Surgery

Latest Issue of OR Manager
February 2025

Study: Active monitoring without surgery safe for certain low-risk DCIS patients

Editor's Note Active monitoring for certain breast cancer patients offers similar outcomes to surgery with fewer side effects, according to research detailed in a December 16 article from Oncology News Central. Presented at the 2024 San Antonio Breast Cancer Symposium and published in JAMA, The COMET trial supports the safety…

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By: Matt Danford
December 16, 2024
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Data support option to skip sentinel lymph node biopsy in early breast cancer

Editor's Note Skipping sentinel lymph node biopsy (SLNB) in patients with clinically node-negative early breast cancer provides noninferior outcomes compared to undergoing the procedure, MedPage Today reported December 13. Presented at the San Antonio Breast Cancer Symposium and published in the New England Journal of Medicine, the INSEMA trial found…

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By: Matt Danford
December 16, 2024
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Q&A: Perioperative immunotherapy advances for early-stage NSCLC

Editor's Note Perioperative immunotherapy is reshaping treatment strategies for early-stage non-small cell lung cancer (NSCLC) without actionable mutations, according to Dr. Roy S. Herbst of Yale Cancer Center. In a recent interview with OncLive, the oncology expert highlighted the promise of neoadjuvant and adjuvant therapies to improve outcomes for these…

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By: Matt Danford
December 13, 2024
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Study: COVID-19's impact on oncological surgery offers lessons for future crises

Editor's Note A scoping review of 15 studies reveals that the COVID-19 pandemic significantly disrupted oncological abdominal surgery (OAS), leading to postponed or canceled procedures, adoption of alternative treatment plans, and increased psychological stress among surgical teams. Published November 5 in the American Journal of Surgery, the findings emphasize the…

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By: Matt Danford
November 22, 2024
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Study: Early surgery outperforms endoscopy for long-term pancreatitis

Editor's Note Early surgical intervention should be prioritized over endoscopy-first treatment in managing chronic pancreatitis with dilated pancreatic ducts, according to the results of a follow-up study of the ESCAPE randomized clinical trial. Published November 20 in JAMA Surgery, the findings specifically highlight pain relief, patient satisfaction, and need for…

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By: Matt Danford
November 21, 2024
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Study finds high rates of preventable, adverse events in perioperative care

Editor's Note Adverse events (AEs) remain widespread in perioperative care, affecting nearly one in three patients and resulting in substantial and often preventable patient harm, according to a retrospective cohort study published November 13 in The BMJ. The study analyzed 1,009 weighted admissions from a sample of 64,121 surgical patients…

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By: Matt Danford
November 19, 2024
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Study: Digital tool detects preoperative pediatric anxiety, depression

Editor's Note A recent study presented at the American Society of Anesthesiologists’ 2024 meeting reveals that a computerized mental health assessment, KCAT, may effectively identify anxiety and depression in pediatric surgical patients. According to an October 20 report in Anesthesiology News, the single-center pilot study involved 65 children aged 7…

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By: Matt Danford
November 18, 2024
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AI-powered surgical robot learns by watching

Editor's Note Kinematics-based AI similar to the technology behind ChatGPT enabled a multi-armed robot to learn new surgical techniques by watching video of human surgeons, according to a November 12 report in Healthday. “The robot is powered by the same AI that underpins ChatGPT, but instead of words and text,…

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By: Matt Danford
November 15, 2024
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Study: Delaying elective surgery after myocardial infarction reduces complications in older patients

Editor's Note Older adults face a significantly higher risk of complications including stroke and recurrent heart attacks if they undergo elective noncardiac surgeries soon after myocardial infarction, according to a University of Rochester study published October 30 in JAMA Surgery.  According to a University announcement, current guidelines from the American…

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By: Matt Danford
November 11, 2024
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Global study dispels benefits of blood pressure management during non-cardiac surgery

Editor's Note A new global clinical trial indicates targeting higher blood pressure during non-cardiac surgeries is no better than current standard approach in preventing acute kidney injury, according to a November 5 report from London Health Sciences Centre. With 300 million non-cardiac surgeries performed worldwide every year, risk of kidney…

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By: Matt Danford
November 11, 2024
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