Newsletter
Best Papers in General Surgery
The five that matter, every day.
Wire-guided localization (HWG) surgery for non-palpable recurrent thyroid carcinoma (TC) has been found to have improved outcomes compared to traditional procedures. A retrospective cohort study analyzed the results of HWG resection and found that it reduced surgical morbidity and improved re-recurrence-free survival (RRFS) and re-recurrent/progressive…
Adrenalectomy for pheochromocytoma carries a risk of intraoperative hemodynamic instability (HDI). In this study, researchers retrospectively reviewed the charts of 205 patients who underwent adrenalectomy for pheochromocytoma. They found that HDI occurred in 75.6% of patients but was rarely associated with major cardiovascular events. Patients…
During the COVID-19 pandemic, surgical trainees at VA teaching hospitals experienced a significant decrease in operative volume due to the suspension of elective cases nationwide. A retrospective analysis of surgical cases revealed that operative cases dropped by half during the peak of the pandemic and…
Patients with locally advanced gastric cancer often require multivisceral resection to achieve complete tumor removal. A systematic review of 30 studies including 3362 patients showed that R0 resection was achieved in 67.77% of cases, with the spleen, colon, and pancreas being the most frequently resected…
Surgeons' ability to accurately predict surgical margins following resection of colorectal liver metastases (CRLM) was evaluated in this study. The analysis included 190 preoperative and 190 postoperative assessments from 95 cases, comparing surgeon assessments to histopathologic assessment. Results showed that surgeons are inaccurate at predicting…
Many cancer survivors are at risk of developing a second primary cancer (SPC), which affects their prognosis. This study conducted a systematic review and meta-analysis of 9 million cancer patients to explore correlations between SPCs and first primary cancers (FPCs). The analysis revealed specific associations…
Approximately 36% of patients who undergo non-pancreatic upper gastrointestinal surgeries develop pancreatic exocrine insufficiency (PEI), which can have detrimental effects on their health. The incidence of PEI was found to be 23% after bariatric metabolic surgery and 50.4% after oesophagogastric resection, with even higher rates…
Gastric neuroendocrine tumors (G-NETs) are rare tumors originating from the gastric mucosa, classified into three subtypes based on their characteristics and behavior. Type 1 and 2 are typically multifocal and associated with elevated serum gastrin levels. Type 2 causes symptoms like abdominal pain and diarrhea.…
Robotic Pancreatoduodenectomy in a patient with Type III Portal Annular Pancreas (PAP) was successfully performed using the hanging maneuver and indocyanine green (ICG) fluorescence imaging. The technique involved transecting the pancreas into the neck of the anteportal portion and stapling the retroportal portion after dissection…
The study evaluated the impact of frailty on complications and length of stay after minimally invasive adrenalectomy surgery. It found that frailty, rather than age, was a better predictor of adverse outcomes. The study included 8,693 patients who underwent the surgery, and the results showed…
