Newsletter
Best Papers in General Surgery
The five that matter, every day.
This update offers critical insights on discontinuing surveillance for pancreatic cystic lesions (PCLs) and hepatocellular carcinoma (HCC) in older adults, emphasizing a tailored approach based on individual risk.
Left-sided pancreatectomy with splenectomy shows no advantage in reducing in-hospital mortality or major complications compared to nonsplenectomy procedures in traumatic pancreatic injuries.
A new standardized technique for double-stapled intracorporeal anastomosis simplifies minimally invasive right and left colectomies, making the procedure more reproducible and teachable.
Endobiliary radiofrequency ablation (RFA) significantly improves survival in patients with unresectable perihilar cholangiocarcinoma, particularly when performed shortly after biliary drainage.
Endoscopic hand-suturing (EHS) demonstrates impressive technical and clinical success rates for closing defects, with a 96.2% technical success and 97.9% in-hospital clinical success across 338 procedures.
Robotic-assisted minimally invasive esophagectomy (RAMIE) significantly improves functional recovery and reduces complications compared to open esophagectomy, making it the preferred technique at high-volume centers.
Circulating tumor DNA (ctDNA) testing provides significant prognostic information post-curative treatment for colorectal cancer, impacting patient management and surveillance strategies.
Surgical prediction models using NSQIP data have significantly lower discrimination ability compared to those using non-NSQIP data, particularly for infection outcomes.
This study reveals significant racial disparities in prehospital interventions among injured patients, with Black patients receiving fewer critical interventions like airway management and intubation compared to their white counterparts, which may translate to higher mortality risks.
Pancreatic enucleation, despite higher rates of clinically relevant postoperative pancreatic fistula (CR-POPF), shows significant benefits over pancreatoduodenectomy for benign or low-grade tumors in terms of major complications, hospitalization duration, and long-term quality of life.
