Newsletter
Best Papers in General Surgery
The five that matter, every day.
A novel purse-string suture technique dramatically reduced parastomal hernia (PSH) incidence to just 2.3% compared to 32% for conventional methods. Over a follow-up period from 6 to 24 months, patients using the new technique maintained stable abdominal wall aperture sizes, while those in the traditional…
Fluorescence-guided laparoscopic surgery significantly reduces anastomotic leakage in ultra-low rectal cancer patients, particularly post-chemoradiotherapy. In a cohort study of 393 patients, the incidence of leakage dropped to 3.1% with fluorescence techniques, compared to 11.5% in standard procedures. Benefits included reduced intraoperative blood loss and quicker…
Preoperative oral carbohydrate loading significantly accelerates recovery in colorectal surgery patients. Those who ingested carbohydrates experienced quicker bowel function return, better postoperative physical health, and shorter hospital stays—averaging about 10.6 days compared to 14.3 days for controls. Key laboratory indicators, including higher albumin and lower…
In a study of 276 pT1 colorectal cancer patients, key predictors of residual disease emerged. Positive resection margins and unfavorable histology strongly correlated with intramural residual tumor and lymph node metastasis. Despite high-risk features, patients managed through surveillance exhibited similar recurrence rates as those undergoing…
A five-category classification of oncologic surgical emergencies (OSEs) enhances clinical decision-making by correlating with higher in-hospital mortality rates, particularly among older male patients. In a study of 2,908 cases, obstruction was the leading cause of emergencies, with gastrointestinal tumors accounting for the majority. Category 1…
Indocyanine green (ICG) fluorescence significantly lowered anastomotic leakage rates after esophagectomy. In a randomized trial of 92 patients, leakage occurred in only 6.7% of those who received ICG guidance compared to 21.3% in the control group, demonstrating a clear advantage. The technology identifies well-perfused areas…
A novel scoring system successfully identifies high-risk patients for intraoperative perforation during endoscopic resection of gastric gastrointestinal stromal tumors. Analyzing over 1,100 patients, the system considers tumor location, size, and growth pattern, achieving strong discrimination with AUCs above 0.8. Risk stratification reveals significant variations: low-risk…
On September 17, 2024, Lebanon suffered a devastating attack involving the simultaneous detonation of explosive-laden pagers, yielding 12 deaths and nearly 3,000 injuries, mainly to the eyes, face, and hands. Hospitals faced overwhelming challenges, with over 80 surgeries performed by the American University of Beirut’s…
Laparoscopic ultrasound-guided resection and microwave ablation significantly improve patient outcomes for colorectal liver metastases (CRLM). In a study of 300 patients, the technique effectively reduced complications and enhanced survival when compared to traditional imaging methods. Notably, intraoperative contrast-enhanced ultrasound with Sonazoid emerged as an independent…
An international panel of 61 experts has established 120 core learning objectives for global surgery education, utilizing a modified Delphi consensus. This collaborative effort, representing diverse surgical disciplines across 26 countries, addresses the urgent need for structured, consensus-driven curricula amid varying educational standards. Key objectives…
