Newsletter
Best Papers in General Surgery
The five that matter, every day.
Revolutionary advancements like tracer-guided surgery with ICG fluorescence are reshaping surgical approaches, allowing for precise identification of anatomical structures, tissue perfusion assessment, and tumor detection. These innovations, coupled with the potential development of new tracers and imaging systems, signify a transformative era in surgery. A…
Colorectal cancer in elderly patients presents unique challenges with high morbidity and mortality rates. The CO-OLDER WSES project aims to collect data on patients aged ≥75 years with complicated colorectal cancer requiring emergency surgical management. This global study evaluates modifiable risk factors and outcomes, comparing…
Patients who underwent surgical repair for colonoscopy-related perforations had similar short-term morbidity and mortality rates compared to those undergoing elective or emergency colorectal surgeries. Mortality rate was 4.1%, with no significant difference among open colectomy, suturing, and laparoscopic colectomy. Laparoscopic colectomy had significantly lower morbidity…
High-risk adenomas and serrated polyps significantly increase the risk of colorectal cancer within 3 years post-polypectomy. Surveillance colonoscopy is vital for preventing subsequent cancer, especially for patients with high-risk polyps. The study highlights the importance of early surveillance within 3 years for patients with high-risk…
Antegrade balloon dilatation during laparoscopic cholecystectomy showed significantly fewer interventions and reduced treatment time compared to endoscopic retrograde cholangiography in patients with acute obstructive common bile duct stones. The 'abd-during-che' technique had a lower overall complication index and fewer major complications, highlighting its potential as…
Improved standardized procedures in minimally invasive total gastrectomy led to significantly lower late overall complications in patients with gastric cancer. Late intestinal complications decreased notably, with fewer patients requiring reoperation. The 3-year cumulative incidence rate of late complications was significantly lower post-standardization. This study underscores…
Nonoperative management of acute complicated diverticulitis with pericolic and/or distant extraluminal air is feasible and safe, with an 88% success rate among patients. While pericolic extraluminal air had a 93.1% success rate, distant extraluminal air had a 71.1% success rate. Distant subgroup showed higher failure…
Total pancreatectomy with islet autotransplantation (TPIAT) outcomes in patients with chronic pancreatitis differ based on genetic or nongenetic etiology. Patients with genetic pancreatitis undergo TPIAT at a younger age and have longer symptom duration. Despite lower islet yields, they maintain metabolic function similar to nongenetic…
Key study findings reveal that removing 14 lymph nodes during surgery for T3-4/N+ rectal cancer patients post neoadjuvant therapy significantly impacts survival outcomes. Notably, elderly and non-elderly patients showed distinct differences in overall and cancer-specific survival rates, supporting 14 lymph nodes as the optimal benchmark for…
Using machine learning, researchers identified serum creatinine levels, pre-transplant body weight, age of patients, and bkpyv infection as key predictors for early allograft loss in kidney transplant patients. The model achieved a high precision of 0.81, sensitivity of 0.61, specificity of 0.89, and auc value…
