Newsletter
Best Papers in General Surgery
The five that matter, every day.
A newly implemented mobile app for colorectal cancer (CRC) screening showed high adoption rates among healthcare professionals. With over 12,000 consultations recorded, the app facilitated appropriate recommendations, advising 50% of patients on using fecal occult blood tests instead of colonoscopies. Notably, the app supported the…
Elevated familiarity between surgeons and operating room staff correlates with reduced operation durations. An analysis of 257,645 operations revealed that teams with high familiarity achieved a 16% higher likelihood of completing procedures sooner than scheduled. Furthermore, cases led by familiar teams were found to be…
In an analysis of 1887 patients with gastro-oesophageal cancer, only those with a partial response to neoadjuvant FLOT chemotherapy showed significant improvements in disease-free survival (DFS) and overall survival (OS) when treated with adjuvant FLOT. Patients categorized as minimal responders or complete responders did not…
Despite achieving the desired future liver remnant volume through portal vein embolization, 12% of patients still experienced postoperative hepatic insufficiency following major hepatectomy. Key risk factors identified include older age, performance status, preoperative biliary drainage, and specific diagnoses such as cholangiocarcinoma or gallbladder cancer. Notably,…
A surgeon's journey highlights how patient needs prompted breakthroughs in surgical techniques. Innovations like serial transverse enteroplasty for short bowel syndrome and a novel approach for midaortic syndrome illustrate the significance of collaborative and patient-centered care. Emphasizing curiosity and iterative testing, these experiences showcase how…
A novel exercise intervention significantly enhances postoperative recovery and long-term survival rates in cancer patients. By examining various exercise modalities, including aerobic, strength, and flexibility training, the study demonstrates that tailored exercise therapies can improve physical abilities, reduce surgical complications, and shorten hospital stays across…
In a randomized trial involving 166 patients post-hemorrhoidectomy, ice packing significantly outperformed warm sitz baths. Within 16 hours, the ice packing group reported lower pain scores (p < 0.01) and demonstrated reduced swelling at 24 hours (76.8% vs. 56.0%, p = 0.03). Additionally, superior wound…
A systematic review analyzing 428 patients revealed that natural orifice specimen extraction (NOSE) for left-sided resections in diverticular disease is safe and feasible. Key findings indicated low rates of surgical site infections, a mortality rate of one, and reduced hospital stays averaging 4 to 6…
A prospective study involving 123 esophageal squamous cell carcinoma patients demonstrates that post-treatment circulating tumor DNA (ctDNA) and PET/CT metrics can effectively differentiate those with pathological complete response (pCR) from non-pCR patients. The model, integrating ctDNA concentration and mean standardized uptake value (SUVmean), achieved areas…
Minimally invasive surgery for frail patients undergoing emergency hernia repairs leads to shorter hospital stays compared to open surgery, according to data from the National Surgical Quality Improvement Program. The study analyzed 1,893 patients, revealing no increase in 30-day mortality or changes in discharge destinations.…
