Declan

EUS-CDS reduces major complications in pancreatic surgery.

by Fritzsche JA, de Jong MJP (...) Voermans RP et 22 al. in Endoscopy #Surgery #SurgSky #GeneralSurgery #MedSky

🪡 read our summary here
📖 read the article: https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-2543-5672

Prehabilitation Outcomes in Surgical Oncology Patients Undergoing Major Abdominal Surgery: A Meta-analysis of Randomized Control Trials - Annals of Surgical Oncology Background Prehabilitation has been increasingly utilized to optimize perioperative outcomes. In this study, we aim to evaluate the impact of uni- and multimodal prehabilitation on functional capacity and postoperative outcomes among surgical oncology patients undergoing major abdominal surgery. Patients and Methods Three electronic databases (PubMed, Embase, Cochrane) were systematically searched up until December 2023. We included randomized controlled trials comparing prehabilitation to standard of care in surgical oncology patients undergoing major abdominal surgery. Our primary outcome was functional capacity as measured by the 6-min walk distance (6MWD). Secondary outcomes include postoperative complications, emergency readmissions, and length of stay (LOS). We stratified our findings to determine the impact of uni- versus multimodal prehabilitation on outcomes. Results We included 27 studies with 2532 surgical oncology patients. Overall, patients undergoing prehabilitation demonstrated a significant improvement in preoperative functional capacity compared to those without prehabilitation (mean difference in 6MWD 28.32 meters [m], 95% CI 15.26, 41.39, p < 0.01). Prehabilitation was also associated with significantly lower odds of postoperative complications (odds ratio [OR] 0.60, 95% CI 0.46, 0.78, p < 0.01). There was no difference in emergency readmission (OR 0.90, 95% CI 0.59, 1.38, p = 0.61) or LOS (mean difference −0.42 days, 95% CI −1.01, 0.16, p = 0.15). Comparing uni- versus multimodal prehabilitation, multimodal prehabilitation was associated with greater improvements in functional capacity (6MWD 37.35 m versus 13.38 m) and lower odds of postoperative complications (OR 0.61, 95% CI 0.45, 0.82, p < 0.01 versus OR 0.63, 95% CI 0.36, 1.11, p = 0.10) Conclusion Prehabilitation improves functional capacity and reduces postoperative complications among surgical oncology patients undergoing major abdominal surgery.

Prehabilitation enhances recovery in surgical oncology patients.

by Soh NH, Yau CRZ (...) Wong JSM et 11 al. in Ann Surg Oncol #Surgery #SurgSky #GeneralSurgery #MedSky

🪡 read our summary here
📖 read the article:

here in liverpool but mixed results. A few made very challenging, resections. a few complications eg biliary peritonitis. It’s a useful option.

Fantastic data, real impact.

So are the going to be our new hashtags on BlueSky?

#LiverSky #MedSky #PancSky #HPBSky #SurgerySky

What else??

@augishealth.bsky.social @ihpba.bsky.social @eahpba.bsky.social @collegeofsurgeons.bsky.social
@bjsacademy.bsky.social
@sages.org

High-dose intravenous vitamin C plus chemotherapy doubles survival in advanced pancreatic cancer – BioNews Central A randomized phase 2 clinical trial shows that adding high-dose, intravenous (IV) vitamin C to chemotherapy doubles the overall survival of patients with late-stage metastatic pancreatic cancer from eight months to 16 months. ...

A randomized #Phase2ClinicalTrial shows that adding high-dose, #intravenous #VitaminC to #chemotherapy doubles the #OverallSurvival of patients with late-stage #metastatic #PancreaticCancer from eight months to 16 months.

@marcbesselink.bsky.social

Transplant for liver metastases? 🫢How?😳 Why?😬

Join the SSO and ASTS for virtual tumor board discussions with experts

📆 December 4th
⏰ 6PM CST

Register: ow.ly/pMIR50U4HpP
#HPBSky #MedSky #SurgSky #GISky

I have just joined!!! Please send robot pancreas videos! My Twitter feed had become countless conspiracy theories! No robot videos! Was getting withdrawal!