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Global benchmarks for robotic liver resections established

An international multicenter study established the first global benchmarks for robotic liver resections (r-lr), analyzing 1,654 cases across 24 expert centers. Key outcome indicators for low-risk procedures were defined, revealing operation times ranging from 190 to 474 minutes and zero 90-day mortality. The study highlights benchmarks for operation time, conversion rates, estimated blood loss, blood transfusion rates, and major morbidity, offering vital reference points for quality assessment and improvement in surgical practice.

Journal Article by Goh BKP, Sucandy I (…) Liu R et 77 al. in Ann Surg

Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved.

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Appendicitis-related mortality trends reveal concerning gender disparities

From 1999 to 2020, appendicitis-related mortality decreased overall but revealed significant disparities. The age-adjusted mortality rate fell from 0.38 to 0.32 per 100,000, with a notable decline for males but a concerning rise for females since 2016. Black individuals had the highest mortality rates, although significant declines were observed across racial groups. Nonmetropolitan regions experienced higher mortality rates than metropolitan areas, emphasizing the need for focused interventions to improve access to surgical care and address these disparities.

Journal Article by Nabi R, Rath S (…) Ahmed R et 4 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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Long-term transanal irrigation significantly improves outcomes in LARS patients

In a comprehensive multicenter study involving 159 patients, long-term transanal irrigation (TAI) demonstrated substantial benefits for those suffering from low anterior resection syndrome (LARS). Satisfaction and quality of life improved markedly, with major LARS cases dropping from 84.8% to 16.5% over 24 months. Additionally, symptom frequency decreased dramatically from 4.3 to 0.5 events per patient. These findings affirm TAI as an effective long-term management strategy for LARS, enhancing patient wellbeing.

Journal Article by Martellucci J, Falletto E (…) Bellini M et 19 al. in Dig Liver Dis

Copyright © 2025 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

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No universally superior technique for inguinal hernia repair found

Inguinal hernia repair is performed over 20 million times yearly, with techniques evolving from tension-based to tension-free methods that lower recurrence rates. A narrative review delves into minimally invasive approaches, including laparoscopic methods like TAPP and TEP, and various mesh types and fixation strategies. While advancements such as drug-loaded meshes show promise, a definitive solution remains elusive, indicating the necessity for tailored surgical techniques to enhance patient outcomes and address postoperative complications.

Review by Tigora A, Radu PA (…) Ramboiu S et 10 al. in J Clin Med

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Autonomic nerve preservation improves outcomes in rectal cancer surgery

A novel technique for autonomic nerve network preservation during robotic-assisted total mesorectal excision shows promising results. In a study of 141 patients, the approach effectively maintained nerve integrity and minimized surgical trauma, contributing to reduced postoperative urinary and sexual dysfunction. Enhanced dissection techniques leveraging da Vinci’s magnification capabilities facilitated this precision. No conversions to traditional surgical methods were necessary, suggesting a smooth transition to this advanced procedure with preserved oncological efficacy.

Letter by Han F, Xie Y (…) Zhou S et 4 al. in J Robot Surg

© 2025. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.

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Motion capture system enhances laparoscopic training evaluation

A motion capture-based surgical skill assessment system has shown promise in laparoscopic training environments, achieving classification accuracies of 67.3% for periaortic tissue dissection and 56.9% for parenchymal closure. Researchers evaluated 38 urologists, 4 junior residents, and 10 medical students, finding strong correlations in skill predictions with a correlation coefficient of 0.86. Participants praised the real-time feedback system, indicating its potential to improve training outcomes and accelerate surgical skill acquisition effectively.

Journal Article by Ebina K, Abe T (…) Shinohara N et 16 al. in Surg Endosc

© 2025. The Author(s).

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Laparoscopic repair outperforms open surgery for parastomal hernias

Minimally invasive laparoscopic techniques demonstrate significant benefits over traditional open surgery in parastomal hernia repairs. This comprehensive meta-analysis reveals that laparoscopic approaches reduce hospital stays by an average of four days and lower complication rates, including a striking decrease in mortality. While robotic-assisted methods show promise for quicker operative times, the evidence remains limited. These findings advocate for the preference of minimally invasive strategies in suitable cases, emphasizing the need for patient-specific considerations.

Review by Abdelsamad A, Mohammed MK (…) Taha TAA et 8 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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Robotic, organ-sparing surgery shows high efficacy for gastric tumors

Minimally invasive, ultrasound-guided robotic resections for gastric gastrointestinal stromal tumors (GISTs) demonstrate remarkable safety and efficacy. A study of 46 patients, primarily with challenging tumor locations, revealed no intraoperative complications or conversions to open surgery. The approach resulted in less than 5% postoperative morbidity and an impressive median disease-free survival rate of 98% at 36 months. This method significantly minimizes organ sacrifice while achieving optimal oncological outcomes, supporting its use in complex cases.

Journal Article by Guerra F, Matarazzo F (…) Coratti A et 2 al. in J Gastrointest Surg

Copyright © 2025 Society for Surgery of the Alimentary Tract. Published by Elsevier Inc. All rights reserved.

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New model predicts lymphovascular invasion in pancreatic cancer

A new preoperative model effectively predicts lymphovascular invasion (LVI) in patients with pancreatic ductal adenocarcinoma (PDAC). Utilizing data from 1,009 patients across three hospitals, researchers identified key high-risk predictors such as age under 65, cachexia, and specific imaging findings. Their nomogram outperformed expectations, demonstrating strong predictive capability in both development and validation cohorts. High-risk patients showed significantly worse survival outcomes but benefited from neoadjuvant chemotherapy, highlighting the model’s potential for guiding treatment decisions.

Journal Article by Zou Y, Liang Y (…) Gao S et 4 al. in J Surg Res

Copyright © 2025 Elsevier Inc. All rights reserved.

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ERAS pathways lead to better outcomes in pancreatic surgery

Implementing Enhanced Recovery After Surgery (ERAS) pathways significantly improves patient outcomes following pancreatic surgeries. A study of 220 patients revealed that those in the ERAS group experienced markedly reduced postoperative opioid use (58 vs. 148 mg) and lower pain scores (6 vs. 8). Moreover, the ERAS cohort demonstrated a lower overall complication rate, particularly in both robotic and open pancreaticoduodenectomy subgroups. These findings support the safety and effectiveness of ERAS protocols in reducing recovery times.

Journal Article by Lorié B, Kuchta K (…) Hogg ME et 6 al. in J Surg Res

Copyright © 2025 Elsevier Inc. All rights reserved.

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