Newsletter
Best Papers in General Surgery
The five that matter, every day.
Exposing the middle colic artery (MCA) first in laparoscopic pancreatoduodenectomy allows for safe and efficient determination of the superior mesenteric artery (SMA), first jejunal artery (J1A), and inferior pancreatoduodenal artery (IPDA). An anatomical correlation study found that 90.9% of MCA started at 12-3 o'clock from…
An innovative ostomy protector, in conjunction with a compression binder, was proven safe and effective in reducing parastomal hernia in ostomates. With a low incidence of hernia-related complications, patients reported high satisfaction levels with the prototype, signifying its potential clinical value as a preventive measure.…
General surgery residents demonstrated improved compliance and robotic performance in virtual and inanimate domains through a 2-week robotic curriculum incorporating a virtual reality (VR) simulation. Residents completing the VR curriculum showed significant improvement in VR test scores, objective structured assessment of technical skills (OSATS) scores,…
Acute traumatic coagulopathy is prevalent in patients with battlefield injuries, with one-third exhibiting coagulopathy upon arrival at medical facilities. Laboratory evidence showed low platelet counts, elevated INR levels, or both in 36% of patients. Early diagnosis and intervention are essential for improved outcomes, highlighting the…
Findings from the BAMBINI trial show that bariatric surgery significantly increased rates of spontaneous ovulation in women with polycystic ovary syndrome (PCOS) and obesity compared to medical care. The surgical group had 2.5 times more ovulations than the medical group, indicating greater efficacy in improving…
Minimally invasive surgery (MIS) shows comparable long-term survival outcomes to open surgery for ileal neuroendocrine tumors (i-NETs), with no significant difference in overall survival rates at around 99 to 103 months follow-up. MIS is a viable alternative for i-NETs resection, especially in cases without bulky…
Induction immunochemotherapy leads to higher conversion surgery rates and improved overall survival compared to induction chemotherapy in patients with initially unresectable esophageal squamous cell carcinoma. The immunochemotherapy cohort exhibited a notably superior conversion rate and higher pathological complete response rates, resulting in significantly better overall…
Prehospital emergency medical services are crucial for reducing mortality in low- and middle-income countries. However, challenges in transportation and equipment availability hinder timely care delivery. Many areas rely on inadequate transportation methods, leading to delays in reaching healthcare facilities. Developing tier-1 and tier-2 emergency medical…
Hyperspectral imaging, combined with machine learning, enables automatic tissue recognition during surgery. A study utilizing convolutional neural networks achieved high true positive rates for skin and liver tissues. Misclassifications mainly occurred between tissues with similar origins. The study underscores the potential of hyperspectral imaging in…
Neoadjuvant immunotherapy for rectal cancer does not worsen surgical outcomes. A retrospective study of 26,229 patients showed no significant differences in length of stay, readmission, or mortality between those who received immunotherapy and those who did not. This suggests that adding immunotherapy to standard treatment…
