Newsletter
Best Papers in General Surgery
The five that matter, every day.
Vaginal approaches, once rare in general surgery, are now gaining traction as a minimally invasive option. This study provides a practical guide for general surgeons to proficiently utilize the vaginal route, covering key aspects like specimen extraction and cuff closure. Understanding and mastering this technique…
Textbook Outcome Score (TOPS) in pancreaticoduodenectomy for ampullary carcinoma showed a significant 1-year survival benefit, with 34.2% achieving a positive score. TOPS proved valuable in assessing hospital quality metrics and short-term survival, with a 6.3% failure-to-rescue rate. Major complications affected a quarter of patients, highlighting…
Artificial intelligence in perioperative planning and management of liver resection holds immense promise for the future of liver cancer care. AI-driven advancements enable precise tumor detection, patient-specific treatment predictions, enhanced surgical precision, streamlined patient monitoring, and accelerated research development. The integration of AI revolutionizes liver…
Comparing outcomes between Enhanced Recovery After Surgery (ERAS) protocol and conventional care in esophagectomy, ERAS patients had fewer complications, shorter hospital stay, and better quality of life scores up to 3 months post-surgery. ERAS group outperformed in functional and symptom domains, showing advantages in dysphagia,…
Bowel dysfunction post rectal cancer surgery significantly impacts health-related quality of life. Key findings reveal traditional quality-of-life tools lack crucial concepts like mental functions and sexual functions, failing to fully capture the impact. By identifying these gaps, patient-centered care in rectal cancer surgery can be…
Minimally invasive surgery for left pancreatic resection in patients with resectable pancreatic neuroendocrine tumors reduces major complications and offers comparable long-term oncologic outcomes. A study comparing minimally invasive and open surgery showed lower rates of major morbidity, postoperative complications, and better outcomes with minimally invasive…
Prospective perioperative registry implemented in Ethiopia showed a 51.4% capture rate for 440 patients, with 5.4% missing data and 90.2% accuracy. Post-pilot modifications increased capture rate to 70.5%. This low-cost electronic registry signifies progress in improving surgical care in under-resourced areas. Strong partnerships and local…
Reduction in muscle mass, measured through L3-CT, is common in pancreatic cancer patients undergoing surgery. Preoperative low skeletal muscle index is significantly linked to lower overall survival rates but not to other postoperative outcomes. Evaluating skeletal muscle index preoperatively could help predict patient outcomes, highlighting…
Among elderly colorectal cancer patients, right-sided colon cancers (RCCs) demonstrated better long-term outcomes compared to left-sided colorectal cancers (LCCs). RCCs were more prevalent in female patients with renal comorbidities and a history of abdominal surgery. They were larger, invaded more deeply, and had unique histological…
Robotic surgery's role in emergency interventions remains underexplored. The ROEM study, involving 500 patients from 50 centers, aims to assess the feasibility, safety, and cost-effectiveness of using robotic platforms in treating acute pathologies like diverticulitis and cholecystitis. With a focus on specific pathologies, the study…
