Newsletter
Best Papers in General Surgery
The five that matter, every day.
Despite recent evidence supporting conservative management, 63.4% of papillary thyroid microcarcinoma (PTMC) patients in the community underwent total thyroidectomy, leading to higher rates of recurrent laryngeal nerve injury and hypocalcemia compared to lobectomy. Non-endocrine surgeons also administered radioactive iodine more frequently. Subgroup analysis showed variations…
Significantly lower rates of postoperative morbidity, mortality, and postoperative ileus were observed in robotic colectomy compared to laparoscopic colectomy. However, robotic approach was associated with longer operative times, though with shorter hospital stays. No significant difference was found in anastomotic leak rates. This study provides…
Researchers compared robotic versus open hepatic arterial infusion pump placement for unresectable intrahepatic cholangiocarcinoma. The study found that robotic placement led to a significantly shorter time to functional recovery (2 versus 5 days) and hospital stay (3 versus 5 days) compared to open placement. Both…
Patients with diverticular disease had an increased long-term relative risk of cancer, excluding colorectal cancer, possibly due to shared risk factors. The highest standardized incidence ratios were for lung, bronchi, trachea, and kidney cancers. The decreased risk of colorectal cancer may be due to increased…
Researchers developed a novel machine learning algorithm using extreme gradient boost to predict 1-, 5-, and 10-year mortality risk in patients with primary appendiceal cancer. The model exhibited high prediction accuracy, with a maximum area under the curve of 0.909 for the 10-year model. Variables…
A national cohort study validated the external validity of the MIRO randomized controlled trial in a real-life population within France by comparing postoperative complications in esophageal cancer patients. The hybrid approach was found to be protective against severe respiratory complications, with no significant difference in…
Using a digital education platform alongside standard verbal consent significantly increased patient knowledge of risks and benefits of laparoscopic cholecystectomy (LC) immediately after the intervention, as well as in delayed assessments. Patient retention of acquired knowledge was also higher in the intervention group. Satisfaction with…
Rural patients with pancreatic neuroendocrine tumors (pnets) have significantly shorter overall survival (OS) following primary pnet resection compared to urban patients. After adjustments for various factors, living in a rural area remained significantly associated with worse OS. This study highlights survival disparities between rural and…
Spleen-conserving surgeries are more common in patients with penetrating trauma, age under 65, stable vital signs, and low-grade injuries. These procedures were associated with a lower risk of pneumonia and venous thromboembolism compared to total splenectomy. Clinicians should consider spleen-conserving surgeries for appropriate patients to…
Heart rate variability parameters, measured immediately post-operatively and combined with patient age, were used to develop a predictive model with an AUC of 0.980, providing a negative predictive value of 1.00 for post-operative cardiovascular complications in patients undergoing major abdominal surgery. This model has the…
