Newsletter
Best Papers in General Surgery
The five that matter, every day.
A novel machine learning model effectively predicts perineural invasion (PNI) in intrahepatic cholangiocarcinoma (ICC) patients preoperatively, offering new insights for clinical decision-making. The XGBoost algorithm demonstrated superior predictive performance, highlighting tumor size, number, and lymph node metastasis as key factors. Significant differences were observed in…
An innovative endoscopic assistive robot utilizing motion capture control allows surgeons to operate the endoscope with one hand, improving independence during procedures. The design addresses traditional friction wheel issues with an omnidirectional wheel, achieving a maximum delivery error of just 3.99% and enhancing rotational precision…
A novel predictive model, MS-TimeXer-MoE, demonstrates significant effectiveness in forecasting traumatic hemorrhagic shock among patients. Utilizing data from 4,870 trauma cases, it successfully predicts shock occurrence with an AUC of 0.8995 and a recall rate of 0.8607. This model integrates vital signs and demographic factors,…
A multicenter study demonstrated the efficacy of machine-learning diagnostic models in differentiating uncomplicated from complicated acute appendicitis (AA). Among three developed models, the clinical-radiomics-fused model employing a random forest algorithm achieved the best area under the curve (AUC) of 0.84 in the testing cohort. This…
Enhanced strategies for laparotomy wound management, including advanced therapies like VAC and bioengineered materials, show promise in reducing complications such as infection and hernia. The integration of gene and molecular therapies accelerates healing by promoting new blood vessel formation and tissue regeneration, while RNA interference…
A study analyzing data from 234 pancreatoduodenectomy patients established that dynamic risk stratification using serum pancreatic amylase and other biomarkers can effectively identify those at high risk for clinically relevant postoperative pancreatic fistula (POPF). The findings indicate that serum pancreatic amylase levels on postoperative days…
Trans T-tube cholangial drainage (TTCD) demonstrates superior outcomes for bile leakage management at biliary-enteric anastomosis, achieving a technical success rate of 100% compared to 88.9% with percutaneous transhepatic cholangial drainage (PTCD). Both techniques reduced bilirubin levels significantly; however, the TTCD group experienced less intraoperative bleeding,…
Clinicians established that for early-stage esophageal squamous cell carcinoma, dissection of at least 17 lymph nodes significantly boosts survival rates. Tailored recommendations emerged based on tumor location: upper thoracic tumors require 19 lymph nodes, middle thoracic 17, and lower thoracic 18. Multivariate analysis identified total…
A novel terminal ileal vein (TIV) approach enhances identification of the superior mesenteric vein during laparoscopic right hemicolectomy, leading to improved surgical outcomes. In a study of 196 patients, the TIV method resulted in significantly shorter operation times (186 vs. 210 minutes) and reduced intraoperative…
Application of glubran 2, a cyanoacrylate-based sealant, in ileocolic anastomoses during right colectomy significantly reduced anastomotic leak (AL) rates from 6.18% to 1.85% (p
