Langenbeck's Archives of Surgery

💥 New data on distal pancreatectomy! Targeted use of TachoSil®️ reduces postpancreatectomy haemorrhage – especially in patients who develop POPF – without changing POPF rates. 👉 “Selective use over one-size-fits-all” in pancreatic surgery. 🩸🔬 link.springer.com/article/10.100…

We’re now also on LinkedIn! 🚀 Follow us there for updates, insights, and more: linkedin.com/company/laos18… #NowOnLinkedIn #FollowUs #StayConnected #SoMe4Surgery

🚨 New hybrid solution for varicose veins! The #eCAT technique shows 100% success, strong occlusion rates, mild complications & clear pain reduction in 500 patients - a promising minimally invasive option 👉 link.springer.com/article/10.100… #VaricoseVeins #VascularSurgery #Innovation

🚨 New data on SDD in gastric cancer #surgery! In a matched cohort of 108 gastrectomy patients, SDD showed no reduction in infections — but higher pneumonia rates and resistant isolates. Routine use? Questionable. 👉 link.springer.com/article/10.100… #GastricCancer #Surgery #SDD

🚨 News from Aachen! How well can we predict kidney graft function 1 year after deceased donor transplantation? 🔍 The original prognostic model reliably identifies poor graft outcomes ⚙️ Recalibration improves prediction across all eGFR categories 👉 doi.org/10.1007/s00423…

🩺📊 Diarrhea after pancreatic surgery by @UllaKlaiber et al. 👉 Affects 22% of patients 👉 Highest risk: total pancreatectomy (35%) & vascular resections (up to 87%) 🏥 Leads to longer hospital stay #Surgery #Pancreas 👉 Check it out: link.springer.com/article/10.100…

🇨🇭🔪 Switzerland trains more doctors – but fewer ops per surgeon! 👩‍⚕️ Surgical workforce +50% by 2040 ⚠️ Yet: declining complex cases per visceral surgeon → training at risk! 👉 Adapting pathways & practice models is key 👉🏻 link.springer.com/article/10.100…

🔬 New study shows: Intraoperative optical coherence tomography (OCT) may improve differentiation of #pancreatic tumors—from benign to malignant! 💡 👨‍⚕️ First ex vivo results are promising. 🧠 Merging histology with cutting-edge imaging. ➡️ link.springer.com/article/10.100…

🏥 Multivisceral resections (MVR) are feasible & safe at high-volume centres 👥 MDT-led decisions, 91% involved ≥3 organs 📊 0% 90-day mortality, solid peri-op outcomes 📈 Median OS: 21.0 months ➡️ Study: link.springer.com/article/10.100…

🎗️ July is Sarcoma Awareness Month 🔬 Focus on retroperitoneal sarcoma: 🪡 Surgery is key 📊 5-yr OS: 63.5% | DFS: 35.3% 📉 Worse outcomes with high FNCLCC grade & positive margins rdcu.be/ewjdj #SarcomaAwareness #Oncology #Surgery

🧵 NOVOTILAC RCT Chlorhexidine-coated vs. non-coated sutures in preventing surgical site infections (SSI) after laparoscopic surgery 323 patients: SSI rate: 5% (coated 3.79% vs non-coated 6.17%) Do you think antimicrobial sutures should be the standard? rdcu.be/evini

🧪 PROSPER Trial: Can propranolol 🫀 + etodolac 💊 improve outcomes after surgery? 🔹 Fewer SAEs 🔹 Longer disease-free survival 🔹 Lower distant recurrence 💡 Safe & promising — but needs further research! 🔗 link.springer.com/article/10.100… @cw_michalski @ProfessorMWB @markus_diener

🚨 New Surgical Insight! Laparoscopic cholecystectomy via Laennec’s capsule shows promising results: 🔹 Faster GI recovery 🔹 Lower pain & inflammation 🔹 Shorter hospital stay ⚖️ No increase in complications 🔗link.springer.com/article/10.100…

Intra- 🧵 vs. Extracorporeal ✂️ anastomosis in minimally invasive right hemicolectomy with CME: ✅ Fewer infections (0% vs. 3%) ✅ Less pain on POD 4 ✅ Faster bowel recovery (POD 2 vs. POD 3) ✅ Enhanced recovery 📈 No difference in major complications 🔗 link.springer.com/article/10.100…

🩺 @fmhaak et al. explored the digital standardization in #liversurgery using Surgical Workflow #Management Systems: ⏳No reduction in deviations from planned surgery duration 😌Stress levels of the operating team unaffected Interested? link.springer.com/article/10.100…

Does very high alpha-fetoprotein (AFP) affect very early hepatocellular carcinoma (#HCC) outcomes after #liverresection? ⏳No difference in long-term disease-free survival (DFS) or overall survival (OS) between high and low AFP groups Check it out: link.springer.com/article/10.100…

🦵 Early Knee Osteoarthritis (KOA)? A new study highlights the benefits of combining Arthroscopic Cartilage Transplantation with Platelet-Rich Plasma (ACT-PRP): Better knee function 🏃‍♂️ Significant pain relief 💊 Higher patient satisfaction 😊 🌟 Read more: link.springer.com/article/10.100…

To drain or not to drain in minimally invasive ventral #hernia surgery? No significant difference in postop complications between drain and no-drain groups 📏Larger defect sizes in drain group 🤖 Robotic surgeries more likely to use drains Interested? link.springer.com/article/10.100…

Our Editor-in-Chief @ProbstPascal and Martin Wagner ask in their latest article: “Who do you trust?” — levels of evidence in the AI era: 🤖 AI challenges evidence hierarchies 🔑 Transparency & reproducibility remain key 🌟 Check it out link.springer.com/article/10.100…

📊 10-year study on #CarpalTunnelSyndrome reveals key insights by Dawod et al! Severe cases show: - Longer recovery ⏳ - Less pain relief 😔 - Reduced satisfaction 😕 - Diminished functionality 🖐️ - Lower ADL improvement 🏠 - BUT better sleep quality 😴 link.springer.com/article/10.100…