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Predicting Lateral Lymph Node Metastasis in Low Rectal Cancer

MRI criteria can accurately identify patients with low rectal cancer at risk for lateral lymph node metastasis, impacting surgical strategies.

  • In a study of 163 patients, 16.6% had pathological lateral lymph node metastasis (pllnm).
  • Among 130 initially classified as llnm-negative, 3.8% were later found to have pllnm.
  • The radiological criterion (short-axis diameter ≥6 mm) demonstrated high accuracy (90.2%) and specificity (91.9%), significantly informing treatment decisions.

This tool may help tailor surgical approaches, potentially reducing overtreatment for patients with low rectal cancer.

Journal Article by Ohno R, Oi H (…) Nagasaki T et 5 al. in Ann Coloproctol

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Optimal Management of Celiac Artery Stenosis in Surgery

Surgeons must prioritize preoperative identification of celiac artery stenosis in patients undergoing pancreaticoduodenectomy to reduce ischemic complications.

  • Celiac artery stenosis occurs in 6.1% of patients undergoing the procedure; only 2.2% had preemptive median arcuate ligament release.
  • Stenosis over 80% significantly increases the risk of postoperative ischemia.

Identifying stenosis preoperatively results in fewer complications (5.8% vs. 36% for intraoperative/postoperative diagnoses).

  • Utilize gastroduodenal artery clamping and intraoperative Doppler ultrasonography to guide management decisions effectively.

Systematic Review by Ideno N, Ikenaga N (…) Nakamura M et 12 al. in Asian J Endosc Surg

© 2026 The Author(s). Asian Journal of Endoscopic Surgery published by Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.

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Optimal Management of Celiac Artery Stenosis in Surgery

Surgeons must prioritize preoperative identification of celiac artery stenosis in patients undergoing pancreaticoduodenectomy to reduce ischemic complications.

  • Celiac artery stenosis occurs in 6.1% of patients undergoing the procedure; only 2.2% had preemptive median arcuate ligament release.
  • Stenosis over 80% significantly increases the risk of postoperative ischemia.

Identifying stenosis preoperatively results in fewer complications (5.8% vs. 36% for intraoperative/postoperative diagnoses).

  • Utilize gastroduodenal artery clamping and intraoperative Doppler ultrasonography to guide management decisions effectively.

Systematic Review by Ideno N, Ikenaga N (…) Nakamura M et 12 al. in Asian J Endosc Surg

© 2026 The Author(s). Asian Journal of Endoscopic Surgery published by Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.

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Automated Trauma Video Review Enhances Patient Assessment

A computer vision model could revolutionize trauma video review by automating the identification of key phases and procedures, improving trauma care quality.

  • Achieved 98.3% frame-wise accuracy and high edit and F1 scores (up to 94.5%) for trauma resuscitation phases.
  • Procedure detection accuracy surpassed 66% for x-rays and central line placements.

This technology can enhance surgical decision-making and promote wider adoption of trauma video review in practice.

  • Interrater reliability among annotators was strong at 0.89.

Journal Article by Villarreal JA, Heo J (…) Dumas RP et 6 al. in Ann Surg Open

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

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Biosensors can revolutionize postoperative care for sepsis detection

Implantable biosensors allow real-time monitoring for earlier sepsis detection in surgical patients.

  • Continuous tracking of inflammatory biomarkers enhances timely diagnosis.
  • New technologies achieve remarkable sensitivity for detecting cytokines and endotoxins.

Surgeons may shift from reactive to predictive management, significantly reducing sepsis-related complications.

  • Global research emphasizes the potential widespread adoption across various surgical specialties.

Letter by Khizar M, Zaib M and Mahato RK in Ann Med Surg (Lond)

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

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Gastric Distension Index Predicts Stasis After Gastrectomy

A new index predicts gastric stasis post-gastrectomy, crucial for improving surgical outcomes.

  • In a study of 203 patients, the Hiki Index showed 85.7% sensitivity and 76.7% specificity for stasis-related interventions.
  • Age under 75, female sex, and pylorus-preserving gastrectomy raise risk for gastric distension.

Implementing the Hiki Index can lead to timely interventions and better postoperative care.

Journal Article by Harada H, Yamaoka Y (…) Hiki N et 7 al. in Ann Gastroenterol Surg

© 2025 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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Sequential Hepatic Vein Embolization Enhances Liver Regeneration

Combining sequential hepatic vein embolization with portal vein embolization significantly boosts liver volume and function before major hepatectomy.

  • Future remnant liver volume regeneration improved to 35.5% with sequential embolization, versus 26.2% with portal vein embolization alone.
  • Both procedures had no severe complications, indicating safety in surgical applications.

Surgeons should consider sequential embolization to optimize outcomes for patients requiring right-sided hepatectomy.

  • The study included 32 patients, with eight receiving the sequential approach.

Journal Article by Lai TT, Matsui K (…) Kaibori M et 7 al. in Ann Gastroenterol Surg

© 2025 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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Effective Antibiotic Strategy Cuts Perineal Wound Infections in APR

A 4-day course of sulbactam/ampicillin effectively lowers perineal wound infections after abdominoperineal resection for rectal cancer.

  • Incidence of perineal wound infection dropped significantly from 46% with cefmetazole to 14% with sulbactam/ampicillin.
  • This multicenter trial involved 80 patients, with a focus on surgical site infections and overall complications.

Consider shifting to a 4-day sulbactam/ampicillin regimen to reduce infection rates and enhance patient outcomes post-surgery.

Journal Article by Nankaku A, Kasai S (…) Kinugasa Y et 10 al. in Ann Gastroenterol Surg

© 2025 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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6-Minute Walk Test Predicts Postoperative Risk in Surgery

A multicenter study examines how the 6-minute walk test (6MWT) can enhance risk assessment for patients undergoing major non-cardiac surgery.

  • The study includes 1,672 patients aged 40+, measuring their walk test results alongside other fitness indicators.
  • It aims to clarify if the 6MWT predicts 30-day complications better than standard clinical assessments.

Effective preoperative fitness evaluation could guide surgical planning and patient selection more precisely.

  • Primary outcomes include death or major complications within 30 days post-surgery.

Clinical Trial Protocol by Wijeysundera DN, Salbach NM (…) McIsaac DI et 22 al. in BMJ Open

© Author(s) (or their employer(s)) 2026. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.

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Identifying Oral Frailty and Malnutrition Improves GI Surgery Outcomes

Preoperative oral frailty and malnutrition predict increased complications in gastrointestinal cancer surgeries, highlighting critical risk factors for surgeons.

  • 30.9% of patients experienced complications post-surgery.
  • Complications surged to 55.2% in patients with both oral frailty (OFI-8 ≥ 4) and malnutrition risk (MNA-SF ≤ 11).

Understanding these predictors enables better patient selection and care strategies prior to surgery.

  • A composite score combining OFI-8 and MNA-SF could enhance risk stratification for improved surgical outcomes.

Journal Article by Shimizu Y, Shiraishi T (…) Saeki H et 7 al. in Surg Today

© 2026. The Author(s) under exclusive licence to Springer Nature Singapore Pte Ltd.

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