Newsletter
Best Papers in General Surgery
The five that matter, every day.
Recent advances in hernia surgery have allowed surgeons to accurately predict risk, diagnose hernias based on individual characteristics, and utilize new technology and techniques in the operating room. While outcomes have modestly improved, further progress is still needed, with emphasis on continued research, use of…
Same-day discharge diverting loop ileostomy closure (SDD) demonstrated a significant reduction in median index episode hospitalization and 30-day post-operative costs compared to standard inpatient enhanced recovery protocol, saving $4,827 per patient. Complication rates, readmission, and reoperation rates were similar between groups. Implementing SDD for ileostomy…
Somatic mutational analysis from EUS-guided biopsies of pancreatic adenocarcinoma showed a high yield and comparable impact to that of surgical resection. EUS sampling had a yield of 89.5%, with over a quarter carrying actionable mutations and one in six having treatment impacted by mutational analysis.…
NAPRC-accredited hospitals have lower risk-adjusted in-hospital, 30-day, and 1-year mortality rates, as well as lower 30-day complication rates, compared to non-accredited hospitals among Medicare beneficiaries undergoing proctectomy for rectal cancer. Patients at accredited hospitals were more likely to receive minimally invasive procedures and had higher…
Patients with resectable/borderline-resectable pancreatic cancer underwent neoadjuvant chemotherapy with gemcitabine plus nab-paclitaxel or gemcitabine plus S-1. While there was no significant difference in 2-year progression-free survival rates between the two groups, the gemcitabine plus nab-paclitaxel regimen showed a longer median progression-free survival. Adverse events, completion…
Patients value mobile health technology in perioperative care, but there is limited knowledge on their perceptions. A human-centered design approach is crucial for meaningful implementation. Recommendations from qualitative studies of surgeons and patients can help health care systems maximize mobile health technology for patient-centered surgical…
Researchers found that higher emotional intelligence scores were associated with lower levels of burnout in general surgery residents. However, participation in patient-centered resident conferences did not significantly impact emotional intelligence or burnout levels. Further research is needed to better understand the relationship between emotional intelligence…
Rediversion with an ileostomy was a safe, important first step in pouch salvage, with subsequent surgery for noninflammatory indications showing significantly higher pouch salvage rates than for inflammatory complications. Overall, 52% of patients underwent successful pouch salvage after rediversion, with a 5-year pouch survival rate…
Researchers reviewed the latest advancements in the diagnosis and management of hepatic adenomas. They classified it into 8 subtypes based on molecular pathology, each with unique characteristics and risks of malignant transformation. Larger adenomas over 5 cm have a higher risk of bleeding and malignancy…
Researchers propose a novel AI system for real-time cancer detection and tissue perfusion analysis during surgery using NIR technology. By applying interpretable AI methods to analyze fluorescence intensity curves generated from intra-operative NIR video streams, accurate tissue classification algorithms can be built with modest training…
