Newsletter
Best Papers in General Surgery
The five that matter, every day.
Older patients undergoing elective ventral hernia repair were categorized based on frailty, with severely frail patients showing lower quality of life at baseline. Surprisingly, severely frail patients reported higher quality of life scores at 30 days and 6 months postoperatively compared to non-frail patients. Despite…
Robotic and laparoscopic approaches to minimally invasive pancreatoduodenectomy yield similar oncologic and surgical outcomes in pancreatic cancer patients, with a lower conversion rate to open surgery for the robotic cohort. The learning curve has a significant impact on outcomes, with higher-volume centers showing improved results,…
Analysis of 817 patients after pancreaticoduodenectomy revealed that 19.5% developed postoperative pancreatic fistula (popf), with 45.9% being post-pancreatectomy acute pancreatitis (ppap)-associated popf. These patients had higher morbidity and distinct risk factors (blood loss, pancreatic texture) compared to non-ppap-associated popf. Non-ppap-associated popf was linked to age,…
Establishing a Center for Trauma Survivorship (CTS) is not cost prohibitive, but a revenue generator for institutions. A post-and pre-cohort study found that CTS patients had more follow-up visits and surgeries, resulting in a $7,752 increase in net revenue per patient. The creation of dedicated…
Palliative surgery aims to alleviate symptoms in seriously ill patients. Although common in surgical oncology, the durability of symptom improvement and quality of life post-surgery lacks high-quality evidence. Outdated studies with inconsistent definitions hinder decision-making. However, with effective communication and patient selection, palliative surgery can…
Studies analyzed 625,316 surgical procedures and found that claims with modifier 22 had higher charges, payments, but were more likely to be denied. Overall mean payments varied, with some procedures showing higher payments with modifier 22. However, for most surgeries, little financial advantage was seen,…
Metabolic bariatric surgery offers durable weight loss and medical improvement for obesity, contrary to misconceptions about obesity as a lack of willpower. Despite its effectiveness and safety, surgical treatment remains vastly underutilized due to societal stigma and patient misconceptions. Healthcare practitioners must combat these perceptions,…
Comparing robotic and laparoscopic approaches in hiatal hernia repair and Heller myotomy, robotic surgery showed non-significantly shorter hospital stays, fewer conversions to open, and lower morbidity rates for hhr, while hm had significantly fewer esophageal perforations, reinterventions, and a non-significantly shorter stay. Both robotic procedures…
First-degree relatives of patients with early-onset colorectal cancer have low rates of colorectal cancer screening, with only 44% undergoing screening despite guidelines recommending screening starting at age 40 or 10 years before the age of their relative's diagnosis. Factors such as race, stage of disease,…
Rectal cancer patients who achieved pathologic complete response after neoadjuvant therapy had improved survival compared to those with residual carcinoma in situ. Factors associated with decreased survival included older age, higher comorbidity score, and poorly differentiated tumors, while factors linked to improved survival were female…
