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LASM technique reduces operative time for loop ileostomy

A retrospective analysis of 102 rectal cancer patients demonstrated that the Linea Alba Support Method (LASM) for prophylactic loop ileostomy significantly reduced operative times compared to traditional methods. Key findings included shorter surgery duration (201.8 vs. 223.0 minutes), reduced ileostomy time (10 vs. 22 minutes), and smaller incision lengths (5 vs. 8 cm). Both methods yielded similar postoperative and stoma-related complication rates, indicating LASM’s potential for improved efficiency without compromising safety.

Journal Article by Cai L, Qiu G (…) Fan L et 9 al. in Surg Endosc

© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Effective management strategies for recurrent laryngeal nerve palsy identified

Recurrent laryngeal nerve palsy remains a major complication after minimally invasive esophagectomy for esophageal cancer. Despite advancements, incidence rates have not improved significantly. The review examines prevention strategies such as nerve integrity monitoring and robotic surgery, which show varied effectiveness. Management techniques include voice rehabilitation and surgical options like thyroplasty. A multidisciplinary approach focused on precision, early detection, and comprehensive rehabilitation is essential in enhancing patient outcomes and reducing the risk of long-term complications.

Review by Taniyama Y, Okamoto H (…) Kamei T et 4 al. in J Clin Med

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Novel techniques improve surgical navigation for advanced cholangiocarcinoma

Comprehensive management strategies for hilar cholangiocarcinoma (h-cca) highlight the urgent need for effective treatment options. With the disease often presenting in advanced stages, radical resection remains crucial for prolonging survival. Recent advancements in imaging techniques and the role of immunotherapy offer new avenues for therapy. Additionally, innovations such as novel fiberscopes utilizing near-infrared light enable precise tumor visualization, potentially enhancing surgical outcomes and palliative care options for these patients.

Journal Article by Luo M, Yang J (…) Wang H et 10 al. in Int J Surg

Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.

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Paralytic ileus and intestinal obstruction burdens are growing globally.

The global burden of paralytic ileus and intestinal obstruction (PIAIO) has been evaluated, showing alarming trends from 1990 to 2021. Prevalence and incidence rates remain high, particularly in males and among those under five years and the elderly. Despite potential improvements in mortality rates, health disparities persist across socio-demographic indices. Analysts predict that with population growth and aging, burdens will increase, emphasizing the urgent need for targeted control strategies to mitigate future health challenges.

Journal Article by Han T, Wang T (…) Wang X et 3 al. in Int J Surg

Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.

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AI Navigation Improves Nerve Recognition in Colorectal Surgery

The eureka AI system enhanced nerve recognition rates among trainee surgeons during laparoscopic colorectal surgeries. In 101 scenarios, the rates of nerve recognition failure varied, with right lumbar splanchnic nerves showing a recognition assistance rate of 90.6%. Nerve preservation was improved overall, highlighting the system’s potential to support surgical education and anatomical recognition. These findings indicate that AI can significantly aid clinical training in minimally invasive surgical procedures.

Journal Article by Ryu S, Imaizumi Y (…) Nakabayashi Y et 4 al. in Surg Endosc

© 2025. The Author(s).

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Shaobei injection proves effective for treating hemorrhoids

A comparative study involving 413 patients evaluated the efficacy, safety, and health economics of endoscopic shaobei injection versus band ligation for grade I-IV symptomatic hemorrhoids. Both treatments demonstrated similar recurrence rates at three months, but the injection group reported significantly less postoperative pain and fewer complications. Patients receiving shaobei injection experienced lower incidences of anal distention and postoperative discomfort compared to their band ligation counterparts, suggesting it as a viable alternative for hemorrhoid management.

Journal Article by Li J, Chen Y (…) Guo X et 7 al. in Surg Endosc

© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Predictive models improve outcomes for liver cancer patients

The development of predictive models for postoperative complications and prognosis significantly aids patients with hepatocellular carcinoma combined with clinically significant portal hypertension (CSHP). Researchers identified key risk factors—including ALBI grade and portal vein occlusion time—and created nomograms demonstrating good predictive performance. These models achieved c-index values of 0.723 for complications, 0.635 for recurrence, and 0.734 for overall survival, offering clinicians valuable tools for enhancing patient management and outcomes post-liver resection.

Journal Article by Bai S, Dai Y (…) Wang K et 7 al. in Am J Surg

Copyright © 2025 Elsevier Inc. All rights reserved.

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Cytoreductive surgery improves survival in colorectal peritoneal metastases.

In patients with colorectal peritoneal metastases, cytoreductive surgery has shown significant survival benefits, regardless of the use of intraperitoneal chemotherapy. Despite recent challenges to the efficacy of intraperitoneal treatments, the comprehensive review indicates that surgical intervention remains a crucial component in managing this aggressive form of cancer. The study emphasizes a critical analysis of current treatment protocols and the need for enhanced strategies to improve patient outcomes in colorectal cancer with peritoneal spread.

Review by Brown ZJ, Krell M (…) Pawlik TM et 3 al. in J Gastrointest Surg

Copyright © 2024. Published by Elsevier Inc.

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Identified Risk Factors for Local Recurrence in Rectal Cancer

A multicenter cohort study analyzed data from 1,479 patients with clinical stage II/III low rectal cancer in Japan, identifying key risk factors for local recurrence (LR). The 5-year cumulative incidence of LR was found to be 12.3%. Notable preoperative, treatment-related, and postoperative factors were linked to increased LR risk. Of particular concern, patients without neoadjuvant therapy demonstrated significantly higher LR risk when presenting with two or three preoperative risk factors, including elevated BMI.

Journal Article by Kozu T, Akiyoshi T (…) Naitoh T et 7 al. in Ann Gastroenterol Surg

© 2024 The Author(s). Annals of Gastroenterological Surgery published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Gastroenterological Surgery.

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Revised predictive model shows improved accuracy for post-ERCP pancreatitis

A new predictive model for post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis has been developed, highlighting procedural factors such as total procedure time, unintended pancreatic duct cannulation, and pancreatic opacification as significant risks. Among 1,112 patients, the model stratified participants into low, intermediate, and high-risk groups, revealing pancreatitis incidences of 2.6%, 7.1%, and 12.6%, respectively. This revised approach aims to enhance real-world applicability in predicting post-ERCP pancreatitis.

Journal Article by Park CH, Park SW (…) Cho E et 6 al. in Surg Endosc

© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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