld-Dolejsek, Dominque E. Martin, Sara Macedon, Natalie Budd, Katherine L. Stegner, Amy Dandro, Maria Kokkinaki, Kasinath Kuravi, Rhiannon D. Reed, Huma Fatima, John T. Killian, Gavin Baker, Jackson Perry, Emma D. Wright, Matthew D. Cheung, Elise N. Erman, Karl Kraebber, Tracy Gamblin, Linda Guy, James F. George, David Ayares, Jayme E. Locke

Summary: This study suggests that major obstacles to human xenotransplantation have been overcome through in vivo experimentation, and identifies areas where new knowledge is needed to optimize outcomes.

AMERICAN JOURNAL OF TRANSPLANTATION (2022)

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Article Neuroimaging

European Stroke Organisation (ESO)-European Society for Minimally Invasive Neurological Therapy (ESMINT) Guidelines on Mechanical Thrombectomy in Acute Ischemic Stroke

Guillaume Turc, Pervinder Bhogal, Urs Fischer, Pooja Khatri, Kyriakos Lobotesis, Mikael Mazighi, Peter D. Schellinger, Danilo Toni, Joost de Vries, Philip White, Jens Fiehler

Summary: These guidelines, based on the standard operating procedure of the European Stroke Organisation, recommend mechanical thrombectomy (MT) with best medical management (BMM) to improve functional outcome in patients with large vessel occlusion (LVO) within 6 hours after symptom onset. They also provide details on prehospital management, patient selection, and treatment modalities.

JOURNAL OF NEUROINTERVENTIONAL SURGERY (2023)

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Article Surgery

European Society for Vascular Surgery (ESVS) 2022 Clinical Practice Guidelines on the Management of Chronic Venous Disease of the Lower Limbs

Marianne G. De Maeseneer, Stavros K. Kakkos, Thomas Aherne, Niels Baekgaard, Stephen Black, Lena Blomgren, Athanasios Giannoukas, Manjit Gohel, Rick de Graaf, Claudine Hamel-Desnos, Arkadiusz Jawien, Aleksandra Jaworucka-Kaczorowska, Christopher R. Lattimer, Giovanni Mosti, Thomas Noppeney, Marie Josee van Rijn, Gerry Stansby, Philippe Kolh, Frederico Bastos Goncalves, Nabil Chakfe, Raphael Coscas, Gert J. de Borst, Nuno Dias, Robert J. Hinchliffe, Igor B. Koncar, Jes S. Lindholt, Santi Trimarchi, Riikka Tulamo, Christopher P. Twine, Frank Vermassen, Anders Wanhainen, Martin Bjorck, Nicos Labropoulos, Fedor Lurie, Armando Mansilha, Isaac K. Nyamekye, Marta Ramirez Ortega, Jorge H. Ulloa, Tomasz Urbanek, Andre M. van Rij, Marc E. Vuylsteke

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY (2022)

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Article Surgery

Society for Vascular Surgery clinical practice guidelines for management of extracranial cerebrovascular disease

Ali F. AbuRahma, Efthymios D. Avgerinos, Robert W. Chang, R. Clement Darling, Audra A. Duncan, Thomas L. Forbes, Mahmoud B. Malas, Mohammad Hassan Murad, Bruce Alan Perler, Richard J. Powell, Caron B. Rockman, Wei Zhou

Summary: Management of carotid bifurcation stenosis in stroke prevention has been extensively studied, recommending CEA as the primary treatment. For symptomatic low-risk patients, carotid intervention should be performed within 48 hours to 14 days of symptom onset. Screening for clinically asymptomatic carotid artery stenosis in the general population is not recommended.

JOURNAL OF VASCULAR SURGERY (2022)

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Article Surgery

OPTN/SRTR 2020 Annual Data Report: Liver

A. J. Kwong, N. H. Ebel, W. R. Kim, J. R. Lake, J. M. Smith, D. P. Schladt, M. A. Skeans, J. Foutz, K. Gauntt, M. Cafarella, J. J. Snyder, A. K. Israni, B. L. Kasiske

Summary: The COVID-19 pandemic had a significant impact on transplant programs and outcomes, but the number of liver transplants performed in the United States reached a record high. Living donation activity decreased, but the survival rates for patients with liver transplants continued to improve. The liver transplant waitlists for both adults and children decreased in size, and a new liver distribution policy based on acuity circles was implemented. The predominant indication for liver transplants among adults in 2020 was alcohol-associated liver disease.

AMERICAN JOURNAL OF TRANSPLANTATION (2022)

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Letter Surgery

Efficiency of a boost with a third dose of anti-SARS-CoV-2 messenger RNA-based vaccines in solid organ transplant recipients

Arnaud Del Bello, Florence Abravanel, Olivier Marion, Chloe Couat, Laure Esposito, Laurence Lavayssiere, Jacques Izopet, Nassim Kamar

AMERICAN JOURNAL OF TRANSPLANTATION (2022)

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Article Immunology

The RECOVAC Immune-response Study: The Immunogenicity, Tolerability, and Safety of COVID-19 Vaccination in Patients With Chronic Kidney Disease, on Dialysis, or Living With a Kidney Transplant

Jan-Stephan F. Sanders, Frederike J. Bemelman, A. Lianne Messchendorp, Carla C. Baan, Debbie van Baarle, Rob van Binnendijk, Dimitri A. Diavatopoulos, Sophie C. Frolke, Daryl Geers, Corine H. GeurtsvanKessel, Gerco den Hartog, Marieke van der Heiden, Celine Imhof, Marcia M. L. Kho, Marion P. G. Koopmans, S. Reshwan K. Malahe, Wouter B. Mattheussens, Renate van der Molen, Djenolan van Mourik, Ester B. M. Remmerswaal, Nynke Rots, Priya Vart, Rory D. de Vries, Ron T. Gansevoort, Luuk B. Hilbrands, Marlies E. J. Reinders

Summary: In kidney patients, the immunogenicity, tolerability, and safety of COVID-19 vaccination vary. Kidney transplant recipients have a poor immune response, while patients with CKD G4/5 and those on dialysis have a comparable response to the control group. Dialysis patients and transplant recipients experience fewer adverse events after vaccination.

TRANSPLANTATION (2022)

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Article Surgery

Effects of Community-based Exercise Prehabilitation for Patients Scheduled for Colorectal Surgery With High Risk for Postoperative Complications: Results of a Randomized Clinical Trial

Annefleur E. M. Berkel, Bart C. Bongers, Hayke Kotte, Paul Weltevreden, Frans H. C. de Jongh, Michiel M. M. Eijsvogel, Machteld Wymenga, Marloes Bigirwamungu-Bargeman, Job van der Palen, Marc J. van Det, Nico L. U. van Meeteren, Joost M. Klaase

Summary: This study assessed the effects of a 3-week community-based exercise program on 30-day postoperative complications in high-risk patients scheduled for elective colorectal resection. The study found that exercise prehabilitation reduced the rate of postoperative complications.

ANNALS OF SURGERY (2022)

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Article Surgery

Impact of Portable Normothermic Blood-Based Machine Perfusion on Outcomes of Liver Transplant The OCS Liver PROTECT Randomized Clinical Trial

James F. Markmann, Marwan S. Abouljoud, R. Mark Ghobrial, Chandra S. Bhati, Shawn J. Pelletier, Amy D. Lu, Shane Ottmann, Tarunjeet Klair, Corey Eymard, Garrett R. Roll, Joseph Magliocca, Timothy L. Pruett, Jorge Reyes, Sylvester M. Black, Christopher L. Marsh, Gabriel Schnickel, Milan Kinkhabwala, Sander S. Florman, Shaheed Merani, Anthony J. Demetris, Shoko Kimura, Michael Rizzari, Ashish Saharia, Marlon Levy, Avinash Agarwal, Francisco G. Cigarroa, James D. Eason, Shareef Syed, W. Kenneth Washburn, Justin Parekh, Jang Moon, Alexander Maskin, Heidi Yeh, Parsia A. Vagefi, Malcolm P. MacConmara

Summary: This multicenter randomized clinical trial demonstrates that normothermic machine perfusion preservation of deceased donor livers reduces both early allograft dysfunction and ischemic biliary complications in liver transplant recipients, and increases the utilization of livers from donors after cardiac death.

JAMA SURGERY (2022)

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Article Surgery

Association of Surgeon-Patient Sex Concordance With Postoperative Outcomes

Christopher J. D. Wallis, Angela Jerath, Natalie Coburn, Zachary Klaassen, Amy N. Luckenbaugh, Diana E. Magee, Amanda E. Hird, Kathleen Armstrong, Bheeshma Ravi, Nestor F. Esnaola, Jonathan C. A. Guzman, Barbara Bass, Allan S. Detsky, Raj Satkunasivam

Summary: Sex discordance between surgeons and patients is associated with worse postoperative outcomes, especially when female patients are treated by male surgeons. Further research is needed to understand the underlying mechanism.

JAMA SURGERY (2022)

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Article Cardiac & Cardiovascular Systems

A single-arm study of sublobar resection for ground-glass opacity dominant peripheral lung cancer

Kenji Suzuki, Shun-ichi Watanabe, Masashi Wakabayashi, Hisashi Saji, Keiju Aokage, Yasumitsu Moriya, Ichiro Yoshino, Masahiro Tsuboi, Shinichiro Nakamura, Kenichi Nakamura, Tetsuya Mitsudomi, Hisao Asamura, West Japan Oncology Group And Japan Clinical Oncology Group

Summary: This study evaluated the efficacy and safety of sublobar resection for ground-glass opacity dominant peripheral lung cancer. The results showed that sublobar resection provided sufficient local control and relapse-free survival for eligible patients.

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY (2022)

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Review Surgery

Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update

Erik Stenberg, Luiz Fernando dos Reis Falcao, Mary O'Kane, Ronald Liem, Dimitri J. Pournaras, Paulina Salminen, Richard D. Urman, Anupama Wadhwa, Ulf O. Gustafsson, Anders Thorell

Summary: This article presents the second updated guideline from the Enhanced Recovery After Surgery (ERAS) Society, providing a consensus and recommendations for optimal perioperative care in bariatric surgery. Through a comprehensive evaluation of literature, evidence-based consensus was achieved.

WORLD JOURNAL OF SURGERY (2022)

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Article Surgery

Intensity of mycophenolate mofetil treatment is associated with an impaired immune response to SARS-CoV-2 vaccination in kidney transplant recipients

Marta Kantauskaite, Lisa Mueller, Thilo Kolb, Svenja Fischer, Jonas Hillebrandt, Katrin Ivens, Marcel Andree, Tom Luedde, Hans M. Orth, Ortwin Adams, Heiner Schaal, Claudia Schmidt, Eva Koenigshausen, Lars C. Rump, Joerg Timm, Johannes Stegbauer

Summary: Kidney transplant recipients (KTRs) have a weaker immune response to SARS-CoV-2 vaccination compared to controls, with mycophenolate mofetil (MMF) treatment being the strongest predictor for impaired response. Adjusting MMF dose may improve the immune response in KTRs.

AMERICAN JOURNAL OF TRANSPLANTATION (2022)

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Article Surgery

Poor Clinical Outcomes and Immunoevasive Contexture in Intratumoral IL-10-Producing Macrophages Enriched Gastric Cancer Patients

Hongyu Zhang, Ruochen Li, Yifan Cao, Yun Gu, Chao Lin, Xin Liu, Kunpeng Lv, Xudong He, Hanji Fang, Kaifeng Jin, Yuchao Fei, Yifan Chen, Jieti Wang, Hao Liu, He Li, Heng Zhang, Hongyong He, Weijuan Zhang

Summary: This study revealed the clinical significance of IL-10(+) tumor-associated macrophages (TAMs) in gastric cancer. It showed that high IL-10(+) TAM infiltration was associated with poor prognosis and inferior therapeutic responsiveness to fluorouracil-based adjuvant chemotherapy. IL-10(+) TAMs drove an immunoevasive tumor microenvironment, indicating their potential as a target for immunotherapeutic approach in gastric cancer.

ANNALS OF SURGERY (2022)

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Article Gastroenterology & Hepatology

Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

Schalk W. van der Merwe, Roy L. J. van Wanrooij, Michiel Bronswijk, Simon Everett, Sundeep Lakhtakia, Mihai Rimbas, Tomas Hucl, Rastislav Kunda, Abdenor Badaoui, Ryan Law, Paolo G. Arcidiacono, Alberto Larghi, Marc Giovannini, Mouen A. Khashab, Kenneth F. Binmoeller, Marc Barthet, Manuel Perez-Miranda, Jeanin E. van Hooft

Summary: ESGE recommends various endoscopic ultrasound-guided interventions for different biliary, pancreatic, gastric, and gallbladder diseases with different levels of evidence quality, highlighting the strong recommendation for EUS-GBD in high surgical risk patients due to its lower rates of adverse events and need for re-interventions.

ENDOSCOPY (2022)

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Article Surgery

Modified cystoscopy-assisted laparoscopic Y-V plasty for recalcitrant bladder neck contracture

Zhenhua Liu, Guanglin Huang, Ning Zhou, Libo Man

Summary: This study retrospectively evaluated the outcomes of a modified cystoscopy-assisted laparoscopic Y-V plasty in 27 patients with recalcitrant bladder neck contracture (BNC). The results showed that the modified procedure was a feasible and effective treatment technique, with improvements in urinary flow rate and symptom scores after surgery.

MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES (2022)

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Article Surgery

Laparoscopic vs Open Distal Gastrectomy for Locally Advanced Gastric Cancer Five-Year Outcomes From the CLASS-01 Randomized Clinical Trial

Changming Huang, Hao Liu, Yanfeng Hu, Yihong Sun, Xiangqian Su, Hui Cao, Jiankun Hu, Kuan Wang, Jian Suo, Kaixiong Tao, Xianli He, Hongbo Wei, Mingang Ying, Weiguo Hu, Xiaohui Du, Jiang Yu, Chaohui Zheng, Fenglin Liu, Ziyu Li, Gang Zhao, Jiachen Zhang, Pingyan Chen, Guoxin Li

Summary: The study found that laparoscopic distal gastrectomy with D2 lymphadenectomy performed by experienced surgeons in high-volume specialized institutions resulted in similar 5-year overall survival compared with open distal gastrectomy among patients with locally advanced gastric cancer. This randomized clinical trial reports 5-year overall survival data from the CLASS-01 trial of laparoscopic vs open distal gastrectomy among patients with locally advanced gastric cancer.

JAMA SURGERY (2022)

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Article Surgery

Artificial Intelligence for Surgical Safety Automatic Assessment of the Critical View of Safety in Laparoscopic Cholecystectomy Using Deep Learning

Pietro Mascagni, Armine Vardazaryan, Deepak Alapatt, Takeshi Urade, Taha Emre, Claudio Fiorillo, Patrick Pessaux, Didier Mutter, Jacques Marescaux, Guido Costamagna, Bernard Dallemagne, Nicolas Padoy

Summary: This study developed a deep learning model to automatically segment hepatocystic anatomy and assess the criteria defining the critical view of safety in laparoscopic cholecystectomy. The results demonstrate that the model achieved reliable performance in segmentation and evaluation tasks.

ANNALS OF SURGERY (2022)

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Review Surgery

Global Overview of Response Rates in Patient and Health Care Professional Surveys in Surgery A Systematic Review

Vincent Maurice Meyer, Stan Benjamens, Mostafa El Moumni, Johan F. M. Lange, Robert A. Pol

Summary: The objective of this study is to identify key demographic factors and modes of follow-up in surgical survey response. The results show that response rates are highly dependent on the type of survey, follow-up method, geography, and interviewee type.

ANNALS OF SURGERY (2022)

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