Newsletter
Best Papers in General Surgery
The five that matter, every day.
Researchers reviewed advances in diagnosis and management of hepatic adenomas (HA), classified into at least eight subtypes. MRI is the best imaging method for diagnosis and can differentiate among subtypes. HA larger than 5cm have higher risks of bleeding and malignancy and should be resected.…
Researchers assessed EUS-RFA in 26 patients with unresectable pancreatic ductal adenocarcinoma, showing technical success in all cases and no major adverse events. Six months post-EUS-RFA, 42.3% of patients had improved overall survival and significant performance status enhancement. Tumor reduction and post-treatment necrotic areas were observed,…
ICG-enhanced compression anatomical segment 7 segmentectomy in laparoscopic and robotic approach was successfully performed in two cases of Child-Pugh class A hepatocellular carcinoma. The technique enabled identification and resection of posterosuperior lesions with minimal liver stiffness and no postoperative complications, achieving R0-resection margins and quick…
Researchers developed a 10-point score to predict post-recurrence survival (PRS) in patients with intrahepatic cholangiocarcinoma (iCC) following resection. This score successfully stratified patients based on their PRS likelihood, with lower scores associated with higher survival rates. The score included factors like tumor grade, resection margin,…
Preoperative chemotherapy significantly increased overall survival in patients with liver-limited metastasis from gastric cancer who underwent hepatectomy, compared to upfront surgery. Patients who exhibited a partial response to preoperative chemotherapy had better outcomes than those with stable or progressive disease. The preoperative chemotherapy group also…
Preoperative malnutrition and decreased phase angle (< -0.5) on postoperative day 1 were independent predictors of postoperative morbidity in patients undergoing major oncologic upper-GI surgery. Patients with malnutrition had a higher complication rate, and a decline in phase angle was associated with a 13% increase…
Long-term outcomes of spleen-preserving distal pancreatectomy with splenic vessel resection showed higher prevalence of perigastric varices and lower platelet count compared to preservation. However, other complications such as gastric submucosal varices, splenic infarction, gastrointestinal bleeding, and hematologic parameters were similar between the two groups 5…
Pelvimetry measurements using CT scans can predict the quality of total mesorectal excision in rectal cancer surgery. Factors like a deeper sacral curve and greater transverse distance of pelvic outlet were associated with incomplete excision. An increased area of pelvic inlet was linked to a…
Intense pre-operative information course (IPIC) and higher pre-operative weight loss significantly contribute to sustained weight loss post-bariatric surgery, with 80.5% achieving EWL ≥ 50% and 53.1% achieving EWL ≥ 70%. Those who underwent IPIC had increased likelihood of maintaining EWL ≥ 50% and ≥ 70%…
Researchers adapted a surgical journal club curriculum to an asynchronous, virtual format during the pandemic, allowing for expanded participation and active learning opportunities. The new format enabled visual abstract generation and audio-synopsis creation, supporting learners' critical appraisal skills of surgical literature. Rural surgeons could now…
