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Laparoscopic Appendectomy | 6 Errors to Avoid

#LaparoscopicAppendectomy #Appendectomy #SurgicalEducation #SurgicalSafety #generalsurgery
November 4, 2026 at 9:33 AM
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Surgeons want to lead space surgery

by Guidolin K, Srinivas S (...) Fer D et 5 al. in Surg Endosc

#Surgery #SurgSky #GeneralSurgery #MedSky
Surgeons want to lead space surgery
Members of the Society of American Gastrointestinal and Endoscopic Surgeons want a say in how surgery will work beyond Earth, and robotics tops their list. Most respondents were attending minimally invasive or general surgeons. Robotic technology in space drew the strongest interest. Members asked f
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November 3, 2026 at 4:47 AM
oags.bsky.social
Just in! 📢 1 FT & #locum vacancies @MAHCHospitals #BracebridgeOntario🍁. Now accepting applications. #SurgeonJob #SurgeonJobs #generalsurgery #endoscopy Details: rebrand.ly/x0g7kfj
October 31, 2026 at 5:19 AM
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Robot matches laparoscopy for rectal cancer survival

by Song SH, Min BS (...) Choi GS et 7 al. in Br J Surg

#Surgery #SurgSky #GeneralSurgery #MedSky
Robot matches laparoscopy for rectal cancer survival
Five years after surgery for low rectal cancer, patients operated on robotically did as well as those operated on laparoscopically, according to a randomized trial from three Korean centres. Overall survival at 5 years was about 92% with either approach in 295 patients. Survival without relapse was
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November 4, 2026 at 12:47 PM
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Pancreatic ductoscopy guides tissue preservation

by Nara A, Nebbia M (...) Oba A et 6 al. in Ann Surg Oncol

#Surgery #SurgSky #GeneralSurgery #MedSky
Pancreatic ductoscopy guides tissue preservation
In two older patients having robotic surgery for a pancreatic growth, ductoscopy and checks of the cut edge let surgeons leave the remaining pancreas in place. Both patients were in their 70s; ductoscopy found no suspicious areas in the remaining pancreatic duct. Final pathology showed high-grade dy
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November 2, 2026 at 8:47 AM
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Social vulnerability tracks ventral hernia wound problems

by Alipouriani A, Bennett WC (...) Miller BT et 10 al. in J Am Coll Surg

#Surgery #SurgSky #GeneralSurgery #MedSky
Social vulnerability tracks ventral hernia wound problems
After ventral hernia repair, patients from more socially vulnerable communities had more wound complications, though differences between vulnerability groups were small. The analysis included 35,626 clean repairs of hernias no wider than 18 cm. Social vulnerability tracked both wound complications a
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November 2, 2026 at 4:47 PM
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Dye imaging cuts leaks after oesophagectomy

by Dermanis AA, Thompson D, Kamarajah SK and Griffiths EA in Br J Surg

#Surgery #SurgSky #GeneralSurgery #MedSky
Dye imaging cuts leaks after oesophagectomy
Checking blood flow with a green fluorescent dye was linked to fewer leaks where the two ends of the oesophagus are joined. About 13 patients need to be scanned to prevent one leak. The pooled analysis covered 23 studies and 2845 patients, 1154 of whom were scanned. Death, reoperation, and overall c
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November 4, 2026 at 4:47 AM
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Smoking linked to weaker rectal cancer response

by Lee JS, Considine M (...) Goffredo P et 5 al. in Ann Surg Oncol

#Surgery #SurgSky #GeneralSurgery #MedSky
Smoking linked to weaker rectal cancer response
Patients smoking at diagnosis were less likely to have a favorable response to treatment before rectal cancer surgery; former smokers were not. Among 1,767 patients with stage II–III disease, 25.5% of current smokers had a favorable response score, versus 33.4% of never-smokers. Complete tumor respo
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November 2, 2026 at 12:47 PM
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High symptom burden after oesophagectomy

by Li S, Luo Y (...) Ye Z et 6 al. in Ann Surg Oncol

#Surgery #SurgSky #GeneralSurgery #MedSky
High symptom burden after oesophagectomy
On postoperative day 3, about one in five patients had high symptom burden, and the symptoms most linked to others differed between patient groups. Of 1,047 patients, 19.8% fell into the high-burden group. Incision pain was most linked to other symptoms in that group; worry led in the low-burden gro
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November 2, 2026 at 6:36 AM
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Emergency status reshapes colon infection rankings

by Clark NM, Allen G (...) Bisgaard E et 6 al. in BMC Surg

#Surgery #SurgSky #GeneralSurgery #MedSky
Emergency status reshapes colon infection rankings
Accounting for emergency colon surgery changed infection-risk rankings: safety-net hospitals were no longer more likely to land in the highest-risk group. The analysis covered 360 hospitals in California and Florida; 79 were safety-net hospitals. Without emergency status in the model, safety-net hos
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October 30, 2026 at 8:47 AM
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ICG may help difficult gallbladder surgery

by Carramiñana-Nuño R, Palacios-Gasós P (...) Borrego-Estella VM et 4 al. in Surg Endosc #Surgery #SurgSky #generalsurgery #MedSky

🪡 read our summary here
📖 read the article: https://link.springer.com/article/10.1007/s00464-026-13524-8
October 29, 2026 at 12:55 PM
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Intrahepatic cholangiocarcinoma has more options

by Tsilimigras DI, Ntanasis-Stathopoulos I and Pawlik TM in JAMA Surg

#Surgery #SurgSky #GeneralSurgery #MedSky
Intrahepatic cholangiocarcinoma has more options
Resection remains central, but care now includes preoperative therapy, liver-directed treatments and drugs matched to tumor changes. About 30% to 40% of patients have tumor changes that may match an approved targeted drug. For advanced disease, chemotherapy plus immunotherapy is a first-line option;
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October 30, 2026 at 8:47 PM
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Subtotal colectomy matches total for constipation

by Guo M, Li F (...) Tong W et 19 al. in JAMA Surg

#Surgery #SurgSky #GeneralSurgery #MedSky
Subtotal colectomy matches total for constipation
For severe slow-transit constipation, removing less colon gave similar symptom relief at one year, with less early incontinence. Among 252 patients, subtotal colectomy was noninferior to total colectomy for constipation symptoms at one year. Incontinence at three months affected 8.7% after subtotal
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October 30, 2026 at 12:47 PM
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Robot motion data predicts surgeon experience

by Ballo M, Billato I (...) Filicori F et 10 al. in Ann Surg

#Surgery #SurgSky #GeneralSurgery #MedSky
Robot motion data predicts surgeon experience
Motion data from robotic gallbladder dissection identified surgeon experience about as well as motion data combined with clinical details. Motion data alone scored 0.97 out of 1.0 for separating attending surgeons from trainees. For predicting outcomes, combining both sources scored 0.75, against 0.
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November 4, 2026 at 4:47 PM
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Fewer severe complications with robotic emergency surgery

by Hess T, Miles A (...) Egodage T et 2 al. in Surg Endosc

#Surgery #SurgSky #GeneralSurgery #MedSky
Fewer severe complications with robotic emergency surgery
Among older adults having urgent abdominal surgery, robotic operations were linked to fewer severe complications and more discharges home, but not shorter stays after adjustment. The database included 58,940 patients; only 1,832 had robotic surgery. Conversion to open surgery occurred in 6.2% of rob
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October 29, 2026 at 4:48 PM
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Small-bite closure prevents incisional hernias

by Emile SH, Elhadad A and Elsayed AH in Br J Surg

#Surgery #SurgSky #GeneralSurgery #MedSky
Small-bite closure prevents incisional hernias
Closing a midline laparotomy with small, closely spaced fascial bites prevents more incisional hernias than the traditional large-bite technique, and the benefit lasts beyond two years. Small bites cut incisional hernias by 43% in trials that checked with both examination and imaging. Ten RCTs with
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November 4, 2026 at 8:47 AM
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Cancer blockage: endoscopic bypass cuts repeat procedures

by Peng YN, Faucher-Jabado G (...) Chen YI et 13 al. in Gastrointest Endosc #Surgery #SurgSky #generalsurgery #MedSky

🪡 read our summary here
📖 read the article: https://www.giejournal.org/article/S0016-5107(26)06948-8/abstract
October 28, 2026 at 4:36 PM
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Days at home track cancer surgery recovery

by Ribeiro T, Bondzi-Simpson A (...) Hallet J et 4 al. in JAMA Surg

#Surgery #SurgSky #GeneralSurgery #MedSky
Days at home track cancer surgery recovery
A 90-day count of days alive and outside care tracked major complications and one-year mortality after elective gastrointestinal cancer surgery. The measure counts days outside hospitals or other care facilities; death scores zero. Patients with major complications had a median 70 days at home, vers
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October 30, 2026 at 4:47 PM
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Emergency surgery: lung complications raise death risk

by Nærum AW, Kokotovic D and Burcharth J in BMC Surg

#Surgery #SurgSky #GeneralSurgery #MedSky
Emergency surgery: lung complications raise death risk
After major emergency abdominal surgery, patients who develop lung complications face much higher death risk, most sharply in the first days. About 40% of 1,074 patients developed a lung complication after surgery. Death within 90 days was 29.7% with lung complications versus 7.3% without. The risk
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November 3, 2026 at 8:47 AM
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Nutrition and immune blood markers predict survival in gallbladder cancer

by Patkar S, Kale KD (...) Goel M et 2 al. in Ann Surg Oncol

#Surgery #SurgSky #GeneralSurgery #MedSky
Nutrition and immune blood markers predict survival in gallbladder cancer
Patients with better blood nutrition scores lived longer after surgery for gallbladder cancer, in a study of 1,312 patients. Patients scoring 48 or higher on the prognostic nutritional index, a score from two blood tests, survived longer. That group had 10% better survival at 3 years and 13.2% bette
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November 3, 2026 at 8:47 PM
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Liver cancer drugs around surgery remain unproven

by Nahi SL and Yopp AC in Ann Surg Oncol

#Surgery #SurgSky #GeneralSurgery #MedSky
Liver cancer drugs around surgery remain unproven
Drugs given around liver cancer surgery have mostly failed, but one recent trial showed a real benefit. Three trials of drugs after surgery or ablation showed no lasting benefit. CARES-009 was the first randomized trial to show longer event-free survival with drugs given before and after surgery. Th
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November 3, 2026 at 4:48 PM
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Surgery research is becoming less disruptive

by Kuo AC, Hiraldo L (...) Kuo PC et 2 al. in BMC Surg

#Surgery #SurgSky #GeneralSurgery #MedSky
Surgery research is becoming less disruptive
Over five decades, surgery went from the most disruptive research field to the only one where papers, on average, reinforce existing ideas rather than redirect the field. The disruption score fell from +0.0049 in the 1970s to -0.0017 in the 2010s. The analysis covered 2.4 million surgery papers from
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November 3, 2026 at 12:47 PM
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Onlay hernia mesh linked to foreign-body sensation

by Witthøft C, Ahmed U (...) Baker JJ et 4 al. in Ann Surg

#Surgery #SurgSky #GeneralSurgery #MedSky
Onlay hernia mesh linked to foreign-body sensation
After elective incisional hernia repair, patients with onlay mesh more often felt a foreign body than those with retromuscular mesh; other reported outcomes were similar. Foreign-body sensation affected 37.1% with onlay mesh and 30.3% with retromuscular mesh. The Danish study included 2,348 survey r
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November 2, 2026 at 8:47 PM
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ICG may help difficult gallbladder surgery

by Carramiñana-Nuño R, Palacios-Gasós P (...) Borrego-Estella VM et 4 al. in Surg Endosc

#Surgery #SurgSky #GeneralSurgery #MedSky
ICG may help difficult gallbladder surgery
In emergency gallbladder surgery, indocyanine green fluorescence was linked to a smaller rise in operating time as inflammation increased; fewer conversions in the most inflamed patients remain unproven. The prospective cohort included 221 patients having emergency laparoscopic gallbladder removal.
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October 29, 2026 at 4:05 PM
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Pancreatic cancer: longer survival with combined treatment

by Shao S, Wang L (...) Tian B et 6 al. in Ann Surg Oncol

#Surgery #SurgSky #GeneralSurgery #MedSky
Pancreatic cancer: longer survival with combined treatment
For locally advanced pancreatic cancer, cryoablation plus drug treatment was linked to longer median survival than drug treatment alone, but the result does not prove benefit. Among 186 patients, median survival was 22.1 months with combined treatment, versus 17.8 months with drug treatment alone. C
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October 29, 2026 at 8:47 PM