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Short-course antibiotics cut liver infection risk in combined surgeries

Postoperative antibiotic prophylaxis (ppa) significantly lowers the incidence of liver-specific surgical site infections (liver-ssi) in patients undergoing simultaneous liver and colorectal resections. In a cohort of 250 patients, those receiving ppa experienced a liver-ssi rate of 11% versus 29.3% in the control group (p<0.001). Ppa also correlated with shorter hospital stays and fewer severe complications, highlighting its role in enhancing surgical outcomes and reducing morbidity.

Journal Article by Fouché D, Tzedakis S (…) Chiche L et 10 al. in Ann Surg

Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved.

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IBD Patients Face Higher Clot Risk After Colorectal Cancer Surgery

Patients with inflammatory bowel disease (IBD) undergoing colorectal cancer surgery face a significantly elevated risk of venous thromboembolism (VTE) compared with those without IBD. The analysis highlights VTE as a critical postoperative complication in this population, underscoring the need for heightened vigilance and tailored thromboprophylaxis strategies. Surgeons should recognize IBD as an independent risk factor when managing perioperative care in colorectal cancer cases, where preventing clots is essential to improving outcomes and reducing morbidity after surgery.

Journal Article by Kurt G, Troelsen FS (…) Erichsen R et 2 al. in Am J Gastroenterol

Copyright © 2025 by The American College of Gastroenterology.

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New standards improve evaluation of laparoscopic bile duct procedures

Laparoscopic transcystic common bile duct exploration (LTCBDE) achieves a 71.1% textbook outcome rate, defined by seven key criteria including postoperative complications and length of stay. Researchers identified major risk factors for failure: delayed drainage removal and prolonged hospitalization. Preoperative endoscopic retrograde cholangiopancreatography emerged as a significant predictor. These findings push for standardized outcome measures, enhancing surgical quality assessments and allowing for personalized patient management in bile duct treatments.

Journal Article by Zhu DS, Zhang Z (…) Yu YH et 6 al. in World J Gastroenterol

©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.

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Low Income Linked to Higher Surgical Complications and Mortality Rates

Lower patient income significantly increases the risk of postoperative complications and mortality within 90 days of surgery. A comprehensive analysis of 36 studies involving over 24 million patients revealed that those on Medicaid and Medicare face higher odds of adverse outcomes compared to their privately insured counterparts. Specifically, Medicaid patients showed a 1.85 times greater risk of 30-day mortality. Understanding these socioeconomic disparities is crucial for improving surgical care and patient outcomes.

Meta-Analysis by Banerjee A and Rafi I in J Surg Res

Copyright © 2025 Elsevier Inc. All rights reserved.

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Preoperative Nutrition Significantly Predicts Survival in Abdominal Tumor Surgery

Preoperative nutritional status plays a critical role in predicting overall survival for patients undergoing abdominal tumor surgery. A meta-analysis of 32 studies involving over 10,000 patients revealed a strong link, with a pooled hazard ratio of 1.61 indicating that better nutritional health correlates with improved survival outcomes post-surgery. As malnutrition is prevalent in this patient population, addressing nutritional needs could enhance postoperative recovery and long-term survival.

Systematic Review by Su Z, Lin Y (…) Michael N et 7 al. in Front Surg

© 2025 Su, Lin, Li, Yang, Chen, Zhu, Mo, Huang, Liu and Michael.

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AI-Assisted Detection System Elevates Polyp Identification During Colonoscopies

A real-time AI-driven polyp detection system significantly improved detection rates in a multicenter trial. The system achieved a polyp detection rate of 67.18% compared to 56.92% in the control group. It particularly excelled at identifying smaller polyps (5 mm), enhancing both sensitivity and specificity. Results indicate that this technology not only increases efficiency in colorectal cancer screenings but also boosts diagnostic accuracy, addressing a critical gap in traditional colonoscopy methods.

Journal Article by Xu X, Ba L (…) Zheng Z et 11 al. in Surg Endosc

© 2025. The Author(s).

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New Technique Cuts Surgical Time and Blood Loss in Robotic Pancreatic Surgery

A novel pancreatic head clockwise devascularization approach during robotic pancreaticoduodenectomy significantly reduced operation time and blood loss compared to the traditional superior mesenteric artery-first method. Surgery duration dropped to 616 minutes with only 50 ml of blood loss, while the conventional method saw 772 minutes and 330 ml. Both groups had similar postoperative complications, with shorter hospital stays for the devascularization technique at 5.5 days versus 8 days.

Journal Article by Ito K, Kawaguchi Y (…) Hasegawa K et 6 al. in Surg Endosc

© 2025. The Author(s).

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Perinephric Vein Identified as Key Landmark for Pancreatectomy

A new anatomical landmark, the perinephric vein, enhances access to the left renal vein during minimally invasive distal pancreatectomy (MIDP) for pancreatic cancer. In a cohort of 114 patients, 63.2% with pancreatic ductal adenocarcinoma showed the vein could help secure the posterior surgical margin, improving overall surgical precision. Of those, 92% had visible perinephric veins, and over half presented the vein as a critical landmark for safe surgical access.

Journal Article by Shimane G, Ono Y (…) Takahashi Y et 4 al. in Surg Endosc

© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Active Surveillance Emerges as a Viable Option for Oesophageal Cancer Treatment

An organ-sparing approach via active surveillance shows promise for oesophageal cancer patients achieving complete clinical response after neoadjuvant therapy. Trials validate a comprehensive diagnostic strategy while early results suggest comparable survival rates and improved quality of life versus immediate surgery. Despite concerns over delayed interventions upon recurrence, data indicate no significant compromise in surgical outcomes. Ongoing studies will refine protocols, explore immunotherapy, and enhance assessment techniques for broader implementation of this strategy.

Review by Pittacolo M, Khoma O (…) Wijnhoven BPL et 2 al. in Dig Surg

© 2025 The Author(s). Published by S. Karger AG, Basel.

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Index Admission Cholecystectomy Cuts Mortality and Readmission Rates in Acute Cholangitis

Cholecystectomy during the initial hospital admission for acute cholangitis significantly reduces in-hospital mortality and lowers readmission rates at 30 and 90 days. Among over 29,000 patients studied, those receiving surgery on admission exhibited a 60% lower mortality risk and substantially improved readmission outcomes, regardless of severity. Findings urge a re-evaluation of surgical timing in management protocols, highlighting a critical need for updated guidelines.

Journal Article by Jaan A, Najim MS (…) Ahlawat S et 7 al. in Clin Res Hepatol Gastroenterol

Copyright © 2025. Published by Elsevier Masson SAS.

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