Newsletter
Best Papers in General Surgery
The five that matter, every day.
A forthcoming randomized controlled trial aims to evaluate the harmonic scalpel (hs) and cavitron ultrasonic surgical aspirator (cusa) for liver parenchymal transection during laparoscopic liver resections. The study will assess intraoperative blood loss, transection speed, operative time, and postoperative outcomes among patients at West China…
A retrospective cohort study of 123 acute hemorrhoidal disease patients revealed that a treatment regimen including oral diosmin/hesperidin, bromelain, and topical lidocaine resulted in faster pain relief and improved symptom scores compared to a nifedipine-based regimen. Significant differences were noted by day 7 in pain…
A study involving 191 patients undergoing minimally invasive colorectal resection found a stark contrast in incisional hernia rates based on extraction site. Incisional hernias occurred in 30.9% of midline extractions compared to 0% in off-midline procedures. Multivariate analysis identified midline extraction as a major risk…
A nationwide boot camp, the "First Touch course," has proven effective in enhancing surgical residents' preparedness and confidence as they transition into residency. Conducted over two editions in 2023 and 2024 with 84 participants, over 71% rated the course as excellent, with 100% stating it…
In a cohort of 769 hepatocellular carcinoma survivors, 21.6% experienced late recurrence post-treatment. Key findings showed that patients with late recurrence exhibited a higher fib-4 index (median 2.31) and a tendency toward microvascular invasion. Both factors were independently associated with worse recurrence-free survival (RFS). Patients…
A retrospective analysis revealed that 92% of patients undergoing certain elective surgeries received unnecessary prophylactic antibiotics, despite guidelines recommending against their use. This nonadherence resulted in an estimated financial waste of US$3,279 and significant environmental impact, as 94% of the cases were classified as clean.…
A modified step-up approach to elective laparoscopic cholecystectomy yielded notable reductions in surgical consumables, achieving a 51.9% decrease in weight, a 50.6% drop in carbon footprint, and a 43.1% cost reduction. Implemented without extending operating time or increasing complications, this strategy highlights an effective method…
A study evaluating 417 patients who underwent ileal pouch-anal anastomosis found a 23% risk of pouch failure over 18 years. Key predictors included post-procedure Crohn's disease and specific histologic features such as deep chronic inflammation and severe disease activity. Single-cell spatial transcriptomics identified immune cell…
A systematic review has led to updated clinical guidelines for inhospital coagulation management and fluid replacement therapy in patients with severe injuries. Key recommendations stress the importance of early interventions for trauma-induced coagulopathy and the use of viscoelastic assays to guide treatment. Notably, tranexamic acid…
A study on endoscopic intermuscular dissection (EID) for deep submucosal invasive rectal cancer (d-smic) reports encouraging three-year outcomes. The procedure achieved a 94.1% en bloc resection and 82.5% R0 resection rates. In low-risk patients under active surveillance, locoregional recurrence rates were low (7%), while intermediate-risk…
