- Implementing Therapeutic Endoscopic Retrograde Cholangiopancreatography in a Resource-Limited Setting: Lessons from the First Completely Minimally Invasive Management of Choledocholithiasis in Benin Republic. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Oct 27; :10926429261502081. [Online ahead of print]JL
- CONCLUSIONS: Therapeutic ERCP can complete a fully minimally invasive biliary pathway in a resource-limited setting when introduced through careful case selection, appropriate training, multidisciplinary preparation, and standardized technique. The experience may inform centers developing advanced therapeutic endoscopy in similar settings.
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- Robotic Versus Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Oct 25; :10926429261501679. [Online ahead of print]JL
- CONCLUSIONS: Current evidence has not demonstrated a clear clinical advantage of r-TAPP over l-TAPP for short-term outcomes. However, the available evidence remains limited by the relatively small overall sample size, sparse events, imprecision, and substantial heterogeneity in operative time. Larger multicenter randomized trials with standardized outcome definitions and longer follow-up are needed to determine whether clinically meaningful differences exist between approaches.
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- Closing the Gap to Bariatric Surgery: Predictors of Non-Progression in Patients with Obesity Class IV and V at a Community-Based Bariatric Center. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Oct 22; :10926429261501239. [Online ahead of print]JL
- CONCLUSIONS: Non-progression to bariatric surgery was associated with modifiable system-level barriers, including limited PCP integration, incomplete specialist evaluation, and reduced surgical follow-up. GLP-1 RA use at presentation was also associated with non-progression, although this relationship may reflect differences in treatment pathways rather than a direct treatment effect. Structured patient navigation and integrated medical-surgical obesity care may improve pathway completion.
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- Transoral Endoscopic Thyroidectomy Vestibular Approach Versus Open Thyroidectomy for Graves' Disease: A Systematic Review and Meta-Analysis. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Oct 22; :10926429261501336. [Online ahead of print]JL
- CONCLUSIONS: TOETVA appears to be a safe and feasible alternative to OT for Graves' disease, with comparable postoperative complication rates but longer operative times. Further prospective multicenter studies are needed to confirm these findings.
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- Multimodal Antiemetic Prophylaxis in Patients Undergoing Endoscopic Sleeve Gastroplasty: A Single-Center Retrospective Case Series. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Oct 22; :10926429261501389. [Online ahead of print]JL
- CONCLUSIONS: In this small retrospective case series, multimodal antiemetic prophylaxis combined with TIVA was associated with no institutionally documented early postoperative PONV presentations and emergency department presentations for severe PONV within 5 days after ESG. Prospective studies with standardized postoperative PONV assessment are needed to determine the efficacy of this approach. Given the limitations of a retrospective case series, prospective controlled trials incorporating systematic PONV severity scoring are warranted to establish optimized guidelines.
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- Tumor Biology and Surgical Margin Patterns in Colorectal Liver Metastases: Association Between KRAS/BRAF Status and Type of Resection Margin-BRAF-KRAS LiverMet Collaborative Group. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Oct 12; :10926429261497618. [Online ahead of print]JL
- CONCLUSIONS: KRAS/BRAF mutational status is associated with distinct clinicopathological patterns in patients undergoing liver resection for CRLM. Higher tumor burden and biologically aggressive disease features are more frequently associated with R1P and R1V resections, particularly among KRAS-mutated tumors.
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- Robotic-Assisted Removal of Gastric Bezoars in Children: Feasibility and Technical Evolution in a Case Series. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Oct 12; :10926429261497068. [Online ahead of print]JL
- CONCLUSIONS: Robotic-assisted laparoscopic management of gastric bezoars appears feasible and safe. Given the frequent psychological vulnerability of the patients affected, reducing visible scarring may represent an additional advantage over conventional laparotomy or standard robotic approaches.
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- Clinical Course of Temporary Internal Biliary Stents after Laparoscopic Common Bile Duct Exploration: A Systematic Review and Meta-Analysis. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Oct 12; :10926429261497072. [Online ahead of print]JL
- CONCLUSIONS: Temporary internal stents usually pass spontaneously after LCBDE, although performance varies across devices and settings. When passage has not been documented, approximately 1 month is the best-supported verification checkpoint. Persistent, migrated, or symptomatic stents warrant targeted evaluation and early endoscopic consultation. This pathway is evidence-informed rather than a formal guideline recommendation. Given the predominantly East Asian evidence base, validation in other populations is required.
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- Risk Factors for Postcholecystectomy Diarrhea: A Systematic Review and Meta-Analysis. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Oct 12; :10926429261497077. [Online ahead of print]JL
- CONCLUSIONS: Alcohol consumption and a nonlow-fat diet may represent clinically relevant factors associated with PCD, while postoperative food intolerance requires cautious interpretation because its temporal relationship with diarrhea remains uncertain. Age may have a nonlinear association with PCD, whereas evidence for other factors remains limited or inconsistent. These findings may assist in recognizing patients at increased risk of PCD and inform preoperative counseling and postoperative management. High-quality, multicenter studies with standardized exposure and outcome definitions are warranted to further clarify PCD risk factors.
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- Minimally Invasive Inguinal Hernia Repair in Elderly Patients Over 70 Years: Postoperative Outcomes and Complications. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Oct 11; :10926429261497067. [Online ahead of print]JL
- CONCLUSIONS: MIS inguinal hernia repair, including laparoscopic and robotic approaches, appears safe and effective in elderly patients, even in the presence of significant comorbidities. Complication rates and hospital stay were comparable between age groups, while elderly patients reported lower postoperative pain scores. Age alone should not be considered a contraindication to minimally invasive inguinal hernia repair.
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- Minimal Change in Minimally Invasive Surgery: National Trends in Laparoscopic Duodenal Atresia Repair, 2016-2024. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Oct 07; :10926429261497081. [Online ahead of print]JL
- CONCLUSIONS: Laparoscopic repair was associated with shorter LOS and lower morbidity, yet adoption remains low. Longer operative time and preferential use in larger neonates suggest potential technical barriers to adoption, which are potentially modifiable.
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- Robotic Bariatric Surgery in Patients with BMI > 50 kg/m[2] (Obesity V): A Systematic Review and Meta-Analysis. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Oct 07; :10926429261496025. [Online ahead of print]JL
- CONCLUSIONS: Our analysis supports the feasibility and safety of robotic platforms for bariatric procedures in patients with BMI > 50 kg/m[2]. Future prospective studies should prioritize investigating long-term outcomes and cost-effectiveness to enhance clinical decision-making for this patient demographic.
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- Sequential Track and Intestinal Gathering ("STRING"): A Novel Technique for Multiple Intestinal Biopsies. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Sep 30; :10926429261495175. [Online ahead of print]JL
- CONCLUSIONS: The STRING technique appears to be safe, effective, and reproducible. It allows multiple intestinal biopsies through a single minimally invasive approach with conclusive results.
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- Anatomic Features Associated with Operative Strategy in Minimally Invasive Gastric GIST Resection: A Single-Center Retrospective Cohort Study. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Sep 28; :10926429261491045. [Online ahead of print]JL
- CONCLUSIONS: Recognized anatomical features of gastric GISTs were associated with operative strategy and reflected real-world surgical decision-making. Systematically describing these features may facilitate preoperative assessment and improve consistency in reporting operative approaches.
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- Single-Port Versus Multiport Robotic Colorectal Surgery: A Systematic Review and Meta-Analysis. [Journal Article]J Laparoendosc Adv Surg Tech A. 2026 Sep 28; :10926429261491175. [Online ahead of print]JL
- CONCLUSIONS: SP robotic colorectal surgery was associated with shorter hospital stay and console time and lower POD1 pain scores, without significant differences in operative time, major morbidity, or harvested lymph nodes in the primary analyses. Sensitivity analyses suggested potential additional operative benefits, but the observational evidence, heterogeneity, risk of bias, and very low certainty preclude conclusions of clinical superiority.
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