Newsletter
Best Papers in General Surgery
The five that matter, every day.
Non-certified surgeons treating Medicare patients show unique practice patterns, handling more non-white patients, those with lower socioeconomic status, and operating frequently in rural and critical-access hospitals. They're less likely to be fellowship-trained and more likely to be foreign medical graduates. Non-certified surgeons perform a higher…
Feasible and safe, hepatic arterial infusion pump chemotherapy combined with systemic chemotherapy (HAIP-SYS) for colorectal liver metastases (CRLMs) showed promising results in a phase II study in the Netherlands. With a completion rate of 90% for two cycles, it demonstrated favorable disease control rates at…
Despite an increase in non-invasive biliary imaging, the rate of late-ERCP post-cholecystectomy has significantly risen, with high rates of adverse events including pancreatitis, hospitalization, and new chronic opioid use. Factors linked to late-ERCP included gut-brain interaction disorders, liver disease, and use of specific medications. Late-ERCPs…
Laparoscopic liver resection (LLR) matches open liver resection (OLR) in outcomes for ≥ 3 colorectal liver metastases (CRLM), showing similar morbidity, mortality, and survival rates. LLR offers shorter hospital stays, advocating its consideration for selected patients with high tumour burden disease. This study, analyzing 277 patients, demonstrates…
Being overweight (BMI ≥ 25) and a thin rectus abdominis penetration (
New Zealand is a low-volume center for upper gastrointestinal surgery, with most complex procedures concentrated in national cancer centers. There is evidence of regionalization, where larger centers perform procedures more frequently. Palliative procedures are more widely performed, but indigenous Māori are less likely to be…
Hyperthermic intraperitoneal chemotherapy (HIPEC) significantly improved overall survival and reduced recurrence rates in both prophylactic and therapeutic settings for peritoneal carcinomatosis of gastric origin. This systematic review and meta-analysis of randomized trials highlights the efficacy of HIPEC as a safe and effective tool for prophylaxis…
Results showed no significant association between stapled or handsewn anastomosis and anastomotic leaks in gastric cancer surgery. This population-based study included 2164 patients in Finland, with 21.8% having handsewn anastomosis and 78.2% having stapled anastomosis. Regardless of the type of gastrectomy, the choice of anastomotic…
Study finds no increased risk of morbidity or mortality in patients with Cannabis Use Disorder undergoing complex cancer surgery. While a slight uptick in postoperative kidney injury was observed, in-hospital mortality was slightly lower compared to non-users. After adjusting for other risk factors, Cannabis Use…
Among trauma patients transferred between hospitals, 10.1% experience hemodynamic deterioration (HDD), associated with moderate-severe injuries and mechanisms like motor vehicle collisions or gunshot wounds. HDD patients are more likely to require intensive care, surgery, or interventional radiology. Their mortality rate is higher (4.9%) compared to…
