Newsletter
Best Papers in General Surgery
The five that matter, every day.
Shock index (SI) is a valuable tool for predicting postoperative mortality, acute kidney injury (AKI), ICU admission, and ICU length of stay in major abdominal emergency surgery patients. Significant associations were found between SI and mortality at 1 month, 3 months, and 2 years. Multivariate…
Researchers found that using 3D visors for immersive robotic surgery training garnered positive feedback from medical students and residents. Nearly 90% of participants expressed high engagement and intention to use the technology. The median System Usability Scale score was 80, and the median Simulator Sickness…
Aberrant hepatic artery is common in patients with hepatocellular carcinoma, with complex variations impacting treatment. A retrospective study of 1250 patients showed a high incidence of aberrant hepatic artery (21.3%), affecting operation duration and postoperative outcomes. Variations included aberrant left and right hepatic artery origins.…
Establishing preoperative chemotherapy (PCT) with FOLFIRINOX and gemcitabine/nab-paclitaxel enabled resectability in 61.2% of 139 patients with initially unresectable locally advanced pancreatic cancer. PCT did not increase perioperative mortality or morbidity, with 92.9% achieving R0 resection. Median postoperative survival was 31 months, highlighting the significant potential…
Laparoscopic surgery shows improved survival rates, less bleeding, shorter hospital stays, and lower complication rates compared to open surgery for gallbladder cancer. However, concerns remain due to factors like incidental cancer, heterogeneity, publication bias, and lymph node dissection. Subgroup analyses suggest ethnicity, sample size, and…
Introduction of decision support tool (DST) for appendicitis treatment led to reduced uncertainty in treatment choice, with significant shifts from undecided to antibiotic or surgery preference. Over half of users reported low decisional conflict levels post-DST, indicating enhanced clarity. The publicly available DST, appyornot.org, showed…
Novel miniaturized robotic-assisted surgery device demonstrated safety and efficacy in colectomy procedures, with no conversions to open surgery, adverse events, or mortalities. The study included 30 patients, showcasing successful completion of procedural steps and minimal morbidity rates. Results suggest potential for expanded clinical and economic…
Robotic natural orifice specimen extraction surgery (r-noses) exhibits advantages over robotic transabdominal specimen extraction surgery (r-tses) for early-stage rectal cancer. A multicenter study in China revealed r-noses resulted in longer operation time, but shorter times to first flatus and oral intake, reduced hospital stay, lower…
Endoscopic submucosal dissection (ESD) demonstrated superior efficacy over endoscopic mucosal resection (EMR) in treating rectal lesions involving the dentate line. ESD had higher en bloc and complete resection rates, lower recurrence rates, and higher curative rates, especially for low-risk adenocarcinomas. ESD should be considered the…
ERAS program in laparoscopic distal gastrectomy significantly reduced postoperative recovery time, hospital stays, and costs compared to traditional care. Patients in the ERAS group also had lower postoperative complication rates. Combining ERAS with laparoscopy was safe and effective for managing distal gastric cancer perioperatively. These…
