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758 articles
September 202624
Transanal tube for the prevention of anastomotic leakage in rectal cancer surgery.
This systematic review and meta-analysis evaluated the effectiveness of a transanal tube in preventing anastomotic leakage in rectal cancer surgery, involving 1318 participants across four randomized controlled trials.
Biliary anastomosis using T-tube versus no T-tube for liver transplantation in adults.
This systematic review and meta-analysis evaluated the impact of T-tube use during biliary anastomosis in liver transplantation among 844 adults.
An Ovarian Hydatid Cyst in a Woman with Hepatic and Pulmonary Echinococcosis.
A 27-year-old woman presented with nonspecific symptoms leading to the diagnosis of an ovarian hydatid cyst, which is a rare occurrence.
Total Intravenous vs Volatile Inhalational Anesthesia for Major Noncardiac Surgery: A Randomized Clinical Trial.
This randomized clinical trial compared total intravenous anesthesia (TIVA) with volatile inhalational anesthesia in 2508 older adults (aged 50+) undergoing major noncardiac surgery.
Endoscopic ultrasound-guided versus percutaneous transhepatic gallbladder drainage in surgically high-risk patients with acute cholecystitis: a systematic review and meta-analysis.
This systematic review and meta-analysis compared endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) and percutaneous transhepatic gallbladder drainage (PTGBD) in surgically high-risk patients with acute…
Erector Spinae Block in Bariatric Surgery: a Systematic Review and Meta-Analysis of Randomized Controlled Trials.
This systematic review and meta-analysis assessed erector spinae plane block (ESPB) for postoperative analgesia in bariatric surgery. It included 9 randomized controlled trials with 553 patients.
Pneumoperitoneum following revision hip arthroplasty without hollow viscus perforation: a gastrointestinal surgical diagnostic challenge and the importance of clinical-radiological correlation.
A woman in her 50s developed pneumoperitoneum after revision hip arthroplasty for prosthetic joint infection. Despite elevated inflammatory markers, her abdomen was soft and non-tender.
Modified single-stapled anastomosis in laparoscopic or robotic low anterior resection for rectal cancer: protocol for a multicentre randomised controlled trial.
This multicentre, parallel-group, superiority randomised controlled trial investigates the modified single-stapled technique (MST) versus the conventional double-stapled technique (DST) in 450 patients undergoing…
EVT-Inspired Simplified Negative-Pressure Nasoesophageal Drainage for Cervical Abscess Secondary to Esophageal Perforation.
A 52-year-old man presented with odynophagia and fever after ingesting a fish bone, leading to a diagnosis of cervical esophageal perforation with an associated abscess.
Robotic Splenectomy for Refractory Immune Thrombocytopenic Purpura.
A 40-year-old woman with a 4-year history of immune thrombocytopenic purpura, obesity, and Hashimoto thyroiditis presented with severe thrombocytopenia and abnormal uterine bleeding after failing medical therapy.
Early postoperative outcomes after hybrid minimally invasive pancreaticoduodenectomy with a mini-laparotomy reconstruction: a single-centre randomised feasibility trial.
This pilot randomized controlled trial assessed the feasibility and safety of hybrid minimally invasive pancreaticoduodenectomy techniques in 36 patients, comparing robotic-assisted (RAW), laparoscopic-assisted (LAW)…
Clinical Efficacy of Ureteroscopy Versus Laparoscopic Ureterolithotomy in the Treatment of Large Proximal Ureteral Stones (>1 cm): A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
This systematic review and meta-analysis evaluated the efficacy of ureteroscopy versus laparoscopic ureterolithotomy for treating large proximal ureteral stones (>1 cm) in 1300 patients across 11 randomized controlled…
Ileum vs Colon for Neobladder Reconstruction After Radical Cystectomy: A Systematic Review and Meta-Analysis.
This systematic review and meta-analysis evaluated the functional outcomes and safety of ileal versus colonic neobladder reconstruction after radical cystectomy.
Transvaginal small bowel evisceration after rectal cancer resection.
A woman in her 70s with a history of rectal cancer resection presented with acute abdominal and pelvic pain after persistent coughing, leading to a perineal mass.
A 16-Year-Old Male Patient With Severe Electrical Burns With Chronic and Recurrent Hospital-Acquired Opportunistic Infection With Carbapenem-Resistant Acinetobacter baumannii.
A 16-year-old male presented with severe electrical burns and was admitted to the ICU with impaired consciousness and recurrent fever. His condition was complicated by respiratory failure and gastrointestinal bleeding.
Nerve anastomoses in the upper limb: an up-to-date meta-analysis.
This meta-analysis examined the prevalence and anatomical classifications of upper limb nerve anastomoses, analyzing data from 189 studies involving 23,572 upper extremities.
Endoscopic "Two-Step Method" for resection of a large tumor at the major duodenal papilla: A case report (with video).
A 75-year-old female presented with abdominal distension and was found to have a giant laterally spreading tumor at the major duodenal papilla.
Effect of esketamine on postoperative pulmonary complications after radical surgery for lung cancer: A randomized double-blind controlled trial.
This randomized controlled trial evaluated the effect of perioperative esketamine on postoperative pulmonary complications (PPCs) in 80 patients undergoing thoracoscopic radical lung cancer surgery.
Anatomical variation of the profunda femoris artery: High origin and complete overlap of femoral vessels - A rare case report.
This case report describes a rare anatomical variation of the profunda femoris artery, identified during the dissection of a lower limb specimen.
Three-Year Follow-up of the Randomized Trial Comparing Open Versus Laparoscopic Surgery for Primary Tumor Resection in Patients With Noncurable Stage IV Colon Cancer (JCOG1107).
The JCOG1107 trial was a multicenter, open-label, randomized controlled phase III study comparing laparoscopic and open surgery for noncurable stage IV colon cancer.
Laparoscopic cholecystectomy in situs inversus totalis.
A woman in her 40s with situs inversus totalis presented with symptomatic cholelithiasis. She underwent an elective laparoscopic cholecystectomy, where the surgeon operated from the left side of the patient, utilizing a…
Fine-Tuning, Retrieval-Augmented Generation, and Hybrid Adaptation of Language Models for Clinical Decision-Making in Health Care: Systematic Review.
This systematic review evaluated the effectiveness of fine-tuning, retrieval-augmented generation (RAG), and hybrid adaptation strategies for transformer-based language models in clinical decision-making.
Indocyanine green fluorescence imaging in minimally invasive liver resection for colorectal liver metastases: lesion detection and surgical outcomes-a systematic review and meta-analysis.
This systematic review and meta-analysis evaluated the use of indocyanine green (ICG) fluorescence imaging during minimally invasive liver resection for colorectal liver metastases (CRLM).
Factors associated with unplanned re-admission after elective gastroenterological surgery: an analysis of 1824 participants with clean-contaminated wounds enrolled in two randomized controlled trials for the prevention of surgical site infection.
This analysis examined factors associated with unplanned readmission within 30 days of discharge among patients undergoing elective gastroenterological surgery with clean-contaminated wounds.
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