Blog

Enhanced diagnostic accuracy for peritoneal metastasis in gastric cancer

A novel machine learning-driven surface-enhanced Raman spectroscopy (SERS) platform showcased remarkable diagnostic prowess in identifying peritoneal metastasis in gastric cancer patients. The PCA-LDA model achieved an accuracy of 95.7%, sensitivity of 87.0%, and specificity of 95.5%, all significantly outperforming traditional methods like exfoliative cytology and CT scans. This innovative approach promises to streamline and enhance cancer diagnosis, providing timely, accurate information that could substantially impact patient outcomes.

Journal Article by Shi B, Lu S (…) Yan C et 9 al. in Ann Surg Oncol

© 2025. Society of Surgical Oncology.

read the whole article in Ann Surg Oncol

open it in PubMed

Preemptive analgesia reduces postoperative pain after laparoscopic cholecystectomy

In a comparison of pain management techniques, intercostal nerve block combined with incisional infiltration anesthesia significantly alleviated postoperative pain in laparoscopic cholecystectomy patients. The intervention group reported lower pain scores at all measured intervals, evidencing less reliance on additional tramadol. Furthermore, patients in the intervention group experienced shorter hospital stays and quicker ambulation without compromising safety. These findings suggest enhanced recovery paths for patients with optimized analgesia strategies.

Journal Article by Zhao L, Zhang Y, Chen X and Zhang C in Langenbecks Arch Surg

© 2025. The Author(s).

read the whole article in Langenbecks Arch Surg

open it in PubMed

Surgical robotics improve minimally invasive surgery outcomes.

A comprehensive review of 31 surgical robotic platforms (SRPs) highlights their transformative impact on robot-assisted minimally invasive surgeries (RMIS). By integrating AI-based computer-assisted surgery (CAS) systems, SRPs enhance clinical outcomes through precise execution. The analysis introduces a new classification system for SRPs and evaluates 27 video-guided CAS systems, pinpointing both benefits and limitations. This work not only outlines the current landscape but also emphasizes the need for further research in surgical robotics.

Review by Oza RS, Mehta MA and Siarry P in Int J Med Robot

© 2025 John Wiley & Sons Ltd.

read the whole article in Int J Med Robot

open it in PubMed

Multidisciplinary guidelines aim to standardize ampullary neoplasm classification

A consensus of 43 international experts has established the Brescia PERIPAN guidelines to address inconsistencies in diagnosing neoplasms near the ampulla of Vater. The comprehensive recommendations encompass enhanced anatomical definitions, refine tumor classifications, and improve pathology assessment protocols. By clarifying distinctions between ampullary and other periampullary tumors, this initiative aims to elevate patient care and research integrity in a complex medical field, ensuring precision in diagnosis and treatment approaches for affected patients.

Journal Article by Abu Hilal M, Uijterwijk BA (…) Verbeke C et 53 al. in United European Gastroenterol J

© 2025 The Author(s). United European Gastroenterology Journal published by Wiley Periodicals LLC on behalf of United European Gastroenterology.

read the whole article in United European Gastroenterol J

open it in PubMed

Lower vitamin D and albumin levels predict surgical complications

Preoperative nutritional markers, specifically albumin and vitamin D, significantly forecast postoperative complications in colorectal surgery. Lower levels of both markers were associated with increased risk, with albumin demonstrating a strong predictive value (p=0.044). The optimal thresholds for intervention were determined as 14.4 ng/ml for vitamin D and 3.6 g/dl for albumin. These findings underscore the importance of thorough preoperative nutritional assessments to identify patients at risk and ensure timely corrective actions.

Journal Article by Palucci M, Del Angel-Millán G (…) Panaro F et 7 al. in Minerva Surg

read the whole article in Minerva Surg

open it in PubMed

Subsumed surgery shows no significant difference in outcomes.

A comprehensive analysis involving 871,441 surgical procedures revealed that subsumed surgeries, completed during noncritical portions of overlapping procedures, yield similar postoperative outcomes to non-overlapping surgeries. Initial univariate data indicated a higher 30-day readmission risk and reoperation rates for subsumed surgeries. However, when matched for demographics and procedural variables, no significant differences emerged in outcomes among similar patients treated by the same surgeon. This challenges prior assumptions about the safety of subsumed surgery.

Journal Article by Borja AJ, Karsalia R (…) Malhotra NR et 5 al. in Ann Surg

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

read the whole article in Ann Surg

open it in PubMed

New Risk Calculator Accurately Predicts Mortality in Transfer Cases

A novel mortality risk calculator has been developed for “unseen” emergency general surgery patients transferred between hospitals. Analyzing 4,664 patients, researchers identified a significant mortality rate of 6.0%. Their model, utilizing 12 key variables, demonstrated excellent predictive performance with an area under the curve of 0.851 and impressive sensitivity of 90%. This tool could enhance patient triage and resource allocation, thereby standardizing care during critical transfers and ultimately improving patient outcomes.

Validation Study by Said SA, Gentle CK (…) Augustin T et 7 al. in Ann Surg

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

read the whole article in Ann Surg

open it in PubMed

Enhanced precision in robotic liver surgery improves outcomes

Robotic right anterior sectionectomy, utilizing the extrahepatic glissonean approach and indocyanine green (ICG) fluorescence, demonstrates significant advancements in minimally invasive liver surgery. The use of the da Vinci Xi system enabled enhanced dexterity and visualization, which optimized the dissection of the glissonean pedicle and improved surgical precision. Key benefits included minimized remnant ischemia and reduced bile leakage, paving the way for safer, more efficient liver resections.

Journal Article by Kim JH, Park HM and Na BG in Ann Surg Oncol

© 2025. Society of Surgical Oncology.

read the whole article in Ann Surg Oncol

open it in PubMed

An ATF/CREB-based model predicts outcomes in adrenocortical carcinoma

A seven-gene prognostic model derived from the ATF/CREB family effectively stratifies adrenocortical carcinoma (ACC) patients into high- and low-risk groups based on overall survival. This model not only serves as an independent prognostic factor across various clinical settings but also reveals unique immune characteristics linked to high-risk patients, including reduced CD8+ T cell presence and immune checkpoint expression. Experimental findings confirm ATF4’s role in promoting ACC cell proliferation.

Journal Article by Wu K, Jia Y (…) Liu Z et 6 al. in Int J Surg

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

read the whole article in Int J Surg

open it in PubMed

Physiological signals can predict errors in robot-assisted surgery

In robot-assisted surgery simulations, physiological measurements significantly distinguished between error and non-error intervals. Analysis of EKG and EEG data from 57 participants revealed that high performers consistently displayed different physiological responses compared to low performers. Classification models accurately identified errors with 85.7% precision and performance groups with 96.3% accuracy. This research suggests that noninvasive physiological monitoring could serve as a real-time error detection and training tool in surgical settings, enhancing patient safety.

Journal Article by D’Ambrosia C, Huang EY (…) Appelbaum LG et 3 al. in Int J Med Robot

© 2025 John Wiley & Sons Ltd.

read the whole article in Int J Med Robot

open it in PubMed