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Multimodal Preoperative Education Cuts Hospital Stay and Pain

Multimodal preoperative educational interventions, including human-contact, written, and digital formats, enhance surgical outcomes by reducing hospital stays and analgesic use. Analysis of 40 studies with over 4,100 patients revealed significant drops in length of stay and postoperative pain. Notably, in-person education decreased hospitalization by over one day. Written and hybrid approaches effectively reduced pain management needs, while digital formats improved patient satisfaction and knowledge. These findings underline the importance of tailored educational strategies in surgical settings.

Journal Article by Hall AE, Perrotta AT (…) Lee JC et 6 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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Robotic cholecystectomy eradicates conversions to open surgery in high-risk patients

After adopting robotic surgery for benign gallbladder disease, conversion rates to open surgery dropped dramatically to zero. In a study of 636 patients, conversion rates declined from 14.6% in the pre-robotic era to 4.0% during the transition and reached 0% in the robotic period. While post-operative complications and hospital readmissions remained consistent across eras, this advancement highlights the potential of robotic techniques to enhance surgical outcomes, especially in high-risk populations.

Journal Article by Huy TC, Fitzsimmons K (…) Md MDG et 4 al. in Surg Endosc

© 2025. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

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Key Risk Factors Identified for Anastomotic Leakage and Gastroparesis Post-Gastrectomy

Hypoalbuminemia and significant intraoperative blood loss elevate anastomotic leakage risk after laparoscopic radical gastrectomy. Conversely, total gastrectomy offers protection against this complication. Among patients post-distal gastrectomy, smoking, pyloric obstruction, and Roux-en-Y anastomosis correlate with increased gastroparesis syndrome risk. This robust analysis of 3,779 patients clarifies factors influencing postoperative complications, challenging previous management paradigms for proximal tumors.

Journal Article by Li R, Yu Z (…) Zhao X et 8 al. in Surg Laparosc Endosc Percutan Tech

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

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New Nomogram Accurately Predicts Survival in Hepatocellular Carcinoma with Vascular Invasion

A newly developed nomogram effectively predicts overall survival for hepatocellular carcinoma (HCC) patients with major vascular invasion. Analyzing data from 2,211 patients, key survival factors include tumor size, N stage, metastases, and treatment modalities. The model demonstrates robust predictive accuracy with c-index values around 0.72–0.73 across cohorts and high area under the curve (AUC) scores of 0.79–0.85 at various time points. This tool offers valuable insights for clinical decision-making in HCC management.

Journal Article by Fu J, Liu M (…) Liang S et 2 al. in Eur J Med Res

© 2025. The Author(s).

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Robotic Roux-en-Y Surgery Shows Technical Edge Without Added Risks

A meta-analysis of 38,647 gastric bypass patients across 27 countries reveals robotic Roux-en-Y gastric bypass (rrygb) requires longer surgical time but offers improved intraoperative safety compared to laparoscopic Roux-en-Y (lrygb). Despite a significant increase in robotic surgeries from 0.2% to 5.7% over 25 years, both techniques maintain similar mortality and complication rates. This comprehensive analysis underscores the potential of robotic surgery in complex cases while emphasizing the need for cost-effectiveness studies.

Review by Coco D and Leanza S in J Robot Surg

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

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Neoadjuvant Chemotherapy Alone Lowers Surgical Risks in Rectal Cancer

Neoadjuvant chemotherapy without radiation significantly reduces anastomotic leaks, diverting ostomy use, and ostomy non-reversal in locally advanced rectal cancer patients. In a meta-analysis of four randomized controlled trials, chemotherapy was found equivalent or non-inferior to chemoradiation for oncologic outcomes. However, critical surgical outcomes remain inadequately reported, highlighting a need for standardized assessment in future studies. The approach shows promise in improving postoperative results while maintaining equivalent cancer control.

Journal Article by Garfinkle R, Balvardi S, Boutros M and Fergusson DA in Dis Colon Rectum

Copyright © The ASCRS 2025.

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High Adherence to Enhanced Recovery Pathway Cuts Mortality in Colorectal Cancer Surgery

Patients adhering to an enhanced recovery pathway (ERP) during colorectal cancer surgery saw a 31% reduction in overall mortality compared to those with low adherence. In a study involving 2,865 patients, those in the highest adherence quartile (≥80.8%) experienced a significant drop in death risk, underscoring the importance of robust ERP implementation for improved survival outcomes. This data emphasizes the need for hospitals to optimize recovery protocols following colorectal procedures.

Journal Article by Catarci M, Guadagni S (…) Masedu F et 5 al. in Eur J Surg Oncol

Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.

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Innovative EUS Techniques Transform Access for Biliary Interventions in Complex Anatomy

New endoscopic methods, EDGE and EDEE, revolutionize access to the biliary system for patients with surgically altered anatomy. These techniques facilitate minimally invasive procedures, significantly lowering morbidity rates while maintaining high success rates. By using lumen-apposing metal stents, they improve safety profiles and expand treatment options. This comprehensive review underscores the need for multicenter trials to standardize these promising interventions in clinical practice, paving the way for future advancements in therapeutic endoscopy.

Review by Dell’Anna G, Bruni A (…) Donatelli G et 17 al. in Therap Adv Gastroenterol

© The Author(s), 2025.
© The Author(s), 2025.

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Quality of Life Surges for Survivors After Emergency Abdominal Surgery

Quality of life after emergency abdominal surgery improves significantly for survivors over time. Initial post-operative EQ-5D-3L utility scores averaged just 0.21, but soared to 0.74 within three to eight months. Key early determinants include patient’s sex and preoperative risk levels, while longer-term outcomes are influenced by hospital stay duration and overall health status. Insights can enhance clinician-patient discussions and help assess the value of surgical interventions.

Journal Article by Gordeev VS, Assefa E (…) Mihaylova B et 2 al. in World J Emerg Surg

© 2025. The Author(s).

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Optimal strategies for necrotizing pancreatitis: Early drainage and delayed surgery show promise

Early drainage with lavage and delayed step-up surgery demonstrate significant survival benefits in necrotizing pancreatitis, decreasing mortality and complications. In contrast, delayed video-assisted surgery leads to higher mortality rates. No significant differences between early and delayed intervention approaches were found. Tailoring treatment based on individual risk profiles is crucial as current evidence remains inconclusive, highlighting the urgent need for more rigorous randomized controlled trials to better inform clinical practice.

Meta-Analysis by Wu N, Huan L (…) Yu F et 2 al. in Medicine (Baltimore)

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

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