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General Surgery

Best Papers in General Surgery

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Intestine and Lower Gastrointestinal Tract13 Jan 2025

Quality of life improvements for rectal cancer patients identified

Advances in rectal cancer therapies, including neoadjuvant treatments and organ-preserving strategies, have led to enhanced quality of life (QOL) for patients. Key assessments, such as the FACT-C scale and EORTC's QLQ-30, reveal that factors like tumor location and treatment types significantly influence QOL. Intriguingly, strategies…

Asian J Endosc Surg13 Jan 2025

Indocyanine Green Tattooing Enhances Tumor Localization in Surgery

Preoperative indocyanine green tattooing significantly enhances the accuracy of tumor localization during robotic-assisted rectal surgery. By utilizing the fluorescence properties of this dye, surgeons can effectively identify tumor sites, mitigating the challenges posed by traditional methods like india ink tattooing and clipping. This innovative approach…

Dis Colon Rectum12 Jan 2025

Minimally invasive surgery for colorectal cancer is on the rise.

Between 2010 and 2020, minimally invasive surgery for colorectal cancer surged, with robotic procedures showing significant growth. Open surgeries decreased across all facilities, while total minimally invasive surgeries surpassed open techniques from 2013 onward. Colon cancer treatments saw laparoscopic surgeries peak at 54.0% in 2016,…

Hernia12 Jan 2025

AI enhances anatomical recognition in hernia surgery

An artificial intelligence system, Eureka, was validated for its ability to accurately identify dissection layers, nerves, vas deferens, and microvessels during transabdominal preperitoneal inguinal hernia repair. Key metrics included mean intersection over union scores of 0.33 for connective tissue, 0.24 for nerves, 0.50 for vas…

Int J Surg12 Jan 2025

Identification of six hub genes for NAFLD treatment

Comprehensive machine learning facilitated the identification of 12 consensus predicted genes (CPGs) linked to non-alcoholic fatty liver disease (NAFLD) following metabolic and bariatric surgery (MBS). A mouse model confirmed the mRNA expression of six hub genes—PPARA, PLIN2, MED13, INSIG1, CPT1A, and ALOX5AP—showing strong correlations with…

Gut Liver12 Jan 2025

Favorable long-term outcomes observed in gastric neuroendocrine tumors

A study analyzing 69 patients with gastric neuroendocrine tumors (GNETs) showed a favorable prognosis, with 5-year survival rates at 93.8% and recurrence rates at 7.25%. Most tumors were grade 1 and type I, with treatment variations between tumor grades; grade 1 patients often opted for…

Intestine and Lower Gastrointestinal Tract12 Jan 2025

Cold snare polypectomy shows superior safety for small polyps

A comparison of polypectomy techniques reveals that cold snare polypectomy (CSP) offers a significantly safer alternative to hot snare polypectomy (HSP) for polyps under 10 mm. While both methods have similar efficacy, CSP reduces risks of adverse events like bleeding and perforation. With most colorectal…

Ann Surg Oncol11 Jan 2025

Improvements noted in cancer recurrence data reporting quality

A significant decline in cancer recurrence data missingness was observed from 2004 to 2021, with reduction rates of 7.3% for breast and 11.5% for pancreatic cancers. However, challenges persist, notably inadequate physician documentation and interpretation variability. Factors such as driving distance and geographic location contributed…

Ann Surg Oncol11 Jan 2025

Machine learning effectively predicts early recurrence in gastric cancer.

A multicenter study identified early recurrence (ER) within two years post-surgery in 15% of 11,615 gastric cancer patients. Utilizing machine learning, researchers developed a stacking ensemble model that achieved an area under the receiver operating characteristic curve of 1.0 for training and 0.8 for testing,…

Perspectives, Opinions and Curiosities11 Jan 2025

Simulation-Based Education Enhances Surgical Training Globally

Simulation-based education emerges as a vital adjunct to traditional surgical training, addressing challenges like patient safety and increasing healthcare demands. By providing realistic training environments, it enhances both technical and nontechnical skills, including communication and teamwork. Telesimulation enables remote training opportunities, potentially reducing disparities between…