Newsletter
Best Papers in General Surgery
The five that matter, every day.
A multicenter study developed and validated a scoring system to predict the risk of not achieving textbook outcomes (non-TOS) following hepatectomy for hepatocellular carcinoma (HCC). The scoring system, based on factors like obesity, ASA score, Child-Pugh grade, tumor size, and extent of hepatectomy, accurately stratified…
A prospective multicentre study aims to identify biomarker combinations that can accurately diagnose acute mesenteric ischaemia (AMI) and distinguish between reversible and irreversible bowel ischaemia. Serum biomarkers including I-FABP, Alpha-GST, IL-6, PCT, IMA, D-lactate, D-dimer, SCUBE-1, and LBP will be measured in adult patients with…
Nursing care interventions significantly reduce pain and anxiety in patients undergoing ambulatory surgery, according to a meta-analysis of nine studies. Pain reduction (SMD = -1.224) and anxiety reduction (SMD = -1.53) were substantial, though improvements in functional status were not significant. High heterogeneity was observed…
Minimally invasive liver resection (MILR) demonstrated superior outcomes compared to open surgery in a study of 260 patients. MILR, performed in 68% of cases, resulted in shorter operative times, less blood loss, lower rates of major complications and bile leaks, and reduced hospital stays. Despite…
Malnutrition, common among gastric cancer patients, can be improved with nutritional support after gastrectomy. Total gastrectomy poses significant challenges, but function-preserving surgeries show promise. Effective nutritional screening and support enhance outcomes, including reduced complications and improved quality of life. Preoperative interventions vary in effectiveness, while…
Subgrading G2 pancreatic neuroendocrine tumors into 2A (Ki67 3% to < 10%) and 2B (10% to ≤ 20%) identifies distinct subsets with different metastasis rates and aggressiveness. G2B cases show significantly higher rates of liver/distant metastasis, lymph node metastasis, and histopathologic signs of aggressiveness compared…
A circulating exosomal microRNA panel, robustly predicting peritoneal metastasis in advanced gastric cancer patients, was developed and validated with remarkable accuracy. The risk-stratification model, combined with currently used tumor markers, significantly outperformed conventional clinical factors in predicting metastasis. This novel liquid biopsy assay shows potential…
Anatomical variations of the recurrent laryngeal nerve (RLN) during thyroidectomy, such as extralaryngeal branching and relation to the inferior thyroid artery (ITA), significantly increase the risk of vocal cord paralysis (VCP). This retrospective study on 1070 neck sides found that extralaryngeal branching nerves had higher…
Robot-assisted ventral hernia repair is associated with decreased length of stay and lower complication rates compared with open repair, resulting in a more cost-effective procedure. In a retrospective cohort study, patients undergoing robot-assisted repair had a significantly shorter mean stay of 0.3 days, lower readmission…
Laparoscopic segmentectomy using ICG fluorescence navigation with the negative staining method showed superior outcomes compared to open segmentectomy. Patients who underwent laparoscopic surgery experienced shorter operative times, reduced blood loss, and shorter hospital stays. Additionally, they had significantly fewer grade II and grade III or…
