Newsletter
Best Papers in General Surgery
The five that matter, every day.
Colorectal cancer risk remains lower more than 15 years post-colonoscopy, challenging current screening guidelines. A population-based study in Ontario, Canada, with over 5 million participants showed reduced cancer incidence and mortality at all timepoints up to 15 years, even after the procedure. Individuals with negative…
Open surgery with a lateral neck approach proved to be a safe and effective treatment for foreign body impaction penetrating the neck through the esophagus. Tenderness in the pre-cervical site was a useful screening sign, and timely surgical intervention, along with appropriate post-operative care, led…
Diode laser hemorrhoidoplasty demonstrates superiority over conventional hemorrhoidectomy in reducing operative blood loss, postoperative hemorrhage, operative time, and postoperative pain score. However, there is no significant difference in complications such as fecal/flatus incontinence, urinary retention, and hemorrhoid recurrence. Subgroup analyses support these findings, highlighting the…
Endoscopic therapy is safe and effective for stoma closure site strictures in patients with ileal pouches, providing symptomatic relief and avoiding surgery. Immediate technical success was achieved in 90.4% of interventions, with no need for surgical intervention during follow-up. Post-procedural complications were minimal, with 66.7%…
Implementation of oesophageal cell collection device (OCCD) for Barrett's surveillance in Scotland showed promising results, with longer Barrett's segments correlating with abnormal OCCD tests. High-grade dysplasia or cancer was detected in 8.2% of patients who underwent endoscopy post-OCCD testing, prompting urgent investigation. 92.0% of high-risk…
Minimally invasive robotic right hepatectomy with en bloc caudatectomy is safe and feasible for Bismuth IIIa hilar cholangiocarcinoma, with successful outcomes and minimal complications. The technique allows for radical resections and satisfactory postoperative recoveries, demonstrating a new surgical approach for challenging hepatic conditions. This approach…
In low and middle-income countries, injuries are a significant cause of surgical disease, outweighing the mortality rates of HIV/AIDS, tuberculosis, and malaria combined. With road traffic injuries as the leading cause of death among young individuals, the lack of robust trauma systems and emergency medical…
Developing a real-time AI model to detect active intraoperative bleeding, this study achieved an average precision of 0.574 for active bleeding and 48.5 frames per second. Surgeons rated the sensitivity and overdetection areas of the model highly, indicating its potential to improve surgical outcomes by…
Racial and socioeconomic disparities impact access to curative treatments for hepatocellular carcinoma (HCC). African-American and Hispanic patients had lower odds of receiving ablative therapy and surgical resection compared to whites, while disparities in liver transplantation varied. While trends improved for white and API/other patients, African-American…
Lumen-apposing metal stents (LAMS) show promising results for treating short benign biliary strictures, with a high technical success rate of 100% and a clinical success rate of 85.7%. Adverse events, including stent migration, were found in 17.1% of patients, and stricture recurrence occurred in 18.5%…
