Newsletter
Best Papers in General Surgery
The five that matter, every day.
Older surgical patients faced emotional challenges before and after surgery, impacting recovery. They relied on personal and social resources to navigate these challenges, while desiring more healthcare support. Findings emphasize the importance of addressing emotional well-being in perioperative care for older adults undergoing major elective…
Hypothermic liver perfusion during hepatectomy under total vascular exclusion preserving caval flow showed excellent hemodynamical tolerance, with no 90-day mortality and stable hemodynamics. The technique avoids splanchnic congestion and reduces ischemia time, making it a promising approach for patients requiring prolonged vascular control in hepatic…
A high-performing preoperative nomogram for predicting splenic hilar lymph node metastasis in non-greater curvature advanced proximal gastric cancer was developed. Tumor location, size, Borrmann type, and lymphadenectasis were key predictors. The nomogram showed good performance in both training and validation cohorts, aiding surgeons in making…
Inflammatory bowel disease negatively impacts surgery outcomes for colorectal cancer patients, leading to lower rates of surgical resection, higher postoperative complications, extended hospital stays, increased readmissions, decreased home discharges, and higher expenditures. These patients have a lower probability of achieving ideal postoperative outcomes and experience…
Conflicting evidence exists on the association between cannabis (THC) use and post-traumatic deep vein thrombosis (DVT) risk. A two-center retrospective analysis of 7365 trauma patients found that THC use was not associated with increased DVT risk. Patients using THC had higher Glasgow Coma Scale scores,…
Same day discharge (SDD) in colorectal surgery is feasible, but patient factors such as operative complexity and social considerations significantly influence the need for unplanned overnight monitoring. Factors like age and type of procedure impact discharge decisions, highlighting the importance of individualized patient assessment for…
Quantification of fluorescence angiography for visceral perfusion assessment revealed a mean relative difference of +58.2% in normalized maximum slope measurements between two software algorithms. The agreement deteriorated at higher values, suggesting a linear bias. These discrepancies highlight potential limitations in the external validity of quantitative…
External validation and comparison of 3 pancreatic fistula risk scores were performed in 200 laparoscopic pancreaticoduodenectomy patients. The recalibrated updated alternative fistula risk score showed sufficient discrimination and calibration for predicting clinically relevant postoperative pancreatic fistula, with better performance in predicting general postoperative pancreatic fistula…
Postoperative hyperamylasemia significantly increases complications and reduces textbook outcomes after pancreatoduodenectomy compared to distal pancreatectomy. Hyperamylasemia is an independent predictor of poorer outcomes in pancreatoduodenectomy patients. This highlights the importance of monitoring amylase levels postoperatively to anticipate potential systemic complications and guide treatment decisions.
The study showed that simultaneous resection of liver metastases combined with HIPEC resulted in a significantly higher complete resection rate, total effective rate, and negative change of CEA compared to resection alone. This approach demonstrated superior efficacy in treating synchronous colorectal cancer liver metastases, potentially…
