Newsletter
Best Papers in General Surgery
The five that matter, every day.
An analysis of publicly available data from 2018 to 2023 reveals that while the representation of Asians in medical school and surgical training has increased, there remains a disparity at leadership levels. The proportion of Asian medical students rose from 21.6% to 24.8%, but Asian…
Using a machine learning model, researchers accurately predicted liver and/or lung metastasis in colorectal cancer patients, assisting clinical decision-making. A total of 51,265 patients were analyzed, with 15.3% having distant metastasis. The random forest algorithm showed the best predictive ability with high accuracy, AUC, and…
Plasma levels of specific miRNAs and proteins show promise as biomarkers for distinguishing between chronic pancreatitis and pancreatic adenocarcinoma, with high diagnostic performance values. The combination of miRNAs hsa-mir-150-3p, hsa-mir-150-5p, and hsa-mir-214-3p, along with proteins PCDH1 and AMN, could aid in predicting pancreatic adenocarcinoma in…
Age significantly impacts the survival prognosis of rectal cancer patients after local excision (LE) or radical excision (RE). Younger patients (66 years). However, there was no significant difference in survival outcomes between LE and RE across all age groups.
A new pilonidotomy method using minimal laser energy, known as Minimum Energy Laser Pilonidotomy (MELPi), demonstrated promising initial results for treating pilonidal disease. A retrospective multicenter study of 50 MELPi procedures showed low postoperative pain (median of 2 on a pain scale), low complication rates…
SAGES guidelines provide evidence-based recommendations for managing common surgical pathologies in pregnant patients, including appendicitis, biliary disease, and inflammatory bowel disease. Recommendations favor laparoscopic procedures for appendicitis and biliary disease, with expert opinion guiding treatment for different trimesters and disease severity. Multidisciplinary management is advised…
A single-center study on resected gastroesophageal junction adenocarcinoma showed improved operative outcomes over time, with type I tumors linked to poorer survival. Most patients received neoadjuvant therapy and underwent minimally invasive surgery, resulting in low mortality rates and decreased morbidity. Signet ring tumors were more…
Survival stratification among pancreatic cancer patients after surgery improved by combining skeletal muscle mass, immune markers, and traditional clinical factors. Nomogram based on muscle mass to BMI ratio and inflammatory markers showed superior predictive accuracy for long-term survival, suggesting potential integration into existing risk assessment…
Using intraoperative frozen section analysis during cholecystectomy, surgeons can decide on a single-stage management approach for suspected gallbladder cancer (GBC). A retrospective cohort study of 37 consecutive cholecystectomies found that frozen section analysis had a sensitivity of 100% and a specificity of 100% for detecting…
Consensus recommendations were developed in Singapore for recognizing and managing sarcopenia in surgical patients, crucial for optimizing postoperative outcomes. A multidisciplinary expert panel formulated eight evidence-based statements to guide the identification and perioperative management of sarcopenia, emphasizing the importance of awareness and consensus in addressing…
