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This study elucidates the prognostic importance of bile duct resection margin status in distal cholangiocarcinoma, revealing that margin involvement significantly affects recurrence risk in node-negative patients and identifies potential ca
This article examines the current gaps and strengths in mental health services for trauma surgery patients at risk of PTSD, highlighting underutilization of guidelines, barriers to care, and opportunities for improving psychosocial support.
Hypofractionated ablative radiation therapy after induction chemotherapy shows promise in patients with locally advanced pancreatic cancer, improving resectability and 2-year survival while maintaining acceptable safety profiles.
A multicenter study finds that unintentional weight loss is common in Zenker diverticulum but does not predict worse surgical outcomes. Surgery appears safe and beneficial even in patients with weight loss.
Adding cervical thymectomy to parathyroidectomy in MEN1 patients was associated with higher cure rates and no permanent increase in hypoparathyroidism, supporting its routine use.
Background Tracheostomy remains a common intervention in critically ill patients requiring prolonged mechanical ventilation, offering...
A retrospective study of 324 patients found that combining septal extension and derotation grafts yields more durable nasal lengthening and tip projection with lower revision rates than either technique alone.
Endoscopic repair of congenital choanal atresia using mucoperiosteal flaps without stenting shows high long-term neochoanal patency but a significant reoperation rate, underscoring the need for diligent follow-up and tailored postoperative
Venting gastrostomy tube placement in malignant bowel obstruction is linked to improved diet tolerance, fewer vomiting episodes, and reduced antiemetic use, with successful placement achievable in over 90% of cases despite challenges.
Delaying additional surgery beyond 35 days after noncurative endoscopic submucosal dissection (ESD) in early gastric cancer reduces operative time and blood loss, potentially improving perioperative outcomes.
Robotic cholecystectomy for complex gallbladder disease reduces postoperative complications and interventions compared to laparoscopic surgery without increasing total costs, suggesting a strategic role for robotic platforms in complex case
A 10-year follow-up of a randomized trial comparing conservative nodule excision with segmental resection for rectal endometriosis reveals comparable long-term functional outcomes, low recurrence rates, and sustained symptomatic relief.
This multicenter retrospective study examines colorectal dysplasia and malignancy outcomes in patients with primary sclerosing cholangitis and inflammatory bowel disease undergoing liver transplantation and colectomy, revealing comparable 5
A nationwide cohort study demonstrated that implementing a comprehensive multimodal prehabilitation program in colorectal cancer surgery patients lowers postoperative complications and shortens hospital stay across age and health status gro
High-volume trauma centers independently achieve faster surgical intervention and better outcomes in blunt intestinal injuries, highlighting the critical role of clinical experience and hospital resources in managing these rare injuries.
Young patients undergoing resection for intraductal papillary mucinous neoplasms (IPMNs) exhibit excellent long-term quality of life comparable to the general population despite endocrine and exocrine insufficiencies.
This review synthesizes evidence on AR-guided single-encounter localization for early-stage lung cancer, highlighting its noninferiority to CT-guided methods with benefits in patient comfort, radiation reduction, and procedural efficiency.
This study evaluates the added value of endoscopic ultrasound (EUS) and fine needle aspiration (FNA) after MRI in assessing pancreatic cystic neoplasms, demonstrating significant improvement in diagnostic specificity and clinical decision-m
This article explores how mucosa-associated microbiota changes after ileal resection in Crohn’s disease correlate with postoperative recurrence, highlighting microbial signatures and dynamic ecosystem changes along the Rutgeerts score.
This study identifies plasma oxytocin as a superior preoperative biomarker compared to copeptin for early prediction of transient arginine vasopressin deficiency after transsphenoidal pituitary surgery, aiding in risk stratification and pos
