- The functional lumen opening with self-forming magnetic anastomosis (FLOWS) study: results from the North American pivotal trial. [Journal Article]Surg Endosc. 2026 Jul 31. [Online ahead of print]SE
- CONCLUSIONS: This clinical trial highlights the technical and clinical success and the short-term safety profile of an SFM system that provides an immediately functional lumen for the creation of a small bowel anastomosis. The results provide a robust platform for future controlled and comparative studies to more comprehensively define the role of magnetic compression anastomosis in gastrointestinal surgery.
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- SAGES-EAES systematic review and meta-analysis for the use of FLIP/impedance planimetry in the surgical work-up and management of GERD, achalasia, and gastroparesis. [Journal Article]Surg Endosc. 2026 Jul 31. [Online ahead of print]SE
- CONCLUSIONS: FLIP may be a highly sensitive and well-tolerated screening tool for achalasia prior to anti-reflux surgery but may have low specificity, and evidence on long-term outcomes is limited. Intraoperative use may improve outcomes during myotomy but may offer limited benefit in anti-reflux surgery. Evidence for gastroparesis-related applications is insufficient. Overall CoE is low to very low, highlighting the need for rigorous, prospective comparative studies.
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- First United States experience of robotic-assisted minimally invasive inguinal hernia repair using the Dexter surgical system. [Journal Article]Surg Endosc. 2026 Jul 31. [Online ahead of print]SE
- CONCLUSIONS: This first United States experience demonstrates that robotic inguinal hernia repair using Dexter is feasible and safe in the outpatient setting, with favorable outcomes, efficient operative times, and a rapid learning curve among experienced surgeons.
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- Predictive value of preoperative esophagram in postoperative outcomes after antireflux surgery. [Journal Article]Surg Endosc. 2026 Jul 31. [Online ahead of print]SE
- CONCLUSIONS: ETT greater than 5.375 s was associated with greater long-term symptom burden across all patient-reported outcome domains. Longer ETT correlated with higher percentages of failed contractions and lower distal esophageal contraction amplitude on manometry supporting physiologic relevance. While specificity is low, high NPV suggests ETT less than 5.375 s may serve as a simple, noninvasive screening to help exclude severe dysmotility and reduce reliance on manometry in selected patients. These findings support using ETT as an adjunctive risk-stratification measure to assist in preoperative decision-making rather than a standalone prognostic test.
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- Laparoscopic/robotic embedding hepaticojejunostomy with FHDO for biliary tract malformations with a small-diameter hepatic duct opening: a retrospective study. [Journal Article]
- CONCLUSIONS: Embedded hepaticojejunostomy with FHDO method is safe and feasible in CC or non-dilated PBM children with a small-diameter portal bile duct. Further multicenter studies with larger samples and longer follow-up are needed to confirm these findings.
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- Development and validation of an artificial intelligence-powered 3D digital twin for teaching and assessing retraction for laparoscopic cholecystectomy. [Journal Article]
- CONCLUSIONS: This study revealed significant discrepancy between expert and trainee approaches to retraction, objectively demonstrating the potential of CholeCoach in enabling deliberate practice and automated assessment. Qualitative assessment was positive and will be used to inform further development of CholeCoach. Digital twin-based simulation has potential to facilitate surgical training and democratize high-quality surgical education across healthcare institutions.
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- A comparative study of 2908 cases of transumbilical single-incision laparoscopic cholecystectomy versus 1952 cases of traditional three-incision laparoscopic cholecystectomy in a single center. [Journal Article]
- CONCLUSIONS: There is no significant difference in safety and efficacy between SILC and LC and both demonstrate excellent postoperative cosmetic outcomes, making them worthy of widespread clinical application.
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- Prophylactic pyloric drainage for prevention of delayed gastric conduit emptying following Ivor Lewis esophagectomy: a systematic review with exploratory synthesis. [Review]
- CONCLUSIONS: The current evidence is too sparse and heterogeneous to support routine intraoperative pyloric drainage in ILE. Use of standardized DGCE definitions and adequately powered ILE-restricted randomized trials is required.
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- Transcystic papillary balloon dilatation vs. laparoscopic choledochoscopy for choledocholithiasis: a retrospective observational propensity score-matched cohort study. [Journal Article]
- CONCLUSIONS: In this retrospective non-randomized cohort, no statistically significant differences in duct-clearance success or morbidity were detected between TCPBD and LCC. Technique selection should remain individualized according to patient factors, biliary anatomy, stone characteristics, and available expertise. Prospective comparative studies are warranted.
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- Surgical site infection after open versus minimally invasive left pancreatectomy: a retrospective cohort study. [Journal Article]
- CONCLUSIONS: The impact of MI surgery on SSI after LP appears selective rather than universal, predominantly affecting SI-SSI. In contrast, OS-SSI appear largely driven by pancreas-specific postoperative mechanisms independent of surgical access. TAPS was associated with reduced OS-SSI, whereas POH may represent an early marker of pancreas-related infectious morbidity.
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- Comparison of outcomes between robot-assisted and laparoscopic colorectal cancer surgery in patients with heart failure: a national readmission database analysis. [Journal Article]
- CONCLUSIONS: In patients with HF undergoing minimally invasive CRC surgery, robotic-assisted surgery was associated with a higher risk of AKI but a similar length of hospital stay (LOS) and readmission rates compared to laparoscopic surgery. These findings underscore the need for careful perioperative management and individualized surgical planning in this high-risk population.
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- Safety of robotic liver resection under antiplatelet therapy: a propensity score-matching study. [Journal Article]
- CONCLUSIONS: Continuation of antiplatelet therapy was not associated with intra- and postoperative bleedings or ischemic events in our cohort. These findings suggest that robotic LR is safe in patients maintained on AP agent and support its perioperative continuation.
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- Video-based characterization of intraoperative bleeding patterns and hemostasis behaviors in laparoscopic pancreaticoduodenectomy: a retrospective cohort study. [Journal Article]
- CONCLUSIONS: Our study systematically characterized bleeding sites, causes, and surgical phases during LPD, identifying procedure-specific high-risk anatomical regions and distinct bleeding mechanisms. We demonstrated that hemostatic instrument utilization patterns vary by bleeding type and correlate with hemostasis quality, and proposed the instrument HCI as an objective instrument-based metric for summarizing hemostatic behavior.
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- Incisional hernia after laparoscopic and robotic donor nephrectomy: analysis of 325 consecutive donors. [Journal Article]
- CONCLUSIONS: In this study, LHDN and RADN had comparable incidence rates of IH. Both obesity and male sex were demonstrated to significantly increase IH likelihood, regardless of surgical technique. While kidney donors with mild obesity have been increasingly accepted, transplant centers should be aware of the significant effect of even mild obesity on IH risk, particularly in male donors.
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- Standardizing surgical equipment pick lists for sustainability: a systematic review. [Review]
- CONCLUSIONS: Available evidence suggests that pick list standardization is safe, cost-effective, and acceptable to perioperative personnel, with potential environmental benefits that remain insufficiently explored.
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