Pancreatic cancer: longer survival with combined treatment
For locally advanced pancreatic cancer, cryoablation plus drug treatment was linked to longer median survival than drug treatment alone, but the result does not prove benefit.
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General Surgery
Best Papers in General Surgery
The five that matter, every day.
Fewer severe complications with robotic emergency surgery
Among older adults having urgent abdominal surgery, robotic operations were linked to fewer severe complications and more discharges home, but not shorter stays after adjustment.
ICG may help difficult gallbladder surgery
In emergency gallbladder surgery, indocyanine green fluorescence was linked to a smaller rise in operating time as inflammation increased; fewer conversions in the most inflamed patients remain unproven.
Robotic surgery, shorter stays in chronic pancreatitis
Robotic pancreatic drainage was linked to a shorter hospital stay, but clinically significant pancreatic fistulas were more common.
Fewer wound problems linked to transanal extraction
In low rectal cancer surgery, removing the specimen through the anus was linked to fewer wound complications and less pain in the first two days.
Cardiac index guidance did not cut complications
Tailoring circulation support to each patient’s usual heart output for their body size did not reduce early complications after major abdominal surgery.
Cancer blockage: endoscopic bypass cuts repeat procedures
For cancer-related stomach blockage, endoscopic ultrasound-guided bypass was linked to fewer repeat procedures than stents or surgery, and a shorter hospital stay than surgery.
AI Narration Is No Gallbladder Safety Check
In laparoscopic gallbladder surgery, targeted prompts made AI narration sound more like a surgeon’s but did not make safety checks reliable.
New research priorities for surgical palliative care
A national expert panel says the field needs clearer answers on who benefits from surgical palliative care, when to offer it, and what success looks like.
Longer anticoagulation cuts clots after cancer surgery
After cancer surgery, extended blood thinners reduced venous clots without a detected rise in major bleeding.