Newsletter
Best Papers in General Surgery
The five that matter, every day.
Patients with ampullary cancer benefit from examination of a minimum of 20 lymph nodes to accurately predict prognosis and minimize stage migration. The log odds transformation nodal classification scheme showed the highest accuracy in differentiating survival outcomes. Additionally, nodal metastasis in regional lymph nodes is…
Survival benefit of surgery for second primary esophageal cancer following gastrointestinal cancer is significant. Surgery, year of diagnosis, regional lymph node surgery scope, tumor differentiation grade, SEER historic stage, and triple therapy are independent prognostic factors. In a cohort study of 582 patients, surgery significantly…
Adrenalectomy for secondary adrenal malignancy (SM) poses an elevated risk of postoperative bleeding compared to benign nonfunctional (BNF) adrenal neoplasms. Among 3496 patients, those with SM were older and had higher rates of comorbidities. Laparoscopic adrenalectomy was common for both groups, with comparable mortality and…
In a randomized trial involving 5,887 pancreatic cancer patients, implementing best practices, including optimal chemotherapy and supportive care, showed no improvement in one-year survival or quality of life. Notably, a substantial number of patients did not receive tumor-directed treatment, emphasizing the necessity for more personalized…
Minimally invasive caudate lobectomy can lead to significant bleeding due to its proximity to the IVC, portal pedicle, and hepatic veins. Preoperative modeling and careful dissection techniques can help in safely managing the Spiegel/IVC interface during laparoscopic caudate resection, reducing the risk of thermal injury…
Patients with locally advanced pancreatic cancer undergoing palliative surgery experienced slightly longer survival than those undergoing medical palliation, with hospital stays and readmission rates being significantly higher for the surgical group. Despite the marginal survival benefit, palliative surgery presents challenges in terms of hospitalization and…
Researchers developed and tested an 8-item procedure-specific assessment tool for minimally invasive inguinal hernia repair, showing good to excellent inter-rater reliability. Robotic procedures had higher reliability, and easier cases had higher agreement levels. The tool was designed and evaluated with expert input and real-world operative…
Trainees perceived remediation as harrowing and isolating, with long-lasting emotional effects. They reported a lack of clarity on underperformance and subjective goals, and viewed remediation as a superficial 'performance' exercise. The study highlights the need for better emotional support and improved remediation plans to address…
Isolated hollow viscus (HV) perforations in blunt abdominal trauma (BAT) are rare but increasing in incidence. A retrospective study at a trauma center found that 6.04% of BAT patients undergoing emergency surgery had HV perforations, mostly involving grade II-III jejunum and grade I transverse colon.…
Immediate mobilization in the post-anesthesia care unit did not increase overall postoperative physical activity after elective colorectal surgery, as indicated by no significant differences in steps taken between the intervention group and standard care group during hospital stay. Other outcomes, including complications and compliance with…
