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New model predicts liver failure risk in surgery patients

A novel multivariable model combining aspartate aminotransferase to platelet ratio and albumin-bilirubin grade effectively predicts clinically significant posthepatectomy liver failure (PHLF) in over 12,000 patients. With an area under the curve (AUC) of 0.77 in the prediction cohort and 0.74 in validation, its performance matches more costly liver function tests. Furthermore, a smartphone app was developed to enhance accessibility, offering a valuable tool for preoperative risk assessment in hepatic surgeries.

Multicenter Study by Santol J, Kim S (…) Starlinger P et 32 al. in Ann Surg

Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.

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Smoking increases postoperative complications after esophagectomy for cancer.

A study analyzing 694 patients undergoing esophagectomy for esophageal squamous cell carcinoma revealed that smokers faced significantly higher rates of major complications and 30-day mortality compared to non-smokers. Major morbidity rates reached 37% among smokers versus 23% for non-smokers. Active smokers experienced more severe pulmonary issues and acute respiratory distress syndrome. Long-term survival rates were similar across all groups, indicating that while immediate risks are higher for smokers, their impact on survival remains ambiguous.

Journal Article by Lintis A, Voron T (…) Veziant J et 5 al. in BMC Surg

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

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Minimally invasive surgery shows better outcomes for groin hernias

A systematic review and meta-analysis revealed that minimally invasive surgery (MIS) for acute groin hernias significantly reduces the rates of bowel resection, superficial surgical site infections, and hospital length of stay compared to traditional open surgery. Although both approaches showed similar results regarding operation duration, prosthesis use, and overall postoperative complications, the advantages of MIS underscore its potential as a preferred treatment method for acute groin hernias.

Review by Regmi P, Sah VP (…) Gupta RK et 5 al. in Am J Surg

Copyright © 2025 Elsevier Inc. All rights reserved.

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New risk score predicts mortality after major liver resection

A newly developed preoperative risk score accurately predicts 90-day mortality in patients undergoing major liver resection, identifying five key factors: age ≥ 65 years, type 2 diabetes, primary liver cancer diagnosis, an American Society of Anesthesiologists score of ≥ 3, and extended hemihepatectomy. The score categorizes patients into low, intermediate, and high risk, with respective mortality rates of 3.5%, 11.1%, and 29.7%. Validation in a larger cohort further confirms its effectiveness in clinical decision-making.

Journal Article by Ceuppens S, Olthof PB (…) Groot Koerkamp B et 21 al. in J Gastrointest Surg

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

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Certain patient factors suggest early abandonment in bile duct procedures

A study analyzing 952 laparoscopic common bile duct explorations found an impressive success rate of 89.2%. However, factors like older age, higher American Society of Anesthesiologists (ASA) scores, and the presence of larger or previously identified stones were linked to undesirable outcomes. Surgeons developing their skills in this procedure are advised to consider bailing early for patients exhibiting these characteristics to mitigate risks, enhance efficiency, and maximize procedural success.

Journal Article by Jenkins V, Bird D (…) Hodgson R et 2 al. in Surg Laparosc Endosc Percutan Tech

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

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Conventional techniques effectively manage previously partially resected colorectal lesions

Findings indicate that conventional endoscopic resection techniques can safely and effectively handle previously partially resected colorectal polyps. Out of 220 such lesions, all were successfully resected with similar recurrence rates (8.2%) compared to lesions without prior resection (7.8%). Notably, previously resected lesions required more advanced methods such as electrocautery and avulsion. Despite trends toward recommending specialized techniques, this study confirms that traditional methods remain viable for experts treating these complex cases.

Journal Article by Guardiola JJ, Lahr RE (…) Rex DK et 3 al. in Gastrointest Endosc

Copyright © 2025 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

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ACS model offers fastest surgical care for cholecystectomy

Analysis of 2,247 cholecystectomy cases reveals that patients under acute care surgery (ACS) models experienced significantly quicker surgery times, with a median interval from admission of just 25.1 hours. In contrast, other practice models reported longer times, up to 61.1 hours. ACS patients also had shorter hospital stays, averaging two days. While community practices showed lower costs, the efficiency of the ACS model highlights potential advantages in ensuring timely, quality care within large healthcare systems.

Journal Article by Shen A, Wang A (…) Barmparas G et 5 al. in J Am Coll Surg

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

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Joint nasogastric tube proves superior for esophagojejunostomy

A novel joint nasogastric tube (JNT) significantly improved the success rate of tube insertion into the esophageal stump during overlap-esophagojejunostomy, reaching 90.6% compared to 58.5% with traditional nasogastric tubing (TNT). Insertion times decreased dramatically, with JNT taking only 15 seconds versus 100 seconds for TNT. Additionally, esophagojejunostomy time was reduced by 4.3 minutes. Postoperative complications were similar across both techniques, indicating JNT is a safe and efficient alternative.

Journal Article by Chen X, Yang Z (…) Yu J et 5 al. in Ann Surg Oncol

© 2025. Society of Surgical Oncology.

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Same-day discharge is as safe as inpatient stay for LSG.

A systematic review and meta-analysis involving 138,001 patients compared same-day discharge (SDD) laparoscopic sleeve gastrectomy (LSG) with inpatient (IP) procedures. Findings revealed SDD resulted in significantly fewer emergency room visits versus IP (odds ratio 1.52). No significant differences were found in readmission (odds ratio 1.48) or reoperation rates (odds ratio 0.62). Overall, SDD LSG demonstrated similar low mortality and morbidity rates, reaffirming its safety compared to traditional inpatient care.

Journal Article by Mobarak Z, Mobarak S (…) Menon A et 2 al. in Int J Surg

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

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Minimally invasive parathyroidectomy under local anesthesia is effective.

A systematic review of 23 studies involving 2,470 adults with primary hyperparathyroidism demonstrated the feasibility of minimally invasive parathyroidectomy under local anesthesia. Operative times averaged 43.86 minutes with a 95-97% success rate. Patients experienced a mean hospitalization of just 16.83 hours and relatively few complications. Preoperative and postoperative parathyroid hormone and calcium levels showed significant improvement, confirming this approach as a safe and efficient treatment method for well-localized cases.

Systematic Review by Palmieri L, Lucchini R, Angelucci D and Avenia N in Minerva Surg

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