Newsletter
Best Papers in General Surgery
The five that matter, every day.
A single institution retrospective analysis of rectal cancer cases before and after the adoption of a nonoperative "watch and wait" pathway found no significant increase in abdominoperineal resection for patients without a complete clinical response to neoadjuvant therapy. Although there was a higher rate of…
Patients with gallbladder cancer presenting with acute cholecystitis had a 20% overall 5-year survival rate, with stage-specific survival rates varying. A third of patients with gallbladder cancer presented with acute cholecystitis but did not experience significantly different survival outcomes compared to other presentations. Age, gender,…
After left pancreatectomy for pancreatic adenocarcinoma, patients with a perioperative platelet count ratio (PPR) ≥ 1.5 had significantly longer median overall survival (OS) compared to those with PPR < 1.5 (40 months vs. 20 months). PPR was identified as a biomarker for predicting long-term survival…
Same-day discharge (SDD) after bariatric operation has increased from 2.4% in 2016 to 7.4% in 2021. The study found that black/African American race, history of myocardial infarction, renal insufficiency, DVT, and smoking were preoperative factors associated with increased complications for SDD. SDD for RYGB had…
After metabolic and bariatric surgery, 74% of patients achieved remission of obesity-related sleep apnea, which was associated with significantly lower risks of overall mortality and major cardiovascular events compared to those who did not reach remission. The risk for death and cardiovascular events in the…
Researchers assessed a simulated laparotomy incision and closure-training model using a quantitative study design. The model was found to be realistic and useful as a teaching tool, with strong content validity evidence. Experts outperformed novices in the evaluation. Pre and post-test assessments showed a significant…
High-risk gastric cancer patients may benefit from limited lymph node dissection (LND), while standard LND improves relapse-free survival in low-risk patients. Limited LND reduces postoperative complications in low-risk patients, without affecting outcomes in high-risk patients. Pancreatic fistula was not observed in the limited dissection group,…
Intestinal microbiota composition plays a crucial role in modulating the antitumor effects of oncolytic virus vaccines (OVVs) in colorectal cancer (CRC). OVVs significantly inhibit tumor growth and prolong survival in early-stage CRC but have minimal impact in advanced stages. Probiotics and fecal microbiota transplantation enhance…
Rectal cancer patients who refused surgery despite incomplete response to neoadjuvant therapy had shortened overall survival (OS). Some patients converted to a complete clinical response (CCR) on subsequent staging, leading to prolonged OS. Patients with near CCR at initial endoscopic staging may benefit from prolonged…
In periampullary cancer patients undergoing pancreatoduodenectomy, anomalies in the right hepatic artery (RHA) anatomy, including accessory or replaced RHAs, were observed in 16.3% of cases. However, when comparing outcomes with a propensity score-matched analysis, the presence of these anomalies did not significantly impact perioperative complications…
