Carlo Ronsini^1,*, Giuseppe Cucinella¹, Maria Cristina Solazzo¹, Mariano Catello Di Donna¹, Cono Scaffa¹, Stefano Cianci², Manuela Ludovisi³, Sandro Pignata⁴, Vito Chiantera¹

Oncology Research, Vol.34, No.5, 2026, DOI:10.32604/or.2026.074934 - 22 April 2026

Abstract Background: The optimal sequencing of surgery and chemotherapy in advanced epithelial ovarian cancer remains debated. While primary debulking surgery (PDS) has been considered the standard approach, recent randomized trials have questioned its survival advantage over neoadjuvant chemotherapy (NACT) followed by interval debulking surgery (IDS). The study aimed to systematically evaluate phase III randomized controlled trials comparing PDS and NACT. Methods: Following PRISMA guidelines (PROSPERO ID 1169057), PubMed and Scopus were systematically searched in October 2025 for phase III randomized clinical trials evaluating cytoreductive strategies in ovarian carcinoma. Only full-text English studies reporting overall survival (OS)… More >

Sarah M. Kodres–O’Brien^*, Mackenzie Koellermeier, Nayan Shah, Peter Langenstroer

Canadian Journal of Urology, Vol.33, No.2, pp. 471-476, 2026, DOI:10.32604/cju.2025.069550 - 20 April 2026

Abstract Background: Retained bullet fragments in the genitourinary tract following gunshot wound is rare and require removal. Case Description: We present the case of a retained bullet in the prostate following a gunshot wound to the pelvis, which was endoscopically removed. A urethral catheter and suprapubic tube were placed. The patient then had migration of a second bullet fragment into the prostatic urethra six weeks later, requiring open removal. Conclusions: This case shows that several approaches can be considered to remove retained bullet fragments from the urinary tract. Furthermore, access to the bladder via a suprapubic tube More >

Xuming Mo^1,*, Taibing Fan^2,*, Zhongdong Hua^3,*, Christoph Haller⁴, Shinichiro Oda⁵, Shuhua Luo⁶, Weijie Liang², Yuzhong Yang¹, Huaipu Liu³, Nianguo Dong⁷, Shoujun Li⁸, Xinxin Chen⁹, Jimei Chen¹⁰, Hao Zhang¹¹, Qiang Shu¹², Haibo Zhang¹¹, Quansheng Xing¹³, Jinghao Zheng¹¹, Xiaofeng Li¹⁴, Teng Ming¹⁵, Qi An¹⁶, Ping Wen¹⁷, Qiang Wang¹⁸, Jirong Qi¹, Huiwen Chen¹¹, Shusheng Wen¹⁹, Rui Chen²⁰, Ming Ye²¹, Keming Yang⁸, Minhua Fang²², Caixia Liu²³, Ke Lin¹⁶, Zhongshi Wu²⁴, Xiangming Fan¹², Zhengxia Pan²⁵, Yiqun Ding²⁶, Ming’an Pi²⁷, Xin Li²⁸, Yong Zou²⁹, Shuguang Tao³⁰, Renwei Chen³¹, Li Ma⁹, Libing Zhang³², Tao You³³, Dongshan Liao³⁴, Cheng Zhou³⁵, Hongxin Li³⁶, Gengxu Zhou³⁷, Chunhu Gu³⁸, Zhiqiang Li³⁹, Yonggang Li²⁵, Hui Zhang⁴⁰, Xiaomin He¹¹, Yanan Lu¹¹, Haifa Hong⁴¹, Benqing Zhang⁸, Li Gong²⁷, Jiafeng Qi⁴², Song Bai³⁹, Yuhang Liu⁴³, Tianli Zhao²⁴, Cardiothoracic Surgery Group, Pediatric Surgery Branch of Chinese Medical Doctor Association, Cardiac Surgery Group, Pediatric Surgery Branch of Chinese Medical Association, the Asian Association for Pediatric and Congenital Heart Surgery

Structural and Congenital Heart Disease, Vol.21, No.1, 2026, DOI:10.32604/schd.2026.077974 - 31 March 2026

Abstract Congenital heart disease (CHD) is a common birth defect in children, and surgical intervention is the primary treatment. The traditional standard median sternotomy (MS) has drawbacks such as significant trauma and obvious scarring. The right axillary incision (RAI) has gradually become a conventional approach due to its advantages of preserving thoracic cage integrity, small incision size, rapid recovery, and hidden scarring. However, there is currently a lack of relevant guidelines and consensus for its application. This consensus adopts the international Delphi process, systematically searching domestic and foreign literature on CHD from 1982 to 2024. It… More >

Jia Yuan^1,2,#, Yanxing Lv^2,#, Xinyuan Ding³, Yunyi Zeng¹, Li Ma⁴, Hang Yang¹, Lin Jiang¹, Kamil Bildebayev⁵, Boiko Yuliya Nikolaevna⁵, Na Zhou^1,*

Structural and Congenital Heart Disease, Vol.21, No.1, 2026, DOI:10.32604/schd.2026.076648 - 31 March 2026

Abstract Backgorund: Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly of coronary artery anatomy, usually diagnosed in infancy, but adults may also be affected by this deformity. Objectives: The aim of this study is to examine long-term outcomes in patients with ALCAPA and analyze the relevant factors influencing postoperative outcomes. Methods: The records of patients with ALCAPA admitted from January 2015 to December 2024 were retrospectively reviewed. Clinical data of the patients were retrieved from the records. The follow-up data included mortality rates and complications. Kaplan-Meier survival curves were… More >

Mete Han Kizilkaya¹, Boran Cakan^2,3,*, Mehmet Bicer⁴, Ender Odemis^1,5

Structural and Congenital Heart Disease, Vol.21, No.1, 2026, DOI:10.32604/schd.2026.074189 - 31 March 2026

Abstract Background: Transcatheter closure of perimembranous ventricular septal defects (pmVSDs) with Lifetech™ Konar-Multifunctional Occluder (MFO) has demonstrated high procedural success and safety. However, long-term complications due to valve–device interaction are rarely reported. We describe a pediatric patient who developed progressive right ventricular outflow tract (RVOT) obstruction and severe tricuspid regurgitation 20 months after MFO closure, highlighting mechanisms, management, and outcomes. Case Description: A 13-year-old girl underwent successful MFO closure of a 6-mm pmVSD. Early follow-up showed trivial tricuspid regurgitation and mild subpulmonic stenosis. Pre-procedural imaging revealed right ventricular hypertrophy caused by long-standing jet-related turbulence from the pmVSD, with… More >

Ricardo Garcia-Mora¹, Gunther Hernández-Morales², Miguel Ángel Chagolla-Santillán³, Iliana Acevedo-Bañuelos³, Jorge Luis Cervantes-Salazar⁴, Edel Rafael Rodea-Montero^5,*

Structural and Congenital Heart Disease, Vol.21, No.1, 2026, DOI:10.32604/schd.2026.071470 - 31 March 2026

Abstract We report a full-term newborn with pulmonary atresia with an intact ventricular septum who developed acute hypoxemia after ductal stent embolization. Emergency surgery was performed to remove the stent and create a central systemic-to-pulmonary shunt using a 3.5 mm GORE-TEX^® graft via a modified Gates, Laks, and Johnson technique. Postoperative recovery was favorable. At 24 months, the shunt remained patent with adequate pulmonary artery growth. This case underscores prompt surgical rescue and supports central shunting as an effective mid-term solution. More >

Francesco Chiari^1,*, Giovanni Motta², Daria Maria Filippini³, Claudio Donadio Caporale¹, Pierre Guarino¹

Oncology Research, Vol.34, No.4, 2026, DOI:10.32604/or.2026.073086 - 23 March 2026

Abstract Objective: Mucoepidermoid carcinoma (MEC) of the larynx is an extremely rare malignancy, accounting for less than 1% of primary laryngeal tumors. The optimal role of adjuvant therapy, particularly radiotherapy (RT), remains unclear due to limited evidence. This systematic review aimed to evaluate oncologic outcomes and the impact of adjuvant treatment in patients with early- and advanced-stage laryngeal MEC. Methods: A systematic literature search was performed according to PRISMA 2020 guidelines in PubMed/Embase, Scopus, and Cochrane for studies published up to 31 July 2025. Results: Twenty-two studies, encompassing 55 patients, were included. Early-stage (T1–T2) patients (n =… More >

Bara Barakat^1,*, Bilal Al-Absi¹, Boris Hadaschik², Christian Rehme², Samer Schakaki³, Joerg Bauer¹

Canadian Journal of Urology, Vol.33, No.1, pp. 105-116, 2026, DOI:10.32604/cju.2026.071284 - 28 February 2026

Abstract Background: Artificial intelligence (AI)-assisted three-dimensional (3D) surgical platforms, integrated with augmented reality, have the potential to improve intraoperative anatomical recognition and provide surgeons with an immersive, dynamic operating environment during uro-oncological procedures. This review aims to examine the current applications of AI in robotic uro-oncology, with a particular focus on its role in facilitating intraoperative navigation during complex surgeries. Methods: A systematic literature search was performed across PubMed, the National Library of Medicine, MEDLINE, the Cochrane Central Register of Controlled Trials (CENTRAL), ClinicalTrials.gov, and Google Scholar to identify relevant studies published up to July 2025.… More >

Abdullah Esmeray, Huseyin Burak Yazili^*, Mucahit Gelmis, Nazim Furkan Gunay, Caglar Dizdaroglu, Faruk Ozgor, Yasar Pazir, Ufuk Caglar

Canadian Journal of Urology, Vol.33, No.1, pp. 165-171, 2026, DOI:10.32604/cju.2025.069657 - 28 February 2026

Abstract Objectives: Supracostal access during percutaneous nephrolithotomy (PCNL) increases the risk of pulmonary complications. Although routine postoperative thoracic imaging is commonly performed to detect these events, its clinical necessity remains controversial. This study aimed to assess the necessity of routine postoperative thoracic imaging for detecting pulmonary complications in patients undergoing supracostal mini percutaneous nephrolithotomy (m-PCNL) surgery. Methods: A retrospective analysis was conducted on data from patients who underwent supracostal m-PCNL between 2017 and 2022 in a tertiary center. Excluding patients under 18, with kidney/skeletal anomalies, or active thoracic disease, 112 eligible patients were included. Patients were… More >

Abdelkader Akkad, Franck Bruyere, Ali Bourgi^*

Canadian Journal of Urology, Vol.33, No.1, pp. 155-163, 2026, DOI:10.32604/cju.2025.069546 - 28 February 2026

Abstract Objectives: Uretero-enteric strictures are feared complications following cystectomy. Despite surgical advancements, particularly the rise of robot-assisted approaches, the risk factors associated with these strictures remain poorly defined. This study aimed to identify the risk factors associated with uretero-enteric anastomotic strictures after cystectomy, according to the surgical approach and type of urinary diversion (extracorporeal vs. intracorporeal). Methods: We conducted a single-center retrospective study including 340 patients who underwent cystectomy between 2016 and 2024 at Tours University Hospital. Clinical, biological, perioperative, and postoperative data were analyzed. The occurrence of a uretero-ileal anastomotic stricture was defined radiologically by… More >