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MedXY News/General Surgery

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General Surgery

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Gastroenterology

Advancing Safe Living Liver Donation: Insights from a New U.S. Transplant Program’s Learning Curve

A new living donor liver transplant program in the U.S. demonstrates that adult living donor hepatectomy can be safely implemented, with surgical proficiency and donor outcomes improving through accumulated experience.

Sep 7, 2026
General Surgery

Clinical Outcomes and Prognostic Factors in Lung Metastases Following Gastrectomy for Gastric Cancer

This review summarizes the clinical characteristics, disease course, and survival outcomes of lung metastases after gastrectomy in gastric cancer patients, highlighting prognostic factors and the role of pulmonary metastasectomy.

Sep 7, 2026
General Surgery

High Surgical Workload and Perceived Burden: Insights from a National Survey of US Surgeons

A national survey reveals that most US surgeons report high workload hours and a majority perceive their workload as excessive, with factors such as years in practice, gender, and specialty influencing burden perception.

Sep 7, 2026
General Surgery

Circulating Exosomal microRNA Signature Enhances Preoperative Detection of Occult Liver Metastases in Pancreatic Cancer

A multicenter study developed a robust exosomal microRNA-based model enabling preoperative detection of occult liver micrometastasis in pancreatic ductal adenocarcinoma, improving risk stratification and guiding treatment sequencing.

Sep 7, 2026
Gastroenterology

Evaluating the Posterior Rectus Sheath Flap for Durable Hiatal Augmentation in Complex Paraesophageal Hernia Repair

This study assesses the procedural maturation and midterm durability of the posterior rectus sheath flap (PoRSHA) for hiatal reinforcement in complex paraesophageal hernias, demonstrating favorable recurrence rates and low donor-site morbid

Sep 7, 2026
Gastroenterology

Morphology-Based Surgery for Chronic Pancreatitis: Findings from a Europe-Wide Study and the Case for Unified, Next-Generation Guidelines

A Europe-wide prospective study shows wide variation in morphology-based surgery for chronic pancreatitis and no clear outcome advantage from current guideline concordance — underscoring the need for unified, clearer recommendations on rese

Sep 7, 2026
General Surgery

Innovative Nerve-Sparing Laparoscopic Approach for Rectal Endometriosis: Mesentery-Preserving Hand-Sewn Anastomosis

This article reviews a novel laparoscopic technique for rectal endometriosis involving mesentery preservation and nerve-sparing hand-sewn anastomosis, demonstrating feasibility and neurovascular protection compared to conventional stapled m

Sep 7, 2026
General Surgery

Refining Prognostic Stratification in Hepatocellular Carcinoma: The Critical Role of Vascular Invasion Type and Extent

This study elucidates how distinct patterns and gradations of vascular invasion in hepatocellular carcinoma differentially impact recurrence timing and overall survival, enabling improved postoperative risk stratification.

Sep 5, 2026
Diabetes & Endocrinology

Predicting Hypothyroidism After Hemithyroidectomy: Development and Validation of a Clinical Nomogram for Personalized Risk Assessment

A validated nomogram predicts hypothyroidism risk within 12 months after hemithyroidectomy using clinical and pathological variables, aiding tailored patient counseling and postoperative monitoring.

Sep 5, 2026
General Surgery

Unveiling the Molecular Evolution from Primary Gastric Cancer to Peritoneal Metastases: Implications for Targeted Surgical Oncology

This study elucidates transcriptomic differences between primary gastric cancers and peritoneal metastases, revealing distinct tumor microenvironments and molecular pathways, highlighting potential targets for improved diagnosis and therapy

Sep 5, 2026
Clinical Updates

Negative Pressure Therapy in Major Lower Extremity Amputation: A Critical Review of Current Randomized Controlled Trials

This review synthesizes evidence from recent randomized controlled trials assessing negative pressure therapy (NPT) for reducing wound complications after major lower extremity amputation, highlighting variable efficacy and potential benefi

Sep 5, 2026Sign in to read
General Surgery

Redefining Functional Status Scale Thresholds to Improve Disability Detection in Pediatric Trauma Patients

This study demonstrates that classifying a Functional Status Scale score of 7 as normal underestimates long-term disability in injured children, advocating for revised scoring cutoffs and routine follow-up assessments to enhance outcome det

Sep 2, 2026
Clinical Updates

Area Deprivation Index and Cochlear Implant Candidacy: Socioeconomic Impact on Access and Outcomes

Neighborhood deprivation measured by ADI correlates with poorer pre-implant speech recognition and quality of life but does not impact post-implantation benefits, highlighting socioeconomic disparities in cochlear implant access rather than

Aug 31, 2026
General Surgery

Enhancing Consistency in Hernia Repair Reporting: International Validation of the Muysoms A-H-M-T-F Nomenclature

The ARMONIA multicenter survey demonstrated that the Muysoms A-H-M-T-F nomenclature for hernia repair reporting shows moderate-to-substantial reproducibility internationally and reduces terminology variability compared to classic nomenclatu

Aug 31, 2026Sign in to read
Cardiology

Direct Lymphangiography-Guided Cervical Thoracic Duct Exploration: Advancing Management of Primary Chylopericardium through Reflux Pattern Stratification and Long-Term Outcomes

This study characterizes abnormal lymphatic reflux patterns in primary chylopericardium using direct lymphangiography and demonstrates that guided cervical thoracic duct exploration yields a 66% long-term success rate, with specific reflux

Aug 31, 2026
General Surgery

Neighborhood Disadvantage and Mortality Risk After Major Hepatectomy: Insights from the Area Deprivation Index

This study links higher neighborhood deprivation with increased 90-day mortality following major hepatectomy, highlighting social determinants as vital preoperative risk factors.

Aug 31, 2026
Cardiology

Optimal Early Outcomes in Acute Type A Aortic Dissection Repair: Prioritizing Adequate Perfusion Over Cannulation Strategy

This study shows that the choice of cannulation site—femoral versus axillary—does not independently affect early mortality or neurological complications after acute type A aortic dissection repair; instead, timely systemic reperfusion and c

Aug 31, 2026
General Surgery

Efficacy of SI-449 Cross-Linked Chondroitin Sulfate Adhesion Barrier in Open Rectal Resection: A Landmark Randomized Trial

This randomized clinical trial demonstrates that SI-449, a novel cross-linked chondroitin sulfate powder, significantly reduces postoperative adhesions following open rectal cancer surgery, offering a safe and practical adhesion prevention

Aug 31, 2026
General Surgery

Neoadjuvant Chemotherapy with or without Radiotherapy in Resected Pancreatic Ductal Adenocarcinoma: Impact on Outcomes

A propensity-matched study shows adding radiotherapy to neoadjuvant chemotherapy improves pathologic response but does not enhance survival or reduce recurrence in resected pancreatic ductal adenocarcinoma.

Aug 31, 2026
General Surgery

Adjuvant Chemotherapy in Distal Bile Duct Carcinoma: Insights from Real-World German Cancer Registry Data

Adjuvant chemotherapy shows survival benefits in select subgroups of distal bile duct carcinoma patients post-surgery, emphasizing the need for tailored treatment strategies and further prospective research.

Aug 28, 2026
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  3. 03General Surgery

    The Laennec Technique: Advancing Standardization in Right Robotic Donor Hepatectomies

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