Newsletter
Best Papers in General Surgery
The five that matter, every day.
Researchers present a novel robotic-assisted approach for intracorporeal rectal transection and hand-sewn anastomosis in low anterior resection. This technique addresses limitations of conventional methods by utilizing the advantages of the robotic platform, ensuring standardized exposure during rectal transection, and recognizing the significance of avoiding staple-related…
Among 1,885,889 Medicare beneficiaries included in the study, those residing in areas of higher privilege had lower chances of experiencing surgical complications, prolonged length of stay, 90-day readmission, and 90-day mortality. Moreover, individuals in the most privileged areas had a 19% increased odds of achieving…
Significant variations in hospital performance after colorectal cancer surgery were observed in a Dutch population-based study. The study analyzed data from over 44,000 colorectal cancer patients and found that two hospitals performed worse than expected in terms of 90-day mortality, while significant outliers were observed…
A propensity score matching study analyzed 220 colorectal cancer patients undergoing treatment in China. Prophylactic hyperthermic intraperitoneal chemotherapy (HIPEC) was associated with improved 3-year disease-free survival (DFS) compared to no HIPEC (HR 0.43). However, this benefit was not observed in patients with CT4N2M0 cancer. Laparoscopic…
Patients with resectable pancreatic body or tail cancer who have splenic vein (SPV) involvement, particularly radiological SPV encasement, experience significantly worse overall survival (OS) and recurrence-free survival (RFS). Independent poor prognostic factors include higher pre-operative carcinoembryonic antigen levels, larger tumor size, pathological SPV invasion, and…
Patient-controlled epidural analgesia (PCEA) did not significantly improve postoperative pain during ambulation compared to intravenous patient-controlled analgesia (IV PCA) following open hepatectomy. There was a small difference in pain scores on postoperative day 2, but it did not meet the pre-specified definition of clinical significance.…
Researchers developed and validated a new clinically relevant endpoint, Pancreatic Surgery Composite Endpoint (PACE), for pancreatic surgery. PACE incorporates postoperative pancreatic fistula, post-pancreatectomy hemorrhage, reoperation, and reinterventions. It demonstrated high predictive value for prolonged length of hospital stay (LOS) and mortality in both the development…
Researchers identified benchmark values for hepatectomy in intrahepatic cholangiocarcinoma (ICC) across international institutions. Out of 1,193 patients, 600 (50.3%) were included in the benchmark group. The benchmark values encompassed criteria such as lymph node retrieval, blood loss, transfusion rate, operative time, achievement rates for postoperative…
Acute appendicitis patients were randomly assigned to receive either antibiotic treatment with active observation or classic observation without antibiotic treatment. The study found that early antibiotic treatment was more effective in avoiding surgical exploration and appendectomy compared to the observation group. The antibiotic group had…
The retrospective study, which enrolled 850 overweight colorectal cancer patients, found that the incidence of malnutrition was 12.4% in the GLIM group and 6.4% in the HGS-GLIM group. Both malnutrition groups had a significantly higher incidence of complications compared to the control group. Patients in…
