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Increased VTE Risk After Colorectal Cancer Surgery in IBD Patients

Patients with inflammatory bowel disease face significantly higher venous thromboembolism (VTE) risks post-colorectal cancer (CRC) surgery.

  • 30-day VTE risk is 1.5% in IBD patients, compared to 0.7% in non-IBD patients (adjusted hazard ratio 1.61).
  • The highest risks are in males (ahr 2.26), patients aged 60-69 (ahr 4.63), those who received prior IBD treatment (ahr 1.95), and with active disease (ahr 5.29).

Surgeons should optimize disease management and be vigilant for VTE in high-risk IBD patients undergoing CRC 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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Preoperative Nutrition Status Affects Gastric Cancer Outcomes

Poor nutritional status pre-surgery leads to worse outcomes in gastric cancer patients undergoing radical gastrectomy.

  • Low preoperative prognostic nutritional index (PNI) increases overall survival risk by 34% and disease-free survival risk by 22%.
  • Patients with lower PNI and higher nutritional risk scores face 6.31 days more in the hospital and higher costs after complications.

Screening for nutritional status should be integrated into protocols to identify high-risk patients and improve recovery.

  • Combining PNI with nutritional risk screening enhances predictive accuracy for complications (area under the curve: 0.657 vs. 0.541 for PNI alone).

Journal Article by Zheng K, Weng X and Huang Z in J Gastrointest Surg

Copyright © 2025 The Author(s). Published by Elsevier Inc. All rights reserved.

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Predicting Complications After Hepatectomy: New Model Insights

A new model predicts postoperative complications in hepatectomy patients, helping surgeons identify high-risk individuals and improve outcomes.

  • An overall complication rate of 46.61% was observed in 1,350 cases.
  • The model shows strong predictive power with an 86.9% sensitivity and a 9.36% estimated risk of severe complications for patients scoring 36.

This tool can refine preoperative assessments, guiding interventions to mitigate risk.

  • Key independent risk factors include prolonged hospital stays and preoperative pulmonary comorbidities.

Journal Article by Xue M, Zhang Y (…) Shen X et 6 al. in Eur J Surg Oncol

Copyright © 2025 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

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New Insights on Appendicitis Treatment Options

Endoscopic retrograde appendicitis therapy (ERAT) could reduce complications in select patients with uncomplicated appendicitis.

  • ERAT has a complication rate of only 6.3%, significantly lower than antibiotics at 37.8%.
  • Appendectomy remains the best for preventing recurrence (recurrence rate 0.6% vs. 53.2% for ERAT and 2.2% for antibiotics).
  • ERAT might be a safe alternative for specific patients but requires more evidence for broader use.

Choose between ERAT and appendectomy based on patient needs to minimize recurrence and treatment failures.

Systematic Review by Wang J, Yin J, Wang C and Zhu Y in BMC Surg

© 2025. The Author(s).

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Thumbtack Needle Helps GI Recovery Post-Gastrectomy

This study shows that thumbtack needle therapy can accelerate gastrointestinal recovery in gastric cancer surgery patients.

  • Patients receiving therapy had bowel sound recovery 4 hours faster than the control group.
  • The intervention did not increase complications and was deemed safe.

Surgeons can consider incorporating thumbtack needle therapy to enhance recovery protocols after laparoscopic radical gastrectomy.

  • Both groups were well-matched, ensuring valid results.

Journal Article by Guo S, Lin XP (…) Wang Q et 4 al. in Front Surg

© 2025 Guo, Lin, Jin, Tuo, Li, Yang and Wang.

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Single-port robotic hepatectomy shows promising outcomes

Single-port robotic liver resections are feasible and safe, even in moderate-volume centers.

  • 20 patients underwent surgery with no conversions to multiport/open approaches.
  • Median operative time was 201.1 minutes with a 7.2-day hospital stay; no major complications occurred.

These results suggest that surgeons can confidently adopt this technique for both major and minor hepatectomies.

  • All malignant cases achieved R0 resection, with an average of 9.3 lymph nodes retrieved when needed.

Journal Article by Jang EJ and Kim KW in Surg Endosc

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

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New findings on optimal method for CBD stone removal

Comparative study on endoscopic techniques reveals EPBD as superior for small common bile duct stones, impacting patient outcomes.

  • All techniques (EST, EPBD, ESBD) achieved 100% overall stone removal success with first-session rates over 97%.
  • Complications like pancreatitis were under 6%, with similar low rates across all methods.

EPBD is recommended for its simplicity and lower long-term risk to the sphincter of Oddi.

  • No significant difference in mechanical lithotripsy use across techniques (<1%).

Journal Article by Ye Q, Zhang J (…) Xu S et 11 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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Robotic Surgery Improves Survival in Rectal Cancer Patients

Robotic surgery significantly enhances 3-year relapse-free survival in rectal cancer compared to laparoscopic techniques.

  • 3-year relapse-free survival was 83.6% for robotic surgery versus 78.2% for laparoscopic surgery (hazard ratio 0.72).
  • Pathological complete resection rates were higher with robotics (98.2% vs. 95.3%).

Robotic procedures may also reduce complications, with comparable rates (28.4% vs. 32.0%).

  • Efficacy may be greater in male patients and those with T4 tumors.

Journal Article by Mizuno R, Okamura R (…) Obama K et 20 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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Prolonged Ventilation Cuts Esophageal Leak Rates

Prolonging mechanical ventilation after minimally invasive esophagectomy significantly reduces anastomotic leak rates.

  • Patients on prolonged mechanical ventilation (≥24 hours) had a lower leak rate (8.08%) compared to those with non-prolonged ventilation (23.47%).
  • The difference in leak rates remained significant even after matching for other variables (7.88% vs 24.71%).

This suggests extended ventilation may improve postoperative outcomes by stabilizing oxygen levels.

  • Complications like pulmonary infections and pleural effusions were also reduced in the prolonged ventilation group.

Journal Article by Zhang L, Zhao S (…) Li K et 8 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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Improved Prognostic Tools for Gastric Cancer After Surgery

Linking new lymph node staging methods to better survival outcomes in gastric cancer enhances surgical decision-making.

  • The lymph node ratio (lnr) and log odds of positive nodes (lodds) significantly predict survival alongside traditional pN staging (p=0.002 and p=0.036).
  • In cases with fewer than 15 lymph nodes dissected, only lnr remains prognostic (p=0.037).

Using lnr and lodds can refine patient selection and staging, especially for those with inadequate lymph node dissection.

Journal Article by Van KQ and Thanh TNT in Int J Surg Case Rep

Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.

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