Langenbeck's Archives of Surgery最新文献

{"title":"Intracorporeal stapled versus extracorporeal hand-sewn anastomosis in minimal-invasive right hemicolectomy with complete mesocolic excision - a retrospective single center analysis.","authors":"Maximilian Brunner, Katja Bondartschuk, Axel Denz, Georg F Weber, Robert Grützmann, Christian Krautz","doi":"10.1007/s00423-025-03749-x","DOIUrl":"10.1007/s00423-025-03749-x","url":null,"abstract":"<p><strong>Background: </strong>Minimally invasive right hemicolectomy can be performed with either an extracorporeal or intracorporeal anastomosis, with the latter gaining increasing popularity. This study aimed to evaluate the impact of the anastomotic technique on postoperative outcomes and recovery.</p><p><strong>Methods: </strong>We retrospectively reviewed 177 patients who underwent minimally invasive right hemicolectomy with complete mesocolic excision (CME) at our institution from 2016 to May 2024. Of these, 96 patients received an extracorporeal hand-sewn end-to-end anastomosis, while 81 patients underwent an intracorporeal stapled side-to-side isoperistaltic anastomosis. The impact of the anastomotic technique on postoperative outcomes and recovery was assessed using uni- and multivariate analyses.</p><p><strong>Results: </strong>Patients with intracorporeal anastomoses experienced significantly fewer surgical site infections (0% vs. 3%, p = 0.032), less postoperative pain at rest and under stress on postoperative day (POD) 4 (p = 0.028 and p = 0.007, respectively), earlier first bowel movement (POD 2 vs. POD 3, p = 0.014) and shorter postoperative hospital stays (5 vs. 6 days, p = 0.049). There were no significant differences between the groups in overall morbidity, reoperations or anastomotic leakage rates. Multivariate analysis indicated that the intracorporeal anastomosis technique was significantly associated with enhanced postoperative recovery (defined as first stool by POD 2, full meal tolerance by POD 4 and discharge by POD 6; OR 0.5 [0.2-0.9], p = 0.036).</p><p><strong>Conclusion: </strong>Intracorporeal stapled side-to-side anastomosis may enhance postoperative recovery after minimal-invasive right hemicolectomy with CME.</p>","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":"410 1","pages":"180"},"PeriodicalIF":2.1,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12148967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short- and long-term outcomes of robot-assisted versus laparoscopic lateral lymph node dissection for rectal cancer.","authors":"Daichi Kitaguchi, Tsuyoshi Enomoto, Kinji Furuya, Shuntaro Tsukamoto, Tatsuya Oda","doi":"10.1007/s00423-025-03747-z","DOIUrl":"10.1007/s00423-025-03747-z","url":null,"abstract":"<p><strong>Purpose: </strong>The lateral pelvic cavity is an anatomically tricky site to access using a linear approach; therefore, robot-assisted lateral lymph node dissection (LLND) may be superior over existing laparoscopic procedures. In this study, we aimed to compare the short- and long-term outcomes of robot-assisted LLND (R-LLND) versus laparoscopic LLND (L-LLND) for locally advanced low rectal cancer and explore the potential advantages of robot-assisted surgery.</p><p><strong>Methods: </strong>This single-center, retrospective cohort study included patients aged ≥ 18 years who underwent minimally invasive total mesorectal excision (TME) plus LLND for low rectal adenocarcinoma. Patients were divided into L-LLND and R-LLND groups. The short- and long-term outcomes of the procedures were compared.</p><p><strong>Results: </strong>There were 41 patients in the L-LLND group and 21 in the R-LLND group. The incidence of postoperative complications was significantly lower in the R-LLND group (49% vs. 19%, p = 0.029), especially urinary retention (29% vs. 5%, p = 0.046). The median postoperative hospital stay was significantly shorter in the R-LLND group (22 vs. 15 days, p < 0.001). The 3-year relapse-free survival rates in the L-LLND and R-LLND groups were 75.3% (95% confidence interval [CI]: 58.9-85.9) and 65.7% (95% CI: 30.7-86.1), respectively. No significant differences were observed in long-term survival outcomes.</p><p><strong>Conclusion: </strong>Patients with locally advanced rectal cancer who underwent TME plus R-LLND had a significantly lower incidence of postoperative complications and a significantly shorter postoperative hospital stay compared to those who underwent TME plus L-LLND. The long-term outcomes were comparable, and no oncological concerns associated with R-LLND were observed.</p>","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":"410 1","pages":"178"},"PeriodicalIF":2.1,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting post-hepatectomy liver failure based on future remnant liver function combined with future remnant liver volume using magnetic resonance imaging.","authors":"Masashi Kudo, Naoto Gotohda, Motokazu Sugimoto, Shin Kobayashi, Tatsushi Kobayashi","doi":"10.1007/s00423-025-03764-y","DOIUrl":"10.1007/s00423-025-03764-y","url":null,"abstract":"<p><strong>Purpose: </strong>Significant advances have been made in image-based determinations of future remnant liver function, in attempts to better predict post-hepatectomy liver failure (PHLF). We have reported time-associated liver functional assessments using magnetic resonance imaging with liver-to-spleen signal intensity ratio increasing rate (LSRi) and LSRi of the future remnant liver region (LSRi-rem) to predict PHLF. This study aimed to investigate the predictability of PHLF by a preoperative liver function assessment index that combined LSRi-rem and future remnant liver volume (FRLV).</p><p><strong>Methods: </strong>Participants comprised 333 patients who underwent EOB-MRI for the diagnosis of liver tumor before major hepatectomy between 2009 and 2024. LSRi-rem was evaluated by three-dimensional volumetric analysis, and the volume adjusted LSRi-rem (vaLSRi-rem) was calculated using the following formula: LSRi-rem × (FRLV / whole-liver volume). The vaLSRi-rem and clinical variables were then analyzed to assess the risk of PHLF.</p><p><strong>Results: </strong>In patients with vaLSRi-rem < 0.147, right hepatectomy, operation time ≥ 400 min, and estimated blood loss ≥ 1495 mL were associated with clinically relevant PHLF (P < 0.05 each) in multivariable analysis. Multivariable analysis showed the highest odds ratio (OR) for vaLSRi-rem (OR 9.12; P < 0.01). Of the 333 patients, 114 (34%) underwent portal vein embolization before major hepatectomy. The OR of vaLSRi-rem from multivariable analysis in this patient cohort was particularly high (OR 21.04; P < 0.01).</p><p><strong>Conclusions: </strong>Strong associations were identified between vaLSRi-rem and clinically relevant PHLF after major hepatectomy, particularly among portal vein embolization patients.</p>","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":"410 1","pages":"177"},"PeriodicalIF":2.1,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 24-Hour Leukocyte Gap as a novel predictor for sepsis in adult severe blunt trauma.","authors":"Michel Paul Johan Teuben, Alba Shehu, Ester Mikova, Rald Groven, Christian Huebner, Felix Karl-Ludwig Klingebiel, Roman Pfeifer, Hans-Christoph Pape","doi":"10.1007/s00423-025-03728-2","DOIUrl":"10.1007/s00423-025-03728-2","url":null,"abstract":"<p><strong>Purpose: </strong>Predicting the likelihood of developing sepsis following severe trauma remains a challenge. As the incidence of sepsis is associated with early post-traumatic episodes of both leukopenia and leukocytosis, various static markers have been trailed in order to help identify and risk stratify patients, nevertheless these have not proven reliable. The goal of this study was to develop and test a novel dynamic immune parameter that could help predict the risk of developing sepsis, the 24-hour leukocyte gap (24 h-LCG), defined as the difference between blood leukocyte numbers on admission and after 24 h.</p><p><strong>Methods: </strong>A single centre prospective trauma registry was used in order to identify adults who had sustained severe trauma, defined as an Injury Severity Score (ISS) ≥ 9. Patients were stratified into groups based on whether sepsis had occurred. Multivariable regression analysis was performed and utilised in order to analyse predictive immune parameters for sepsis, septic shock and mortality.</p><p><strong>Results: </strong>1,592 eligible patients were identified, of whom 251 subsequently developed sepsis. Patients diagnosed with sepsis were younger (p < 0.002), presented with a higher ISS and had worse hemodynamic parameters on admission (p < 0.001). The 24 h-LCG was found to be an independent immunological predictive parameter for sepsis by the multivariable analysis. Moreover, a 24 h-LCG greater than 10, was associated with a significantly increased incidence of septic shock (12.4% vs. 4.3%, p < 0.001) and mortality 6.0 vs. 2.7%, p = 0.036), compared with the control group.</p><p><strong>Conclusion: </strong>This study is the first to demonstrate that 24-hour LCG has clinical potential as an independent and early predictive parameter of sepsis in severely injured trauma patients. Furthermore, its feasibility and clinical translatability comes from the use of routine laboratory measurements, namely leukocytes. Its potential lies in assisting future clinical decision making, particularly with regard to the timing of surgery in trauma patients.</p>","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":"410 1","pages":"176"},"PeriodicalIF":2.1,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An evaluation of the effectiveness and safety of endoscopic colon stenting in the treatment of obstructive left colon cancer: a systematic review and meta-analysis.","authors":"Jing Jin, Wei Xu, Haiming Xu, ZhengHong Yu, Mengyun Zhou, Danping Qian","doi":"10.1007/s00423-025-03762-0","DOIUrl":"10.1007/s00423-025-03762-0","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to compare the long-term outcomes of colonic stenting in combination with elective surgery versus emergency surgery for the treatment of obstructive left colon cancer.</p><p><strong>Background: </strong>Obstructive left colon cancer often presents a clinical challenge due to the acute nature of the obstruction, which requires prompt intervention. Traditionally, emergency surgery has been the standard approach to manage such cases, but it carries a higher risk of complications and morbidity. Colonic stenting has emerged as an alternative to provide a bridge to elective surgery, potentially reducing the need for urgent surgical intervention and improving patient outcomes. However, the long-term efficacy and safety of stenting in conjunction with elective surgery compared to emergency surgery remain topics of ongoing research and debate.</p><p><strong>Methods: </strong>A comprehensive search of domestic and international databases was conducted up to June 2022 to identify clinical research publications on the use of colonic stenting in conjunction with elective and emergency surgeries for obstructive left colon cancer. After assessing the quality of the included literature and extracting the relevant outcome indicators, data analysis was performed using RevMan 5.3 software.</p><p><strong>Results: </strong>The analysis revealed statistically significant differences in the total and local recurrence rates between the experimental group (stenting combined with elective surgery) and the control group (emergency surgery) [OR = 1.83, 95%CI (1.35,2.48), P < 0.0001, I2 = 76%, Z = 3.93]. Total survival duration and disease-free survival tenure were also found to be statistically significant [OR = 2.40, 95%CI (1.63,3.55), P < 0.0001, I2 = 49%, Z = 4.41]. However, the complication rate did not show a statistically significant difference [OR = 1.12, 95%CI (0.81,1.55), P = 0.05, I2 = 90%, Z = 0.67].</p><p><strong>Conclusion: </strong>Although our statistical analysis showed significant differences in recurrence rates and survival times between stenting and emergency surgery groups, the clinical significance of these differences must be weighed against the short-term benefits of the stenting approach. When considering the total clinical picture, including complication rates, quality of life factors, and the ability to perform more targeted elective procedures, colonic stenting combined with elective surgery remains a valuable option for obstructive left colon cancer. Further research is warranted to confirm these findings and to refine the selection criteria for patients who would benefit most from colonic stenting.</p>","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":"410 1","pages":"175"},"PeriodicalIF":2.1,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The efficacy of non-complete omentectomy in the radical gastrectomy for gastric cancer: a meta-analysis and systematic review.","authors":"Chenglong Gao, Wenchao Shi, Baoming Zhang, Qiang Tang, Huiyu Chen, Zengtao Bao","doi":"10.1007/s00423-025-03760-2","DOIUrl":"10.1007/s00423-025-03760-2","url":null,"abstract":"<p><strong>Background: </strong>Surgery is considered a necessary treatment for gastric cancer (GC), but the extent of resection remains controversial. This study aimed to evaluate the efficacy of non-complete omentectomy (NCO) in GC patients undergoing radical gastrectomy.</p><p><strong>Methods: </strong>We searched for studies of non-complete omentectomy versus complete omentectomy (CO) published before February 2024 from PubMed, Web of Science, and Cochrane Library databases. From the extracted clinical data, we compared surgical, survival, and recurrence outcomes between the two groups.</p><p><strong>Results: </strong>Thirteen studies with a total of 4255 patients were included. The meta-analysis showed that compared with the CO group, the NCO group was associated with a lower overall recurrence rate, shorter operative time, and fewer postoperative complications. However, there was no significant difference in the number of harvested lymph nodes and peritoneal recurrence rate between the two groups. The NCO group was associated with the higher 3-year overall survival (OS) rate (RR = 0.95, 95% CI = 0.91-0.99, P = 0.02), 5-year OS rate (RR = 0.91, 95% CI = 0.87-0.96, P = 0.0006), and 5-year relapse-free survival (RFS) rate (RR = 0.93, 95% CI = 0.87-0.99, P = 0.02). However, it was not associated with the 3-year RFS rate (RR = 0.95, 95% CI = 0.89-1.01, P = 0.12) compared with the CO group.</p><p><strong>Conclusion: </strong>Regarding surgical, survival, and recurrence outcomes, performing NCO versus CO during radical gastrectomy provides no significant advantage. However, future high-quality and well-designed randomized controlled trials are necessary to validate the results.</p>","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":"410 1","pages":"173"},"PeriodicalIF":2.1,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional outcomes in rectal cancer patients treated with immunotherapy and neoadjuvant therapy: a retrospective analysis.","authors":"Xu Li, Gan Mao, Yisong Gao, Tianyu Song, Zilong Wu, Chong Li, Wenxiang Nie, Suao Liu, Ruizhi Zhang, Zhenyu Lin, Tao Zhang, Wei Li, Kaixiong Tao","doi":"10.1007/s00423-025-03746-0","DOIUrl":"10.1007/s00423-025-03746-0","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to evaluate bowel and urogenital function in patients with locally advanced low rectal cancer treated with immunotherapy combined with neoadjuvant therapy followed by surgery, compared to surgery alone.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of 162 patients with locally advanced low rectal cancer treated at Union Hospital, affiliated with Tongji Medical College, Huazhong University of Science and Technology, from May 2021 to May 2024. Seventy-three patients underwent short-course radiotherapy combined with chemotherapy and immunotherapy followed by surgery (SCRT-CIT group), while 89 patients received surgery alone (non-SCRT-CIT group). Standardized questionnaires assessed bowel and urogenital function. Logistic regression analysis was used to identify independent predictors of functional outcomes.</p><p><strong>Results: </strong>The incidence of major low anterior resection syndrome (LARS) was significantly higher in the SCRT-CIT group (59.0%) compared to the non-SCRT-CIT group (9.2%). Multivariate analysis identified SCRT-CIT as an independent risk factor for bowel dysfunction (odds ratio [OR] = 10.45, 95% confidence interval [CI], 4.63 ~ 23.57, P < 0.001). SCRT-CIT was also associated with an increased risk of erectile dysfunction in men (OR = 6.51, 95% CI, 1.90 ~ 22.35, P = 0.003) and reduced sexual duration (P = 0.003). In women, SCRT-CIT correlated with a higher prevalence of dyspareunia (P = 0.004) and reduced sexual satisfaction (P = 0.003).</p><p><strong>Conclusion: </strong>SCRT-CIT combined with surgery is associated with a significantly higher risk of bowel dysfunction, male erectile dysfunction, reduced sexual duration, and female sexual impairments, including dyspareunia and diminished sexual satisfaction. These findings underscore the importance of comprehensive functional assessments and individualized management for patients undergoing SCRT-CIT for locally advanced low rectal cancer.</p>","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":"410 1","pages":"174"},"PeriodicalIF":2.1,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12134046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic distal pancreatectomy using two-surgeon technique (TAKUMI-4): a technical note and initial outcomes.","authors":"Kosei Takagi, Tomokazu Fuji, Kazuya Yasui, Toshiyoshi Fujiwara","doi":"10.1007/s00423-025-03751-3","DOIUrl":"10.1007/s00423-025-03751-3","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":"410 1","pages":"171"},"PeriodicalIF":2.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A retrospective analysis of the management of renal hyperparathyroidism; evaluating changes in practice and outcome in an era of calcimimetics.","authors":"William P Duggan, Rory Patterson, Niamh M Smyth, Niamh Kyne, David Synnott, Nathaniel McHugh, Ruey Ying Teo, Rhodri Hill, Umar Khan, Sharjeel Paul, Donal Reddan, Catherine Wall, William Plant, John Kinsella, Orla Young, Aoife Lowery, Paul Redmond, Peter Conlon, Arnold D K Hill","doi":"10.1007/s00423-025-03744-2","DOIUrl":"10.1007/s00423-025-03744-2","url":null,"abstract":"<p><strong>Purpose: </strong>Hyperparathyroidism (HPT) is a common and significant complication of chronic kidney disease (CKD). Both parathyroidectomy and cinacalcet, are used routinely in an effort to manage this cohort. Unfortunately, there remains no guideline consensus on how best to combine these treatments into an effective strategy. We look to assess the efficacy of these interventions and identify factors predicting recurrence and the development of post-operative complications. We also examine changes in our practice nationally following the arrival of cinacalcet as an alternative or an abridge to definitive surgical management.</p><p><strong>Methods: </strong>This was a nationwide study. We conducted a retrospective analysis of a prospectively maintained database. All patients who underwent a parathyroidectomy as management of secondary or tertiary HPT between 1999 and 2023 were included. A control group of patients managed with cinacalcet were also included.</p><p><strong>Results: </strong>Our cohort included 155 patients managed with parathyroidectomy and 203 patients treated with cinacalcet. Pre-operative Alkaline phosphatase > 200 IU/L was predictive of hungry bone syndrome (HBS) on univariate (P = 0.003) and multivariate (P = 0.002) analysis, whilst a PTH > 1000 pg/ml (P = 0.012) was also predictive of HBS on univariate analysis. In an attempt to identify an optimal PTH cut off to trigger surgical referral we found mean serum PTH levels were significantly higher at 5 years in the cohort of patients who had a PTH > 1000 pg/ml prior to surgical intervention (39 ± 32 Vs 374 ± 544, P = 0.045).</p><p><strong>Conclusions: </strong>Our findings re-emphasise the efficacy and safety of parathyroid surgery in the management of renal HPT and suggest earlier surgical referral may improve the incidence of post-operative HBS and recurrent HPT.</p>","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":"410 1","pages":"172"},"PeriodicalIF":2.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the use of staple line reinforcement during sleeve gastrectomy and Roux-en-Y gastric bypass affect ClinicalOutcomes?: Systematic review and Meta-analysis.","authors":"Yunhui Xie, Hongmei Zhu, Yue Gou, Xiaoyu Yu, Yanjun Liu","doi":"10.1007/s00423-025-03750-4","DOIUrl":"10.1007/s00423-025-03750-4","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":"410 1","pages":"170"},"PeriodicalIF":2.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}