Newsletter
Best Papers in General Surgery
The five that matter, every day.
The study explores terminology, classification, and significance of dysplasia and early carcinoma in the gallbladder and bile ducts. Most precursor lesions and early cancerous changes are clinically undetectable. Low-grade dysplasia is challenging to define and lacks clinical significance, but additional sampling is required to exclude…
The researchers conducted a study on laparotomy closure quality and short term complications in elective and emergency surgeries. They analyzed the suture-to-wound length ratio (SL/WL) and surgical site occurrence (SSO) of midline and transverse incisions. The results showed no difference in short stitch quality between…
In open inguinal hernia repair, three sutureless techniques were compared: mesh fixation with glue, self-gripping mesh, and trabucco's technique. Among 1034 patients, trabucco's technique, utilizing standard/heavy mesh, significantly increased the odds of hematomas. The study assessed postoperative complications, acute/chronic pain, and discharge time, considering patient-related…
Linked electronic health records were used to develop a risk model for 90-day mortality in patients undergoing emergency colorectal cancer (CRC) surgery. The selected model, which included additional physiological and surgical measures along with patient and tumor characteristics, showed considerably better discrimination compared to the…
Robotic duodenum-preserving pancreatic head resection (DPPHR) utilizing video-based indocyanine green fluorescence imaging was successfully performed on a 48-year-old patient with pancreatic duct stones and chronic pancreatitis. The surgery lasted 265 minutes with minimal blood loss. Postoperative pathology confirmed the diagnoses, and the patient was discharged…
Normal CEA levels (≤ 2.5 ng/ml) after neoadjuvant chemotherapy (NACT) and cytoreductive surgery with hyperthermic intraperitoneal chemoperfusion (CRS/HIPEC) are associated with better survival in patients with colorectal peritoneal metastases (CRPM). A retrospective study on 253 CRPM patients showed that those with normal CEA levels after…
The study included 717 patients and found that the new muscle parameter, SMG, obtained by multiplying the skeletal muscle index (SMI) and skeletal muscle radiation attenuation (SMRA), can predict the prognosis of patients with gastric cancer. The findings showed that SMG can effectively predict both…
Researchers conducted a multicenter analysis using the Abdominal Core Health Quality Collaborative database to compare the outcomes of unilateral groin hernia repair approaches in the United States. The study included patients who underwent open inguinal hernia repair, laparoscopic transabdominal preperitoneal, laparoscopic total extraperitoneal, and robotic…
The use of direct oral anticoagulants (DOACs) as an alternative to low-molecular-weight heparin (LMWH) for extended thromboprophylaxis after major abdominal/pelvic cancer surgery is effective and safe. A systematic review and meta-analysis of 9 studies, including 2651 patients, found that DOACs had a similar incidence of…
This retrospective cohort study analyzed the outcomes of adult trauma patients with liver cirrhosis (lc) who underwent laparotomy or non-operative management (nom). Among 929 patients, 38.2% underwent laparotomy and 61.7% received nom. Patients who underwent laparotomy had higher in-hospital mortality rates (52.3% vs 20.0%), increased…
