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10-Year Outcomes: Distal vs. Standard Roux-en-Y Bypass

Distal Roux-en-Y gastric bypass results in greater long-term weight loss but carries higher risks of nutritional deficiencies.

  • Mean BMI reduction after standard RYGB was 12.0 kg/m2 vs. 14.7 kg/m2 for distal RYGB, a significant difference of 2.7 kg/m2.
  • Total weight loss percentage was 23.0% for standard vs. 28.2% for distal, a difference of 5.3% (p = 0.001).
  • Higher rates of malnutrition (5 vs. 1), diarrhea (15 vs. 7), and vitamin D deficiency (32 vs. 24) in the distal group.

Consider patient selection carefully; distal RYGB may achieve better weight loss but with increased nutritional monitoring needs.

Multicenter Study by Salte OB, Hagen RE (…) Mala T et 6 al. in Br J Surg

© The Author(s) 2026. 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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Predicting Opioid Needs After Surgery

Machine learning can help personalize opioid-sparing strategies for outpatient surgeries.

  • In a study of 223 patients, 42% required opioids, using a median of 4 doses post-surgery.
  • The machine learning model identified key risk factors like active cancer and age, achieving an AUC of 0.674, with 70% sensitivity and 68% specificity.

Adoption of this model could refine pain management plans in surgical practice, reducing reliance on opioids and minimizing risks of dependence.

Journal Article by Renshaw S, Satija D (…) Poulose BK et 5 al. in J Am Coll Surg

Copyright © 2026 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

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Limited knowledge of CoC Standards in surgical trainees

Surgical trainees show significant gaps in understanding critical cancer surgery standards, impacting surgical outcomes.

  • Only 30% of trainees received formal training on CoC operative standards.
  • Correct response rates were just 30% for CoC standards versus 50% for core cancer principles.

Incorporating education on these standards is crucial for improving surgical quality and documentation practices.

  • 71% of residents actively contribute to operative documentation but lack foundational knowledge of standards.

Journal Article by Baskin AS, Funk EC (…) Zaveri S et 11 al. in J Am Coll Surg

Copyright © 2026 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

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Next-gen Cadaver Model Enhances Laparoscopic Training

A new embalming method offers superior realism for laparoscopic surgery training.

  • Residents and experts rated laparoscopic procedures positively, especially TEP, with scores of “good” to “very good.”
  • Novices rated lifelike tissue manipulation significantly higher than experts (p < 0.001).

This model may improve surgical education, leading to better outcomes for patients.

  • Tissue quality and color also rated highly (p = 0.014 and p = 0.046).

Journal Article by Rahimi AM, van Emden M (…) Daams F et 4 al. in Surg Endosc

© 2026. The Author(s).

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Impact of Preoperative Cannabis Use on Gastroparesis Surgery

Preoperative cannabis use leads to worse outcomes after surgery for gastroparesis, indicating patient selection is crucial.

  • Cannabis users had a higher reintervention rate within 90 days (9.3% vs 1.2%) and more inpatient admissions (32.4% vs 23.7%).
  • Over 5 years, they faced higher hospital admission rates (59.3% vs 41.0%) and showed less outpatient engagement (54.6% attended follow-up).

Surgeons should consider closer follow-up for cannabis users post-surgery due to their increased symptom burden and healthcare needs.

Journal Article by Eriksson SE, Chaudhry N (…) Ayazi S et 3 al. in Surg Endosc

© 2026. The Author(s).

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New PPM Classification to Improve Pancreatic Surgery Outcomes

A standardized classification for postpancreatectomy mortality (PPM) can enhance surgical outcomes and patient safety.

  • PPM defined as death within 90 days, attributable to surgical complications, offers clarity for reporting.
  • Three categories identified: PPM 1 (15-30%, technical complications), PPM 2 (45-65%, mainly pancreatic fistulas), and PPM 3 (10-25%, cardiopulmonary issues).

This new framework promises to guide targeted interventions and reduce preventable deaths in pancreatic surgery.

  • Prospective validation will ensure consistent use and benchmarking across surgical practices.

Journal Article by Giuliani T, Siriwardena AK (…) Marchegiani G et 39 al. in Ann Surg

Copyright © 2026 Wolters Kluwer Health, Inc. All rights reserved.

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Diagnostic insights for colorectal laterally spreading tumors

Magnifying endoscopy offers limited guidance for treating non-granular laterally spreading tumors (lst-ng), crucial for surgical decisions.

  • Pseudodepressed lesions show significantly higher rates of high-grade dysplasia (78.1% vs. 31.2%) and T1 carcinoma (34.4% vs. 2%).
  • All T1b carcinomas were found in pseudodepressed lesions, emphasizing the need for en bloc resection.

Surgeons should prioritize technical feasibility for en bloc resection over reliance on magnifying endoscopic findings.

Journal Article by Amioka Y, Tanaka H (…) Oka S et 14 al. in Gastrointest Endosc

Copyright © 2026 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

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AI in Surgery: Bridging Expectation and Reality

Surgeons face significant gaps between their expectations of AI interventions and the actual outcomes in the operating room, highlighting challenges in implementation.

  • 57% of surgeons were neutral on the AI’s usefulness; only 37% had a positive outlook.
  • Key concerns included the need for extensive training, difficulties accessing data, and limited predictive capabilities for complications.

Minimizing these gaps is crucial for improving surgical outcomes and ensuring successful technology adoption.

  • Only a few academic deliverables were generated, indicating a need for improved integration into surgical practice.

Journal Article by Thornton M, Cher BAY (…) Balentine CJ et 5 al. in JAMA Surg

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Elderly Patients Thrive Post-Ventral Hernia Repair

Very elderly patients (76-90) show comparable outcomes to younger counterparts after ventral hernia repair.

  • No differences in 30-day mortality, readmissions, or complications.
  • Very elderly patients reported higher quality of life scores at baseline and significant improvements at 30 days and 1 year.

Surgeons can confidently include very elderly patients in surgical plans, as they achieve significant quality of life gains post-operatively.

  • Lower pain scores at 30 days in the very elderly cohort indicate a better pain experience.

Journal Article by Collins CM, Head WT (…) Collins CE et 3 al. in BMC Surg

Copyright © 2025 Elsevier Inc. All rights reserved.

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Operating Room Communication Impacts Surgical Outcomes

Effective teamwork in the operating room significantly influences patient safety and surgical outcomes.

  • Surgeons scored highest in teamwork and leadership, while circulating staff excelled in checklist completion and communication.
  • Gender dynamics affected teamwork scores; male surgeons received lower ratings when their respondents were female.

Longer surgeries (over 3 hours) correlated with lower teamwork and communication scores.

Targeted education could enhance collaboration and reduce bias in surgical teams.

Journal Article by Armstrong VL, Lu PG (…) Stucky CH et 8 al. in BMC Surg

Copyright © 2025 Elsevier Inc. All rights reserved.

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