- Challenging Crohn's Disease: Surgical Complexity and Outcomes in Colonic vs Non-Colonic Resections in a Large Single-Centre Cohort. [Journal Article]Ann Ital Chir. 2026 Jun 26; 97(7):1308-1316.AI
- CONCLUSIONS: In this large single-centre cohort, colonic resections were associated with higher postoperative complication rates, increased IASC and longer LOS compared with non-colonic resections. These differences likely reflect greater baseline disease complexity and operative burden in patients requiring colonic resection, rather than a causal effect of the resection site alone, highlighting the need for individualised, phenotype-informed surgical decision-making. Further multicentre research is recommended to refine the surgical management of colonic CD.
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- Endovascular Septotomy During Thoracic Endovascular Aortic Repair for Chronic Dissection-Related Aneurysm: All That Glitters Is Not Gold. [Case Reports]Ann Ital Chir. 2026 Jul 01; 97(7):1131-1136.AI
- Although endovascular repair is preferred over open techniques for chronic dissection-related thoracoabdominal aneurysms, specific adjunctive maneuvers are frequently required to optimize the distal landing zone of the thoracic endovascular aortic repair (TEVAR) or to enlarge the narrowed true lumen to deploy a branched endograft. Recently, transcatheter endovascular septotomy (TES) has gained at…
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- Application of Multimodal Pain Management Protocols Following Pediatric Liver Transplantation. [Journal Article]Ann Ital Chir. 2026 Jul 01; 97(7):1162-1171.AI
- CONCLUSIONS: The postoperative pain management program for pediatric liver transplantation effectively alleviates postoperative pain through multimodal analgesia, shortens recovery time, and improves family satisfaction. This approach shows substantial clinical value and may serve as a reference for standardizing pain management in children post-liver transplantation.
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- Prognostic Performance of Lymph Node Ratio and Log Odds of Positive Lymph Nodes in Colorectal Cancer: A Comparative Analysis with pN Stage. [Journal Article]Ann Ital Chir. 2026 Jul 10; 97(7):1270-1278.AI
- CONCLUSIONS: Among the lymph node parameters evaluated, LNR showed a trend toward improved prognostic discrimination for short-term DFS, whereas LODDS did not demonstrate significant prognostic value in this cohort. However, the overall discriminatory performance of all lymph node indices remained limited. Therefore, these findings should be interpreted with caution, particularly given the relatively low number of outcome events.
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- Esophageal Duplication Cyst Presenting With Gastric Hemorrhage and Perforation in an Elderly Patient. [Letter]Ann Ital Chir. 2026 Jul 14; 97(7):1127-1130.AI
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- Postoperative OCT Microstructural Changes as Predictors of Visual Prognosis Following Epiretinal Membrane Peeling: A Retrospective Study. [Journal Article]Ann Ital Chir. 2026 Jul 14; 97(7):1137-1145.AI
- CONCLUSIONS: Postoperative anatomical and functional recovery in iERM patients is stage-dependent. Lower CMT at 1 month after surgery is significantly associated with favorable visual outcomes at 6 months, suggesting its potential value as an early postoperative prognostic indicator. These findings underscore the importance of incorporating early postoperative OCT assessment into clinical follow-up to facilitate individualized prognosis and patient counseling.
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- Efficacy of Contouring-Assisted Resection in the Crus of Helix Cartilage Region for Congenital Preauricular Fistula. [Journal Article]Ann Ital Chir. 2026 Jul 14; 97(7):1146-1152.AI
- CONCLUSIONS: The contouring-assisted resection approach was associated with a significantly lower recurrence rate and higher patient satisfaction compared with traditional fistula tract excision, without an increase in specific complications such as chondritis, hematoma requiring intervention, or persistent sensory abnormality. These observations suggest this method is an effective and safe surgical option for patients with CPF in the crus of the helix region.
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- To Study the Correlation Between the Anatomical Variation of Bronchial Vessels Identified by Preoperative Three-Dimensional CT Reconstruction and the Clinical Outcome After Complex Segmentectomy. [Journal Article]Ann Ital Chir. 2026 Jul 14; 97(7):1153-1161.AI
- CONCLUSIONS: Bronchovascular anatomical variations identified through standardized preoperative 3D CT reconstruction were associated with higher rates of persistent air leakage (PAL), a higher rate of lymphatic invasion, pulmonary infection, less favorable exploratory technical surrogate measures, and delayed short-term postoperative functional recovery. Because all patients underwent 3D CT reconstruction, these findings should be interpreted as associations related to anatomical variation rather than evidence that 3D CT independently improves surgical decision-making or clinical outcomes.
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- Anatomical Feasibility and Morphometric Analysis of Cortical Bone Trajectory Screw Fixation in the Pediatric Lumbar Spine Using Computed Tomography. [Journal Article]Ann Ital Chir. 2026 Jul 14; 97(7):1172-1181.AI
- CONCLUSIONS: The anatomical parameters for CBT screw placement in the pediatric lumbar spine are significantly influenced by age, lumbar level, and sex. This study provides a systematic anatomical reference for CBT screw dimensions and trajectory angles across pediatric age groups. Anatomical feasibility, defined by a ≥4.5 mm screw diameter threshold, was higher in older children, whereas the use in younger children requires careful individual evaluation due to limited space and increased risk of cortical disruption, especially at upper lumbar levels. These findings offer supportive evidence for guiding patient selection and preoperative planning, though clinical applicability requires further biomechanical and outcome validation.
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- Comparative Assessment of Elastic Intramedullary Nailing Versus Conventional Plate Fixation for Pediatric Femoral Shaft Fractures in the Emergency Setting. [Journal Article]Ann Ital Chir. 2026 Jul 14; 97(7):1182-1191.AI
- CONCLUSIONS: In the emergency setting, both elastic intramedullary nailing and conventional open reduction with plate fixation can achieve favorable clinical outcomes in children with femoral shaft fractures. Elastic intramedullary nailing offers distinct advantages, such as minimal surgical trauma, earlier postoperative weight-bearing, and better early recovery, rendering it a suitable option in this clinical setting.
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- Gait Analysis Evaluation of Early Weight-Bearing After Surgical Fixation of Ankle Fractures: A Prospective Observational Study. [Journal Article]Ann Ital Chir. 2026 Jul 14; 97(7):1192-1198.AI
- CONCLUSIONS: In this small observational cohort, early weight-bearing was associated with improved early weight-bearing symmetry and functional recovery without observed complications. These findings should be interpreted cautiously, due to the study design and sample size and require confirmation in larger controlled studies.
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- Self-Efficacy Intervention Combined With Staged Rehabilitation Training Improves Neurological Function, Motor Performance, and Prognosis in Patients After Traumatic Brain Injury Surgery: A Retrospective Cohort Study. [Journal Article]Ann Ital Chir. 2026 Jul 14; 97(7):1199-1209.AI
- CONCLUSIONS: Self-efficacy intervention combined with staged rehabilitation training effectively improves neurological function, motor recovery, psychological well-being, daily living ability, and mid-term prognosis, while reducing complications in patients after TBI surgery, representing a valuable clinical rehabilitation strategy.
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- Efficacy of a WeChat-Based Follow-Up Approach in Patients Undergoing Minimally Invasive Treatment for Lower Extremity Varicose Veins. [Journal Article]Ann Ital Chir. 2026 Jul 14; 97(7):1210-1217.AI
- CONCLUSIONS: For patients undergoing minimally invasive surgery for lower limb varicose veins, WeChat-based digital follow-up strategies are associated with higher follow-up compliance, earlier detection of postoperative complications, and higher patient overall satisfaction with doctor-patient communication.
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- Predictive Value of Preoperative Thromboelastography, C-Reactive Protein, and Thrombomodulin for Postoperative Complications Following Hepatectomy in Patients With Hepatocellular Carcinoma. [Journal Article]Ann Ital Chir. 2026 Jul 14; 97(7):1218-1231.AI
- CONCLUSIONS: The extended preoperative prediction model demonstrated superior overall predictive performance compared with the model based solely on conventional clinical indicators. This improvement was driven primarily by MA, while CRP and TM, included as exploratory biomarkers within the extended framework, contributed only modest incremental value. These findings should be considered preliminary and require confirmation in larger multicenter studies with external validation before broader clinical implementation.
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- Pre- and Postoperative Nutritional Deficiencies in Patients Undergoing Bariatric Surgery: A Retrospective Cohort Study. [Journal Article]Ann Ital Chir. 2026 Jul 14; 97(7):1232-1238.AI
- CONCLUSIONS: A high prevalence of pre- and postoperative nutritional deficiencies was observed among patients undergoing bariatric surgery in Saudi Arabia. Although certain parameters improved after surgery, others remained prevalent or worsened postoperatively. These findings highlight the importance of structured nutritional assessments and regular biochemical monitoring before and after bariatric surgery.
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