Subscribe free

Newsletter

General Surgery

Best Papers in General Surgery

The five that matter, every day.

FreeNo spamOne-click unsubscribe
J Surg Oncol20 Nov 2024

Preoperative anemia significantly increases the risk of transfusion.

A study of 15,414 patients undergoing elective gastrointestinal cancer surgery revealed that preoperative anemia affects 55.5% of cases, with 58.3% of anemic patients also iron deficient. Preoperative anemia is linked to a nearly threefold increase in the risk of red blood cell transfusion and adversely…

Eur J Gastroenterol Hepatol20 Nov 2024

Clinical indicators can predict complications post-thermal ablation.

A study involving 218 patients undergoing thermal ablation for hepatocellular carcinoma found that 52.8% experienced complications. Key independent predictors included tumor size, area, and abnormal aspartate aminotransferase levels. Specific complications such as postoperative pain and fever were noted, with 6.9% of patients facing major issues.…

J Hepatobiliary Pancreat Sci20 Nov 2024

Improved survival observed in colorectal liver metastasis patients

Data from 5,085 patients newly diagnosed with colorectal liver metastasis (CRLM) between 2013 and 2017 showed a significant increase in survival rates compared to 3,820 patients diagnosed from 2005 to 2007. The five-year overall survival rate after hepatectomy improved from 56.7% to 62.4%. Despite a…

JAMA Surg19 Nov 2024

Vagus nerve preservation reduces postoperative complications in gastric cancer

A randomized clinical trial involving 264 patients with early distal gastric cancer demonstrated that preserving the vagus nerve during laparoscopic distal gastrectomy significantly reduced the incidence of postoperative gastroparesis (0.8% vs. 7.6%) and gallstone formation (0% vs. 6.8%) compared to resection. Quality of life assessments…

Surg Endosc19 Nov 2024

Structured mentorship improves laparoscopic bile duct exploration outcomes

A structured mentorship program significantly expedited the learning curve for laparoscopic common bile duct exploration (LCBDE). The mentee's initial 100 cases showed a lower median postoperative hospital stay of 2 days versus 5 days for the mentor's initial 100 cases, alongside a higher transcystic approach…

Saudi Med J19 Nov 2024

High burnout rates among emergency and surgical residents identified

A study conducted at King Faisal University found that 63% of emergency and surgical residents reported experiencing burnout, with notable emotional exhaustion (55%) and depersonalization (28%). Significant associations with burnout were noted across demographic factors such as gender, marital status, and experience level. The results…

BMC Surg19 Nov 2024

Predictive model identifies risk factors for delayed gastric emptying after pancreatectomy

A novel predictive model was successfully developed to assess the risk of clinically relevant delayed gastric emptying (DGE) in patients undergoing total pancreatectomy (TP). Key risk factors include end-to-side gastrointestinal anastomosis, intraoperative blood transfusion, and venous reconstruction. The model demonstrated robust prediction accuracy with ROC…

Intestine and Lower Gastrointestinal Tract19 Nov 2024

Laser hemorrhoidoplasty demonstrates high satisfaction and effectiveness in Bangladesh

Laser hemorrhoidoplasty proved effective for grade II-IV hemorrhoids in 86 patients, achieving 100% reduction in size and 97.7% satisfaction. The procedure, averaging 14.7 minutes, showed significant improvement in pain and overall health across three follow-up periods. While complications were noted in 19.8% of cases by…

Langenbecks Arch Surg18 Nov 2024

Robotic surgery enhances outcomes in rectal cancer procedures

Robotic-assisted rectal resection significantly reduces conversion rates and shortens hospital stays compared to open and conventional laparoscopic surgeries. In a study involving 106 non-metastatic rectal cancer patients, robotic surgery resulted in a conversion rate of 3.57% and an average hospital stay of 11.5 days, versus…

Intestine and Lower Gastrointestinal Tract18 Nov 2024

Screening from Age 40 Can Improve Early Detection of Colorectal Cancer

The increasing incidence of early onset colorectal cancer (EOCRC) in individuals under 50 prompts calls for proactive screening starting at age 40. Current modeling supports the cost-effectiveness of using fecal immunochemical tests and colonoscopy for this age group. Notably, some countries that have initiated screening…