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Unified Recommendations Established for Polytrauma Care in Europe

A consensus led by ESTES has produced the first cohesive framework for polytrauma care in Europe. Experts evaluated 139 recommendations from the German S3 guidelines, resulting in 135 remaining proposals, of which 128 were deemed appropriate for implementation across diverse healthcare systems. This foundational tool aims to standardize care for polytrauma patients, spanning pre-hospital to initial surgical phases, addressing significant variations in trauma system maturity among European healthcare settings.

Review by Valcarcel CR, Bieler D (…) Hildebrand F et 2 al. in Eur J Trauma Emerg Surg

© 2025. The Author(s).

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AI Successfully Predicts Major Surgery Needs in Trauma Patients

An artificial intelligence model demonstrated a significant ability to predict the need for major surgery in trauma patients, achieving an ROC-AUC of 0.80-0.86. Specifically, predictions for neurosurgery reached an ROC-AUC of 0.90-0.95, while vascular and abdominal surgeries had scores of 0.69-0.88 and 0.77-0.84, respectively. This predictive capability, utilizing prehospital data, could enhance the early triage process and allocate resources more effectively for trauma care.

Journal Article by Millarch AS, Folke F (…) Sillesen M et 2 al. in Br J Surg

© The Author(s) 2025. Published by Oxford University Press on behalf of BJS Foundation Ltd. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.

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Splenic artery ligation effectively reduces posthepatectomy liver failure.

A randomized controlled trial found that splenic artery ligation significantly decreases the incidence of grades b and c posthepatectomy liver failure in patients with elevated portal venous pressure. Among 36 participants with high pressure, those receiving the intervention had a failure rate of 16.67% compared to 66.67% in the control group (p = .006). The procedure also lowered ascites volume and comprehensive complication index scores, revealing splenic artery ligation as an independent protective factor.

Journal Article by Junrungsee S, Vipudhamorn W (…) Ko-Iam W et 4 al. in BMC Surg

Copyright © 2025 Elsevier Inc. All rights reserved.

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Computer-assisted navigation improves surgical outcomes in pelvic tumor resections

A systematic review and meta-analysis of 11 studies involving 402 patients revealed that computer-assisted navigation (CAN) significantly reduced local recurrence rates (p = 0.008) and increased the likelihood of negative margins (p = 0.0007) in pelvic tumor surgeries. Five-year overall survival for navigated surgeries averaged 78.5%. No notable differences were found in metastasis rates (p = 0.18) or major complications (p = 0.16) between navigated and non-navigated procedures, highlighting CAN’s advantages in surgical precision.

Review by Papalia GF, Ferrini A (…) Papalia R et 4 al. in Eur J Surg Oncol

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

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Lifestyle choices influence long-term survival post-gastric cancer surgery

A population-based study of 71,014 gastric cancer patients revealed that lifestyle behaviors significantly impact long-term mortality after curative gastrectomy, despite not affecting late recurrence. Notably, current underweight status and continued smoking increased mortality risk, while regular physical activity and maintaining a higher BMI post-surgery correlated with reduced mortality. Among the cohort, 8.1% experienced late recurrence, primarily influenced by age and surgical type, emphasizing the importance of lifestyle modifications for improving survival outcomes.

Journal Article by Lee JH, Kim J and Lee DG in J Gastric Cancer

Copyright © 2025. Korean Gastric Cancer Association.

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Enhanced recovery compliance significantly reduces postoperative venous thromboembolism

Enhanced Recovery After Surgery (ERAS) guidelines significantly lower postoperative venous thromboembolism (VTE) rates across various surgical specialties. Among 8,118 patients, those adhering to higher ERAS compliance scored a 23% reduced incidence of VTE. Notably, 11% of patients with VTE had low compliance compared to only 5.6% without VTE, indicating a strong trend. Logistic regression confirmed that ERAS compliance and ASA class were crucial predictive factors, underscoring the need for enhanced adherence to minimize VTE risks.

Multicenter Study by Black KA, Thomas A, Sauro KM and Nelson G in BJS Open

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

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Collaborate measure shows higher reliability in evaluating surgical care quality

Findings reveal that the Collaborate measure surpassed the 9-item shared-decision making questionnaire (SDM-Q-9) in statistical reliability for assessing shared decision-making in surgical care. Among hospitals, the Collaborate measure achieved a median reliability of 0.81, while for surgeons, it reached 0.49. The projected response requirements for reliability were notably low, suggesting feasibility for implementation in evaluating patient-centered practices across various surgical settings. This reveals potential for enhancing surgical care assessment mechanisms.

Journal Article by Liu JB, Pusic AL (…) Ko CY 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.

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AI Framework Enhances Predictive Accuracy for Colorectal Cancer Surgery

A novel deep-learning model, known as DEAF, accurately predicts the completeness of cytoreductive surgery (CRS) in colorectal cancer patients with peritoneal metastasis. Achieving an area under the curve (AUC) of 0.9 in the internal validation cohort, and higher AUC values in three external cohorts, the model aids in selecting suitable patients for surgery and anticipating potential benefits. This advancement can significantly influence surgical decision-making and improve outcomes for affected patients.

Journal Article by Lin Q, Chen C (…) Yuan Z et 10 al. in Eur J Surg Oncol

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

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Transanal total mesorectal excision improves outcomes for rectal cancer.

Transanal total mesorectal excision (TaTME) demonstrated superior clinical outcomes in patients with locally advanced rectal cancer following neoadjuvant chemoradiotherapy (NACRT). A study involving 91 patients revealed TaTME resulted in lower operative time, blood loss, transfusion needs, morbidity, and shorter hospital stays compared to open and laparoscopic surgeries. Additionally, three-year relapse-free survival and local recurrence-free survival rates were significantly better for the TaTME group at 94.7% and 100%, respectively, highlighting its effectiveness in improving patient outcomes.

Journal Article by Matsuda T, Yamashita K (…) Kakeji Y et 7 al. in Surg Today

© 2025. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.

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Nursing safety management model significantly reduces operating room errors

The implementation of an operating room nursing safety management model based on Heinrich’s law led to a notable decrease in nursing safety accidents and improved nursing competencies. Quantitative analyses demonstrated significant enhancements in staff skills, health education, and patient satisfaction post-intervention (p < 0.05). Key factors influencing safety included the nursing staff's business ability and the operating room environment. These findings underscore the importance of standardized protocols and staff training in enhancing perioperative safety.

Journal Article by Wu Y, Jing M (…) Gao C et 5 al. in BMC Surg

© 2025. The Author(s).

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