Newsletter
Best Papers in General Surgery
The five that matter, every day.
Recycling over 30% of general surgery operating room waste could lead to a 6% reduction in carbon footprint and 3% cost savings annually. Implementing recycling policies and promoting waste segregation could significantly impact both the environment and finances of surgical facilities. Surgeons play a key…
Serum amylase ≥120 IU/L on postoperative day one is a robust predictor of postoperative pancreatic fistula after pancreaticoduodenectomy. In a study of 132 patients, high serum amylase level, soft pancreatic texture, and high-risk pathology were independent risk factors for fistula development. For patients with soft…
MRI-based radiomics features, combined with tumor markers, effectively predict TN staging in rectal cancer patients. Radiomics score, aided by key radiomics features, is an independent predictor of T staging and N staging. When combined with traditional tumor markers, such as CEA and CA19.9, the model…
Postoperative pancreatic fistulas are a significant issue following partial pancreatectomy. A meta-analysis of 18 randomized clinical trials involving 2326 patients revealed that both artificial and autologous coverage techniques reduced the incidence of postoperative pancreatic fistulas by 29%. Specifically, autologous coverage was even more effective for…
Novel technologies and opportunities in surgical education can improve effectiveness and efficiency. Recommendations include establishing a multidisciplinary oversight body and personalized educational programs. Consensus on implementing these technologies was high. Advancements in technology-based assessment and data analytics have the potential to elevate the quality of…
Targeted therapy plus immunotherapy combined with hepatic arterial infusion chemotherapy (FOLFOX) showed a 60.4% objective response rate and 83.0% one-year overall survival in patients with unresectable hepatocellular carcinoma. The regimen demonstrated a 34.0% surgical conversion rate, with manageable adverse events. These findings suggest a promising…
Patients who have undergone adenoma with high-grade dysplasia (HGD) removal face higher risks of advanced neoplasia (AN) and colorectal cancer (CRC), with AN and CRC incidences of 44.3 and 4.4 per 1000 person-years, respectively. Those with synchronous polyps or elevated baseline carcinoembryonic antigen levels are…
High-risk patients identified by the mnutric score had significantly poorer in-hospital survival rates compared to low-risk patients. Adequate nutritional support was associated with improved prognosis, highlighting the importance of timely intervention in critically ill surgical patients. Inadequate nutritional support and high mnutric scores were significant…
Augmented reality navigation combined with indocyanine green fluorescence imaging significantly improves safety and precision in laparoscopic left hemihepatectomy for hepatolithiasis. The new method successfully aided in guiding hilar vessel dissection and identifying liver resection boundaries, with no major complications reported. This combined approach offers enhanced…
Circulating tumor DNA (ctDNA) shows promise as a prognostic biomarker in locally advanced rectal cancer (LARC), with meta-analysis revealing a significantly increased risk of recurrence in post-neoadjuvant and post-operative periods for ctDNA-positive patients. This systematic review underscores the value of ctDNA in identifying LARC patients…
