Newsletter
Best Papers in General Surgery
The five that matter, every day.
Updated nomograms for primary retroperitoneal sarcoma patients differ in survival outcomes between high and low-volume centers. Case volume significantly influences overall and disease-free survival and nomogram performance. High-volume centers demonstrate better calibration than low-volume centers. Case volume should be considered in prognostic nomogram development for…
A novel prognostic marker, the cachexia index (cxi), is associated with disease progression, postoperative mortality, and overall survival in patients with locally advanced oesophagogastric cancer. Patients with low cxi had higher rates of disease progression, worse postoperative mortality, and decreased overall survival compared to those…
This address explores the origins of expeditionary surgeons and examines the leadership of COL Edward D Churchill during World War II. Churchill's evolution from an ivory tower surgeon to an expeditionary leader highlights essential traits for surgical leadership in austere settings. It advocates for formal…
Gas-Bloat Syndrome affects 13.3% of patients at 1 year post-Magnetic Sphincter Augmentation, resulting in worse GERD-HRQL scores, medication use, and satisfaction. However, it resolves spontaneously in the majority of cases, leading to quality-of-life improvement. Patients with preoperative bloating, high GERD-HRQL scores, or smaller device size…
Study identifies variations in lymph node metastases among different non-pancreatic periampullary cancer subtypes. Pancreatobiliary-type ampullary adenocarcinoma had higher lymph node metastasis rates. Distinct patterns of metastases were observed, with certain lymph node stations more frequently affected in different cancer types. Research highlights the need for…
Study findings show elevated relative risk of cancer, excluding colorectal, following diverticular disease diagnosis. There is a higher risk for lung, bronchi, trachea, and kidney cancers. The decreased risk of colorectal cancer may be due to colonoscopy with polypectomy in diverticular disease patients. Prevalence of…
Frailty and total or proximal gastrectomy (TG/PG) were found to be independent risk factors for postoperative pneumonia (POP) in patients with gastric cancer undergoing gastrectomy. A simple risk assessment method combining these factors effectively predicted and prepared patients for POP, with a 5.5% incidence rate…
This study validates textbook outcome (TO) as a quality performance indicator (QPI) for esophageal cancer surgery. Postoperative complications, including Clavien-Dindo grade ≥3 complications, and 30-day readmission rate are associated with reduced survival. Updating TO parameters to include severe complications strengthens its association with increased survival,…
Anastomotic leakage after anterior resection for rectal cancer has a minor negative impact on male urinary function, leading to increased urinary incontinence rates. However, it does not significantly affect sexual function or increase risks of urinary frequency, permanent urinary catheter use, or sexual inactivity in…
A significant association was found between appendicitis and subsequent diverticular disease in a large German cohort study. Men had a stronger risk compared to women, with a higher 10-year incidence of diverticular disease in those with appendicitis. The findings emphasize the need for further research…
