- Successful surgical retrieval of an intracranial sewing needle retained for more than 45 years since infancy with complete fibrous encapsulation: a case report and literature review. [Case Reports]BMC Surg. 2026 Aug 05; 26(1).BS
- CONCLUSIONS: The characteristic presentation of long-term intracranially retained sewing needles may be an organized fibrous capsule. In this specific case, adopting a surgical strategy aimed at removing the sewing needle and debriding the cyst cavity-rather than performing aggressive total resection of the fibrous capsule-is a reasonable approach that balances foreign-body removal with brain protection.
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- Outcomes and organ protection effects of perioperative precision venous access management strategies in patients undergoing complex hepatobiliary, pancreatic, splenic and abdominal great vascular surgery: a systematic review and meta-analysis. [Systematic Review]
- CONCLUSIONS: The perioperative precision venous access management (PVAM) strategy demonstrates significant renal and pancreatic protective effects, promoting postoperative recovery in patients undergoing complex hepatobiliary, pancreatic, and vascular surgery, thereby supporting its integration into clinical practice.
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- Unsupervised machine learning for clinical risk subtyping and re-fracture risk analysis in osteoporotic vertebral compression fractures. [Journal Article]
- CONCLUSIONS: The study highlights the potential of unsupervised machine learning for identifying exploratory, potentially clinically relevant risk phenotypes in OVCF patients, which may inform future risk-stratified follow-up strategies.
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- Prophylactic antibiotics for pancreaticoduodenectomy: study protocol for a multicenter randomized controlled trial comparing tazobactam/piperacillin versus ampicillin/sulbactam. [Journal Article]
- CONCLUSIONS: This trial will provide the first direct comparison between TAZ/PIPC and ABPC/SBT in PD. The results are expected to contribute to optimizing perioperative antibiotic strategies while balancing SSI prevention and antimicrobial resistance.
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- Prognosis and therapeutic choices for occult breast cancer in female patients: a systematic review and meta-analysis. [Systematic Review]
- CONCLUSIONS: Female patients with OBC appear to have relatively favorable survival outcomes, while axillary nodal stage remains an important prognostic factor. Mastectomy was not associated with a clear survival advantage. RT appeared to be associated with improved OS; however, this finding should be interpreted cautiously because the available evidence was derived primarily from retrospective observational studies, and its effect on DFS remains uncertain. Further prospective studies are warranted to optimize treatment strategies for OBC.
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- Delayed spinal endoscopy-assisted posterolateral removal of deep retained glass fragments at the pediatric cervicothoracic junction after emergency debridement: a case report. [Case Reports]
- CONCLUSIONS: This case illustrates that, after emergency debridement, delayed Delta spinal endoscopy-assisted posterolateral removal may be considered for selected deeply retained glass fragments at the pediatric cervicothoracic junction when repeat imaging confirms stable localization and a safe working corridor. Small, scattered, asymptomatic residual fragments may be managed with close follow-up.
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- Combined regional anesthesia versus general anesthesia for elective shoulder arthroscopy: a prospective randomized trial of postoperative pain, with an exploratory cost analysis. [Randomized Controlled Trial]
- CONCLUSIONS: Combined regional anesthesia provided superior early analgesia and greater patient and surgeon satisfaction than general anesthesia. Exploratory post-hoc analyses suggested lower 24-hour cumulative pain burden, lower total perioperative cost and shorter operating room utilization. These economic and operational findings should be considered hypothesis-generating.
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- Development and internal validation of a perioperative nomogram for predicting moderate-to-severe acute postoperative pain after hepatectomy for hepatocellular carcinoma. [Journal Article]
- CONCLUSIONS: A perioperative nomogram integrating preoperative and intraoperative variables was developed and internally validated. Because the complete predictor set becomes available only at the end of surgery, the model is intended to support immediate postoperative risk stratification and individualized analgesic and psychological interventions after hepatectomy for patients with HCC.
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- The combined impact of tranexamic acid protocol and drainage on blood loss in primary total hip arthroplasty a retrospective cohort study. [Journal Article]
- CONCLUSIONS: Blood loss is influenced by patient factors, drainage, and TXA strategy. Medium‑dose TXA with preoperative IV administration may be a reasonable alternative to high‑dose regimens, though this finding is based on a non‑significant trend. Drainage use was associated with greater visible blood loss and should be carefully reconsidered.
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- Association of esketamine with acute lung injury and macrophage polarization-related markers after ATAAD surgery. [Journal Article]
- CONCLUSIONS: Perioperative esketamine use was associated with a lower risk of postoperative ALI after ATAAD surgery and was accompanied by favorable changes in macrophage polarization-related markers. Given the retrospective single-center design and limited sample size, these findings should be interpreted cautiously and require validation in larger prospective studies.
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- Clinical experience of transumbilical single-port laparoscopic cholecystectomy using a modified glove-port device and conventional instruments. [Journal Article]
- CONCLUSIONS: TUSPLC using a modified glove-port device and conventional instruments appears technically feasible within the short-term (1-month) follow-up period in selected patients, with no statistically significant differences in operative time, blood loss, or total hospitalization costs compared with conventional three-port LC. Postoperative hospital stay was statistically shorter by 0.10 day, a difference of uncertain clinical significance. This modified technique may serve as a practical option for performing single-port LC in resource-limited primary-level hospitals under China's DRGs payment model. However, because of the retrospective, single-center design and short (1-month) follow-up, long-term safety data for port-site hernia and other delayed complications are lacking, and the cosmetic benefit requires validation with objective assessments; therefore, these findings should be interpreted as preliminary. Further prospective, multicenter studies with extended follow-up are essential.
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- Preperitoneal desufflation after peritoneal closure during TAPP repair: an intraoperative feasibility study. [Journal Article]
- CONCLUSIONS: Controlled preperitoneal desufflation is a feasible and reproducible adjunct to TAPP repair that restores intraoperative control over final mesh positioning and enables correction of unfavorable configurations before completion of surgery.
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- Effect of ERCP burden on outcomes of subsequent laparoscopic cholecystectomy. [Journal Article]
- CONCLUSIONS: Prior ERCP is associated with increased operative difficulty during subsequent laparoscopic cholecystectomy. Among ERCP-related factors, repeated ERCP procedures, particularly undergoing three or more preoperative ERCP interventions, were associated with a higher likelihood of laparoscopic subtotal cholecystectomy. These findings suggest that cumulative ERCP burden may be associated with increased difficulty of subsequent laparoscopic cholecystectomy.
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- Prediction of incidental obturator hernia using preoperative computed tomography: the distance between the obturator internus muscle and the pubic bone. [Journal Article]
- CONCLUSIONS: Large OI-P gap in coronal CT images was associated with IOH and could be a useful in its detection.
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- Incidence and risk factors of incisional hernia after CRS and HIPEC for colorectal-appendiceal peritoneal malignancies: a retrospective cohort study. [Journal Article]
- CONCLUSIONS: The incidence of incisional hernia after CRS+HIPEC is high, and patients with previous open abdominal surgery or preexisting hernia should be considered at increased risk during preoperative assessment and postoperative follow-up.
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