Langenbeck's Archives of Surgery最新文献

{"title":"Evaluating surgeons' stress using heart rate variability during minimally invasive surgery for gastric cancer: a single-center prospective cohort study.","authors":"Atsushi Shimada, Shingo Kanaji, Yutaka Sugita, Taro Ikeda, Yasufumi Koterazawa, Tomoaki Aoki, Hitoshi Harada, Yasunori Otowa, Naoki Urakawa, Hironobu Goto, Hiroshi Hasegawa, Kimihiro Yamashita, Takeru Matsuda, Yoshihiro Kakeji","doi":"10.1007/s00423-026-04056-9","DOIUrl":"https://doi.org/10.1007/s00423-026-04056-9","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel transoral extraction technique in robotic resection of gastroduodenal tumors: a case series.","authors":"Laleh Foroutani, Bahaa I Aburayya, Andrew Gonzalez, Suwayda Ali, Amir Ashraf Ganjouei, Jaeyun Jane Wang, Kimberly Kirkwood, Carlos Corvera, Abdul Kouanda, Adnan Alseidi, Mohamed Abdelgadir Adam","doi":"10.1007/s00423-026-04062-x","DOIUrl":"https://doi.org/10.1007/s00423-026-04062-x","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gastric venous congestion after pancreatic surgery: A systematic review, metanalysis and suggested protocol for assessment and management.","authors":"Krishna Kotecha, Hiro Masuda, Krupa Kotecha, Sanjay Pandanaboyana, Koroush S Haghighi, Charbel Sandroussi, Matthew Katz, Anubhav Mittal, Jaswinder Samra","doi":"10.1007/s00423-026-04049-8","DOIUrl":"https://doi.org/10.1007/s00423-026-04049-8","url":null,"abstract":"<p><strong>Background: </strong>Gastric venous congestion (GVC) is an under-recognised complication of pancreatic surgery, particularly in the context of venous resection and splenectomy. This systematic review aimed to evaluate the incidence, clinical impact, and current strategies for diagnosis, prevention, and management of GVC.</p><p><strong>Methods: </strong>A PRISMA-compliant systematic review was conducted across MEDLINE, Embase, Cochrane Library, and additional sources (2005-2024). Studies reporting on GVC in pancreatic surgery were included. Data on surgical characteristics, incidence of intraoperative and postoperative GVC, and clinical outcomes were extracted. A single-arm meta-analysis of proportions was performed for outcomes reported in ≥5 studies using a random-effects model.</p><p><strong>Results: </strong>Sixteen studies including 1,133 patients were analysed. Intraoperative GVC was reported in 5.0-27.9% of cases, while postoperative GVC occurred in up to 24.1%. Meta-analysis demonstrated a pooled intraoperative GVC incidence of 16.3% (95% CI 9.8-25.9; I²=81.0%) and postoperative GVC incidence of 4.7% (95% CI 1.3-15.4; I²=83.3%). GVC was associated with increased morbidity, including delayed gastric emptying (pooled 17.3%, 95% CI 13.2-22.4), major complications (13.5%, 95% CI 8.1-21.6), and postpancreatectomy haemorrhage (4.5%, 95% CI 2.7-7.5). Ninety-day mortality was 4.3% (95% CI 2.9-6.5). Preservation or reconstruction of gastric venous drainage pathways was consistently associated with reduced postoperative GVC in reported series, although evidence was limited to non-comparative studies.</p><p><strong>Conclusion: </strong>GVC is a relatively common intraoperative finding and is associated with clinically significant postoperative morbidity. Pooled incidence estimates highlight substantial heterogeneity, reflecting variation in definitions and diagnostic approaches. Current evidence is predominantly retrospective and non-comparative; we therefore propose a potential standardised diagnosis and management pathway, of which prospective evaluation is required.</p>","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long term experiences with negative pressure wound therapy in combination with polyhexanid solution instillation technique for treatment of posttraumatic infections and osteomyelitis.","authors":"Yina Zhao, Flurina Frei, Yannik Kalbas, Hans-Christoph Pape, Gerrolt N Jukema","doi":"10.1007/s00423-026-04061-y","DOIUrl":"https://doi.org/10.1007/s00423-026-04061-y","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distinct challenges faced by surgeons in conducting and publishing surgical research: implications for training, ethics, and academic surgery.","authors":"Akef Obeidat, Mohamed Umair Aleem, Belal Nedal Sabbah, Saleha Abdul Rab, Abdalrahman Abuzubida, Ahmad Nedal Sabbah, Zaki Obaid, Al-Awwab Mohammad Dabaliz","doi":"10.1007/s00423-026-04055-w","DOIUrl":"https://doi.org/10.1007/s00423-026-04055-w","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative efficacy of subxiphoid and intercostal thoracoscopic thymectomy: a systematic review and meta-analysis.","authors":"Shouying Zhu, Jiajun Pan, Qixiang Zhao, Yuanjian Lu, Dong Han, Dongming Xue, Wenjun Yan","doi":"10.1007/s00423-026-03998-4","DOIUrl":"https://doi.org/10.1007/s00423-026-03998-4","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early identification of emergency abdominal surgery candidates in the emergency department - a delphi study.","authors":"Dorte Melgaard, Jakob F Jørgensen, Thomas Stilling-Vinther, Anne Lund Krarup, Mathias Håkon Madsen, Luit Penninga","doi":"10.1007/s00423-026-04058-7","DOIUrl":"https://doi.org/10.1007/s00423-026-04058-7","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting operative time in robotic ventral hernia repair using machine learning: a retrospective pilot study.","authors":"Francesco Brucchi, Alice Gori, Ilia Van Campenhout, Jan Colpaert, Kim Boterbergh, Peter Potvlieghe, Tommaso Violante, Matteo Rottoli, Gianlorenzo Dionigi, Filip Muysoms, Bert Van Den Bossche","doi":"10.1007/s00423-026-04057-8","DOIUrl":"https://doi.org/10.1007/s00423-026-04057-8","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment pathways and outcomes for pediatric complex appendicitis patients presenting beyond 3 days: A retrospective cohort study.","authors":"Binbin Yang, Yueling Zhu, Xiaoli Chen, Wei Li, Duote Cai, Qingjiang Chen, Xiang Yan, Zhigang Gao","doi":"10.1007/s00423-026-04053-y","DOIUrl":"https://doi.org/10.1007/s00423-026-04053-y","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Polypharmacy and anticholinergic burden are common but not independently associated with outcomes after emergency laparotomy in older adults.","authors":"Randeep S Heer, Amit K J Mandal, Vadir Baktash, Fahad Javed, Rebecca Atkins, Hannah Binns, Sharmistha Gupta, Ravi Vissapragada, Constantinos G Missouris, Henry D De'Ath","doi":"10.1007/s00423-026-04060-z","DOIUrl":"https://doi.org/10.1007/s00423-026-04060-z","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}