Newsletter
Best Papers in General Surgery
The five that matter, every day.
The study assessed the association between food insecurity and surgical outcomes in colorectal cancer patients. It found that high levels of food insecurity were linked to higher odds of nonelective surgery, 90-day readmission, extended length-of-stay, and complications. Patients with high food insecurity also had decreased…
Researchers conducted a systematic review and meta-analysis comparing laparoscopic surgery (LS) to open surgery (OS) in patients with colorectal cancer. They found that LS resulted in milder proinflammatory reactions, as indicated by lower concentrations of inflammatory markers such as interleukins and C-reactive protein. The difference…
A cohort study comparing minimally invasive repeat hepatectomy (MIRH) and open repeat hepatectomy (ORH) revealed that MIRH is a feasible and safe approach after previous open hepatectomy. Among 46 patients included in the study, 43% underwent MIRH and 57% underwent ORH. MIRH was associated with…
The study aimed to assess the efficacy and safety of using a fibrin sealant for closing mucosal penetrations at the esophagus or cardia during submucosal tunnelling endoscopic resection (STER) for gastrointestinal submucosal tumors. A total of 31 mucosal penetrations were identified in 30 patients who…
Patients with a postoperative diagnosis of COVID-19 after bariatric surgery had worse outcomes, including a higher risk of anastomotic/staple line leak, postoperative pneumonia, and 30-day reoperation. However, patients who had COVID-19 before surgery had similar outcomes to those without COVID-19. The study suggests that it…
Antimicrobial prophylaxis with ampicillin-sulbactam was found to be more effective compared to cefazolin in reducing surgical site infection, anastomotic leakage, and respiratory failure after esophagectomy. In a study involving 17,772 patients, the use of ampicillin-sulbactam was associated with significantly improved short-term postoperative outcomes, including reduced…
The PENDI-CSI Randomized Clinical Trial assessed the safety, efficacy, and cost-effectiveness of outpatient appendectomy for uncomplicated acute appendicitis. With 85.9% of patients discharged without admission, the study found that outpatient surgery is safe and effective. Predictors for admission included age over 31 years, hypertension, high…
Delaying appendectomy until the following morning is non-inferior to immediate surgery in adults with acute appendicitis presenting at night, according to a randomized controlled trial. The study found that delaying surgery did not increase the risk of postoperative complications, meeting the noninferiority criteria. However, the…
The study aimed to describe the incidence, risk factors, and outcomes of post-ERCP cholecystitis using data from a multi-center registry. Among 4,428 patients, 17 cases of post-ERCP cholecystitis were identified, with an incidence of 0.38%. When using covered metal stenting, the incidence increased to 1.50%.…
A retrospective analysis comparing direct percutaneous endoscopic jejunostomy (DPEJ) tube placement with laparoscopic (Lap-J) and open laparotomy (Open-J) surgical methods revealed similar procedural success rates and complication rates in all three approaches. However, patients who underwent DPEJ experienced significantly lower rates of tube dysfunction within…
