Blog

Future liver remnant optimization improves surgical outcomes.

Enhancing the future liver remnant (FLR) before major hepatectomy significantly boosts patient outcomes, addressing post-operative liver failure risks. Various techniques such as portal vein embolization, ligation, and liver venous deprivation show distinct advantages and limitations for FLR hypertrophy. While comparative studies exist, controlled trials are scarce. The review highlights current methodologies and underscores the critical need for ongoing and future randomized trials to refine approaches and tailor interventions to individual patient needs.

Review by Wong P, Vien P (…) Melstrom LG et 3 al. in Ann Surg Oncol

© 2025. The Author(s).

read the whole article in Ann Surg Oncol

open it in PubMed

ICU readmission notably raises mortality risk in surgical patients

A systematic review of 23 studies highlights a significant correlation between ICU readmission and increased mortality risk in surgical patients, with an odds ratio of 8.44. The overall readmission rate stood at 6%, notably higher in gastrointestinal (9%) and thoracic (8%) surgeries. Respiratory complications emerged as the leading cause, accounting for 40% of readmissions. This research underscores the heightened mortality and extended recovery times associated with readmissions in this patient population.

Review by Lu R, Kacha S (…) Chittawatanarat K et 6 al. in Am J Surg

Copyright © 2025 Elsevier Inc. All rights reserved.

read the whole article in Am J Surg

open it in PubMed

Chen’s pancreaticojejunostomy shows low complication rates in surgery

A recent study evaluated the efficacy of Chen’s pancreaticojejunostomy in laparoscopic pancreaticoduodenectomy among 112 patients with soft pancreatic texture and small main pancreatic ducts. The procedure yielded a low postoperative pancreatic fistula rate of 7.1%, all classified as grade B, with no grade C occurrences. The median operation time was 300 minutes, and the perioperative mortality was 1.8%. Notably, pancreatic texture and duct size did not significantly affect postoperative complications.

Journal Article by Zhu Y, Yu J (…) Liao X et 5 al. in BMC Surg

© 2025. The Author(s).

read the whole article in BMC Surg

open it in PubMed

Surgical site infections in sub-Saharan Africa require urgent intervention

Surgical site infections (SSIs) in sub-Saharan Africa (SSA) reach alarming rates, with occurrences as high as 41.9% in Tanzania, compared to 2.5% in Europe. Lack of resources and inadequate adherence to sterilization protocols contribute significantly to this disparity. Effective prevention strategies, such as antimicrobial-coated sutures and proper wound irrigation, are recommended. Securing external funding from global organizations could also address the persistent issues in healthcare infrastructure and data management, ultimately reducing SSI rates.

Review by Nakhleh H, Samuel Fatokun B (…) Uwishema O et 3 al. in Ann Med Surg (Lond)

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

read the whole article in Ann Med Surg (Lond)

open it in PubMed

New surgical framework enhances management of small bowel Crohn’s disease

A novel four-tier surgical strategy (R0-R3) for small bowel Crohn’s disease has been proposed, emphasizing individualized treatment based on lesion severity and bowel function preservation. R0 involves complete resection for mild lesions, while R1 and R2 focus on preserving certain lesions during resection. R3 indicates temporary stoma creation for complex cases. This tailored approach promotes anatomical clearance and decreases the risk of recurrence, addressing significant gaps in current surgical guidelines and highlighting the need for more personalized patient management.

Journal Article by Yang L, Jiang Z, Sun Q and Yuan L in Intractable Rare Dis Res

2025, International Research and Cooperation Association for Bio & Socio – Sciences Advancement.

read the whole article in Intractable Rare Dis Res

open it in PubMed

Vas guide improves safety and efficiency in robot-assisted surgery

A novel device, the vas guide, significantly enhances blood vessel handling in robot-assisted surgeries. In a study of 83 patients, the vas guide group demonstrated faster looping times (31 seconds vs. 90 seconds), fewer complications (0% vs. 30%), and no additional instrument usage, contrasting sharply with the conventional technique. The device also scored higher on satisfaction metrics (26.5 vs. 75.7). It is reusable, durable, and cost-effective, addressing critical challenges in surgical procedures.

Journal Article by Sasaki Y, Fukuta K (…) Furukawa J et 10 al. in Surg Endosc

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

read the whole article in Surg Endosc

open it in PubMed

Total neoadjuvant therapy shows promising results for rectal cancer

Comprehensive analysis of 311 patients with locally advanced rectal cancer revealed a 26.4% pathological complete response rate and significant downstaging in 75.2% of cases. At a median follow-up of 36 months, local and distant recurrence rates were 5.7% and 12.5%, respectively. The five-year cancer-specific survival and disease-free survival rates reached 88.8% and 80.5%, with downstaged patients showing remarkably better outcomes. Total neoadjuvant therapy followed by total mesorectal excision demonstrates robust efficacy.

Journal Article by Ng JC, Sassun R (…) Larson DW et 7 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.

read the whole article in Eur J Surg Oncol

open it in PubMed

Bariatric surgery significantly lowers healthcare costs within two years

Bariatric surgery yields substantial economic benefits, with total healthcare costs for surgical patients decreasing by an average of $5,677 compared to nonsurgical counterparts within two years. The study examined 18,864 adults, revealing a 22.6% reduction in costs, particularly among those with type 2 diabetes, steatohepatitis, or aged 50-65, who experienced the highest savings. Findings underscore the cost-effectiveness of bariatric procedures and the need for greater patient utilization in addressing obesity-related healthcare challenges.

Journal Article by Lloyd SJ, Wall-Wieler E (…) LaMasters T et 2 al. in Surg Obes Relat Dis

Copyright © 2025. Published by Elsevier Inc.

read the whole article in Surg Obes Relat Dis

open it in PubMed

Cholecystectomy shows better outcomes than percutaneous cholecystostomy

A systematic review and meta-analysis examined treatment outcomes for acute cholecystitis, revealing that laparoscopic cholecystectomy (CC) significantly reduces mortality (OR=0.26) and readmission rates (OR=0.37) compared to percutaneous cholecystostomy (PC). While CC showed superior results, PC remains a viable option for high-risk patients. Studies comparing PC followed by CC to CC alone yielded mixed conclusions, indicating no significant advantage for the combined approach. Further research is necessary to optimize treatment strategies for these patients.

Review by Fanciulli G, Favara G (…) Basile G et 3 al. in World J Emerg Surg

© 2025. The Author(s).

read the whole article in World J Emerg Surg

open it in PubMed

Composite performance score reduces costs in robotic surgery

Implementation of the Orlando Score in robotic-assisted surgery led to a significant 7.5% cost reduction per procedure among participating surgeons. In contrast, the control group saw increased costs without any differences in operative time, length of stay, or readmission rates. The study emphasizes the effectiveness of the composite performance score in facilitating cost-efficient resource management and active surgeon involvement in cost-reduction strategies, all while maintaining the quality of care.

Journal Article by Sanchez A, Teixeira A, Ghanem M and Herrera L in J Robot Surg

© 2025. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.

read the whole article in J Robot Surg

open it in PubMed