Short-term outcomes in robotic-assisted versus conventional laparoscopic surgery for rectal cancer: population-based study ➡️doi.org/10.1093/bjsopen/zrag… This population-based study compared short-term outcomes of robotic-assisted versus conventional laparoscopic surgery for rectal cancer using data from the Swedish Colorectal Cancer Registry (2014–2021). Robotic-assisted surgery was associated with a lower risk of conversion to open surgery but a lower rate of complete total mesorectal excision specimens, with no difference in circumferential resection margin positivity or postoperative complications. No short-term oncological advantage was demonstrated between the two techniques, and long-term outcomes are needed. 👏👏👏Carl Mertens , Pamela Buchwald , Peter Matthiessen , Henrik Jutesten , Soran Gadan , Fredrik Jörgren #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #colorectalsurgery #colorectalcancer

⏰ Just two weeks remain to submit your nomination for the BJS Award 2027. The BJS Award recognises a discovery, innovation, or scientific study that has changed clinical practice and improved patient care. Before nominations close on 26 June 2026, remember: ✅ Individuals and organisations can submit nominations ✅ Societies, associations, colleges, and professional bodies are all eligible to nominate ✅ Organisations and individuals may submit separate nominations for multiple candidates ✅ Nominations are welcomed from all surgical specialties and from across the world 🏆 Award value: €100,000 Help us recognise those whose work is shaping the future of surgery. Submit your nomination today: buff.ly/PBp2HPD #BJSAward #Surgery #SurgicalResearch #Innovation #PatientCare #LeadingSurgicalEducation #surgery #surgeon @BJSurgery @BjsOpen #surgery #surgeon #medical #medicine #2027BJSAward #ShapingSurgicalScience #LeadingSurgicalEducation #SoMe4Surgery @BJSurgery @BjsOpen @asgbi @IfsoSecretariat @ACPGBI @BAETS_UK @Augishealth @OPSORE @amcgmx @spcir @CerrahiTurk @VSGBI @ALRSGBIAcademy @BritishHernia @STARSurgUK @ASiTofficial @roux_group @spigc2018 @_WACS_Surgeons @cosecsa @NIHR_GSU @websurg

Short- and long-term dynamics of gut microbiota, highlighting Fusobacterium nucleatum, Parvimonas micra, and Peptostreptococcus stomatis after colorectal cancer resection: prospective cohort study ➡️doi.org/10.1093/bjsopen/zrag… Curative colorectal cancer resection caused rapid perioperative gut microbiota changes, including transient reductions in diversity. Colorectal cancer-associated bacteria (Fusobacterium nucleatum, Parvimonas micra, and Peptostreptococcus stomatis) were markedly decreased after surgery and remained suppressed for at least 6 months. These findings suggest that tumour-associated bacteria depend on the tumour microenvironment and may serve as stool-based biomarkers for monitoring recovery and recurrence risk. 👏👏👏Tomosuke Mukoyama , Kimihiro Yamashita , Masafumi Saito , Mitsugu Fujita , Seiichi Omura , Takuo Emoto , Tomoya Yamashita , Masayuki Ando , Kyosuke Agawa , Kota Yamada , Akihiro Watanabe , Tomoki Abe , Takao Tsuneki , Yukari Adachi , Ryuichiro Sawada , Yasufumi Koterazawa , Hitoshi Harada , Naoki Urakawa , Hironobu Goto , Hiroshi Hasegawa , Shingo Kanaji , Takeru Matsuda , Taro Oshikiri , Yoshihiro Kakeji #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery

Neurogenic diarrhoea after superior mesenteric artery divestment or resection for pancreatic adenocarcinoma following preoperative chemotherapy: international multicentre retrospective study ➡️doi.org/10.1093/bjsopen/zrag… In this international multicentre study including 291 patients with superior mesenteric artery (SMA) divestment/resection during surgery for pancreatic adenocarcinoma after preoperative chemotherapy, postoperative neurogenic diarrhoea occurred in 66% of patients, particularly after > 180° SMA divestment or resection. Although challenging to manage, neurogenic diarrhoea was not associated with impaired survival. 👏👏👏@TFStoop , Chiara Croce , Hiroyuki Ishida , Mahsoem Ali , Ammar A Javed , Asif Halimi , Atsushi Oba , Bas Groot Koerkamp , Carl-Stephan Leonhardt , Cornelius A Thiels , Elena Rangelova , Ernesto Sparrelid , Ira Sotirova , Jennifer L Leiting , Jun Tauchi , Kosuke Kobayashi , Marit Klos , Lysanne P M Beuk , Luana Genova , Manuela Mastronardi , Michael L Kendrick , Nabiha A Mughal , Olivier R Busch , Oskar Franklin , Patrik Larsson , Ulla Klaiber , Richard D Schulick , Rutger T Theijse , Oliver Strobel , Poya Ghorbani , Roeland F de Wilde , Salvador Rodriguez Franco , Toshitaka Sugawara , Johanna W Wilmink , Wells Messersmith , @MarcBesselink , Christopher Wolfgang , Yosuke Inoue , Mark J Truty , @chiaro_del on behalf of the , International Collaboration on Advanced Pancreatic Cancer #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #some4hpb #some4tpl @hpb_so #PancreaticCancer #PancreaticSurgery @YouppiePancreas @German_PancClub @surgery_hps #PancreasClub2023 @PancreasClub @DPCG_official @pancreatitis_nl @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe

Evaluating the impact of GLP-1 receptor agonists in combination with total neoadjuvant therapy for locally advanced rectal cancer ➡️ doi.org/10.1093/bjs/znag029 🧬 TNT has reshaped the treatment of locally advanced rectal cancer, improving response and long-term outcomes ⚖️ GLP-1 receptor agonists may go beyond weight loss, targeting visceral adiposity, insulin resistance and systemic inflammation 🔥 By modulating host metabolism and tumour biology, GLP-1 RAs could potentially enhance treatment response, tolerance and surgical fitness 🔬 Evidence is still emerging, but this is a promising field for future rectal cancer research Work by Hugo C Temperley , Matthew Coalter , Ben Creavin , Patrick Jordan , Andrew Hogan , Jacintha O’Sullivan , Donal O’Shea , Paul H McCormick , Emily Harrold , Michael E Kelly #RectalCancer #TNT #GLP1 #ColorectalSurgery #CancerResearch #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide

Liver mobilization during Kasai portoenterostomy: retrospective multicentre analysis ➡️doi.org/10.1093/bjsopen/zrag… This multicentre retrospective study compared outcomes of Kasai portoenterostomy performed with versus without liver mobilization (LM) across major European and North American centres. LM was associated with greater intraoperative haemodynamic instability and transient postoperative hepatic stress, but significantly improved long-term native liver survival without adversely affecting later liver transplantation. These findings suggest that, despite short-term physiological burden, LM may confer a meaningful long-term advantage in biliary atresia. 👏👏👏Marie Uecker , Maximilian Holweg , Maria Hukkinen , Lucas Moratilla-Lapeña , Kristine Dräger , Alexander Domasch , Katja Nickel , Sören Wiesner , Cornelius Jakob van Beekum , Jörg Fuchs , Uta Herden , Francisco Hernández , Mikko Pakarinen , Riccardo Superina , Joachim F Kuebler , Christoph Slavetinsky , Omid Madadi-Sanjani #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery

Perioperative faecal microbiome dynamics in patients undergoing rectal cancer surgery in the IMARI-trial ➡️doi.org/10.1093/bjsopen/zrag… In a multicentre prospective cohort, the authors longitudinally profiled the faecal microbiome before and on postoperative day 4 after rectal cancer surgery, stratified by selective digestive decontamination and ileostomy status. Surgery was the dominant driver of change, with uniform postoperative loss of alpha diversity and rises in facultative anaerobes (for example Enterococcus, Klebsiella); ileostomy and SDD contributed smaller, selective effects. These data define early perioperative disruption and provide a foundation for linking microbial trajectories to clinical outcomes and for evaluating microbiome-informed perioperative strategies. 👏👏👏Kiedo Wienholts , Anne E Petersen , Claire P M van Helsdingen , Kevin Talboom , Mark Davids , Johannes H W de Wilt , Wouter J de Jonge , Pieter J Tanis , Roel Hompes , Joep P M Derikx on behalf of the , IMARI-study group #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery

First series of da Vinci single-port robotic-assisted cervical oesophagectomy: single-centre IDEAL stage 2a/2b study ➡️doi.org/10.1093/bjsopen/zrag… This study presents the first clinical experience with single-port robotic-assisted cervical oesophagectomy (SP RACE) using the da Vinci SP system in 20 consecutive patients with oesophageal cancer. The procedure was technically feasible but was associated with substantial perioperative morbidity in a highly selected, co-morbid patient population. These early results underline the need for careful patient selection and further prospective studies to define the role and safety profile of SP RACE. 👏👏👏Vladimir J Lozanovski , Luca Bellaio , Edin Hadzijusufovic , Olga Adamenko Meier , Franziska Renger , Christoph Wandhoefer , Suzanne S Gisbertz , Richard van Hillegersberg , Hauke Lang , Peter P Grimminger #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #some4UGI #uppergi #esophagealcancer #gastriccancer @ISDE_net @Augishealth @roux_group @T4UGIS #ESDE @Young_ESDE

💉 Interested in cancer vaccines? Watch our Cancer vaccines for surgeons: a primer - part of our genomics series. ➡️bjsacademy.com/bjs-academy/c…

✍️ A strong application starts early. The Postgraduate Certificate in Surgical Writing and Evidence Based Practice attracts applicants from around the world. Applying early gives you time to check that you meet all entry requirements and prepare the necessary supporting documents. Join a global community of surgeons and healthcare professionals developing expertise in: 🔹 Surgical writing 🔹 Evidence appraisal 🔹 Peer review 🔹 Publishing 🔹 Evidence-based practice 📅 Next intake September 2026. ➡️ buff.ly/3sAVkx8 #AcademicSurgery #MedicalPublishing #ResearchEducation #SurgicalWriting #surgery #surgeon #BJSInstitute @bjsurgery @bjsopen

Preoperative carbohydrate antigen 19-9 as a prognostic biomarker in colorectal cancer with synchronous peritoneal metastasis: multicentre cohort study ➡️doi.org/10.1093/bjsopen/zrag… Overall survival curves based on preoperative serum levels of tumour markers in patients with colorectal cancer and peritoneal metastasis in Cohort 1 were determined. Preoperative serum carbohydrate antigen 19-9 (CA19-9) and carcinoembryonic antigen (CEA) levels were associated with overall survival. However, CA19-9 levels exhibited a stronger, concentration-dependent association with prognosis compared with CEA levels. 👏👏👏Keita Tashiro , Yoshiki Kajiwara , Hideki Ueno , Hirotoshi Kobayashi , Kenjiro Kotake , Kenichi Sugihara , Yoichi Ajioka #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #colorectalsurgery #colorectalcancer @FightCRC #StepUp4CRC

Effect of noise isolation during general anaesthesia on the incidence of moderate-to-severe pain after major abdominal surgery: multicentre randomized clinical study ➡️doi.org/10.1093/bjsopen/zrag… This multicentre randomized clinical study in 304 adults investigated the effect of noise isolation during surgery on the incidence of moderate-to-severe pain. In the 24-hour period after surgery, the incidence of moderate-to-severe pain was significantly lower in the noise isolation than control group (23 versus 49%). Intraoperative noise isolation was found to be an effective, safe, and non-invasive preventive intervention that significantly lowered the incidence of moderate-to-severe pain after major abdominal surgery. 👏👏👏Fang Xu , Dong Chen , Cong Wang , Yi Yang , Yingcai Wu , Shuai You , Guangyou Duan #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery

Cancer vaccines: comprehensive review ➡️doi.org/10.1093/bjsopen/zrag… There has been an increasing focus on the potential of cancer vaccines as a therapeutic oncological option, aiming to harness the immune system to recognize and eliminate malignant cells. This review provides a comprehensive overview of current vaccine strategies, their clinical applications, and implications for surgical oncology. 👏👏👏@CliffRach, Nichola Manu , Qian Yang , Zeeshan Arif , David Aggen , Michael E Bryan , Aditi Gupta , Heather Shaw , David Church , Philippa Corrie , Natalia Savelyeva , Christian Ottensmeier , Sarah Danson , Robert Jones #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #cancer #oncology #tumor

Saving the surgeon-scientist: need to build enduring support for surgical science ➡️doi.org/10.1093/bjs/znag003 🩺🔬 The surgeon-scientist is an endangered species 🪡This BJS Needlepoint article highlights the growing challenges facing surgeon-scientists worldwide—from inadequate salary support and limited protected research time to increasing clinical demands Sustaining surgical innovation will require coordinated action from funding agencies, institutions, and health systems to protect the vital link between scientific discovery and patient care Work by Noémie Villemure-Poliquin , Stephanie Wong , Julie Hallet #SurgeonScientist #AcademicSurgery #SurgicalResearch #SurgicalInnovation #SoMe4Surgery #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Incidence of autoimmune disease after hernia surgery with a mesh implant: national retrospective cohort study ➡️ doi.org/10.1093/bjs/znag025 In a nationwide Dutch cohort, polypropylene mesh implantation was not associated with an increased medium-term risk of autoimmune disease New autoimmune disease occurred at similar rates after mesh hernia repair and control surgery (1.1% vs 1.5%) Work by Maurits J C A M Gielen , Ahmed M Chaoui , Samantha Schoenmakers , Bas Vreugdenhil , Tim Lubbers , Richard P G Ten Broek , Rudi M H Roumen , Nicole D Bouvy , Willem A R Zwaans #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide @eurohernias #hernia

Anastomotic leak after colorectal surgery: current landscape and future directions ➡️ doi.org/10.1093/bjs/znag041 🔗 Anastomotic leak remains one of the most feared complications after colorectal surgery, with major consequences including sepsis, reoperation, permanent stoma, and poorer oncological outcomes 📊 Leak rates remain substantial despite modern care: 3–6% after ileocolic anastomoses and up to 10–20% after low colorectal anastomoses 🧬 Anastomotic healing is multifactorial, involving surgical technique, perfusion, host immune response, and the gut microbiome 💡 ICG fluorescence angiography may improve perfusion assessment, particularly in rectal cancer surgery, but standardized quantitative thresholds are still needed 🦠 The microbiome is emerging as a key contributor, with collagenase-producing bacteria potentially weakening the anastomosis 🎯 Future prevention will likely require personalized risk stratification and targeted interventions rather than a one-size-fits-all approach Work by Jack A Helliwell , Aaron Quyn , David G Jayne #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto

Interhospital variations in practice and technical outcomes for endoscopic resection of early oesophagogastric adenocarcinoma: multicentre CONGRESS data set analysis ➡️doi.org/10.1093/bjsopen/zrag… Using the CONGRESS multicentre registry (2015–22), this study evaluated interhospital variation in outcomes following endoscopic resection (ER) for T1 N0 oesophagogastric adenocarcinoma. Among 1215 patients from 28 centres, high-volume centres demonstrated significantly lower rates of R1 resection, procedural complications, and progression to surgery compared with low-volume centres, even after adjustment for case mix. These findings indicate substantial practice variation and suggest a volume-outcome relationship in ER for early OG cancer. 👏👏👏Kirsty Cole , @gastro3570 ,@jamesgossage9 , Natalie Blencowe , @cswathikan , Tom Crosby , Neil M Davies , Richard P T Evans , @EwenGriffiths , @Sivesh93 , @MarkarSheraz , @NJEMCP , @TimTheSurgeon , @philip_pucher on behalf of , the CONGRESS Collaborative #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #some4UGI #uppergi #esophagealcancer #gastriccancer @ISDE_net @Augishealth @roux_group @T4UGIS #ESDE @young_esde

Development of a standard definition of ‘no-option’ and ‘poor-option’ for revascularization in chronic limb-threatening ischemia ➡️doi.org/10.1093/bjs/znag040 🦵 How should we define “no-option” or “poor-option” CLTI? 🌍 This modified Delphi study brought together 164 vascular specialists from 30 countries to develop an expert-validated definition. 📊 Consensus supported a multidomain ABRFC framework: arterial anatomy, biology, risk, function, and context. ⚠️ “No-option” CLTI includes desert foot, prohibitive medical risk, non-functional limb, or patient refusal of revascularization. 🔍 “Poor-option” CLTI reflects combined factors such as severe infection, lack of autologous vein, or treatment non-compliance. 🎯 This framework can standardize clinical assessment, trial design, reporting, and future guideline development. Work by Mario Alejandro Fabiani , Jos C van den Berg , Oscar A De la Torre , Alfredo Verastegui , Anahita Dua On Behalf of , the International Cooperative Vascular Consortium (ICVC) #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #vascularsurgery #vascular #Ischemia @vascularsurgery

Quality improvement interventions in surgical oncology: systematic review of international studies ➡️doi.org/10.1093/bjsopen/zrag… Substantial variation in surgical oncology care and outcomes have been identified and quality improvement interventions have the potential to address this. This systematic review highlights a lack of high-quality evaluations of QI interventions in the literature. Key gaps include interventions aimed at improving equitable access to surgical care. 👏👏👏Adil Rashid , Sugeeta Sukumar , Joanna Dodkins , Georgia Zachou , Nicola S Fearnhead , Kate Walker , @AggarwalOnc #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery

Surgical innovation and technology ➡️ doi.org/10.1093/bjs/znaf224 The future of surgery will be more precise, personalized, and technology-enabled—but innovation must be judged by its impact on patient care, not by novelty alone This BJS Commission highlights how surgeons, engineers, scientists, and industry can work together to ensure new tools improve outcomes, equity, and value Work by @JBMatthews, Jelle P Ruurda , Peter G Vaughan-Shaw , Desmond C Winter , Andrew Beggs , Andrew Yiu , Brian Davidson , Barbara Seeliger , Chen Xin , Daniel Stoyanov , Daphne D Rietbergen , Fijs W B van Leeuwen , Gerlof M Kuiper , Guglielmo N Piozzi , Jianing Qiu , James M Kinross , João Ramalhinho , Jim S Khan , Kurinchi Gurusamy , Kyle Lam , Kai F Chan , Li Zhang , Matthew Boal , Matthew J Clarkson , Matthias N van Oosterom , Nader Francis , Neeraj Lal , Philip W Y Chiu , Tessa Buckle , Yafit Shasha , Israa F E Hussein #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery