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Cholecystectomy effectively resolves symptoms in biliary dyskinesia patients

A study of 415 patients identified that 89 (21%) had biliary dyskinesia, primarily affecting younger women (median age 46, BMI 28). Abdominal pain was the most common symptom. Pathological evaluations showed chronic cholecystitis in 84% of cases. Importantly, all patients with biliary dyskinesia experienced symptom resolution after cholecystectomy, suggesting this procedure is a first-line treatment for those presenting with biliary symptoms without structural abnormalities on imaging.

Journal Article by Popover JL, Oulton ZW (…) Toomey PG et 8 al. in JSLS

© 2025 by SLS, Society of Laparoscopic & Robotic Surgeons.

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Robotic cholecystectomy shows better outcomes than laparoscopic method

A multihospital study analyzed 4,316 cholecystectomy patients, comparing robotic and laparoscopic techniques. Results indicated that robotic cholecystectomy was linked to significantly lower conversion rates to open surgery and overall favorable clinical outcomes. This research represents one of the largest retrospective analyses highlighting the benefits of robotic assistance in gallbladder surgery. The findings suggest a shift towards advanced surgical methods may enhance patient care and outcomes in cholecystectomy procedures.

Multicenter Study by Rhodes MA, Otero J (…) Schneider AM et 2 al. in JSLS

© 2025 by SLS, Society of Laparoscopic & Robotic Surgeons.

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Watch-and-Wait yields favorable outcomes in rectal cancer patients

Broad implementation of Watch-and-Wait for rectal cancer in the Netherlands shows promising results. Among 1,080 patients, 45% achieved clinical complete response post-treatment, with a three-year organ preservation rate of 76%. The study also found a 23% incidence of local regrowth and an overall survival rate of 97%. Notably, no significant differences in regrowth or metastases arose between the study’s cohorts, indicating successful application of treatment protocols in high-volume hospitals.

Multicenter Study by Geubels BM, Grotenhuis BA (…) Beets GL et 5 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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Uniform prehabilitation protocols improve outcomes for colorectal surgery patients

Researchers aim to assess the impact of standardized prehabilitation protocols on clinical outcomes for colorectal cancer patients in the Netherlands. By recruiting 1,070 patients, including those undergoing prehabilitation and a matched historical cohort, they will analyze postoperative complications, length of hospital stay, and readmission rates. The study seeks to establish a clear clinical effect of prehabilitation, potentially enhancing patient recovery and resilience prior to major surgery.

Journal Article by Sabajo CR, Dieleman JP (…) Slooter GD et 3 al. in World J Surg

© 2025 The Author(s). World Journal of Surgery published by John Wiley & Sons Ltd on behalf of International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC).

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AI can enhance surgical care access but needs ethical oversight.

A three-pronged approach is proposed to leverage artificial intelligence in improving surgical care access, particularly for underserved populations. By emphasizing data quality, continuous system evaluation, and ethical governance, researchers suggest that AI can reduce disparities in health outcomes. This approach addresses the risks associated with AI implementation while unlocking its potential to benefit rural and vulnerable communities. Effective management of AI is crucial to ensure equitable healthcare delivery and heightened safety standards.

Journal Article by Tetteh HA, Blagogee T and Robbins D in Am Surg

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Advancing minimally invasive surgery in Africa is challenging.

Minimally invasive surgery (MIS) has improved patient outcomes, yet its implementation in Africa faces significant hurdles. Economic constraints, inadequate healthcare infrastructure, and lack of training limit its adoption across the continent. Notably, only Egypt and South Africa have established robotic surgery programs. However, advancements in tele-robotic surgery and low-cost innovations show promise. Overcoming these barriers could enhance surgical care and benefit healthcare and economic outcomes in Africa, underscoring the need for strategic investment and policy support.

Letter by Falola A, Ndong A and Adeyeye A in BMC Surg

© 2025. The Author(s).

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ACS model enhances trauma care and surgeon satisfaction in Taiwan

The implementation of the acute care surgery (ACS) model at Chang Gung Memorial Hospital has revolutionized trauma care in Taiwan. This comprehensive approach, covering all stages from admission to discharge, has significantly improved patient outcomes. By broadening the role of trauma surgeons, the model not only ensures high-quality care but also fosters professional satisfaction among medical teams. The ACS model effectively addresses challenges in the trauma system and retains skilled professionals within the field.

Review by Hsieh CH, Liao CH (…) Wu YT et 16 al. in World J Emerg Surg

© 2025. The Author(s).

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High appendiceal tumor rate linked to periappendicular abscess

The research highlights a significant appendiceal tumor prevalence of 14.3% among patients with periappendicular abscess, markedly higher compared to 1.5% in those with uncomplicated appendicitis. Notably, age is a key risk factor, with patients over 35 years exhibiting increased tumor rates. The study proposes routine interval appendectomy for this demographic, emphasizing improved outcomes in terms of lower complication rates compared to emergency surgeries. The findings call for enhanced screening protocols for older patients.

Journal Article by Salminen R, Alajääski J (…) Salminen P et 15 al. in JAMA Surg

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Distinct prognostic implications observed in pancreatic neuroendocrine neoplasms

Findings indicate significant differences between insulinomas and non-functional pancreatic neuroendocrine neoplasms (nf-pnens) regarding prognosis and tumor biology. nf-pnens exhibited higher rates of lymph node involvement, perineural invasion, and more advanced tumor grades. The study’s multivariate analysis revealed that nf-pnens with lymph node metastasis and high grading correlated with reduced recurrence-free survival. Genetically, distinct somatic mutations and copy number variations were noted, emphasizing the need for tailored surgical management and follow-up strategies for these neoplasms.

Journal Article by Tan Q, Liu L (…) Wang X et 2 al. in Am J Surg

Copyright © 2025 Elsevier Inc. All rights reserved.

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EUS-TA significantly enhances diagnostic accuracy for biliary lesions

Endoscopic ultrasound-guided tissue acquisition (EUS-TA) demonstrated high diagnostic yields in biliary lesions, achieving 96.3% sensitivity and 100% specificity. Of 71 cases, 54 were diagnosed as malignant, marking a 76.1% malignancy rate. When combined with endoscopic retrograde cholangiography (ERC), EUS-TA increased overall diagnostic accuracy from 82.5% to 94.2%, identifying 30 additional malignant cases. The procedure’s adverse event rate was low, with only one case of peritonitis reported.

Journal Article by Agarie D, Hijioka S (…) Okusaka T et 7 al. in J Hepatobiliary Pancreat Sci

© 2025 Japanese Society of Hepato‐Biliary‐Pancreatic Surgery.

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