Newsletter
Best Papers in General Surgery
The five that matter, every day.
An advanced interpretable machine learning model, based on the XGBoost algorithm, shows promising results in predicting anastomotic leakage (AL) following rectal cancer resection. Utilizing data from multiple centers, the model achieved an AUC of 0.984 in the test set, with high accuracy, sensitivity, and specificity.…
A novel convolutional neural network (CNN) algorithm for endoanal ultrasound (EUS) efficiently distinguishes between benign anal injuries, notably achieving 100% accuracy for fissures. In assessing external and internal lacerations, the model demonstrated 82.5% sensitivity and 93.5% specificity, alongside 91.7% sensitivity and 85.9% specificity, respectively. This…
A deep learning neural network (DLNN) showed superior predictive ability for postoperative complications in laparoscopic right hemicolectomy, achieving an accuracy of 86%. Key predictors included intraoperative minimal bleeding and adherence to fast-track recovery protocols. Compared to traditional machine learning models, the DLNN outperformed decision trees…
An overview of recent advancements reveals that endoscopic management of anastomotic leakage (AL) in the upper gastrointestinal tract has improved significantly. Endoscopic vacuum therapy (EVT) is now considered superior to traditional methods like sutures and stents, offering a lower complication rate and higher healing success.…
A comprehensive analysis of 4,557 patients revealed that prophylactic clipping after endoscopic mucosal resection for large non-pedunculated colon polyps resulted in significant cost savings. Specifically, in a typical case, clipping yielded an incremental cost-effectiveness ratio (ICER) of -$154,706. This technique proved cost-effective for large polyps…
A multifaceted surgical site infection (SSI) prevention bundle effectively decreased infection rates in patients undergoing emergency general surgery (EGS). The study reported significant reductions of 48% for superficial infections, 68% for deep infections, and 55% for intra-abdominal infections. Additionally, the median hospital stay shortened from…
Findings indicate that while reoperation rates for groin hernia repair are generally low, those who underwent totally extraperitoneal (TEP) repairs had a significantly higher risk of recurrence compared to transabdominal preperitoneal (TAPP) and Lichtenstein techniques in males. Specifically, TEP was associated with increased reoperation hazards…
Endoscopic ultrasound-guided fine-needle aspiration and biopsy (EUS-FNA/B) was found effective in diagnosing rectal and perirectal lesions in 79.2% of cases. Of 77 patients studied, EUS-FNA/B provided conclusive diagnoses, enabling timely treatment decisions—confirming malignancies in 32 patients and preventing unnecessary procedures in 14. A definitive diagnosis…
A deep learning radiomics model utilizing preoperative CT scans shows promise for non-invasively predicting the tumor immune microenvironment (TIME) in colorectal cancer patients. The Densenet-169 model achieved an AUC of 0.892 for tumor-stroma ratio (TSR), while the Densenet-121 model reached AUCs of 0.851 for tumor-infiltrating…
A multicenter trial involving 527 gastric cancer patients found that those receiving enhanced recovery after surgery (ERAS) showed significantly better three-year overall survival (86.56% vs. 80.11%) and disease-free survival (79.57% vs. 69.57%) compared to conventional care. The ERAS group experienced fewer complications, shorter hospital stays,…
