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910 articles
September 202624
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.
Complication Profile of Reoperative Thyroidectomy Versus First-Time Thyroidectomy: A Systematic Review and Meta-Analysis.
This systematic review and meta-analysis compared complications after reoperative and first-time thyroidectomy. Across 23 studies and 42,314 patients, 4,154 (9.8%) underwent reoperative surgery.
An insidious yet rapidly progressive Vibrio vulnificus bloodstream infection: A case report.
A 35-year-old man with chronic hepatitis B and decompensated cirrhosis had months of fatigue, weakness, anorexia, and dark urine, followed by abrupt fever, chills, diarrhea, profound fatigue, and rapidly worsening…
An Overview of Red Breast Syndrome: A Qualitative Systematic Review of the Literature and a Single-Center Case Series.
Red breast syndrome (RBS) is an uncommon inflammatory complication that may occur following implant-based breast reconstruction and can clinically mimic surgical-site infection.
Intravenous Tranexamic Acid Reduces Perioperative Blood Loss in Reduction Mammoplasty With Immediate Implant-Based Reconstruction: A Randomized, Triple-Blinded, Placebo-Controlled Trial.
This randomized, triple-blinded, placebo-controlled trial evaluated the effect of intravenous tranexamic acid (TXA) on perioperative blood loss in 60 women undergoing bilateral reduction mammoplasty with immediate…
Differences in the Effectiveness of Smoke Evacuator Types for Reducing Surgical Smoke: A Randomized Controlled Trial.
This randomized controlled trial evaluated the effectiveness of electrocautery-incorporated smoke evacuation systems compared to hose-type evacuation in 64 patients undergoing laparotomy.
Congenital infantile fibrosarcoma of the foot.
A newborn boy presented with a smooth mass measuring approximately 4 cm on the sole of his right foot, initially suspected to be an atypical haemangioma.
Feasibility and Acceptability of Perioperative Application of Biofeedback-Based Virtual Reality vs Control for Pain and Anxiety in Children and Adolescents Undergoing Surgery: Pilot Randomized Controlled Trial.
This pilot randomized controlled trial evaluated the feasibility and acceptability of biofeedback-based virtual reality (VR-BF) in children and adolescents aged 12 to 18 undergoing surgery.
Learning curve in robotic inguinal hernia repair: a systematic review and meta-analysis.
This systematic review and meta-analysis evaluated the learning curve in robotic transabdominal preperitoneal (rTAPP) inguinal hernia repair among adult patients.
A Transporter Guide for Cortical Plate Placement in the Split Bone Block Technique: A Technical Report and Case Series.
This case series presents a novel transporter guide designed for the split bone block technique (SBBT) to enhance the placement of cortical bone plates.
A Dual-Layer Flap Preparation Approach Utilizing the External Coronally Advanced Flap and the Internal Trapdoor Periosteal Flap for Endodontic Microsurgery in the Esthetic Zone: Technique and Case Report.
A patient with a persistent endodontic lesion underwent endodontic microsurgery using a dual-layer flap preparation approach, combining an external coronally advanced flap and an internal trapdoor periosteal flap.
Maxillary brown tumour as the initial presentation of primary hyperparathyroidism.
A middle-aged woman presented with right cheek swelling due to an expansile maxillary lesion, initially misdiagnosed as a giant cell tumour.
Muscle-invasive urothelial carcinoma of the bladder in a direct inguinal hernia.
A man in his late 60s presented with macroscopic hematuria and a right groin lump that improved after urination. Examination revealed an incarcerated right inguinal hernia containing part of the bladder.
Colchicine to prevent cardiovascular events in thoracic surgery patients with or without coronary artery disease: a secondary analysis.
This secondary analysis of the COP-AF randomized controlled trial examined the impact of coronary artery disease (CAD) on postoperative ischemic outcomes in thoracic surgery patients.
Induction FLOT Chemotherapy Prior to Neoadjuvant Chemoradiotherapy in the Treatment of Lower Esophageal and Proximal Gastric Adenocarcinoma: A Phase II, Single-Arm Clinical Trial.
This Phase II, single-arm clinical trial evaluated the effectiveness of induction FLOT chemotherapy followed by neoadjuvant chemoradiotherapy in patients with resectable distal esophageal and proximal gastric…
Transabdominal lumbar approach (TALA) versus retroperitoneal approach for robot-assisted renal surgery: a prospective randomised controlled trial.
This prospective randomized controlled trial compared the transabdominal lumbar approach (TALA) to the conventional retroperitoneal approach (RP) for robot-assisted renal surgery in 40 patients.
High-Dose Intravenous Vitamin C and Mortality and Organ Dysfunction in Severe Burn Injury: The VICTORY Randomized Clinical Trial.
The VICTORY trial was a randomized, double-blind, placebo-controlled study assessing high-dose intravenous vitamin C in 238 adults with severe burn injuries.
A prospective randomized controlled pilot study of gut microbiome modulation by Nigella sativa seed oil and thymoquinone metabolism in healthy volunteers: implications for gastrointestinal surgery.
This prospective randomized controlled pilot study investigated the effects of Nigella sativa seed oil (NSSO) on gut microbiome modulation in eight healthy adults.
Pulmonary Sequestration Masquerading as Bronchiectasis in an Adult: A Case of Diagnostic Dilemma and Literature Review.
A 45-year-old woman presented with fever, cough, and right-sided chest pain, initially diagnosed with bronchiectasis. After treatment, she developed recurrent hemoptysis.
Severe bradycardia in a child with an implanted vagus nerve stimulator undergoing laparoscopy -A case report.
A 13-year-old child with a vagus nerve stimulator underwent laparoscopy-assisted gastrostomy tube placement under general anesthesia. During the procedure, a severe bradycardia episode occurred due to pneumoperitoneum.
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