Newsletter
Best Papers in General Surgery
The five that matter, every day.
Among patients diagnosed with appendiceal adenocarcinoma after acute perforated appendicitis, half may have peritoneal metastasis. Prophylactic cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) in cases without identified metastasis during CRS may lead to an encouraging rate of disease-free survival at 5 years, with a…
Centers with liver transplant programs in France perform more difficult laparoscopic liver resections for hepatocellular carcinoma in cirrhotic patients compared to centers without transplant programs. Despite this complexity, both types of centers showed comparable safety and quality of care in terms of postoperative severe morbidity…
Increased utilization of induction chemotherapy in total neoadjuvant therapy for locally advanced rectal cancer led to higher pathologic downstaging rates compared to consolidation chemotherapy. From 2006 to 2017, 46.7% of patients experienced downstaging, with induction chemotherapy resulting in a higher rate of pathologic downstaging (58%…
Perioperative fluid management in colorectal surgery is discussed within enhanced recovery after surgery (ERAS) pathways. The review highlights the lack of standardized definitions for restrictive or liberal fluid regimens, with challenges related to patient selection. Goal-directed fluid therapy is suggested for more complex cases. Critical…
Repeat resection for recurrent intrahepatic cholangiocarcinoma in select patients can lead to improved survival compared to locoregional or palliative therapy alone. A 3-year post-recurrence survival rate of 47% was observed in surgically treated patients. Independent predictors of post-recurrence death included time to recurrence, site of…
Researchers found that despite recommendations for extended thromboprophylaxis, only 63% of patients received appropriate treatment in the inpatient setting. Additionally, only 2% of patients received recommended prophylaxis post-discharge, resulting in no thromboembolic events. Adherence to risk-guided prophylaxis led to decreased rates of venous thromboembolism without…
Effective intraoperative teaching in surgery is crucial for resident education. A scoping review of 66 studies reveals the BID model (Briefing, Intraoperative Teaching, and Debriefing) as a foundational framework for organizing teaching interactions. Preoperative briefing, intraoperative teaching, and postoperative debriefing enhance learning experiences, with emphasis…
A multi-institutional observational study compared postoperative quality of life between patients undergoing total or proximal gastrectomy for early gastric cancer. Postoperative weight loss rate over 3 years was lower in the proximal gastrectomy group, showing a trend towards better quality of life, particularly in indigestion…
Researchers successfully treated persistent biliary fistulas post-liver hydatid cyst surgeries in 14 patients using a noninvasive drain clamping technique. All fistulas closed within 8-20 days without complications. This novel approach eliminated the need for surgical reoperation and resulted in complete recovery in patients, providing a…
An effective measurement tool, the Retained Surgical Items Risk Assessment Scale, was developed and validated to assess risk factors for retained surgical items in operating rooms. It showed high content validity, internal consistency, and accuracy in identifying high-risk patients. The scale's cut-off point, specificity, and…
