Newsletter
Best Papers in General Surgery
The five that matter, every day.
Root cause analysis of mortality after esophagectomy revealed that more than half of deaths were potentially preventable. Factors such as inappropriate indications, patient characteristics, unexpected intraoperative findings, and delays in diagnosing complications were associated with preventable deaths. Following national guidelines and centralizing care may reduce…
Researchers reviewed the impact of gastrojejunostomy (GJ) anastomosis diameter on weight loss outcomes after laparoscopic Roux-en-Y gastric bypass (RYGB). In the systematic review, including six studies with varying GJ diameters and follow-up durations of 1-5 years, smaller GJ diameters generally led to greater short-to-medium-term weight…
The preoperative CALLY index is a valuable prognostic marker for gastric cancer patients, correlating with clinicopathological factors, overall and disease-free survival, and postoperative complications. A low preoperative CALLY index was significantly associated with advanced disease stages and independently predicted poorer outcomes. This index shows promise…
Highly complex liver resections (HCLR) can be performed with an acceptable complication profile, similar to major non-HCLR procedures. However, HCLR is associated with increased rates of biliary complications, readmissions, and reoperations. No postoperative 90-day mortality was observed in the HCLR group. Tertiary hepato-pancreato-biliary centers should…
Recent literature advocates for delaying catheter drainage in acute pancreatitis, but critically ill patients with severe disease and infected peri-pancreatic collections may still benefit from drainage procedures. A retrospective review of 72 patients showed high rates of ICU admission, respiratory and renal failure, and in-hospital…
Patients with small hepatocellular carcinoma showed similar overall and recurrence-free survival rates whether treated with laparoscopic liver resection or radiofrequency ablation. This randomized clinical trial suggests that percutaneous radiofrequency ablation may offer comparable therapeutic effects to laparoscopic liver resection for this patient population.
Researchers conducted a retrospective review of 394 microwave ablation (MWA) procedures on 328 patients with colorectal liver metastasis. The study found a low morbidity rate, with Clavien-Dindo grade III or IV complications occurring in 3.6% of patients, all of whom had concomitant procedures. Incomplete ablation…
Lymph node metastasis (LNM) in nonfunctional pancreatic neuroendocrine tumors (NF-PNET) has a negative impact on disease-free survival (DFS) and overall survival (OS). In a systematic review of 52 studies involving 24,608 PNET cases, reported LNM rates for NF-PNET ranged from 7% to 64%, with higher…
Patients with pancreatic ductal adenocarcinoma (PDAC) and normal levels of CA19-9 and DUPAN-2 are more likely to have resectable and early-stage cancer. In a study of 521 patients, those with normal CA19-9 and DUPAN-2 had a significantly higher proportion of resectable PDAC (71.5%) and a…
Conversion from minimally invasive surgery to open surgery in colon cancer patients resulted in higher overall survival compared to upfront laparotomy. This survival advantage was particularly notable in patients over 65 years old, those with significant comorbidities, and individuals with left-sided tumors. Minimally invasive surgery…
