Newsletter
Best Papers in General Surgery
The five that matter, every day.
A nationwide analysis of pancreatic cancer patients reveals that those who underwent total pancreatectomy with a spleen-preserving approach exhibited significantly prolonged survival (17.3 months) compared to those who had splenectomy (9.6 months). The study highlighted splenectomy as an independent risk factor for shorter overall survival,…
A study examined laparoscopic parenchyma-sparing hepatectomy for colorectal liver metastases, comparing procedures using augmented reality navigation and fluorescence imaging (ARN-FI) versus traditional methods. Findings indicated that the ARN-FI group experienced shorter transection times, reduced postoperative stays, and wider margins, although recurrence-free survival rates did not…
In a study involving 11,976 frail patients undergoing emergency colon resections, minimally invasive surgery demonstrated significant benefits compared to open surgery. The approach was linked to lower rates of death (4.6% reduction), severe complications (6.9%), and overall complications (8.8%) within 30 days post-operation. Patients underwent…
A three-year prospective study on the RefluxStop implant for gastroesophageal reflux disease (GERD) revealed outstanding outcomes. Among 47 patients, there were no device-related adverse events or need for proton pump inhibitors post-treatment. The median GERD-HRQL score improved by 93.1%, while daily regurgitation decreased by 97.9%.…
A preoperative nomogram to predict surgical site infection (SSI) in colorectal cancer (CRC) patients was developed and validated using data from 1,445 patients. Seven key predictors were identified, yielding strong calibration and discrimination. The model achieved an area under the curve (AUC) of 0.838 in…
A systematic review and network meta-analysis of eight randomized controlled trials involving 1,803 biliary tract cancer patients found that adjuvant chemotherapy significantly enhances relapse-free survival and overall survival compared to observation alone. Notably, gemcitabine-based chemotherapy outperformed fluorouracil-based treatments in reducing recurrence rates. The analysis indicates…
The novel proximal smoke evacuation device demonstrated superior efficacy during laparoscopic procedures, effectively reducing in-screen smoke density by 85.47%. Compared to traditional evacuation methods, it maintained higher image quality and consistent pneumoperitoneum pressure, minimizing surgical interruptions caused by smoke. Analysis from 62 trials conducted by…
A study evaluating biopsy methods for malignant biliary strictures revealed that the SpyGlass™ Discover cholangioscopy guided biopsies significantly outperformed ERCP guided brushings. SpyGlass™ Discover identified 82% of malignancies compared to just 47% for brushings. Conducted on 46 patients, with 87% undergoing both procedures, the findings…
A study involving 755 laparoscopic hepatectomy patients found that maintaining a lowest central venous pressure (CVP) below 2 mmHg significantly increases the incidence of posthepatectomy liver failure (PHLF). After propensity score matching, results indicated that low CVP levels correlated with higher PHLF occurrence and elevated…
In a study involving 2,742 stage III colorectal cancer patients, high neutrophil-to-lymphocyte ratios (NLR) both before and after surgery were linked to significantly worse disease-free survival (DFS), overall survival (OS), and cancer-specific survival (CSS). Specifically, patients with consistently high NLR levels faced a 30% increased…
