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An analysis of elective endovascular repair outcomes in nonagenarians shows similar 30-day mortality to younger patients, supporting individualized treatment decisions based on risk rather than age alone.
This study reveals that over one-third of patients with localized PDAC receiving neoadjuvant therapy and surgery achieve actual five-year survival, highlighting the impact of early systemic failure and identifying factors predicting long-te
This study analyzes how the balance between operative and nonoperative management in emergency general surgery for older adults relates to their odds of discharge home, proposing ONR as a novel quality benchmark beyond traditional metrics.
A randomized clinical trial demonstrates that synthetic mesh reinforcement during subcostal abdominal closure notably decreases incisional hernia incidence without increasing postoperative complications, improving patient recovery after hep
This analysis of localized appendiceal adenocarcinoma reveals low relapse rates post-resection, identifies key histopathologic and molecular relapse predictors, and finds no significant benefit from adjuvant chemotherapy, challenging conven
This study employs interpretable anomaly-detection algorithms to identify high-risk phenotypes in resected solid pseudopapillary pancreatic tumors, overcoming limitations of conventional survival models in ultra-rare cancer-specific deaths.
In elderly patients with locally advanced esophageal squamous cell carcinoma, neoadjuvant immunochemoradiotherapy offers superior tumor response but increases surgical complexity and cardiac risks compared to immunochemotherapy. Personalize
In penetrating liver trauma, angioembolization offers survival outcomes comparable to surgery but is linked to longer hospital and ICU stays, highlighting the need for strategic patient selection and multidisciplinary care integration.
This international cohort study evaluates hypothermic oxygenated perfusion (HOPE) versus normothermic machine perfusion (NMP) in liver transplantation, revealing comparable high graft survival despite differing donor risk profiles and highl
A national multipayer analysis demonstrates robotic cholecystectomy offers comparable safety to laparoscopic methods while improving key outcomes versus open surgery, signaling maturation of robotic biliary surgery.
A large European study shows that severe anastomotic leaks requiring surgical reintervention after esophagectomy significantly reduce long-term survival and increase postoperative mortality, underscoring the need for targeted management str
A global study identifies key hospital-level modifiable resources that reduce 90-day mortality after pancreas surgery and introduces a composite Hospital Resource Index to guide improvements beyond surgical volume centralization.
Minimally invasive hepatopancreatobiliary surgery offers shorter hospital stays, fewer readmissions, and significantly lower one-year healthcare expenditures compared to open surgery, with no significant difference in overall patient out-of
The Pennsylvania Rural Health Model’s implementation did not significantly change short-term cancer surgery outcomes among rural residents, suggesting that alternative approaches may be necessary to improve surgical oncology care in rural s
Pharmacological reduction of plasminogen via antifibrinolytic agents accelerates liver regeneration after surgery in mice and decreases posthepatectomy liver failure risk in patients, representing a promising therapeutic approach.
The POuCH study clarifies outcomes of surgery for cricopharyngeal muscle dysfunction (CPMD) with Zenker diverticulum, distinguishing persistent from recurrent dysphagia via patient-reported EAT-10 scores, aiding clinical management of posto
Decompensated cirrhosis markedly elevates mortality, complications, and costs following cardiac surgery. Optimized risk models and tailored management are essential for improved patient outcomes.
This article reviews a novel surgical technique for adult living donor liver transplantation that enhances vascular reconstruction, significantly reduces hepatic arterial thrombosis, and utilizes the umbilical portion as an autologous graft
This study evaluates nonvascularized rectus fascia allotransplantation (NVRF-alloTx) as an effective, versatile reconstructive option in both solid organ transplant and non-transplant patients, demonstrating promising integration and functi
This multicenter prospective study reveals that colectomy in recurrent sigmoid diverticulitis improves disease-specific quality of life and reduces 1-year recurrence compared to observation, informing surgical decision-making.
