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WeChat continuity care reduces complications in colostomy patients

WeChat platform continuity care significantly enhances outcomes for colostomy patients, improving complication rates and self-care abilities. In a comparative study, patients using WeChat had a lower complication rate (12.5% vs 25.0%) and shorter hospital stays (12.0 vs 14.8 days). Self-care abilities and nursing adherence were also higher in the WeChat group. Additionally, patient satisfaction and quality of life scores improved, alongside a reduction in postoperative recurrence rates to 3.1% compared to 8.9%.

Observational Study by Fang X, Tu J and Wang Q in Medicine (Baltimore)

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

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Super Learner Model Outperforms Traditional Tools in Risk Prediction

A novel super learner machine learning model significantly enhances the predictive accuracy of postoperative complications in colorectal surgery. Analyzing data from over 14,000 cases, the model exceeded traditional logistic regression and extreme gradient boosting methods, demonstrating an area under the receiver operating characteristic curve (AUROC) surpassing 0.94 for mortality predictions. This advancement promises to improve personalized patient counseling, refine clinical decision-making, and optimize healthcare resources in surgical settings.

Journal Article by Violante T, Ferrari D (…) Larson DW et 4 al. in Ann Surg

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

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Postcolonoscopy colorectal cancers show distinct serrated characteristics

A systematic review of 15 studies reveals postcolonoscopy colorectal cancers (PCCRCs) have notable molecular differences from sporadic colorectal cancers (SCRCs). PCCRCs are more often linked to the serrated pathway, showing higher rates of microsatellite instability (MSI), CPG island methylator phenotype (CIMP), and BRAF mutations, while exhibiting less frequent KRAS mutations. Although their five-year survival rate is similar to SCRC, PCCRCs fare worse compared to screening-detected cases. Enhancing serrated lesion detection can significantly boost screening efficacy.

Journal Article by Yeh JH, Moi SH (…) Wang JY et 6 al. in Am J Gastroenterol

Copyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.

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Predictive model estimates homecare needs after cancer surgery

A newly developed risk prediction model for older adults undergoing cancer surgery reveals that 41.7% will need immediate homecare. Furthermore, 25% of patients alive six months post-surgery will require chronic homecare. This model, incorporating factors such as age, frailty, and cancer stage, demonstrates strong accuracy with area-under-the-curve values of 0.77 for immediate needs and 0.76 for chronic needs. An online calculator based on this tool can enhance communication regarding care requirements.

Journal Article by Hallet J, Ribeiro T (…) Hsu AT et 7 al. in Ann Surg Oncol

© 2025. Society of Surgical Oncology.

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Men face higher liver cancer recurrence risks post-surgery

Post-surgical analysis reveals men experience significantly worse recurrence-free survival after liver resection for HCC and ICC compared to women, with 5-year rates of 30.0% versus 43.9% and 18.7% versus 26.8%, respectively. Male murine models also showed larger tumor recurrences linked to increased immunosuppressive cells. The male-specific SRY gene promotes an immunosuppressive microenvironment, implicating potential targeted therapies for improving outcomes in men suffering from liver malignancies.

Journal Article by Zhang W, Chen LF (…) Zhang XF et 14 al. in Int J Surg

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

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Lifestyle choices significantly impact diverticular disease risk.

A comprehensive study involving over 472,000 participants reveals critical insights into diverticular disease risk. Key lifestyle factors, including smoking, alcohol consumption, and poor sleep, correlate with increased risk, while a diet rich in fruits and whole grains offers protection. Among the 23,742 cases identified, complicated diverticulitis maintains specific associations with smoking and insomnia. Notably, the effects of these lifestyle factors can vary based on genetic predisposition, underscoring the importance of individualized preventive strategies.

Journal Article by Guo CG, Wang J (…) Zhang F et 3 al. in Int J Surg

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

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Robotic surgery shows better outcomes in emergency colorectal cases

Analyzing over 83,000 emergency colorectal surgeries, researchers found that robotic procedures cut complications, reduced hospital stays, and slashed conversion rates compared to laparoscopic and open surgery. Robotic cases had a 7.8% conversion to open surgery vs. 24.2% in laparoscopy. Length of stay was significantly shorter, and complications fewer. Robotic use jumped from 0% to 6.6% in a decade and is projected to hit 20% by 2025. Outcomes were strongest in stable patients with diverticulitis or cancer.

Journal Article by Ferrari D, Violante T (…) Larson DW et 3 al. in J Am Coll Surg

Copyright © 2025 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

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Ileal pouch-anal anastomosis greatly enhances patient outcomes

Research demonstrates that ileal pouch-anal anastomosis significantly improves bowel function, continence, and overall health among patients with ulcerative colitis. Over 12 months, mean scores for bowel function dropped from 50.6 to 24.3 and for mental health increased from 41.5 to 51.2. Furthermore, sexual interest increased significantly for both genders. These findings underscore the procedure’s effectiveness in restoring patient functionality, contributing valuable insights for preoperative counseling.

Journal Article by Zuckerman J, de Buck van Overstraeten A (…) Zaghiyan K et 14 al. in Dis Colon Rectum

Copyright © The ASCRS 2025.

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RefluxStop surgery shows significant long-term effectiveness in GERD treatment

In a multicenter trial involving 50 adults with chronic gastroesophageal reflux disease (GERD), RefluxStop surgery demonstrated remarkable long-term outcomes over five years. The median GERD-Health-Related Quality of Life (GERD-HRQL) score improved by 90%, and 24-hour pH monitoring revealed a 90% reduction in acid exposure time. Notably, only one participant continued proton pump inhibitors at follow-up, and no device-related complications were reported. Overall, these findings underscore the procedure’s safety and sustained effectiveness.

Journal Article by Harsányi L, Kincses Z (…) Altorjay Á et 2 al. in Surg Endosc

© 2025. The Author(s).

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Multimodal therapies enhance survival in advanced cancer patients

Researchers found that cytoreductive surgery combined with multimodal therapies significantly improved overall survival and progression-free survival in patients with advanced ovarian, colorectal, and gastric cancers. Analyzing data from 13 studies involving nearly 4,000 patients, the experimental group showed a 14% decrease in mortality risk and enhanced survival rates, although associated with a higher risk of grade 3 or worse adverse events. These results emphasize the potential benefits of individualized treatment approaches for specific cancer types.

Review by Yuan X, Liang H (…) Chen Z et 3 al. in World J Surg Oncol

© 2025. The Author(s).

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