Clinical Decision-Making in Laparoscopic Common Bile Duct Exploration: Choosing Between Primary Closure and T-Tube Drainage.
This narrative review demonstrates that laparoscopic bile duct exploration primary closure provides superior outcomes compared to T-tube drainage when complete stone clearance is achieved. Evidence shows shorter operative times, reduced hospital stays,…
Impact of Preoperative Marijuana Use on Functional Recovery and Complications After Spinopelvic Fusion in Adult Spinal Deformity.
With the rising prevalence of marijuana use and increasing rates of complex spinal deformity surgeries, understanding the impact of cannabis on perioperative...
What a 2026 Spinopelvic Fusion Study Adds to the Conversation
Cannabis use before spine surgery is a question many patients and surgeons now face with very little procedure-specific guidance. This review examines a 2026 study of spinopelvic fusion patients and finds that preoperative cannabis use was not associated…
Older Adults Who Use Cannabis Before Surgery Report More Pain and Need More Opioids Afterward, Study Finds
Cannabis users had significantly higher average DVPRS scores (median 4.68 vs 3.88; difference=0.80; 95% CL, 0.19 to 1.36; p=0.01) and total OME (42.50 mg vs 30.00 mg; difference=12.5 mg; 95% CL, 3.80 to 21.20 mg; p=0.02) than non-users within 24 hours of…
Laparoscopic Bile Duct Surgery: Normal-Sized Ducts May Be as Safe as Dilated Ones for a Novel Stent Technique
No significant differences were observed in operative time, blood loss, hospital stay, costs, or complications between the normal and dilated CBD groups after propensity score matching, suggesting CBD diameter alone should not preclude this technique.