https://www.frontiersin.org/journals/surgery/sections/visceral-surgery RSS Feed for Visceral Surgery section in the Frontiers in Surgery journal | New and Recent Articles en-us Frontiers Feed Generator,version:1 2026-05-15T08:20:46.895+00:00 60 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1835401 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1835401 2026-05-15T00:00:00Z Original Research Constantin ScholzEvangelos TagkalosFranziska RengerMonia PassalacquaLukas MüllerMaximilian MoosLisa Katharina GrögerJens MittlerJanine BaumgartTobias HuberFriedrich FoersterArndt WeinmannFabian BartschHauke Lang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1817632 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1817632 2026-05-15T00:00:00Z Case Report Danning ZhangZining ChenXiaolong HeMing XieQingbo Feng https://www.frontiersin.org/articles/10.3389/fsurg.2026.1778112 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1778112 2026-05-15T00:00:00Z Brief Research Report Khaled A. ObeidatRami A. SaadehRenad Y. Msameh https://www.frontiersin.org/articles/10.3389/fsurg.2026.1776415 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1776415 2026-05-15T00:00:00Z Case Report Mark TokarevIvan SemenenkoAlina ZelenskaiaBaina KomiyukovaViacheslav Shibitov https://www.frontiersin.org/articles/10.3389/fsurg.2026.1761289 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1761289 2026-05-13T00:00:00Z Systematic Review Yerlan AkkaliyevMaksut KamalievMerkhat AkkaliyevElvira KokayevaOxana Tsigengagel 60 procedures per surgeon). Crucially, long-term registry data indicate that 42.5% of recurrences appear more than 10 years post-surgery a timeframe often ignored in short-term safety assessments. In the LMIC context, open repair remains a robust, cost-effective standard where simulation-based training is absent.ConclusionWhile laparoscopic repair can be safely implemented in LMICs with dedicated training, the direct transposition of international guidelines without local adaptation poses safety risks. We propose a “Safety-First” Value-Based Decision Framework, emphasizing that context-sensitive implementation and institutional readiness must take precedence over technical novelty to ensure patient value.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1760249 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1760249 2026-05-13T00:00:00Z Original Research Moaz Abulfaraj https://www.frontiersin.org/articles/10.3389/fsurg.2026.1747136 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1747136 2026-05-12T00:00:00Z Original Research Huicong MinZhou ZhengQingsheng YuYi Shen  0.05). The severe thrombocytopenia group had a significantly higher abdominal drainage volume at 48 h postoperatively than the mild group (P = 0.025), and a significantly higher incidence of postoperative portal vein thrombosis (P = 0.008, P = 0.010). There were significant differences in the incidence of postoperative fever among the three groups (P < 0.05), but no significant statistical difference was found between the severe group and the mild or moderate groups (P > 0.05). On postoperative days 3 and 7, the amylase level in abdominal drainage fluid of the severe group was significantly lower than that of the mild group (P = 0.005, P = 0.003). The postoperative platelet levels of all patients were significantly higher than the preoperative levels (P < 0.05); on postoperative days 1 and 7, there were significant differences in platelet levels between the severe thrombocytopenia group and the mild group (P < 0.05), but by postoperative day 7, the platelets of all three groups had recovered to the normal range.ConclusionIn Child-Pugh A/B patients with cirrhosis predominantly caused by Wilson's disease and hypersplenism, severe preoperative thrombocytopenia is not an absolute contraindication to splenectomy. Liver functional reserve is critical for surgical safety. However, severe thrombocytopenia is associated with an increased risk of PVT, which necessitates intensified perioperative anticoagulation.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1825682 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1825682 2026-05-12T00:00:00Z Original Research Burhan Izzadin SabirYousif Mohammed Younis https://www.frontiersin.org/articles/10.3389/fsurg.2026.1851397 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1851397 2026-05-12T00:00:00Z Editorial Marina YiasemidouAlec EngledowDimitrios Damaskos https://www.frontiersin.org/articles/10.3389/fsurg.2026.1814613 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1814613 2026-05-08T00:00:00Z Review Mohsin MurshidAbdulmalik AlShamraniFarrukh AnsariMohammed Saleh AlGhamdiSaad AlHarthiAbdulwudod M. HefdiAbdulaziz Rashed AlShehriKadi AlSayedFaisal AlNazawiAsma AlBarakati https://www.frontiersin.org/articles/10.3389/fsurg.2026.1801270 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1801270 2026-05-04T00:00:00Z Case Report Yunlong ZhangShuai ZhangFeng LiXiaoshuai JingQi LiuMuchuan Yu https://www.frontiersin.org/articles/10.3389/fsurg.2026.1799105 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1799105 2026-05-01T00:00:00Z Case Report Xiqiang Zhuang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1816881 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1816881 2026-04-30T00:00:00Z Case Report Xiaoming ZhouZhu Li https://www.frontiersin.org/articles/10.3389/fsurg.2026.1778083 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1778083 2026-04-23T00:00:00Z Case Report Shiyu PanChangxi ChenGun ChenJiande GongXianhao YingHongliang Li https://www.frontiersin.org/articles/10.3389/fsurg.2026.1787138 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1787138 2026-04-23T00:00:00Z Case Report Mohammad ShawirMohammad AbdulkarimMohammed ElnibrasHaneen BrnawiMarei Al amariRoaa Ghazi KhanElsadig ShiekedienYazeed Al Jabri https://www.frontiersin.org/articles/10.3389/fsurg.2026.1793752 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1793752 2026-04-22T00:00:00Z Original Research Yubo ZhangDake LiuDongdong WangYing ChenLin LiJionghui FuWeibo LiuJingcheng Zhang  3) pain groups. Potential risk factors were identified via univariate analysis, and multivariable binary logistic regression was performed to determine independent predictors after assessing multicollinearity using the variance inflation factor. A nomogram-based predictive model was then developed and rigorously evaluated using the area under the curve (AUC), calibration plots, and decision curve analysis (DCA) in both cohorts.ResultsMultivariable binary logistic regression identified three independent predictors of moderate-to-severe acute postoperative pain: surgical approach [three-port laparoscopic appendectomy (TPLA) vs. single-port laparoscopic appendectomy (SPLA); P < 0.01, odds ratio (OR) = 5.504; 95% CI 3.423–8.852], preoperative total delay (P = 0.005, OR = 1.496; 95% CI 1.129–1.983), and admission body temperature (P = 0.008, OR = 1.797; 95% CI 1.168–2.763). The developed nomogram exhibited robust discriminative performance, with an AUC of 0.762 (95% CI 0.716–0.808) in the training set and 0.785 in the external validation set. Calibration curves for both cohorts demonstrated optimal agreement between predicted and observed outcomes. In the validation cohort, DCA confirmed significant clinical net benefits across threshold ranges of 10%–14% and 16%–95%.ConclusionSurgical approach, preoperative total delay, and admission body temperature were identified as independent predictors of acute pain following laparoscopic appendectomy. Compared with TPLA, the SPLA approach was associated with a significantly lower risk of moderate-to-severe acute pain. The externally validated nomogram provides a reliable clinical tool with high discriminative power and practical applicability, facilitating the identification of high-risk patients and supporting the optimization of individualized perioperative pain management strategies.]]> https://www.frontiersin.org/articles/10.3389/fsurg.2026.1782864 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1782864 2026-04-21T00:00:00Z Case Report Florian HöglerFilipp SokolovskiSandra RaabLena RossettiPeter OppeltAndreas Shamiyeh https://www.frontiersin.org/articles/10.3389/fsurg.2026.1797226 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1797226 2026-04-21T00:00:00Z Case Report Danning ZhangZining ChenXiaolong HeQingbo Feng https://www.frontiersin.org/articles/10.3389/fsurg.2026.1752034 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1752034 2026-04-20T00:00:00Z Case Report Chengzhen LyuZiqi GuoKun HeXiyi AnWenyi DengHuadan XueGechong RuanQingwei Jiang https://www.frontiersin.org/articles/10.3389/fsurg.2026.1782612 https://www.frontiersin.org/articles/10.3389/fsurg.2026.1782612 2026-04-15T00:00:00Z Perspective Xin-liang HouTing ZengXu WangLi-ye Tan