Newsletter
Best Papers in General Surgery
The five that matter, every day.
A newly developed deep learning system effectively identifies extrahepatic bile ducts in real-time during laparoscopic cholecystectomy. Trained on 3,993 images, the YoloV7 model achieved a mean average precision of 0.846 overall, with specific accuracies of 94.39% for the common bile duct and 84.97% for the…
A large-scale population-based cohort study involving 4,932,211 adults revealed that individuals with metabolic syndrome face a significantly heightened risk of cholangiocarcinoma, with a multivariate-adjusted hazard ratio of 1.20. During 35,879,371 person-years of follow-up, there were 6,117 identified cases, with incidence rates rising in correlation with…
A systematic review involving 12,469 patients indicates that broad-spectrum penicillin-based antibiotics (bs-ab) notably reduce surgical site infections, postoperative pancreatic fistula rates, and mortality compared to standard cephalosporins. Specifically, bs-ab led to a 47% decrease in surgical site infections and a 38% reduction in postoperative pancreatic…
The study demonstrates the development of automated surgical action recognition models, achieving significant accuracy in competency prediction during laparoscopic cholecystectomy. Analysis of the cholec80 dataset revealed that high-competency groups exhibited shorter dissection durations and higher scores on established evaluation metrics. A random forest model achieved…
In Ethiopia, adherence to Enhanced Recovery After Surgery (ERAS) guidelines was achieved in 65.2% of cases among 555 patients reviewed. The study revealed that following all five ERAS recommendations led to a remarkable reduction of approximately 5 days in postoperative hospital length of stay (LOS),…
A novel multi-angle suture training module significantly improved the laparoscopic skills of surgical residents. In a study involving 36 second-year surgical residents, those trained with the multi-angle module completed laparoscopic end-to-end anastomosis surgeries faster (3375.7 s vs. 4678.2 s) and scored higher in surgical performance…
Between 2003 and 2020, necrotizing fasciitis (NF) deaths in the U.S. surged by 120.6%, from 824 to 1,842 annually. The age-adjusted mortality rate rose from 0.44 to 0.71 per 100,000 people. Males faced higher mortality overall, with a stark rise post-2015. American Indian or Alaska…
Combining contrast-enhanced CT with MRI significantly boosts the detection of colorectal liver metastases, achieving sensitivity rates of 96.5% compared to 90.6% for MRI alone. Specificity also improved, from 95.3% to 98.3%. Notably, radiologists reported higher diagnostic confidence in 78.8% of cases with the combined approach,…
Recent findings reveal that immune checkpoint inhibitors (ICIs) significantly improve treatment outcomes for advanced gastric adenocarcinoma (GAC), especially in patients with specific molecular subtypes such as MSI-H and HER2-positive. Combining ICIs with chemotherapy or targeted therapies enhances efficacy, despite the risk of immune-related adverse events…
Recent advancements in obesity treatment highlight new pipeline agents that effectively match weight loss results of surgery. Notably, GLP-1 analogs not only reduce weight but also improve obesity-related health issues. However, significant gaps remain, with alternative treatment options needed to address muscle mass loss and…
