Newsletter
Best Papers in General Surgery
The five that matter, every day.
Patients with traumatic esophageal perforations treated with endoscopic vacuum therapy (evt) had significantly shorter treatment duration than those treated with endoscopic self-expandable metal stent (e-sems). However, e-sems led to a shorter time of hospitalization and lower costs. Both methods had similar clinical outcomes, with high…
Robotic-assisted surgery for gallbladder cancer is found to be as effective as traditional methods in terms of oncological outcomes, with potential benefits in precision and perioperative recovery. A systematic review comparing robotic, open, and laparoscopic techniques highlights the feasibility and safety of robotic surgery, suggesting…
Patients with an ileal pouch-anal anastomosis often experience complications like acute pouchitis. Studies on dietary interventions and supplements for pouch function improvement and pouchitis management have conflicting results. Concrete evidence-based recommendations are lacking, despite patient interest in maintaining pouch health through diet. This systematic review…
The study discusses the opening of a trauma center at University of Chicago Medicine and its impact on the south side of Chicago. Since its establishment in 2018, the trauma center has become one of the busiest in the country with a high penetrating trauma…
Individuals with familial adenomatous polyposis (FAP) have a 25% risk of duodenal and papillary cancers once duodenal polyposis reaches Spigelman stage IV, although the sensitivity of this stage is low. Factors like polyp size, count, and dysplasia influence cancer risk. The Spigelman staging system lacks…
Baseline fdg-pet imaging in treatment naïve pdac patients revealed 96.3% had fdg-avid tumors with median suvmax 6.4. fdg-pet identified suspicious extrapancreatic metastatic lesions in 50% of patients, with pet/mri being superior in detection. Ca19-9 elevation did not affect fdg-pet's performance, highlighting its utility in initial…
Researchers evaluated the impact of preoperative history and physical update visits on 8,683 patients across different surgical specialties in 2019. They found that the majority of documented changes were in histories, with minimal impact on physical exams and operative plans. 99.2% of visits were suitable…
Comparing local excision and radical resection for grade 2 rectal neuroendocrine tumors showed no significant difference in survival for tumors ≤1.5 cm. However, tumors >1.5 cm had significantly lower relapse-free survival with local excision. Lymph node metastasis was present in 60% of patients who underwent…
Endoscopic surveillance at 3-year intervals significantly increases the likelihood of detecting early gastric cancer (EGC), with 98% of cases detected within this group. EGC lesions in the short-interval group were smaller, shallower, and had a higher curative resection rate compared to the unchecked group. This…
Colorectal procedures were successfully performed using the Hugo™ RAS system by a team inexperienced in robotic surgery after intensive training. Ten patients underwent procedures with no conversions, technical difficulties, or postoperative morbidity. Median total operative time was 185 minutes, and median docking time was 14…
