Blog

Rapid embolization significantly boosts splenic preservation outcomes in trauma patients

Splenic artery embolization (SAE) demonstrates high efficacy in preserving the spleen during treatment of grade III-V splenic injuries. Notably, timing is crucial; earlier embolization correlates with better outcomes. In a study of 400 patients, both SAE (98.2% preservation) and nonoperative observation (97.7%) achieved significant success. Factors influencing embolization effectiveness include cranial AIS scores and the duration from admission to the procedure, underscoring the necessity for prompt intervention to optimize patient recovery.

Journal Article by Nguyen VT, Le TD, Pham HD and Tran QL in Int J Gen Med

© 2025 Nguyen et al.

read the whole article in Int J Gen Med

open it in PubMed

New Consensus Guidelines Enhance Safety for Antithrombotic Use in Endoscopy

A panel from the Catalan Society of Gastroenterology developed targeted guidelines for using antithrombotic drugs during elective endoscopic procedures. They assessed 16 procedures based on bleeding risk and crafted tailored management strategies for various antithrombotic groups. The recommendations emphasize individualized risk assessment, multidisciplinary coordination, and effective patient communication to minimize complications and enhance safety throughout the periprocedural phase. This consensus document integrates both international evidence and local healthcare considerations.

Practice Guideline by Pons FR, Vilalta N (…) Álvarez MA et 7 al. in Gastroenterol Hepatol

Copyright © 2025. Publicado por Elsevier España, S.L.U.

read the whole article in Gastroenterol Hepatol

open it in PubMed

Global Model Identifies Stage II Colon Cancer Patients Who Need Adjuvant Chemotherapy

A novel recurrence risk model (rpv) effectively identifies stage II colon cancer patients who will benefit from adjuvant chemotherapy (AC). Analysis of cohorts from the U.S., Japan, Denmark, and Jordan reveals that high-risk patients achieving higher five-year recurrence-free survival (RFS) rates with AC—76.2% in cohort 1 and 65.6% in cohort 2—compared to non-recipients. This model provides critical insights for tailoring treatment plans in diverse populations, reinforcing AC’s role for select high-risk patients.

Journal Article by Shigeta K, Mizuno S (…) Gögenur I et 25 al. in Ann Surg

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

read the whole article in Ann Surg

open it in PubMed

Global Program Cuts Surgical Site Infections by 57% in Low-Income Countries

A surgical infection prevention program first proven in Ethiopia scaled successfully to five low-resource hospitals in Liberia, Madagascar, Malawi, India, and Bolivia. Among 1,865 surgical patients, 30-day surgical site infections dropped from 28.4% to 12.1%—a 49% relative reduction. Compliance with WHO checklist use, antibiotic timing, antisepsis, sterile technique, and gauze counts also improved. Knowledge transfer from Ethiopian clinicians was key to local adoption. The results show this model can be exported across diverse settings to reduce preventable surgical harm.

Journal Article by None None, Nofal MR (…) Weiser TG et 11 al. in JAMA Surg

read the whole article in JAMA Surg

open it in PubMed

Percutaneous Vagal Stimulation Outperforms Peroral Method in Thyroid Surgery

In a comparative study of neuromonitoring techniques during transoral thyroidectomy, percutaneous continuous vagal stimulation (PC) demonstrated superior performance over the conventional peroral delta electrode method. The PC group achieved faster electrode positioning, fewer displacement issues, and more reliable EMG signals. While both groups faced traction-related nerve injuries during surgery, the PC group’s incidents resulted in no lasting vocal cord paralysis, contrasting with two cases in the delta group. This technique enhances the safety of thyroid surgeries by better detecting nerve injuries.

Journal Article by Uen YH, Wu CW (…) Lin KY et 2 al. in Surg Endosc

© 2025. The Author(s).

read the whole article in Surg Endosc

open it in PubMed

Endoscopic Submucosal Dissection Offers Hope for GERD-Related Neoplasms

Endoscopic submucosal dissection (ESD) proves highly effective in treating GERD-related neoplasms, achieving a 100% en bloc resection rate and a 95.8% curative resection rate among 96 patients. Remarkably, no local recurrences or metastases were observed during follow-ups. After six months, nearly 70% of patients experienced alleviated GERD symptoms, linked to the extent of resected lumen circumference. Major complications were observed in only 8.4% of cases, underscoring ESD’s safety and efficacy.

Journal Article by Chen Z, Leng Z (…) Xu M et 7 al. in Surg Laparosc Endosc Percutan Tech

Copyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc.

read the whole article in Surg Laparosc Endosc Percutan Tech

open it in PubMed

Laparoscopic Repeat Liver Resection Outperforms Open Surgery in Key Metrics

Laparoscopic repeat liver resection (LRLR) significantly reduces intraoperative blood loss, complications, and hospital stays compared to open repeat liver resection (ORLR) for recurrent liver cancer. LRLR boasts a higher R0 resection rate, making it a safer, more effective option for patients. While operative time, transfusion rates, mortality, and three-year survival show no significant differences between techniques, the advantages of LRLR position it as a compelling choice in clinical practice.

Review by Ding Z, Yu T, Fang H and Wang Z in Updates Surg

© 2025. Italian Society of Surgery (SIC).

read the whole article in Updates Surg

open it in PubMed

New Metric Establishes Clinical Relevance of Surgical Complications in Abdominal Surgery

A novel minimal important difference (MID) for the Comprehensive Complication Index (CCI) offers clarity on surgical outcomes for major abdominal surgery patients. Analyzing data from 1,583 patients across four studies, findings reveal an MID of 12 points in the CCI crucial for interpreting clinical significance and guiding sample size calculations in future research. This metric emphasizes patient-centered outcomes, bridging gaps between statistical significance and meaningful clinical changes.

Journal Article by Abbassi F, Pfister M (…) Clavien PA et 18 al. in Ann Surg

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

read the whole article in Ann Surg

open it in PubMed

Radical Resection Outperforms Preservation in Congenital Bile Duct Surgery

In a comprehensive multicenter trial involving 355 patients with type I congenital bile duct dilation, radical extrahepatic cyst excision, compared to subtotal excision, markedly improved long-term outcomes. The radical approach significantly reduced rates of recurrent cholangitis, pancreatitis, and readmission, leading to better quality of life metrics and lower carcinogenesis risk. Both techniques showed similar perioperative complications, establishing radical resection as the superior choice for patients with intrapancreatic bile duct involvement.

Journal Article by Yang CZ, Zhu CZ (…) Dong JH et 24 al. in Ann Surg

Copyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc.

read the whole article in Ann Surg

open it in PubMed

Immune Checkpoint Inhibitors Triple Pathological Response in Locally Advanced Rectal Cancer

Neoadjuvant immune checkpoint inhibitors boost pathological complete response rates in locally advanced rectal cancer, ranging from 25-62.5%. The clinical complete response rates also soared—hitting 100% in some cases of dMMR/MSI-H tumors. Sphincter preservation rates reached up to 100%. Despite promising outcomes, the evidence stems from a limited number of phase I/II trials without long-term survival data, highlighting the need for robust studies to verify these gains.

Journal Article by Mui M, Kong JC (…) Heriot AG et 3 al. in Dis Colon Rectum

Copyright © The ASCRS 2025.

read the whole article in Dis Colon Rectum

open it in PubMed