Newsletter
Best Papers in General Surgery
The five that matter, every day.
Colorectal carcinoma in situ can metastasize to lymph nodes and recur, challenging previous assumptions. Among 1069 patients, 0.46% experienced regional lymph node metastasis or recurrence, with cases identified during or after primary surgery. Distant metastases were also observed, emphasizing the need for careful assessment at…
Ultrasonography and non-contrast computed tomography show high accuracy in diagnosing acute appendicitis, reducing negative laparotomy rates without increased risks. Computed tomography is superior to ultrasonography. The study compared sensitivity, specificity, and accuracy of both methods, indicating CT as a valuable second-line tool. With proper utilization…
Ultrasound-guided TAP block is often preferred, but laparoscopic-assisted TAP (LTAP) shows shorter administration time. Post-operative pain management, analgesic requirements, and nausea were similar between LTAP and ultrasound-assisted TAP (UTAP) groups. However, UTAP group had reduced nausea and vomiting instances. LTAP block is a viable alternative…
Study finds higher relative dose intensity (RDI) of adjuvant S-1 chemotherapy and greater psoas muscle mass volume (PMV) linked to significantly improved 5-year overall and relapse-free survival rates in patients with resected pancreatic ductal adenocarcinoma. RDI emerges as an independent prognostic factor, with patients displaying…
Robotic surgery in hepato-pancreatic-biliary procedures is feasible and valuable for minimally invasive indications. Expertise is crucial for safety, encompassing requirements for credentialing in robotics. Prioritized questions for future trials include prospective registries with validated outcome metrics. The consensus guidelines from the Robot4HPB conference highlight state-of-the-art…
An atlas of hepatocellular carcinoma revealed seven genetic evolutionary paths influencing patient clinical trajectories. Most notably, the 'bad apple' effect showed that the aggressive cell fraction within tumors predicted prognosis better than overall heterogeneity levels, reshaping how clinicians predict survival. This study highlights the importance…
Preoperative risk factors, including age, gender, hypertension, and revisional bariatric surgery, are associated with early postoperative bleeding after Roux-en-Y gastric bypass. Further primary studies are needed to explore additional risk factors for this complication, aiding in patient risk stratification and optimization. Male gender was identified…
Machine learning and deep learning technologies are increasingly utilized in hernia surgery, showing promise in predicting outcomes and identifying factors associated with postoperative complications. Thirteen studies from 2020 to 2023 were included, focusing on inguinal, ventral, and incisional hernias. These studies varied in population, types…
Frailty, linked to adverse outcomes following minor stressors, was quantified effectively through an adapted Risk Analysis Index (RAI) using ICD-10-CM data. The RAI-ICD parameters showed good discrimination in hospitalized patients, allowing for classification into different frailty categories. Adverse outcomes rose with increasing frailty levels. The…
Proximie, a virtual operating platform, was assessed as an effective tool for delivering ENT teaching to medical students. In a study, 96% of students highly rated its educational value and 57% preferred it over physical attendance for its convenience and improved surgical field view. The…
