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New Tool to Predict Parastomal Hernia Post-Colostomy

A newly developed nomogram predicts the risk of parastomal hernia in patients undergoing permanent colostomy for rectal cancer, crucial for improving patient outcomes.

  • In a study of 430 patients, 30.9% developed parastomal hernia.
  • Key risk factors include age ≥ 65 years (odds ratio 2.51) and BMI ≥ 25 kg/m² (odds ratio not specified).

This tool enables targeted management for high-risk patients, enhancing their quality of life.

  • The nomogram was validated internally through rigorous statistical methods.

Journal Article by Fu Y, Cheng Y (…) Wang D 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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New CT Model Predicts Chemotherapy Response in Stomach Cancer

A dual-energy CT radiomics model can better predict neoadjuvant chemotherapy response in locally advanced gastric cancer, impacting surgical decision-making.

  • The dual-energy CT model achieved an AUC of 0.806 versus 0.729 with conventional CT in the training dataset (p = 0.041).
  • High-risk patients identified by the dual-energy CT model had nearly double the overall survival and disease-free survival risk compared to low-risk patients (HR = 1.996, p = 0.012; HR = 1.873, p = 0.037).

This model offers surgeons a reliable tool for selecting patients who may benefit most from treatment.

Journal Article by Li J, Lin X (…) Qu J et 6 al. in Eur J Surg Oncol

Copyright © 2025. Published by Elsevier Ltd.

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New Prognostic Tool for Acute Pancreatitis Outcomes

A novel Neutrophil-C-Reactive Protein Index (NCI) can enhance risk stratification for severe acute pancreatitis and in-hospital mortality, crucial in resource-limited settings.

  • Optimal NCI cut-off values are ≥1877 for severe pancreatitis and ≥3180 for mortality.
  • NCI predictions for severe pancreatitis had AUCs of 0.853 to 0.897 across different patient cohorts, outperforming other biomarkers.

This tool leverages common blood tests for timely and informed decision-making in surgical intervention.

  • For mortality, NCI AUCs ranged from 0.824 to 0.902, showing strong calibration and relevant post-test probabilities.

Journal Article by Huynh TM, Ong T (…) Quach DT et 2 al. in Int J Surg

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

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Assessing Umbilical Fat Can Lower Incisional Hernia Risk

Umbilical fat is a critical factor in predicting incisional hernia risk after laparoscopic colorectal surgery.

  • Cumulative incidence of incisional hernia was 33.6%, with only 2.1% symptomatic cases.
  • Umbilical fat increased hernia risk significantly (hazard ratio 6.56).

Preoperative CT to evaluate umbilical fat can help identify high-risk patients.

  • Long surgical times and adjuvant chemotherapy also contribute to increased hernia risk.

Journal Article by Katayama C, Enokida Y (…) Saeki H et 8 al. in Surg Today

© 2025. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.

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Postmarket Analysis of Inguinal Hernia Mesh Safety

This study evaluates real-world outcomes of various inguinal hernia mesh products to identify safety alerts for reoperation rates.

  • None of the top three most-used open mesh products (Progrip, Parietex, Perfix) triggered alerts, with reoperation rates below 2%.
  • Surgipro and Kugel demonstrated concerning reoperation rates of 1.7% and 2.5%, respectively, triggering safety alerts.
  • Among minimally invasive meshes, Parietex had a reoperation rate of 2.1%, exceeding safe limits.

Surgeons should weigh mesh selection carefully based on these findings to optimize patient outcomes.

Journal Article by Brill ER, Chan PH (…) Paxton EW et 5 al. in JAMA Surg

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Transforming Radical Gastrectomy with AI and Imaging

Recent advancements in AI and imaging techniques can significantly enhance outcomes in radical gastrectomy for gastric cancer.

  • AI algorithms improve tumor staging and risk stratification, aiding personalized surgical approaches.
  • Real-time imaging navigation provides 3D reconstructions with sub-millimeter accuracy, reducing the risk of tissue injury.

Surgeons need to adapt to these technologies for better precision and patient safety.

  • Predictive analytics can forecast patient outcomes, supporting tailored follow-up care.

Review by Miao YR, Wang Y (…) Yang XJ et 2 al. in World J Gastroenterol

©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.

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Retroperitoneal Outperforms Transabdominal Adrenalectomy

Retroperitoneal laparoscopic adrenalectomy shows significant advantages over transabdominal for adrenal tumors and pheochromocytomas.

  • Operative time is reduced by an average of 8.6 minutes.
  • Length of stay decreases by about 0.9 days, with lower estimated blood loss (28.1 mL less).
  • For tumors larger than 5 cm, operative time benefits increase to 21.4 minutes, and blood loss reduces by 90.7 mL.

Consider retroperitoneal approach, especially for larger tumors, but apply the transabdominal technique for more complex cases.

Review by Gan L, Wu J (…) Wang W et 5 al. in BMC Surg

Copyright © 2025 Elsevier Inc. All rights reserved.

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Empowering Junior Surgeons in Laparoscopic CBD Exploration

Junior surgeons can safely perform laparoscopic common bile duct exploration with excellent outcomes.

  • 962 patients were studied, yielding an overall success rate of 84.4%.
  • Junior operators had a success rate of 87.3% and a low bile leak rate of 0.5%.

Encouraging junior surgeons to take on primary roles can enhance their skills while ensuring patient safety.

  • Stone recurrence at 6 months was just 3.6%.

Journal Article by Luo Y, Pajtak R (…) Hodgson R et 3 al. in ANZ J Surg

© 2025 Royal Australasian College of Surgeons.

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Liver Venous Deprivation Outperforms Portal Vein Embolization for Liver Cancer

Liver venous deprivation (LVD) enhances outcomes versus portal vein embolization (PVE) among liver cancer patients needing preoperative liver augmentation.

  • LVD significantly boosts future liver remnant growth by 24.57% and daily volume by 4.30%.
  • It shortens surgery wait times by over 5 days and operation duration by nearly 43 minutes.
  • Resection completion rates improve by 73%, while rates of postoperative liver failure and 90-day mortality decrease by 55%.

Consider LVD as a viable option for patients with insufficient liver remnants, but note the need for further studies on long-term effects.

Journal Article by Che J, Xu C (…) Mo H et 2 al. in J Chin Med Assoc

Copyright © 2025, the Chinese Medical Association.

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Optimal Reconstruction Choice Post-Distal Gastrectomy

Billroth I reconstruction shows clear advantages over Roux-en-Y in laparoscopic distal gastrectomy for early efficiency and outcomes.

  • Operative time: 216.6 min for Billroth I vs 251.7 min for Roux-en-Y (p = .016)
  • Blood loss: 33 ml for Billroth I vs 105 ml for Roux-en-Y (p = .003)
  • Hospital stay: 6.7 days for Billroth I vs 10.0 days for Roux-en-Y (p = .044)

Both techniques had comparable major morbidity (7% vs 11%) and no 30-day mortality.

Surgeons should consider Billroth I for patients needing faster recovery, while Roux-en-Y may be better for reflux control.

Journal Article by Pomortsev B, Dalgatov K (…) Sazhin A et 2 al. in BMC Surg

Copyright © 2025 Elsevier Inc. All rights reserved.

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