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General Surgery

Best Papers in General Surgery

The five that matter, every day.

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Ann Surg Oncol3 Dec 2023

Radiomic Model Enhances Gastric Cancer Prognostic Prediction After Neoadjuvant Chemotherapy

A cohort study involving 205 gastric adenocarcinoma patients treated with neoadjuvant chemotherapy aimed to improve prognosis prediction. The developed radiomic model, incorporating pre- and post-treatment features, outperformed pathological T stage models. The final radiomic model, integrating radiomic and clinicopathological data, demonstrated superior accuracy in predicting…

Perspectives, Opinions and Curiosities3 Dec 2023

Strategic Planning for Surgical Departments: Building Effective Clinic Programs

Navigating change in a large healthcare entity, like a major surgical department, poses challenges. This study emphasizes aligning projects with institutional and departmental strategic plans. Key steps involve defining missions, setting short- and long-term goals, resource analysis, and understanding expectations. Careful project design is crucial…

BMC Surg3 Dec 2023

Optimal Liver Remnant Volume for Safer Hepatobiliary Resection

In right hepatic trisectionectomy with bile duct resection, this study explored the impact of Future Liver Remnant volume-to-body weight ratio (FLR/BW) and indocyanine green plasma clearance rate (ICGK-F) on posthepatectomy liver failure. Among 91 patients, a FLR/BW ≥ 0.65% significantly reduced the risk of liver…

Ann Surg2 Dec 2023

Logica Trial’s Impact: Evolution of Laparoscopic Gastrectomy in the Netherlands

Analyzing data from the Logica randomized controlled trial (RCT) and the Dutch Upper Gastrointestinal Cancer Audit (DUCA), researchers explored the influence of the Logica RCT on laparoscopic gastrectomy practice in the Netherlands (2012-2021). While the Logica RCT showed no significant impact on outcomes, the DUCA…

JAMA Surg2 Dec 2023

Optimal Timing for Surgery Post Cardiovascular Events

Examining 877,430 patients, this retrospective cohort study discerns that undergoing surgery within 11.3 months of a prior cardiovascular event escalates 30-day postoperative mortality risk. Subgroup analyses reveal specific intervals for elective (14.2 months) and emergency surgery (7.3 months). While stroke and myocardial infarction exhibit similar…

J Am Coll Surg2 Dec 2023

Optimal Outcomes in Emergency Intra-Abdominal Surgery: Surgeon Volume Trumps Hospital Volume

A meta-analysis scrutinizing 33 cohort studies explores the impact of hospital and surgeon volume on mortality in intra-abdominal emergency surgery. High hospital volume proves beneficial overall, except for low-complexity procedures, while high surgeon volume consistently associates with lower mortality. Notably, mortality is significantly lower when…

BMJ Open2 Dec 2023

Unlocking Telenursing Potential: Scoping Review Protocol for Oncological Perioperative Care

Investigating the implementation of telenursing in surgical oncology, researchers unveil a scoping review protocol. Adhering to Joanna Briggs Institute guidelines, the study explores global evidence through databases and grey literature. Two independent reviewers, aided by Rayyan software, will extract data on program details, challenges, and…