Newsletter
Best Papers in General Surgery
The five that matter, every day.
A multicenter analysis involving 1,210 early gastric cancer patients revealed that vagus nerve-preserving gastrectomy enhances perioperative safety and postoperative quality of life. Patients experienced shorter hospital stays and fewer complications such as diarrhea and acid reflux. A validated 6-point risk assessment model, derived from key…
Surgical training is enhanced by newly developed low-cost, high-fidelity skin and intestine surrogates. Utilizing 3D printing and readily available silicone materials, these models significantly improve biomechanical accuracy compared to industry standards. Feedback from surgical residents at the University of Missouri School of Medicine highlights their…
A systematic review identified osteopenia as a significant prognostic factor for overall survival (OS) and recurrence-free survival (RFS) in gastrointestinal cancer patients, with pooled hazard ratios of 2.20 and 2.15, respectively. Patients with osteosarcopenia faced threefold higher mortality and increased recurrence risk, highlighted by pooled…
A population-based analysis of 6,857 patients with de novo metastatic colon cancer developed a nomogram to predict overall survival (OS) and cancer-specific survival (CSS). Key prognostic factors included histological grade, age, cancer stage, metastasis presence, perineural invasion, carcinoembryonic antigen levels, chemotherapy, and surgery. The nomogram…
In a study involving patients undergoing elective lobectomy, maximum constriction velocity (mcv) of pupils was identified as a strong independent predictor of postoperative nausea and vomiting (PONV). Those with higher mcv showed an 87% reduced risk of PONV, while gender impacted risk, with males having…
A national study reveals significant aging among general surgeons, with 28.1% in rural areas aged 65 and older versus 20.2% in urban regions. This demographic shift suggests a looming shortage, as 60% of rural surgeons are set to retire within the next decade. The findings…
Analysis of trauma patients indicated that whole blood (WB) transfusion is linked to fewer complications compared to balanced component therapy (BCT). The study found shorter ICU stays and significantly lower rates of acute kidney injury, respiratory distress syndrome, cardiac arrest, deep vein thrombosis, and other…
A multicentre trial will assess the effects of perioperative oral decontamination and immunonutrition on postoperative pneumonia in elderly surgical patients. Targeting 592 individuals aged 65 and older, researchers will compare outcomes from standard care against interventions involving chlorhexidine decontamination and nutritional supplementation. The primary measure…
A nationwide study in Finland reveals that minimally invasive oesophagectomy (MIO) significantly lowers rates of surgical complications compared to open oesophagectomy (OO). Key findings include reductions in anastomotic leakage (10% vs. 14%), major complications (35% vs. 47%), and reoperations (18% vs. 26%). While rates of…
A systematic review and meta-analysis of 12 observational studies indicates that conversion surgery significantly improves overall survival at 1, 3, and 5 years and boosts progression-free survival at 1 and 3 years for patients with stage III-IV gastric cancer undergoing chemotherapy. Although adverse event rates…
