Langenbeck's Archives of Surgery最新文献

{"title":"Artificial intelligence for surgical management of benign esophageal disease: scoping review and evidence mapping.","authors":"Alberto Aiolfi, Quan Wang, Pietro Mascagni, Davide Bona, Nicola Leone, Luigi Bonavina","doi":"10.1007/s00423-026-04050-1","DOIUrl":"10.1007/s00423-026-04050-1","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723130","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":"Influence of nutritional status on patient-reported outcomes after surgical treatment for chronic venous disease: a comparative study between endovenous laser ablation and combined crossectomy, stripping, and sclerotherapy.","authors":"Vinicius Nicolao Capacia, Raquel Bragança Soares Capacia, Ana Paula Ribeiro, Elias Jirjoss Ilias, Patrícia Colombo-Souza","doi":"10.1007/s00423-026-04043-0","DOIUrl":"https://doi.org/10.1007/s00423-026-04043-0","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147717141","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":"Laparoscopic gastric pouch resection and esophago-jejunostomy after gastric bypass: indications and outcomes.","authors":"Ioannis I Lazaridis, Isidora Avedisian, Thomas Köstler, Annalisa Lauber, Tarik Delko, Urs Zingg","doi":"10.1007/s00423-026-04045-y","DOIUrl":"https://doi.org/10.1007/s00423-026-04045-y","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147717211","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":"Discrepancies between clinical and radiological assessment of complete remission of rectal cancer after neoadjuvant radiochemotherapy.","authors":"Katja Fechner, Maximilian Brunner, Klaus Weber, Robert Grützmann, Birgit Bittorf","doi":"10.1007/s00423-026-04047-w","DOIUrl":"10.1007/s00423-026-04047-w","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":"411 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13091882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147717173","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":"Comparative validation of intraoperative ultrasound versus intraoperative cholangiography for the detection of choledocholithiasis.","authors":"Luis Tresierra, Helena Carmen Gómez Facundo, Camilo Andrés López Arevalo, Andrea Sanz Llorente, Juan Carlos Castaño Ortega, Sergio González Martínez","doi":"10.1007/s00423-026-04017-2","DOIUrl":"https://doi.org/10.1007/s00423-026-04017-2","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699262","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":"Effect of enhanced recovery after surgery on the rehabilitation of patients undergoing laparoscopic pancreaticoduodenectomy: A meta-analysis.","authors":"Yan Li, Yu-Xi Zhang, Fan Jiang, Xiang-Nan Xu, Hong-Fang Ye","doi":"10.1007/s00423-026-04039-w","DOIUrl":"https://doi.org/10.1007/s00423-026-04039-w","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690955","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":"Determinants influencing decision-making for operative and perioperative management of grade III and IV hemorrhoidal disease: secondary analysis of a multicenter nationwide prospective cohort study.","authors":"Metin Kement, Orhan Ali̇moğlu, Hakan Baysal, Salih Tosun, Atif Tekin, Ilker Sucullu, Osman Ci̇vi̇l, Nevi̇n Sakoğlu, Naci̇ye Çi̇ğdem Arslan, Ci̇had Tatar, Rozan Kaya, Ali̇ Emre Nayci, Taygun Gülşen, Serhat Meri̇c, Farid Mohamad Hamad, Ahmed Salhat, Ni̇hat Buğdayci, Sezai̇ Leventoğu, Ramazan Kozan, Özkan Akpinar, Mehmet Karahan, Selçuk Kaya, Hasan Fehmi̇ Küçük, Nai̇l Can Adiguzel, Mustafa Oncel","doi":"10.1007/s00423-026-04030-5","DOIUrl":"https://doi.org/10.1007/s00423-026-04030-5","url":null,"abstract":"<p><strong>Purpose: </strong>With multiple treatment options available for hemorrhoidal disease (HD), identifying factors that influence surgical and perioperative management decisions is essential, particularly in advanced cases. This study aimed to determine the patient and disease-related determinants affecting the choice of surgical technique and perioperative management in patients with Grade III and IV HD, thereby addressing inter-institutional variations in treatment approaches.</p><p><strong>Methods: </strong>A secondary analysis was performed on data from a nationwide, multicenter prospective cohort study. The study included 315 patients diagnosed with Grade III (72%) and Grade IV (28%) HD, with a mean age of 43.7 ± 11.4 years and a male predominance (76.7%). Preoperative data, including patient demographics, comorbidities (ASA scores), symptom severity, and clinical findings, were collected at participating governmental and private hospitals. Surgical techniques were classified as excisional or non-excisional, while anesthesia type, use of perianal or pudendal analgesia, and hospitalization duration were determined by the surgical teams. Hospital type was also recorded. Multivariable analyses were conducted to identify factors influencing the choice of surgical techniques, anesthesia, analgesia application, and the decision for outpatient procedures.</p><p><strong>Results: </strong>Multivariate analysis revealed that the presence of thrombosis significantly influenced the choice of surgical technique (OR: 7.2, CI: 2.8-12.7, p = 0.001), while hospital category also played an important role (OR: 5.1, CI: 2.7-9.7, p = 0.001). For anesthesia type, factors such as disease grade (OR: 3.3, CI: 1.6-6.7, p = 0.001), hospital category (OR: 9, CI: 4.1-19.9, p < 0.001), and surgical technique (OR: 6.8, CI: 3-15.3, p < 0.001) were significant determinants. The decision to use perianal or pudendal analgesia was influenced by hospital category (OR: 27.1, CI: 11.7-62.6, p < 0.001) and the presence of incontinence (OR: 0.2, CI: 0.04-0.93, p = 0.04). Outpatient management was associated with disease grade (OR: 2.3, CI: 1.1-4.8, p = 0.023), hospital category (OR: 2, CI: 1.2-3.2, p = 0.011), higher comorbidity (ASA ≥ 3, OR: 3.3, CI: 1.8-3.2, p = 0.007), and the selected surgical technique (OR: 3.1, CI: 1.6-5.8, p = 0.001).</p><p><strong>Conclusion: </strong>Significant inter-institutional variations exist in the management of advanced HD. Among various factors, the presence of thrombosis emerges as the predominant determinant in surgical decision-making, providing valuable insights for standardizing treatment protocols and reducing practice variability.</p>","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147691015","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 systematic review and meta-analysis of sinus laser associated closure (SiLaC) versus endoscopic pilonidal sinus treatment (EPSiT) in the management of pilonidal sinus disease.","authors":"Zhicheng Li, Lei Jin, Mustapha Ouali, Vincent de Parades, Zhenyi Wang, Jiong Wu, Peter C Ambe","doi":"10.1007/s00423-026-04026-1","DOIUrl":"https://doi.org/10.1007/s00423-026-04026-1","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662857","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":"Short-term outcomes of laparoscopic versus open major hepatectomy for benign liver disease: an international bicentric study.","authors":"Maciana Santos Silva, Gilton Marques Fonseca, Adriano C Costa, Alessandro Mazzotta, Vagner Birk Jeismann, Jaime Arthur Pirola Kruger, Wellington Andraus, Fabricio Ferreira Coelho, Brice Gayet, Olivier Soubrane, Paulo Herman","doi":"10.1007/s00423-026-04028-z","DOIUrl":"https://doi.org/10.1007/s00423-026-04028-z","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645780","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":"Prognostic impact of pathologically confirmed venous infiltration during upfront pancreatectomy: multicenter survival analysis.","authors":"Giampaolo Perri, Riccardo Guastella, Muyue Liu, Elena Antelmi, Nicola Canitano, Jianzhen Lin, Riccardo Pellegrini, Samuele Grandi, Zipeng Lu, Laura Mastrangelo, Domenico Bassi, Elio Jovine, Kuirong Jiang, Umberto Cillo, Giovanni Marchegiani","doi":"10.1007/s00423-026-04041-2","DOIUrl":"https://doi.org/10.1007/s00423-026-04041-2","url":null,"abstract":"","PeriodicalId":17983,"journal":{"name":"Langenbeck's Archives of Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639279","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}