Newsletter
Best Papers in General Surgery
The five that matter, every day.
Parathyroid glands in primary hyperparathyroidism exhibit distinct near-infrared autofluorescence (NIRAF) signatures, with normal glands showing higher intensity (2.68 vs 2.09 pixels, p
Increased frailty, as measured by the modified 5-item frailty index (mFI-5), significantly predicts adverse postoperative outcomes for gastric cancer patients undergoing gastrectomy. Among 7,438 patients, those with an mFI-5 score of 2 or higher faced a 1.43 times greater risk of overall complications and a…
Higher-level care at hospitals participating in the ACS NSQIP targeted registry significantly improves esophagectomy outcomes. Analysis indicated targeted centers had a lower mortality rate (2% vs. 4%) and failure-to-rescue rate (11% vs. 17%), alongside a greater likelihood of optimal outcomes (62% vs. 58%). Notably, Ivor…
The meta-analysis examined outcomes of proximal gastrectomy versus total gastrectomy in 1154 patients. Results indicated that while proximal gastrectomy had a slightly longer operating time, it yielded better results in hemoglobin levels and reduced need for vitamin B12 supplementation. Early and late-phase complications were comparable…
A high-dose amino acid supplementation in patients undergoing gastrointestinal tumor surgery was associated with a significant reduction in infection incidence during hospitalization and within 30 days post-surgery compared to standard care. The amino acid intake was higher in the supplementation group (1.81 g/kg vs. 0.94…
A study involving 3,778 older adults showed significant associations between depression, resilience, and perceived control of health with mortality and functional decline following surgery. Postoperative mortality was 18.5%, while 9.4% experienced a decline in instrumental activities of daily living (IADL). Depression increased mortality risk (26%…
In a study involving 262 Crohn's disease patients, ileal and colonic mucosa-associated microbiota deviations were identified as predictors of disease recurrence after surgical remission. Of 97 patients in remission, those who later developed endoscopic recurrence exhibited reduced microbial diversity and specific microbial shifts, notably a…
A study analyzed preoperative endoscopic findings in 405 patients undergoing bariatric surgery, revealing chronic superficial gastritis (80.5%) and reflux esophagitis (20.2%) as the most common conditions. Higher rates of reflux esophagitis were associated with older age, male gender, elevated BMI, smoking, and drinking. Risk factors…
A systematic review assessed laparoscopic adrenalectomy (LA) for adrenal masses exceeding 5 cm, involving 963 patients across 25 studies. The mean tumor size was 7.05 cm, with the transperitoneal approach utilized for larger tumors averaging 12.10 cm. The average operative time was 137.4 minutes, with…
The review highlights the evolving role of endoscopic ultrasound (EUS) in managing pancreatic neuroendocrine tumors (PanNETs), addressing their increasing incidence and associated diagnostic and therapeutic challenges. EUS has advanced from solely a diagnostic tool to facilitating minimally invasive locoregional therapies. Surgical intervention remains paramount, especially…
