Newsletter
Best Papers in General Surgery
The five that matter, every day.
A systematic review of 11 randomized controlled trials involving 2,323 patients indicates that both sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) show comparable hypertension remission within the first four years post-surgery. However, RYGB demonstrated a significantly greater effectiveness in achieving remission at five years…
In an evaluation of robotic surgical training, participants—including experienced robotic surgeons, laparoscopic surgeons, and novices—demonstrated varying skill levels across first-touch tasks. Robotic surgeons outperformed both laparoscopic surgeons and novices in pegboard and camera operations. It was observed that prior experience notably influenced first-touch skills, while…
A predictive nomogram developed using data from 241 colorectal cancer patients incorporates key inflammatory markers to assess lymph node metastasis risk. Significant independent risk factors include smoking history, neutrophil-lymphocyte ratio, lymphocyte-monocyte ratio, fibrinogen-albumin ratio, and fecal occult blood tests. The model demonstrates robust predictive capabilities,…
A retrospective analysis involving 2,163 asymptomatic individuals revealed that small-sized magnetically controlled capsule gastroscopy (mccg) successfully detected gastrointestinal issues such as submucosal tumors (1.57%), polyps (15.16%), and ulcers (1.25%). Detection rates for polyps were notably higher in females and increased with age. The procedure was…
In a study involving 805 trauma patients in Malawi, researchers found that 18.3% reported alcohol use. The alcohol saliva test (AST) showed a 95.5% agreement with breathalyzer results, with a kappa coefficient of 0.83. The AST's sensitivity was 78.5% and specificity was 99.3%, demonstrating excellent…
Gallbladder cancer patients who received oncological resection demonstrated significantly better overall survival rates compared to those undergoing cholecystectomy alone. Among 1,129 patients analyzed, 299 had complete resection, with survival rates at one, three, and five years markedly higher for these patients. Factors influencing inadequate surgical…
A combined prognostic model integrating deep learning-derived digital pathology features and clinical indicators demonstrated enhanced predictive accuracy for pancreatic ductal adenocarcinoma (PDAC) survival. In a study involving 142 postoperative cases, the combined model achieved a Harrell concordance index (c-index) of 0.86 in the training set…
A comprehensive evaluation of non-metastatic colon cancer outcomes revealed a nearly 10% increase in overall and cancer-specific survival rates over the last two decades. The analysis, encompassing over 195,000 patients, highlighted demographic disparities, particularly in proximal cancer cases, which were more prevalent among older, female…
The analysis of Medicare claims data from over five million surgeries indicated that older patients who had a nonST-elevation myocardial infarction (NSTEMI) within 30 days faced significantly higher odds of major adverse cardiovascular events (MACCE). In contrast, those with previous revascularization showed improved outcomes when…
A multicenter study developed a machine learning model to predict early recurrence in patients with perihilar cholangiocarcinoma (PCCA) after curative surgery. The model, leveraging five key factors, including carbohydrate antigen 19-9 and tumor size, achieved superior predictive performance, particularly with the random forest algorithm (AUC:…
