Newsletter
Best Papers in General Surgery
The five that matter, every day.
Researchers found significant differences in skill acquisition and proficiency between dominant and non-dominant hands in laparoscopic surgical training. Network models and EMG data analysis effectively captured muscle activity and learning progression, suggesting the need for tailored training approaches. NASA-TLX scores correlated with performance, emphasizing the…
Preoperative glucose dysregulation, including hyperglycemia, hypoglycemia, or both, was associated with a higher incidence of delirium within 30 days after non-cardiac surgery. The hazard ratios for the development of delirium were increased in patients with hyperglycemia, hypoglycemia, and both types of dysregulation. Interestingly, hyperglycemia was…
Octreotide's efficacy in managing intrathoracic chyle leak post-esophagectomy in adults was investigated in a cohort study. Among 74 patients, 27 received octreotide, but there was no significant difference in chest tube duration, hospital length of stay, or overall survival compared to non-octreotide group. Multivariable analysis…
Perioperative dexamethasone did not significantly reduce postoperative complications within 30 days after pancreaticoduodenectomy, as evidenced by similar comprehensive complication index scores, major complications, and pancreatic fistula rates between the dexamethasone and placebo groups. However, in patients with a main pancreatic duct ≤3 mm, the dexamethasone…
Researchers examined trends in end-of-life care services and satisfaction among veterans undergoing surgery. Over the study period, palliative care consultation and hospice use rates more than doubled, while satisfaction scores increased. Hospital location and accreditation were associated with the most significant changes. Improvements in satisfaction…
Researchers developed a pioneer surgical anonymization algorithm, validated across various robotic platforms, to remove out-of-body images in real-time. The algorithm successfully achieved a framewise anonymization roc auc-score of 99.46% on unseen procedures, increasing to 99.89% after post-processing. The deep learning model, ROBAN, offers safe real-time…
Researchers found that higher Mandard score and residual nodal disease were associated with increased recurrence rates and worse overall survival in patients with oesophageal adenocarcinoma. Patients with better tumour response (trg1) had lower recurrence rates and longer overall survival compared to those with poorer response…
In a nationwide study on resectable pancreatic ductal adenocarcinoma (PDAC), researchers found that elevated preoperative CA19-9 levels (≥500 U/ml) significantly reduced overall survival after upfront resection, unlike Eastern Cooperative Oncology Group performance status. This highlights the prognostic value of incorporating CA19-9 into the preoperative staging…
A systematic review identified 33 prediction models for morbidity and mortality after esophagectomy, with 18 newly developed. Prognostic accuracy ranged from 0.51 to 0.85, with some models showing promise for further development. Performance status emerged as a potential modifiable risk factor, but none of the…
Researchers successfully developed and validated task-specific metrics (TSM) for laparoscopic Nissen fundoplication, a critical phase in laparoscopic hiatal hernia repair (LHHR). Utilizing structured interviews with expert foregut surgeons and a simulation involving participants with varying surgical expertise, the study demonstrated high interrater reliability and significant…
