Pub Date : 2026-02-20DOI: 10.1186/s12893-026-03614-8
Mesut Karataş, Osman Durgut, Fevzi Solmaz, Oğuzhan Dikici, Sündüz Gençay, Hakkı Caner İnan, Basri Cangül
{"title":"Impact of skin flap elevation technique on the extent of gustatory sweating after superficial parotidectomy: a comparative study.","authors":"Mesut Karataş, Osman Durgut, Fevzi Solmaz, Oğuzhan Dikici, Sündüz Gençay, Hakkı Caner İnan, Basri Cangül","doi":"10.1186/s12893-026-03614-8","DOIUrl":"https://doi.org/10.1186/s12893-026-03614-8","url":null,"abstract":"","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229497","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}
Pub Date : 2026-02-20DOI: 10.1186/s12893-026-03559-y
Ahmed Abdelsalam, Ahmed Fahmy, Ahmed Saqr, Sherkawi Elsayed, Ahmed Mohamed Salah Eldden Othman Elansary
{"title":"Incidence of marginal ulcer after one anastomosis gastric bypass versus Roux-en-Y gastric bypass: a comparative study.","authors":"Ahmed Abdelsalam, Ahmed Fahmy, Ahmed Saqr, Sherkawi Elsayed, Ahmed Mohamed Salah Eldden Othman Elansary","doi":"10.1186/s12893-026-03559-y","DOIUrl":"10.1186/s12893-026-03559-y","url":null,"abstract":"","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12933895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229445","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}
Pub Date : 2026-02-20DOI: 10.1186/s12893-026-03601-z
Özgün Ceylan, Tuba Zengin Aksel
{"title":"Intraoperative identification and management of renovascular anatomical variations during paraaortic lymphadenectomy: an illustrated surgical experience.","authors":"Özgün Ceylan, Tuba Zengin Aksel","doi":"10.1186/s12893-026-03601-z","DOIUrl":"https://doi.org/10.1186/s12893-026-03601-z","url":null,"abstract":"","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259411","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}
Pub Date : 2026-02-19DOI: 10.1186/s12893-026-03541-8
Jia Li, Yangcai Wang, Ji Zheng, Zhenqiang Fang, Yajun Song
{"title":"The left adrenal mass is difficult to differentiate from a hemorrhagic gastric diverticula: a case report.","authors":"Jia Li, Yangcai Wang, Ji Zheng, Zhenqiang Fang, Yajun Song","doi":"10.1186/s12893-026-03541-8","DOIUrl":"https://doi.org/10.1186/s12893-026-03541-8","url":null,"abstract":"","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229499","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}
Pub Date : 2026-02-18DOI: 10.1186/s12893-026-03599-4
Yi-Long Qian, Kai Ye, Chu-Ying Wu
{"title":"Applications on proximal gastrectomy with gastroesophageal muscular flap anastomosis in laparoscopic surgery: a narrative review.","authors":"Yi-Long Qian, Kai Ye, Chu-Ying Wu","doi":"10.1186/s12893-026-03599-4","DOIUrl":"https://doi.org/10.1186/s12893-026-03599-4","url":null,"abstract":"","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221567","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}
Background: The coexistence of Graves' disease (GD) and papillary thyroid carcinoma (PTC) remains a subject of clinical debate. While PTC is frequently detected incidentally after thyroidectomy for GD, its prevalence, clinicopathological behavior, and preoperative predictors remain insufficiently defined.
Methods: This single-center retrospective cohort study included 602 patients who underwent thyroidectomy between 2020 and 2025. Patients were categorized as: GD + PTC (n = 51); GD-only (n = 109); and PTC-only (n = 442). Demographic, biochemical, radiological, surgical, and pathological data were analyzed. Univariate and multivariate logistic regression models were used to identify factors associated with PTC development in GD.
Results: The prevalence of PTC among GD patients was 31.9%. Compared with sporadic PTC, GD-associated tumors were smaller (median 5 mm vs. 12 mm, p < 0.001) and demonstrated fewer aggressive features including lymphatic invasion, capsular invasion, multifocality, bilaterality, and nodal metastasis (all p < 0.01). GD + PTC patients were younger and showed a lower female predominance than those with sporadic PTC. When compared with GD-only patients, the GD + PTC group had significantly lower thyroid-stimulating Immunoglobulin (TSI) titers (median 3.8 vs. 7.65 IU/L, p = 0.007) and a higher prevalence of ultrasound-detected thyroid nodules (64.7% vs. 27.5%, p < 0.001). In multivariate analysis, only US-detected nodules (OR 3.56, p = 0.003) and lower TSI levels (OR 0.95, p = 0.03) independently predicted PTC in GD.
Conclusion: PTC is relatively common among surgically treated GD patients, yet presents predominantly as microcarcinoma with less aggressive histopathological features. The presence of ultrasound-detected thyroid nodules was the strongest preoperative predictor of malignancy. These findings support careful and systematic ultrasonographic assessment in patients with GD, with FNAB guided by established ultrasound risk patterns, nodule size thresholds, and high-risk clinical features, rather than indiscriminate lowering of biopsy thresholds.
背景：Graves病（GD）和甲状腺乳头状癌（PTC）的共存一直是临床争论的主题。虽然PTC经常在GD甲状腺切除术后偶然发现，但其患病率、临床病理行为和术前预测因素仍不明确。方法：这项单中心回顾性队列研究包括602例在2020年至2025年间接受甲状腺切除术的患者。患者分为：GD + PTC组（n = 51）；仅gd (n = 109)；和PTC-only （n = 442）。统计、生化、放射学、外科和病理资料进行分析。使用单因素和多因素logistic回归模型来确定GD中PTC发展的相关因素。结果：GD患者PTC患病率为31.9%。与散发性PTC相比，GD相关肿瘤更小（中位5 mm vs. 12 mm）。结论：PTC在手术治疗的GD患者中相对常见，但主要表现为微癌，其组织病理学特征较弱。超声检测甲状腺结节的存在是术前恶性肿瘤的最强预测因子。这些发现支持对GD患者进行仔细和系统的超声评估，FNAB在已建立的超声风险模式、结节大小阈值和高危临床特征的指导下进行，而不是不加区分地降低活检阈值。
{"title":"Papillary thyroid carcinoma in graves' disease: prevalence, clinicopathological features, and preoperative predictors.","authors":"Tugba Matlim Ozel, Mine Yilmaz, Sezer Akbulut, Aykut Celik, Gorkem Yildiz, Nilsen Erdogan, Serkan Sari","doi":"10.1186/s12893-026-03602-y","DOIUrl":"10.1186/s12893-026-03602-y","url":null,"abstract":"<p><strong>Background: </strong>The coexistence of Graves' disease (GD) and papillary thyroid carcinoma (PTC) remains a subject of clinical debate. While PTC is frequently detected incidentally after thyroidectomy for GD, its prevalence, clinicopathological behavior, and preoperative predictors remain insufficiently defined.</p><p><strong>Methods: </strong>This single-center retrospective cohort study included 602 patients who underwent thyroidectomy between 2020 and 2025. Patients were categorized as: GD + PTC (n = 51); GD-only (n = 109); and PTC-only (n = 442). Demographic, biochemical, radiological, surgical, and pathological data were analyzed. Univariate and multivariate logistic regression models were used to identify factors associated with PTC development in GD.</p><p><strong>Results: </strong>The prevalence of PTC among GD patients was 31.9%. Compared with sporadic PTC, GD-associated tumors were smaller (median 5 mm vs. 12 mm, p < 0.001) and demonstrated fewer aggressive features including lymphatic invasion, capsular invasion, multifocality, bilaterality, and nodal metastasis (all p < 0.01). GD + PTC patients were younger and showed a lower female predominance than those with sporadic PTC. When compared with GD-only patients, the GD + PTC group had significantly lower thyroid-stimulating Immunoglobulin (TSI) titers (median 3.8 vs. 7.65 IU/L, p = 0.007) and a higher prevalence of ultrasound-detected thyroid nodules (64.7% vs. 27.5%, p < 0.001). In multivariate analysis, only US-detected nodules (OR 3.56, p = 0.003) and lower TSI levels (OR 0.95, p = 0.03) independently predicted PTC in GD.</p><p><strong>Conclusion: </strong>PTC is relatively common among surgically treated GD patients, yet presents predominantly as microcarcinoma with less aggressive histopathological features. The presence of ultrasound-detected thyroid nodules was the strongest preoperative predictor of malignancy. These findings support careful and systematic ultrasonographic assessment in patients with GD, with FNAB guided by established ultrasound risk patterns, nodule size thresholds, and high-risk clinical features, rather than indiscriminate lowering of biopsy thresholds.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12980858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146208048","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}
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