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Standardized framework established for reporting colorectal anastomotic leaks

An international consensus has developed the CoReAL Reporting Framework for standardizing the reporting of colorectal anastomotic leaks. This framework includes 33 evidence-based statements and 43 key reporting elements derived from extensive literature review and expert consensus. Focused on addressing variability in published leak rates, it incorporates patient experiences and expert opinions, aiming to enhance management and outcomes associated with surgical complications in colorectal cancer patients.

Journal Article by Heuvelings DJI, Bouvy ND (…) Sylla P et 4 al. in Dis Colon Rectum

Copyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Colon and Rectal Surgeons.

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Surgical microwave ablation reduces local recurrence in HCC patients.

A study from St Vincent’s Hospital evaluated percutaneous and surgical microwave ablation (MWA) in treating hepatocellular carcinoma (HCC). Findings indicated that surgical MWA (SMWA) resulted in significantly lower local recurrence rates compared to percutaneous MWA (31.4% vs. 10.7%). Although SMWA was associated with longer procedure times and hospital stays, overall survival rates remained unchanged between the two methods. Both MWA techniques are effective, and their complementary use is recommended for optimal outcomes in HCC patients.

Journal Article by McKay B, Meehan E (…) Knowles B et 3 al. in World J Surg

© 2025 International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).

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Ursodiol reduces cholecystectomy rates after bariatric surgery

In a study involving 8,433 bariatric surgery patients, ursodeoxycholic acid (UDCA) significantly lowered cholecystectomy incidents. Among the 5,061 patients not receiving UDCA, 2.9% underwent cholecystectomy, compared to just 0.5% of the 3,372 patients treated with 600 mg of UDCA daily for six months. Notably, the rates varied across different surgical types: biliopancreatic diversion with duodenal switch (8% vs. 1.4%), Roux-en-Y gastric bypass (4.4% vs. 0.1%), and sleeve gastrectomy (1.7% vs. 0.4%).

Journal Article by Lind R, Abich E (…) Goncalves GG et 6 al. in Surg Laparosc Endosc Percutan Tech

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

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Pocket-creation method outperforms conventional method for gastric cancer

A systematic review indicates that the pocket-creation method of endoscopic submucosal dissection (pcm-esd) offers significant advantages over the conventional method (cm-esd) for treating early gastric cancer. The pcm-esd demonstrated a faster dissection speed (mean difference of 5.57 mm²/min) and resulted in fewer perforations without increasing the risk of delayed bleeding. No significant differences in en bloc or R0 resection rates were noted between the two approaches, signaling pcm-esd’s efficacy and safety.

Journal Article by Song MM, Wang FB (…) Wang TP et 2 al. in Saudi Med J

Copyright: © Saudi Medical Journal.

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AI aligns closely with colorectal cancer treatment decisions

A retrospective study evaluated the concordance between therapeutic recommendations made by multidisciplinary teams and those generated by ChatGPT for colorectal cancer. Of 100 patients, pre-therapeutic discussions showed a 72.5% complete concordance, while post-therapeutic discussions revealed an increase to 82.8%. Discordance was notably higher among patients over 77 years old and with higher ASA classifications. These findings suggest that integrating AI like ChatGPT can significantly enhance decision-making processes in colorectal cancer management.

Journal Article by Chatziisaak D, Burri P (…) Bischofberger S et 3 al. in BJS Open

© The Author(s) 2025. Published by Oxford University Press on behalf of BJS Foundation Ltd.

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Psychological prehabilitation improves postoperative outcomes significantly.

A meta-analysis involving 2,376 surgical patients confirmed that psychological prehabilitation significantly enhances recovery outcomes. Specifically, it led to reduced postoperative length of stay by an average of 1.62 days, alleviated pain by 3.52 points, and decreased anxiety and depression scores substantially. Notably, the types of psychological interventions, such as cognitive behavioral therapy and supportive psychotherapy, did not significantly differ in effectiveness, except concerning anxiety reduction. Further research is needed to optimize approaches tailored to specific surgical contexts.

Systematic Review by Hall AE, Nguyen NH (…) Lee JC et 8 al. in Ann Surg

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

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Minimal access necrosectomy improves outcomes for infected pancreatic necrosis

A study analyzing 400 patients revealed that minimal access retroperitoneal pancreatic necrosectomy significantly improves outcomes for those with infected pancreatic necrosis. Compared to open necrosectomy, this method reduced rates of gastrointestinal fistula (13.5% vs. 30%), mortality (18% vs. 37.5%), and major complications (35.9% vs. 57.5%). Over a decade, its application grew, demonstrating fewer conversions to open surgery compared to traditional methods. These findings emphasize the method’s efficacy and safety in enhancing patient prognosis.

Journal Article by Zhu S, Ning C (…) Huang G et 7 al. in BMC Surg

Copyright © 2025 Elsevier Inc. All rights reserved.

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Octogenarians face higher risks post-cholecystectomy

Octogenarians undergoing cholecystectomy demonstrate significantly higher risks of serious complications and mortality compared to younger patients. In a national analysis of 288,705 cases, octogenarians exhibited increased rates of open procedures, longer hospital stays, and a 3.29 times greater risk of mortality. Minimally invasive surgery emerged as a protective factor against complications, while functional dependence was linked to higher morbidity. These findings underscore the need for careful preoperative assessment of functional status in elderly patients.

Journal Article by Lee EKS, Verhoeff K (…) Anderson B et 5 al. in J Gastrointest Surg

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

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Multimodal ML Model Improves Delirium Detection Rates

A novel multimodal machine learning model significantly enhanced delirium risk stratification in hospitalized older adults. Validation outcomes revealed an impressive area under the curve of 0.94, with monthly delirium detection rates soaring from 4.42% to 17.17% following model deployment. Moreover, the post-deployment cohort experienced reduced daily doses of benzodiazepines and olanzapine, indicating potential improvements in patient care and resource optimization during hospital stays.

Journal Article by Friedman JI, Parchure P (…) Kia A et 10 al. in JAMA Netw Open

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Free flap reconstruction effectively addresses large abdominal wall defects

A systematic review analyzed 32 studies on free flap reconstruction for abdominal wall defects, involving 104 procedures with an average defect size of 330 cm². Notably, there were no reports of flap loss, indicating the technique’s safety and effectiveness. Infection was identified as the primary predictor of postoperative complications. These findings suggest consistent outcomes across different flap types, highlighting the need for further research to refine patient and flap selection guidelines in future practices.

Review by Kim MI, Manasyan A (…) Koesters EC et 4 al. in Microsurgery

© 2025 Wiley Periodicals LLC.

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