- Single-center experience with mesh suture for primary parastomal hernia repair. [Journal Article]
- CONCLUSIONS: Primary PSH repair with Duramesh alone is associated with high recurrence rates (54.8%) and should not be considered a durable standalone strategy. Though suture pull-through was not identified as a failure mechanism in this limited series, the persistent stomal aperture renders primary repair insufficient regardless of suture construct.
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- Evolving utilization of bariatric surgery since the rise of semaglutide and tirzepatide. [Journal Article]
- CONCLUSIONS: In the Epic Cosmos database, bariatric surgery utilization decreased from 2022 to 2025, and those who underwent bariatric surgery increasingly received GLP-1RA before surgery. Patients who received pre-surgery GLP-1RA were older, White, privately insured, with diabetes and other weight-related comorbidities, while patients who received surgery upfront were Hispanic, Black, and publicly insured. Pre-surgery GLP-1RA use was also driven by center-specific non-clinical factors.
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- Safety and efficacy of magnetic-anchoring vs conventional video-assisted thoracoscopic surgery (VATS) lung resection: a randomized controlled trial. [Journal Article]
- CONCLUSIONS: MAT-assisted VATS lung resection is as effective and safe as conventional VATS.
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- Adults undergoing robotic hiatal hernia repair: do surgical and patient factors predict 5-year revision? A systematic review. [Journal Article]
- CONCLUSIONS: Hernia size consistently emerges as the primary determinant of revision following RHHR, with larger hernias demonstrating substantially higher revision rates regardless of surgical approach. Based on available data, the 5-year revision rate for RHHR ranges from 0 to 5.7%, with an estimated weighted average of 3.2%. Technical considerations including mesh reinforcement and reconstruction methods remain incompletely understood due to significant reporting variations across studies. Patient-specific factors require further investigation through adequately powered prospective studies. Future research demands rigorous prospective designs with standardized documentation of surgical techniques, hernia characteristics, and patient profiles to better identify and stratify revision risk factors after RHHR. The development of consensus guidelines for reporting outcomes in hiatal hernia surgery would facilitate meaningful comparison across studies and improve our understanding of optimal surgical approaches.
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- Magnetic compression anastomosis in gastrointestinal surgery: a systematic review of early human experience. [Journal Article]
- CONCLUSIONS: Early clinical evidence suggests that MCA is a safe and feasible alternative to conventional suturing or stapling techniques, with encouraging short-term outcomes. It is a promising alternative technique, especially for high-risk cases who cannot undergo general anesthesia or for those with frozen abdomens. MCA with an endoscopic technique can enable immediate resumption of oncological treatment. Due to limited clinical evidence and lack of sufficient data, further clinical trials are warranted to establish safety, efficacy, and cost-benefit before widespread human application.
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- Robotic versus laparoscopic common bile duct exploration: outcomes from a high-volume specialist pancreaticobiliary unit within a structured minimally invasive pathway. [Journal Article]
- CONCLUSIONS: RCBDE is safe and achieves outcomes comparable to laparoscopic exploration within a high-volume specialist unit. Although associated with longer operative duration, robotic platforms may provide technical advantages in selected technically demanding scenarios. Further studies incorporating standardised complexity grading are required to better define the role of RCBDE in advanced biliary disease.
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- Thermal ablation versus liver resection for small colorectal liver metastases (≤ 3 cm): a systematic review and meta-analysis of randomized and propensity score-matched studies. [Journal Article]
- CONCLUSIONS: In selected patients with CRLM ≤ 3 cm, thermal ablation was not associated with statistically significant differences in OS or DFS/PFS compared with liver resection and was associated with lower complication rates. Treatment selection should remain individualized within multidisciplinary care.
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- Utility of endoscopic ileocecal valve-plasty for Crohn's disease: a propensity-matched retrospective study. [Journal Article]
- CONCLUSIONS: ICVP safely converts anatomically unfavorable strictures into endoscopically treatable lesions, which might help in postponing or averting surgery. Prospective multicentered validation with risk stratification is warranted.
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- 30-day outcomes for self-gripping mesh versus non-self-gripping mesh in minimally invasive extraperitoneal ventral hernia repair. [Journal Article]
- CONCLUSIONS: There were no observed clinical advantages to use of polyester-based SGM in MIS extraperitoneal VHR, with a concerning trend toward increased long-term hernia recurrence. Further prospective evaluation and long-term surveillance are needed to define the role of SGM in MIS extraperitoneal VHR.
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- Integration of objective nutritional status and tumor burden predicts 5-year survival after gastric cancer surgery: a multicenter real-world study. [Journal Article]
- CONCLUSIONS: ONTBS integrates objective nutritional status and tumor burden and outperforms TNM staging in predicting long-term survival after curative gastric cancer surgery.
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- Learning curve and perioperative outcomes: a retrospective cohort study between synchronous and combined inflatable mediastinoscope-laparoscopic radical esophagectomy. [Journal Article]
- CONCLUSIONS: Compared with the sequential combined inflatable mediastinoscope-assisted laparoscopic approach, the synchronous approach was associated with improved perioperative outcomes, fewer pulmonary complications, and a favorable learning trajectory in this retrospective cohort. These findings support its feasibility as an alternative minimally invasive strategy, although further prospective multicenter studies are required for validation.
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- Risk factors and outcomes of bailout procedures during laparoscopic cholecystectomy for acute cholecystitis: the BOLAC study. [Journal Article]
- CONCLUSIONS: Bailout procedures are required in approximately 10% of LCs for AC and are strongly associated with markers of advanced inflammation and delayed surgery. Their use reflects both disease severity and institutional practice variability and is associated with increased postoperative morbidity. Early intervention and improved risk stratification may optimize surgical planning and outcomes.
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- Non-exposure LECS (CLEAN-NET) for gastric cancer: long-term outcomes of a function-preserving strategy with selective nodal assessment. [Journal Article]
- CONCLUSIONS: This historical cohort provides rare ultra-long-term observational data after CLEAN-NET for gastric cancer. Although no recurrence of the gastric cancer treated by CLEAN-NET was observed, the findings do not establish CLEAN-NET as an alternative to guideline-recommended gastrectomy. Rather, they may inform future studies of function-preserving, non-exposure local resection combined with validated nodal navigation strategies.
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- Association between endoscopic sphincterotomy and the development of hepatopancreatobiliary cancer. [Journal Article]
- CONCLUSIONS: This epidemiologic cohort study found that patients who underwent ERCP with ES exhibited a higher incidence of developing HPB cancer over time compared to patients who underwent cholecystectomy alone.
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