General Surgery
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Laparoscopic Groin Hernia Repair Showed the Lowest Long-Term Operative Recurrence in Medicare Patients, While Robotic Use Expanded Without Clear Recurrence Benefit
A large Medicare cohort found low 5-year operative recurrence after groin hernia repair overall, with laparoscopic repair showing the lowest adjusted risk and robotic-assisted repair offering no recurrence advantage despite rapid uptake.
Reversal of Roux-en-Y Gastric Bypass: A Swedish National Cohort Study
This nationwide Swedish study reveals that RYGB reversal is rare (0.3% of procedures) but effective for complications like abdominal pain and hypoglycemia. While 86% reported symptom improvement, significant complication risks require caref
ATA Guideline Updates Reduced Thyroid Cancer Overtreatment in a 31,861-Patient South Korean Cohort
A large South Korean cohort found ATA-guideline de-escalation reduced total thyroidectomy, RAI use, and permanent hypocalcemia in papillary thyroid carcinoma, without significant loss of 5-year disease-free survival.
Early Enteral Nutrition Reduces Postoperative Complications in High-Risk Pancreatoduodenectomy Patients
The NUTRIWHI trial demonstrates that early enteral nutrition via nasojejunal tube significantly reduces complication burden in nutritionally high-risk patients after pancreatoduodenectomy compared to oral nutrition alone.
Mucosal Impedance: A Novel Diagnostic Tool for Refining GERD Phenotyping and Surgical Decision-Making
Mucosal impedance (MI) offers a groundbreaking approach to assess esophageal mucosal integrity in GERD, complementing traditional diagnostics and enhancing surgical outcomes.
Post-Thyroidectomy Calcium Strategies: Routine vs. PTH-Guided Supplementation Show Similar Efficacy
A randomized trial comparing routine calcium supplementation with PTH-guided selective supplementation found no significant difference in preventing post-thyroidectomy hypocalcemia, offering flexibility in clinical practice.
Robotic Gastrectomy Outperforms Open and Laparoscopic Surgery in Gastric Cancer Outcomes
A retrospective study reveals robotic gastrectomy achieves higher textbook outcome rates than laparoscopic and open surgery, correlating with improved 1-year survival in gastric cancer patients.
Fenestrated and Branched EVAR Shows Promise in Complex Aortic Aneurysms with 80% Survival at 5 Years
A high-volume aortic center study reveals 93.6% technical success and 82.6% survival at 60 months with f/bEVAR for complex aneurysms, though reinterventions remain frequent.
Adequate Lymph Node Dissection May Carry a Survival Signal in Intrahepatic Cholangiocarcinoma
An updated meta-analysis suggests lymph node dissection in intrahepatic cholangiocarcinoma may improve survival when it is truly adequate, especially when at least six nodes are retrieved and confounding is reduced.
腹腔鏡と開腹手術による小腸閉塞癒着剥離の長期転帰：LASSO無作為化臨床試験
小腸閉塞手術における腹腔鏡アプローチは短期回復が早いが、5年間の追跡調査では再発率、ヘルニア発生率、QOLにおいて開腹手術と同等の結果を示した。術式選択は患者個別の要因に基づくべきである。
ICG Fluorescence-Guided Lymphadenectomy Shows Promise in Improving Lymph Node Detection During Esophagectomy for Esophageal Cancer
A prospective cohort study of 30 patients demonstrates that indocyanine green near-infrared fluorescence imaging during minimally invasive esophagectomy achieves 80% sensitivity and 99.4% negative predictive value for detecting malignant ly
2025 Guidelines for Managing Breast Infections and Inflammation: Key Updates and Expert Recommendations
New multi-society guidelines provide evidence-based recommendations for managing lactational mastitis, granulomatous mastitis, and periductal mastitis with squamous metaplasia, addressing diagnostic challenges and treatment controversies.
Delayed Surgery in Bowel Obstruction: A Hidden Driver of Mortality and Recurrence in France
A nationwide French study reveals that surgical delay beyond 9 days triples early mortality risk compared to immediate surgery. While non-operative management carries higher long-term recurrence, timely laparoscopic intervention offers the
Surgical Metabolic Intervention: Bariatric Surgery Transforms Outcomes in Type 1 Diabetes With Obesity
A multicenter retrospective cohort study reveals that metabolic bariatric surgery in 162 adults with type 1 diabetes and obesity achieved 29.7% weight loss at one year, reduced insulin requirements by 57%, and significantly improved glycemi
Robotic vs Laparoscopic Cholecystectomy: No Outcome Advantage Across Disease Severity Grades
A retrospective study of 592 patients found equivalent outcomes between robotic and laparoscopic cholecystectomy regardless of acute cholecystitis severity. The only difference was slightly longer hospital stay in grade II-V patients underg
Conversion from Minimally Invasive to Open Pancreatectomy Carries Higher Complication Risk, Study Finds
A large retrospective analysis of over 11,000 patients reveals that conversion to open surgery during minimally invasive left-sided pancreatectomy is independently associated with increased postoperative complications. The findings undersco
Volume Matters: New Study Defines Minimum Annual Caseload for Safer Fenestrated and Branched Aortic Repair
Researchers identify critical hospital and surgeon volume thresholds for fenestrated/branched endovascular aortic repair (F/BEVAR). Patients treated at low-volume centers face up to 51% higher 30-day mortality, with inflection points at 9 h
Navigating the Adhesion Maze: How Previous Abdominal Surgeries Impact Bariatric Outcomes
A large-scale retrospective study reveals that while previous abdominal surgeries do not compromise weight loss after bariatric procedures, they significantly increase intraoperative complexity, operative time, and the risk of postoperative
Wearable TEAS Outperforms Metoclopramide in Managing Moderate to Severe Postoperative Nausea and Vomiting
A randomized clinical trial demonstrates that wearable Transcutaneous Electrical Acupoint Stimulation (TEAS) provides superior 2-hour remission and significantly lower 24-hour relapse rates compared to intravenous metoclopramide for moderat
Beyond Calcium: Postoperative Hypoparathyroidism Linked to Long-term Renal and Cardiovascular Risks in Thyroid Cancer Survivors
A nationwide cohort study reveals that permanent postoperative hypoparathyroidism significantly increases the risk of renal insufficiency, nephrolithiasis, and major adverse cardiac events in thyroid cancer patients, highlighting the need f
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