Newsletter
Best Papers in General Surgery
The five that matter, every day.
A deep learning model utilizing multi-parametric MRI sequences effectively identifies lymph node metastasis in rectal cancer preoperatively. In trials involving 613 patients, this model, incorporating T2-weighted imaging, diffusion-weighted imaging, and dynamic contrast-enhanced sequence, achieved an area under the curve (AUC) of 0.808 in internal tests…
A practical evaluation in colorectal theaters revealed that shutting down equipment after hours could save a hospital £147,053 annually. Extending these practices across the entire facility, including computers, could lead to a collective saving of £487,760. This approach not only aids in achieving net-zero energy…
Early detection of anastomotic leakage (AL) post-low anterior resection for rectal cancer can significantly improve outcomes. Biomarkers such as CRP and PCT demonstrate high negative predictive values, facilitating timely interventions. Additionally, drainage fluid biomarkers like IL-6 and MMP9 showed enhanced site-specificity for leak detection. Novel…
A narrative review underscores the significance of radiological assessments following pancreaticoduodenectomy in detecting postoperative complications. Utilizing cross-sectional imaging, particularly contrast-enhanced computed tomography, allows for prompt diagnosis and better patient outcomes. The review highlights the complementary role of magnetic resonance imaging in identifying specific biliary and…
Emergency surgical patients with opioid use disorder (OUD) demonstrated significantly higher healthcare spending and utilization following discharge compared to those without OUD, indicating a heightened risk of complications. Analysis of 142,726 patients revealed that optimizing the use of opioid agonist treatment (OAT) preoperatively could enhance…
National trends indicate that the utilization of cytoreductive surgery (CRS) for metastatic colorectal cancer (mCRC) increased from 33.1% in 2004 to 38.3% in 2015. In a cohort of 88,593 patients, those undergoing CRS exhibited significantly better overall survival (OS) compared to non-surgical patients, with median…
A study evaluating augmented reality navigation combined with indocyanine green fluorescence in laparoscopic right hemihepatectomy found that this approach significantly reduced intraoperative blood loss (150 ml vs 250 ml) and lowered blood transfusion rates (13.5% vs 39.5%). Additionally, it improved one- and three-year recurrence-free survival…
A study involving 163 patients undergoing the enhanced-view totally extraperitoneal (ETEP) technique for ventral hernia repair revealed promising results. The average operative time was 137.2 minutes, with a low conversion rate to open surgery (2.5%). Postoperative complications included seromas (6.7%) and wound infections (3.1%), while…
A prognostic model incorporating positive lymph node ratio (LNR) significantly improves disease-free survival (DFS) predictions in yp stage III colorectal cancer patients post-neoadjuvant therapy. An optimal LNR threshold of 0.29 highlighted its role as an independent prognostic factor, with high LNR correlating to shorter DFS…
A novel risk score, PRETREAT, was developed to estimate post-transplant recurrence in patients with perihilar cholangiocarcinoma (pcca) following neoadjuvant therapy and liver transplantation. In a study involving 399 patients, the five-year recurrence rate was 29.7% in the development cohort and 27.6% in the validation cohort.…
