Newsletter
Best Papers in General Surgery
The five that matter, every day.
High prevalence of sarcopenia and sarcopenic obesity in elderly male patients undergoing pancreatic surgery was associated with increased risk of severe postoperative complications. Visceral obesity and malnutrition did not impact outcomes significantly. Perineural invasion was common but unrelated to body composition. Findings highlight the need…
One-anastomosis gastric bypass (OAGB) and Roux-en-Y gastric bypass (RYGB) showed similar improvements in renal function one year post-surgery, with OAGB leading to greater weight loss. Both procedures resulted in significantly higher estimated glomerular filtration rates. Younger age and lower baseline renal function were associated with…
Feasibility and efficacy of robotic complete mesocolic excision (CME) with intracorporeal anastomosis for right colon cancer were analyzed in 110 patients. Results show a median operative time of 184 minutes, minimal blood loss, and low complication rates. Conversions were minimal, with acceptable postoperative outcomes. Robotic…
Emergency medical services impact evaluations in low and middle-income countries must prioritize community-led approaches, moving beyond mortality outcomes to consider factors like response times, economic impacts, and inclusion of underprivileged minorities. By co-creating context-tailored measures of success with local stakeholders, a decolonial holistic approach can…
Meta-analysis reveals patients with intrahepatic cholangiocarcinoma (iCCA) and FGFR2 alterations have significantly better overall survival outcomes compared to those without. Results suggest FGFR2 alterations could serve as a promising therapeutic target for managing iCCA, especially in cases of metastatic or unresectable tumors. This study presents…
Splenic artery embolization (SAE) demonstrates a 72% reduction in in-hospital mortality, shorter ICU length of stay, and lower transfusion requirements compared to splenectomy for hemodynamically stable adult trauma patients with high-grade blunt splenic injuries (Grade ≥ IV). SAE is associated with significantly improved outcomes, making…
3D laparoscopy demonstrates significant improvement in intraoperative blood loss, faster postoperative recovery, shorter operation time, and hospital stay compared to conventional 2D laparoscopy for radical rectal cancer surgery. However, no clear advantage was observed for radical colon cancer surgery. Additionally, 3D laparoscopy increases the number…
Robotic complex hepatectomy (RCH) offers advantages over laparoscopic complex hepatectomy (LCH) for patients with solitary hepatocellular carcinoma, showing lower blood loss, transfusion rates, and postoperative complications, including 30-day morbidity and post-hepatectomy liver failure. Additionally, RCH is an independent protective factor for reducing major morbidity. These…
Long-course chemoradiotherapy with consolidation chemotherapy, short-course radiotherapy with consolidation chemotherapy, and induction chemotherapy with long-course chemoradiotherapy outperform standard treatment for locally advanced rectal cancer, improving pathological complete response rates. These findings support their recognition as first-line treatments, offering good tolerability and optimal postoperative outcomes.
Novel nomograms utilizing multimodal imaging features and clinical data were developed and validated for predicting disease-free survival after TACE-based downstaging therapy followed by surgical resection in unresectable HCC patients. The nomograms outperformed five major staging systems in risk stratification, offering more accurate prognostic information to…
