Blog

High Geriatric Patient Volume Linked to Increased Mortality Risks for All Trauma Patients

A rising proportion of geriatric patients in trauma centers significantly influences outcomes. While mortality for geriatric patients improves with increased numbers, a threshold of 65% total volume results in a plateau. Alarmingly, when the geriatric share exceeds 61%, mortality rates among nongeriatric adults start to climb. This study underscores the need for trauma systems to adapt care strategies, as an influx of medically complex geriatric patients may overwhelm resources, adversely affecting all trauma outcomes.

Journal Article by Boland S, Lu L (…) Brown JB et 2 al. in BMC Surg

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

read the whole article in BMC Surg

open it in PubMed

Hepatectomy Enhances Survival in Colorectal Cancer with Multiple Liver Metastases

Patients with unresectable colorectal cancer and 10+ liver metastases experience notable survival benefits from hepatic resection combined with radiofrequency ablation (RFA) and systemic therapy. Three-year survival rates soar to 39.2% for surgery approaches, compared to just 18.6% and 8.2% for RFA plus systemic therapy and systemic therapy alone, respectively. This retrospective cohort study analyzes 373 patients, emphasizing the importance of assessing surgical options in this high-risk group.

Journal Article by Lu P, Li Y (…) Peng J et 2 al. in J Gastrointest Oncol

Copyright © 2025 AME Publishing Company. All rights reserved.

read the whole article in J Gastrointest Oncol

open it in PubMed

Percutaneous Catheter Drainage Outperforms Aspiration for Liver Abscesses

Percutaneous catheter drainage (PCD) significantly outperformed percutaneous aspiration (PA) in treating liver abscesses. PCD demonstrated higher treatment success rates and led to quicker clinical improvements, reducing recovery time by nearly two days. Additionally, PCD lowered the six-month recurrence rate by 56%. Both methods displayed comparable complication rates. These findings underscore PCD’s effectiveness and safety, calling for further randomized controlled trials to refine treatment guidelines.

Comparative Study by Li XF and Pan DM in Medicine (Baltimore)

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

read the whole article in Medicine (Baltimore)

open it in PubMed

Methylene Blue Reduces Postoperative Pain After Hemorrhoid Surgery

Methylene blue effectively alleviates postoperative pain and decreases analgesic use in hemorrhoid surgery patients. A meta-analysis of six studies with 598 participants revealed significant pain reduction within 12 hours post-surgery, along with lower analgesic requirements. Importantly, methylene blue demonstrated a safety profile without increasing complications. These results underscore the potential of methylene blue as a key adjunct in managing postoperative pain, prompting a call for detailed usage guidelines and specialized formulations for colorectal treatments.

Journal Article by Zhu YJ, Shi YT, Shi SY and Xu L in Ann Med

read the whole article in Ann Med

open it in PubMed

Significant Postoperative Complications Erode Survival in Remnant Gastric Cancer Patients

Severe complications after curative surgery for remnant gastric cancer affect long-term outcomes significantly. In a study of 126 patients, those with complications classified as Clavien-Dindo grade ≥ 3a exhibited markedly lower five-year overall survival (32% vs. 65.6%) and recurrence-free survival (33.6% vs. 64.3%). Key risk factors were identified: smoking, prolonged operative time, and blood transfusions, highlighting the need to address these to improve patient prognoses in this challenging cohort.

Journal Article by Kudou K, Ota M (…) Yoshizumi T et 11 al. in J Surg Oncol

© 2025 The Author(s). Journal of Surgical Oncology published by Wiley Periodicals LLC.

read the whole article in J Surg Oncol

open it in PubMed

High Venous Thromboembolism Risk Identified in Pancreatic Cancer Patients

Venous thromboembolism (VTE) affects 15.6% of pancreatic cancer patients, significantly higher than other malignancies. Key risk factors include tumor location in the body or tail, poorly differentiated tumors, stage IV disease, metastasis, and elevated D-dimer levels post-surgery. The study’s findings emphasize the need for early identification and management strategies for these high-risk patients to prevent serious complications.

Journal Article by Zhou X, Jiang Y (…) Liu S et 4 al. in J Gastrointest Oncol

Copyright © 2025 AME Publishing Company. All rights reserved.

read the whole article in J Gastrointest Oncol

open it in PubMed

Indocyanine Green Outshines Endoscopic Ultrasound in Colorectal Cancer Node Detection

Indocyanine green (ICG) fluorescence imaging significantly surpasses endoscopic ultrasound (EUS) in diagnosing sentinel and lymph node metastasis in colorectal cancer patients. With sensitivities of 94.44% for sentinel nodes and 80.00% for lymph nodes, ICG proved far more accurate than EUS, which lagged at 40.74% and 28.57%, respectively. The area under the curve for ICG was 0.932 for lymph nodes, underscoring its superior diagnostic value, crucial for improving patient outcomes during surgical interventions.

Journal Article by Wu G, Huang Y (…) Jia Z et 7 al. in J Gastrointest Oncol

Copyright © 2025 AME Publishing Company. All rights reserved.

read the whole article in J Gastrointest Oncol

open it in PubMed

Operator Gestalt Outperforms Other Techniques in Blood Bag Filling Accuracy

In prehospital settings, novices using operator gestalt achieved a 69% success rate in correctly filling donor blood bags, significantly surpassing the beaded cable tie (37%) and paracord (52%). For experts, the paracord reached an 80% success rate; however, operator gestalt (70%) was not statistically different. Both groups preferred operator gestalt, while the beaded cable tie performed the worst across all measures. The study underlines the pressing need for improved methods to ensure accurate blood bag fills in austere environments.

Journal Article by Carlton DM, Jordan CS (…) Auten JD et 7 al. in J Spec Oper Med

2025.

read the whole article in J Spec Oper Med

open it in PubMed

Women Outperform Men in Achieving Ideal Outcomes After Pancreatic Surgery

Female patients demonstrated significantly better surgical outcomes following pancreatectomy compared to males, with 62.3% of women achieving ideal outcomes versus 54.1% of men. Women faced fewer complications, lower reoperation rates, and reduced 30-day mortality. The likelihood of achieving optimal results was notably higher for women and those undergoing distal pancreatectomy versus pancreatoduodenectomy. These findings suggest that sex-based differences warrant further exploration to understand underlying biological mechanisms impacting surgical outcomes.

Observational Study by Roalsø MT, Nymo LS (…) Søreide K et 3 al. in J Am Coll Surg

Copyright © 2025 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

read the whole article in J Am Coll Surg

open it in PubMed

Achieving YpN0 Status Significantly Enhances Survival in Rectal Cancer

Patients with locally advanced rectal cancer who achieve YpN0 status after neoadjuvant therapy show promising survival rates. In a cohort from the FOWARC trial, five-year overall survival reached 88% for natural N0 and 89% for downstaged N0, far surpassing the 73% survival in YpN+ patients (p=0.0034). This underscores YpN0’s role as an independent prognostic factor, guiding tailored postoperative strategies for improved outcomes.

Journal Article by Wan H, Weng J (…) Luo Y et 16 al. in Dis Colon Rectum

Copyright © The ASCRS 2025.

read the whole article in Dis Colon Rectum

open it in PubMed