Newsletter
Best Papers in General Surgery
The five that matter, every day.
A meta-analysis revealed a 11.73% rate of unplanned readmissions within 31 days post-colorectal cancer surgery. Significant risk factors include age, postoperative complications, advanced tumor stage, rectal tumor site, stoma creation, complicated diabetes, Charlson comorbidity index, blood transfusions, longer hospital stays, and surgical approach. Additionally, being…
A systematic review revealed that among 8,458 bile duct samples with indeterminate cytology, the overall risk of malignancy was 60.1%. Specifically, atypical cytology had a malignancy risk of 50.4%, while suspicious cytology exhibited a higher risk at 80.2%. Furthermore, suspicious cytology significantly correlated with a…
Ultrasonography proved vital in assessing postoperative fluid collections after pancreaticoduodenectomy. A study of 309 patients revealed that those undergoing laparoscopic pancreaticoduodenectomy (LPD) experienced significantly fewer fluid collections (39.2% vs. 59.3%) and shorter hospital stays (16 vs. 21 days). Additionally, LPD patients had reduced fever duration,…
Through a comprehensive review, researchers highlight the efficacy of proton beam therapy (PBT) in managing hepatocellular carcinoma (HCC), particularly for patients with portal vein tumor thrombosis (PVTT). PBT demonstrates promising tumor local control and overall survival rates while offering a safer alternative to traditional photon…
A systematic review of 51 studies revealed that remote patient monitoring (RPM) is highly effective for wound care, with 93.75% of the analyzed studies showing positive results. The review, covering research from 2008 to 2023, emphasizes the role of RPM in enhancing healthcare quality and…
A sphincter-preserving total fistulectomy technique demonstrated a 97.7% cure rate and a low recurrence rate of 0.7% in 618 patients treated for anal fistulas. No instances of severe postoperative faecal incontinence were recorded, with an overall incontinence rate of just 0.7%. While supralevatoric fistulas showed…
An AI-driven Geriatric Emergency Perioperative Risk Index (GEPR) effectively predicts postoperative in-hospital mortality for elderly patients undergoing emergency general surgery. Utilizing data from 1,500 patients, the Random Forest Classifier algorithm excelled in accuracy, achieving a c-statistic of 0.872. The probability of in-hospital mortality varied significantly,…
A study involving 193 colon cancer patients revealed that only those with persistent postoperative inflammation faced a heightened risk of muscle wasting and poor prognosis. Groups characterized by consistent high inflammation demonstrated significant increases in muscle loss compared to those with low inflammation. Elevated inflammation…
Indocyanine green (ICG) significantly boosts procedural adjustments and tumor identification in minimally invasive liver surgery, according to findings involving 72 patients. Intraoperative ICG visualization proved "helpful" for 88% of surgeons, with meaningful differences in tumor positivity (12.2% in the ICG group vs. none in the…
A significant rise in ulcerative colitis prevalence was noted in Brazil, escalating from 17.31 to 84.23 per 100,000 between 2012 and 2022, with an annual increase of 15%. Conversely, while colectomy procedures accounted for 69.4% of surgeries, the percentage relative to total UC patients decreased…
