Surgery Open Digestive Advance最新文献

{"title":"Helicobacter pylori infection rate and surgical treatment outcome of perforated peptic ulcer disease in Public Hospitals of Eastern Ethiopia: a prospective multicenter study","authors":"Badhaasaa Beyene Bayissa ,&nbsp;Gelana Fekadu","doi":"10.1016/j.soda.2026.100251","DOIUrl":"10.1016/j.soda.2026.100251","url":null,"abstract":"<div><h3>Introduction</h3><div>Perforated peptic ulcer disease is an emergent non-traumatic acute abdomen that ends with mortality if not intervened early. It is one of the three most common causes of acute surgical abdomen in our local context. However, there is a shortage of post-operative treatment outcome data. Therefore, this study aimed to identify the post-operative treatment outcome and associated factors among patients with perforated peptic ulcer disease treated at tertiary hospitals.</div></div><div><h3>Method</h3><div>A prospective Observational study was conducted at four different public hospitals. The data were collected using a structured tool and filled into a Kobo toolbox by data collectors. The collected data were exported to the statistical package for Social Science (SPSS) version 23 for analysis.</div></div><div><h3>Result</h3><div>One hundred seventy patients with perforated peptic ulcer disease participated in the study. The proportion of H pylori-infected patient was 30.6% and post-operative complications rate was 32.4%. The overall in-hospital mortality rate was 9.4% with 95% CI (5.5% - 14.8%). Increasing age (AOR=1.06, 95% CI: 1.001, 1.12), delayed presentation (AOR= 1.02 95% CI: 1.00, 1.04), Longer operative time (AOR=4.92, 95% CI: 1.48, 16.37), Intra-abdominal collection (AOR=1.84, 95%CI: 1.08, 3.17) and ICU admission (AOR= 6.4 95% CI: 1.35, 30.35) were factors significantly associated with mortality.</div></div><div><h3>Conclusion</h3><div>The incidence of postoperative mortality among perforated PUD patients was relatively high which had a positive association with delayed patient presentation to hospitals, longer operative time, amount of intra-abdominal collection, and admission to ICU. However, no significant association was found among known causal risk factors for PUD.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"21 ","pages":"Article 100251"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147656816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concurrent hepatic and pulmonary parasitic cysts due to taenia solium, echinococcus granulosus, and toxocara spp.: A case managed with combined minimally invasive surgery","authors":"Lan Nguyen Thi ,&nbsp;Lu Pham Huu ,&nbsp;Hung Do Manh ,&nbsp;Dang Do Hai ,&nbsp;Huy Le Nhat ,&nbsp;Tien Nguyen Minh","doi":"10.1016/j.soda.2026.100254","DOIUrl":"10.1016/j.soda.2026.100254","url":null,"abstract":"<div><div>Mixed parasitic infections involving Taenia solium, Echinococcus granulosus, and Toxocara spp. are exceedingly rare, especially when presented with concurrent hepatic and pulmonary cysts. Diagnosis is often challenging due to overlapping clinical and imaging characteristics. We report a 37-year-old woman from rural Vietnam diagnosed with simultaneous infections by three helminths, presenting with a hepatic cyst and a left lower lung lobe cyst. The patient underwent comprehensive clinical, serological, and radiological evaluation, followed by combined laparoscopic hepatic cystectomy and thoracoscopic left lower lobectomy. The postoperative course was uneventful, and the patient was discharged on postoperative day seven with complete recovery. This case highlights the importance of recognizing rare mixed parasitic infections in endemic regions, the role of surgical intervention in preventing complications, and the feasibility of minimally invasive approaches.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"21 ","pages":"Article 100254"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147656815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally invasive Pancreatoduodenectomy with robotic reconstruction using HugoTM RAS system in a case of periampullary carcinoma and replaced right hepatic artery","authors":"Ananthakrishnan Balakrishnan,&nbsp;Naveena AN Kumar,&nbsp;Nawaz Usman","doi":"10.1016/j.soda.2026.100257","DOIUrl":"10.1016/j.soda.2026.100257","url":null,"abstract":"","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"21 ","pages":"Article 100257"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Common bile duct lithiasis: Is there still a role for choledochoduodenostomy?","authors":"Najib Michel Bou kheir ,&nbsp;Olivier Benoit ,&nbsp;Mostafa El Hajjam ,&nbsp;Frédérique Peschaud ,&nbsp;Renato Micelli Lupinacci","doi":"10.1016/j.soda.2026.100255","DOIUrl":"10.1016/j.soda.2026.100255","url":null,"abstract":"<div><div>Gallstone disease affects 10–20% of the general population, with a prevalence that increases with age. In 8–18% of patients, gallstones are associated with common bile duct (CBD) stones. Endoscopic management is currently considered the standard approach for the treatment of CBD lithiasis. Nevertheless, endoscopic treatment is not without limitations and may be associated with complications. In addition, several clinical situations can make endoscopic stone extraction technically challenging or unfeasible. These difficulties are related to stone size and number, their anatomical location, and modifications of the biliary anatomy, most frequently following previous surgical procedures. In such contexts, choledochoduodenostomy (CDD) represents a potential surgical alternative.</div><div>The aim of this mini-review is to describe situations in which endoscopic management of CBD stones is difficult, to review the outcomes associated with choledochoduodenostomy, and to clarify its potential indications in contemporary practice. We performed an exhaustive review of the literature published over the past 15 years (2009–2024).</div><div>Overall, the available data suggest that choledochoduodenostomy can be a safe and effective option in carefully selected patients, particularly in elderly or multimorbid individuals, and in cases involving large stones or extensive choledocholithiasis. As a procedure that is technically accessible to trained surgeons and does not require advanced technical facilities, choledochoduodenostomy may deserve renewed consideration and broader inclusion in surgical training.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"21 ","pages":"Article 100255"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic radical total mesoesophagectomy and enbloc total mediastinal lymph node dissection using Hugo™ RAS system (with video)","authors":"Naveena AN Kumar,&nbsp;Akhil Palod,&nbsp;Ananthakrishnan Balakrishnan","doi":"10.1016/j.soda.2026.100258","DOIUrl":"10.1016/j.soda.2026.100258","url":null,"abstract":"<div><div>Though Robotic Esophagectomy (RAMIE) has become standard of care, total mediastinal lymph node dissection is not practiced in all centres in view of the morbidity. Recently, total mediastinal lymphadenectomy based on fascial plane dissection technique using RAMIE was demonstrated by Park BJ et al. The reproducibility of the surgical technique of total mediastinal lymph node dissection using different robotic platforms is important for generalization of this procedure. The Hugo™ RAS, being one of the modular robotic systems, there is no published literature on robotic total mesoesophagectomy and total mediastinal lymph node dissection using this system. This multimedia article aims to demonstrate Robotic radical total mesoesophagectomy with en bloc total mediastinal lymph node dissection in semi prone position using Hugo™ RAS system.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"21 ","pages":"Article 100258"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148499293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and safety of gravity dependent and hand held ‘push’ injection method of contrast cholangiography: Validation of a pilot study, a single centre RCT","authors":"Payal Kaw,&nbsp;Anu Behari,&nbsp;Ashish Singh,&nbsp;Rahul,&nbsp;Supriya Sharma,&nbsp;Ashok Kumar,&nbsp;Rajneesh Kumar Singh,&nbsp;Ashok Kumar,&nbsp;Rajan Saxena","doi":"10.1016/j.soda.2026.100249","DOIUrl":"10.1016/j.soda.2026.100249","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Direct cholangiography (DC) involves introducing contrast media into biliary system. Choice of technique, push injection (PIC) or gravity drip (GDC), affects the risk of complications post-procedure. A pilot study conducted at our centre suggested, major adverse reactions were significantly more common in PIC than GDC. We conducted a randomised controlled trial, to validate the results of the pilot study, by comparing two techniques for adverse reactions and efficacy. Also, we describe a, modified GDC technique which is economic and safe.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted from November 2023 to May 2024 including all patients requiring DC. Patients with active cholangitis or complete biliary obstruction were excluded. After randomisation in two groups i.e., PIC and GDC, participants were observed within 24 hrs post procedure, for adverse reactions and efficacy of cholangiography. (CTRI/2023/10/059252).</div></div><div><h3>Results</h3><div>64 eligible candidates were randomised into two groups- GDC and PIC groups (32 in each group). 6 had displaced tube and 4 in GDC group had long standing blocked tubes requiring PIC. Procedure failure rate of GDC was 12.9% (v/s 0%, <em>p</em> = 0.001). As per protocol analysis, minor adverse effects were seen in 11.1% in GDC group and 41.9% in PIC group (<em>p</em> = 0.009). While major adverse effects were seen in 7.4% in GDC group and 35.5% in PIC group (<em>p</em> = 0.011). This significant difference in translated into a higher overall treatment cost (3.7% v/s 25.8% <em>p</em> = 0.029). Both techniques were equally efficacious.</div></div><div><h3>Conclusion</h3><div>We advocate routine use of modified gravity dependent technique of contrast media administration for its safety.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"21 ","pages":"Article 100249"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148735539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unexpected onset of jejunal diverticulitis in the immediate postoperative period after laparoscopic crural hernia repair","authors":"Soukayna Bourabaa ,&nbsp;Antoine Notte","doi":"10.1016/j.soda.2026.100253","DOIUrl":"10.1016/j.soda.2026.100253","url":null,"abstract":"<div><h3>Introduction</h3><div>Jejuno-ileal diverticulosis is an uncommon small bowel disorder predominantly affecting elderly individuals. Although often asymptomatic, it may present with nonspecific symptoms or progress to severe complications such as perforation, obstruction or hemorrhage. Due to its rarity and vague presentation, diagnosis is frequently delayed increasing the risk of morbidity.</div></div><div><h3>Case presentation</h3><div>A 79-year-old woman with a history of multiple abdominal surgeries presented with intestinal obstruction secondary to a strangulated right femoral hernia. Laparoscopic repair was performed successfully. Four days later, she developed recurrent obstruction unresponsive to conservative treatment. Re-exploration revealed multiple jejunal diverticula with a localized perforated diverticulitis. Segmental small-bowel resection with primary anastomosis was performed. The postoperative course was complicated by an anastomotic fistula and stercoral peritonitis, requiring reoperation and a double-barrel ileostomy. After stabilization and infection control, intestinal continuity was restored one month later with complete recovery.</div></div><div><h3>Discussion</h3><div>Jejunal diverticulitis remains a diagnostic and therapeutic challenge. Computed tomography is the modality of choice for identifying diverticular perforation or abscess. While conservative management may suffice for localized inflammation, segmental resection with primary anastomosis remains the treatment of choice for perforation or peritonitis. Laparoscopic approaches, when feasible, offer diagnostic precision, reduced invasiveness, and faster recovery.</div></div><div><h3>Conclusion</h3><div>Early recognition of jejunal diverticulitis and timely surgical intervention are essential to reduce morbidity and mortality. This case underscores the importance of maintaining a high index of suspicion for small bowel diverticular disease in elderly patients presenting with acute abdomen, ensuring prompt and individualized management for optimal outcomes.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"21 ","pages":"Article 100253"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147656718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ileocolic intussusception in an adult patient: A case report","authors":"Ahmed Bouzid,&nbsp;Fahd Khefacha,&nbsp;Ahmed Menif,&nbsp;Anis Belhadj,&nbsp;Ahmed Saidani,&nbsp;Faouzi Chebbi","doi":"10.1016/j.soda.2026.100259","DOIUrl":"10.1016/j.soda.2026.100259","url":null,"abstract":"<div><h3>Introduction</h3><div>Intussusception, defined as the invagination of one intestinal segment into another, is common in children but rare in adults. Unlike pediatric cases, adult intussusception is usually associated with an underlying structural lesion, frequently malignant, and often requires surgical management. This case highlights the diagnostic and therapeutic challenges of adult intussusception in the emergency setting.</div></div><div><h3>Case presentation</h3><div>We report the case of a 73-year-old man admitted for ileocolic intussusception. Contrast-enhanced abdominal computed tomography revealed an ileocolic intussusception associated with suspicious thickening of the colonic wall. Intraoperative exploration confirmed the intussusception and revealed a palpable mass in the right transverse colon. An oncologic right colectomy with ileo-transverse anastomosis was performed. The postoperative course was uneventful, and the patient was discharged on postoperative day 5. Histopathological examination confirmed a T3N0 colonic adenocarcinoma.</div></div><div><h3>Discussion</h3><div>Adult intussusception is a rare condition that is frequently associated with an underlying malignancy, particularly in ileocolic forms. Computed tomography plays a key role in establishing the preoperative diagnosis and guiding surgical management. Due to the high risk of malignancy, oncologic resection should be advocated without prior reduction. Primary open surgery may be preferred in cases with suspected malignancy, extensive adhesions, or compromised bowel.</div></div><div><h3>Conclusion</h3><div>Given the high proportion of malignant lesions among adult patients, oncologic resection should be advocated over reduction, particularly in colonic and ileocolic forms.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"21 ","pages":"Article 100259"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148934850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe upper gastrointestinal tract necrosis secondary to gastric volvulus: A case report","authors":"Linda Mushagalusa Charles Munga ,&nbsp;Mongwa Mbikilile Justin ,&nbsp;Kitumaini Munyahali John ,&nbsp;Kavira Isse-Somo Prisca ,&nbsp;Bandeke Matabishi Destin ,&nbsp;Alumeti Munyali Désiré","doi":"10.1016/j.soda.2026.100247","DOIUrl":"10.1016/j.soda.2026.100247","url":null,"abstract":"<div><h3>Background</h3><div>Gastric necrosis is a rare surgical emergency despite the stomach’s rich vascular supply. It typically results from acute gastric dilatation or volvulus. The condition occurs most frequently in patients with underlying psychiatric disorders, with a high risk of morbidity and mortality<strong>.</strong></div></div><div><h3>Case presentation</h3><div>This is a 44-year-old female patient with no psychiatric history who presented with clinical signs of a high-grade obstructive syndrome, characterized by epigastric pain radiating to the back, vomiting, and associated transit disturbances. The abdominal X-ray revealed massive gastric dilatation; however, limited resources prevented the team from performing a CT scan. Resuscitation was initiated concurrently with surgical exploration, which revealed extensive necrosis of the stomach, duodenum, and jejunum. A gastrectomy, duodenectomy, and partial jejunal resection were indicated following the failure of viability tests on these organs, with a possible esophagojejunal anastomosis planned. Unfortunately, before these intraoperative procedures could be carried out, the patient died.</div></div><div><h3>Clinical discussion</h3><div>Large necrosis of the stomach is rarely reported with atypical clinical presentations in the existing literature; however, once necrosis has spread to the duodenum and jejunum, extensive resections are required, often with a poor prognosis.</div></div><div><h3>Conclusion</h3><div>Large gastric necrosis is rare but highly lethal, often presenting atypically as intestinal obstruction. Abdominal CT is essential not only for diagnosis but also for evaluating intra-abdominal damage. Emergency management ranges from simple suturing to gastrectomy, duodenectomy, or jejunectomy. Given the poor prognosis, morbidity and mortality hinge on prompt recognition and early intervention<strong>.</strong></div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"21 ","pages":"Article 100247"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147404230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occluded sigmoid tumor with a complete common mesentery discovering: clinical dilemma","authors":"Salah Haddad ,&nbsp;Fatma Medhioub ,&nbsp;Sabri Aouadi ,&nbsp;Ines Bejaoui ,&nbsp;Wissem Triki ,&nbsp;Sami Bouchoucha ,&nbsp;Dorsaf Nouri","doi":"10.1016/j.soda.2026.100246","DOIUrl":"10.1016/j.soda.2026.100246","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Intestinal malrotation with complete common mesentery is a rare congenital anomaly that is exceptionally diagnosed in adulthood. When associated with obstructive colorectal cancer, it represents a diagnostic, anatomical, vascular, and oncological challenge that can significantly influence the surgical strategy.</div></div><div><h3>Case presentation</h3><div>A 69-year-old woman was admitted for acute large bowel obstruction. Computed tomography revealed a stenosing sigmoid tumor with upstream colonic dilatation, associated with complete common mesentery. Emergency surgery confirmed the abnormal intestinal and vascular anatomy, with a short and atypically oriented mesenteric pedicle. After ligation of the inferior mesenteric vessels, oncological resection of the lower sigmoid segment was performed, deliberately adapted to the vascular constraints rather than an extended left colectomy, followed by a Hartmann procedure. Postoperative recovery was uneventful. Histopathological examination revealed pT3N+ adenocarcinoma. The patient received adjuvant chemotherapy, and intestinal continuity was restored six months later by mechanical colorectal anastomosis.</div></div><div><h3>Clinical discussion</h3><div>In adults, the association between colorectal cancer and complete common mesentery is extremely rare. Preoperative imaging is essential for identifying anatomical and vascular variations, anticipating technical difficulties, and guiding oncological decision-making, particularly in emergency situations.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of recognizing congenital anatomical and vascular anomalies in adults with obstructive colorectal cancer, as they may require adapted surgical oncology strategies to ensure both radicality and safety.</div></div>","PeriodicalId":101190,"journal":{"name":"Surgery Open Digestive Advance","volume":"21 ","pages":"Article 100246"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147404231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}