- Robotic versus laparoscopic gastrectomy in elderly gastric cancer patients: a retrospective comparative study. [Journal Article]Surg Endosc. 2026 Jun 19. [Online ahead of print]SE
- CONCLUSIONS: RG appears to be a safe and feasible option for elderly gastric cancer patients, with comparable short-term outcomes to LG. In the elderly population, the occurrence of postoperative complications is more strongly influenced by physical status and procedural complexity than by surgical approach (RG or LG), emphasizing the need for individualized operative planning.
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- Regulating digital surgery to balance safety and innovation: a SAGES white paper. [Journal Article]Surg Endosc. 2026 Jun 19. [Online ahead of print]SE
- CONCLUSIONS: Regulation of digital surgery must balance innovation with safety, recognizing that both excessive and insufficient oversight can harm patients. Traditional metrics and trial designs are insufficient, as evaluation must be anchored in clinically meaningful outcomes, ongoing surveillance, and real-world validation. The framework presented provides a foundation for achieving this balance through risk-proportionate, evidence-based regulatory approaches.
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- Symmetrical anterior-posterior partial fundoplication: technique and outcomes. [Journal Article]Surg Endosc. 2026 Jun 19. [Online ahead of print]SE
- CONCLUSIONS: Symmetrical anterior-posterior partial fundoplication is safe and effective, providing sustainable relief from GERD symptoms with high patient satisfaction reported up to 7 years. Interpretation of these promising results is limited by the small number of patients with extended follow-up.
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- Comparison of learning curves and cross-over effects using articulating laparoscopic instruments versus standard laparoscopic instruments. [Journal Article]
- CONCLUSIONS: Although ALI require a longer learning curve, training with these instruments transfers effectively to standard laparoscopic skills. Their robotic-like motion and accessibility support incorporating ALI into surgical education.
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- Development of a robotic training curriculum for visceral and gastrointestinal surgical trainees: an international Delphi study. [Journal Article]
- CONCLUSIONS: International surgical experts, trainees and other key stakeholders reached consensus on the critical components of a platform-agnostic robotic training curriculum for GI surgical trainees. This will help shape the future of robotic surgical education and certification, promote standardised training practices and ultimately benefit patient safety and outcomes.
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- Barbed continuous suture reduces the risk of specimen extraction site hernia in high-risk obese patients: a CT-based analysis. [Journal Article]
- CONCLUSIONS: Barbed continuous suturing was associated with a lower incidence of ESH after laparoscopic colorectal surgery, particularly in obese patients. Prospective multicenter studies are needed to confirm these findings and define the significance of hernia repair.
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- Diagnostic value of peroral choledochoscopy combined with modified biopsy forceps for malignant biliary strictures: a two-center retrospective study. [Journal Article]
- CONCLUSIONS: Compared with POCS-guided biopsy using dedicated forceps, peroral cholangioscopy combined with modified biopsy forceps demonstrates higher diagnostic efficacy for malignant biliary strictures and maintains a good safety profile.
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- Practices in prehabilitation and follow-up after hernia surgery: a global survey of 135 surgeons from 20 countries. [Journal Article]
- CONCLUSIONS: Prehabilitation and follow-up remain heterogeneous with adherence limited by the combination of patient, surgeon, and system-level barriers. Differences in practices between high- and low-volume surgeons suggest opportunities for society-driven guidance, extending standardized protocols, and deploying adherence tools to improve consistency and outcomes.
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- Recurrence rates following endoscopic mucosal resection versus endoscopic submucosal dissection for colorectal polyps: a systematic review and meta-analysis of randomized controlled trials. [Review]
- CONCLUSIONS: ESD is associated with significantly lower recurrence rates compared to EMR in the treatment of large colorectal polyps, with high-certainty evidence. These findings support the use of ESD when recurrence risk is a primary concern, while EMR remains a feasible alternative with comparable safety.
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- Rise of robotic sleeve gastrectomy fails to show improved outcomes versus laparoscopy analysis of 9 years of MBSAQIP data including over half a million patients. [Journal Article]
- CONCLUSIONS: Robotic sleeve gastrectomy was associated with a higher frequency of OPC and UHCU, although the absolute risk increase was small. No significant differences were observed in SLC. Additionally, an increasing trend in OPC was noted in recent years, which was more pronounced in the RSG group.
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- Comparison of minimally invasive single-position left transthoracic and esophageal hiatal approach versus laparoscopic transesophageal hiatus approach for Siewert type II adenocarcinoma of the esophagogastric junction. [Journal Article]
- CONCLUSIONS: For patients with Siewert type II AEG, the minimally invasive SLTEA is safe and effective, with shorter operative time, longer esophageal margins, more complete lymph node dissection, better postoperative recovery, and more benefits for patients' long-term survival. It can be promoted as a complementary option to Siewert type II AEG surgery.
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- Can combined biochemical and radiological responses enhance prognostic assessment after neoadjuvant therapy for locally advanced gastric cancer? A multicenter real-world study. [Journal Article]
- CONCLUSIONS: BRRS outperformed conventional ypTNM and TRG systems in prognostication. Postoperative chemotherapy may be omitted in DR patients.
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- Multi-label dynamic diagnosis of pancreatic diseases using AI-enhanced endoscopic ultrasound: a multi-cohort real-world study. [Journal Article]
- CONCLUSIONS: AI-Paradise enhances diagnostic performance by assisting endoscopists in filtering out low-quality images and making accurate multiple-disease diagnoses.
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- Impact of the COVID-19 pandemic on racial disparities in adolescent bariatric surgery: an MBSAQIP analysis. [Journal Article]
- CONCLUSIONS: The racial and ethnic composition of adolescents undergoing MBS shifted substantially across the COVID-19 pandemic, with increased representation of historically underserved racial and ethnic groups. Complication disparities observed among Black patients pre-COVID were not statistically significant in later phases, though sparse event counts limit interpretation. Prospective studies are needed to clarify the mechanisms driving pandemic-era changes in equity of access to adolescent MBS.
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- Characteristics of thoracoscopic anatomical lesion resection in the treatment of intralobar sequestration and congenital pulmonary airway malformation. [Journal Article]
- CONCLUSIONS: HX-TALR treatment for ILS is widely applicable. The clear internal and external boundaries of the ILS make it easier to perform HX-TALR and can be selected as an early-stage case. With increasing experience, the completion rate of HX-TALR in the treatment of CPAM will also increase.
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