Newsletter
Best Papers in General Surgery
The five that matter, every day.
The implementation of the acute care surgery (ACS) model at Chang Gung Memorial Hospital has revolutionized trauma care in Taiwan. This comprehensive approach, covering all stages from admission to discharge, has significantly improved patient outcomes. By broadening the role of trauma surgeons, the model not…
The research highlights a significant appendiceal tumor prevalence of 14.3% among patients with periappendicular abscess, markedly higher compared to 1.5% in those with uncomplicated appendicitis. Notably, age is a key risk factor, with patients over 35 years exhibiting increased tumor rates. The study proposes routine…
Findings indicate significant differences between insulinomas and non-functional pancreatic neuroendocrine neoplasms (nf-pnens) regarding prognosis and tumor biology. nf-pnens exhibited higher rates of lymph node involvement, perineural invasion, and more advanced tumor grades. The study's multivariate analysis revealed that nf-pnens with lymph node metastasis and high…
Endoscopic ultrasound-guided tissue acquisition (EUS-TA) demonstrated high diagnostic yields in biliary lesions, achieving 96.3% sensitivity and 100% specificity. Of 71 cases, 54 were diagnosed as malignant, marking a 76.1% malignancy rate. When combined with endoscopic retrograde cholangiography (ERC), EUS-TA increased overall diagnostic accuracy from 82.5%…
In a nationwide cohort study, researchers found that discrepancies between radiologic findings and pathological evaluations in hepatocellular carcinoma patients undergoing resection are linked to worse survival outcomes. Specifically, discordance in more than two factors notably increased the hazard ratio to 3.251. Factors like lymph node…
A study involving 101 patients over 55 years undergoing emergency laparotomy revealed that sarcopenia, myosteatosis, and frailty are critical in predicting adverse outcomes. Notably, low grip strength and positive sarc-f questionnaire scores significantly associated with increased rehabilitation admission risk and likelihood of not returning home.…
EUS-guided pelvic abscess drainage (EUS-PAD) using lumen-apposing metal stents demonstrates high efficacy and safety in managing complicated acute diverticulitis. In a study involving 53 patients, the procedure achieved a technical success rate of 92.5% and a clinical success rate of 88.7%. Adverse events were minimal,…
Incorporating next-generation sequencing (NGS) into the management of pancreatic cysts improved diagnostic precision and surgical decision-making. In a retrospective study of 441 patients, NGS revealed high-risk mutations in 55.3% of those with unclear cyst types, guiding management changes for 26.1% of patients. Specifically, NGS demonstrated…
Bariatric surgery significantly improves survival outcomes among patients with obesity and cirrhosis, showing observed survival of 9.09 years compared to 8.23 years for lifestyle interventions. The incremental cost-effectiveness ratios were $18,679 for sleeve gastrectomy and $44,704 for gastric bypass in cirrhosis cohorts, proving cost-effective when…
Analysis of nearly 119,000 necrotizing fasciitis patients revealed women and certain racial minorities faced significantly higher in-hospital mortality than white counterparts. Women were 18% more likely to die, while Asian and Hispanic patients also showed increased mortality risks. Additionally, these groups experienced longer hospital stays…
