Newsletter
Best Papers in General Surgery
The five that matter, every day.
Examining outcomes in metastatic colorectal cancer treatment, researchers conducted a review, analyzing six selected studies. Comparing surgical interventions on the liver and peritoneum, cytoreductive surgery with heated intraperitoneal chemotherapy showed comparable safety and survival outcomes to hepatectomy. This suggests a need for early integration of…
Researchers compared medium-term outcomes between robotic-assisted cholecystectomy (RC) and laparoscopic cholecystectomy (LC) using quality of life (QOL) and pain assessments. In a cohort from 2012 to 2017, 122 patients completed surveys in 2019. Both groups were similar in demographics. No overall QOL difference was found,…
In a study of 1570 adult appendectomy patients, intraoperative swabs were taken in 29%, revealing a 51% bacterial isolation rate, higher in complicated appendicitis. A positive swab correlated significantly with worse postoperative outcomes, increased morbidity, re-surgery, and longer hospital stay. Positive swabs were independent risk…
In a pilot trial, colorectal cancer patients undergoing elective surgery were randomized to receive standard consent (CT images) or virtual reality (VR) consent (CT images and immersive VR models). While not statistically significant, VR showed a trend toward improved patient-reported understanding, with most patients preferring…
A survey of 622 US academic surgeons, trainees, and medical students revealed concerning mental health issues. About 26.1% reported a prior mental health diagnosis, with 15.9% screening positive for depression, 18.4% for anxiety, 11.0% for alcohol use disorder, and 17.3% for PTSD. Those with a…
In exploring the perspectives of 22 experienced medical interpreters, the study unveiled key elements for improving surgical informed consent discussions, especially for patients with limited English proficiency. Interpreters emphasized their roles as patient advocates and cultural brokers, revealing patient attributes that influence discussions based on…
Examining elderly gastric cancer patients (>75 years) in the U.S., this study, using propensity score matching, reveals that neoadjuvant chemotherapy (NAC) utilization increased from 2013 to 2019 (21% to 42.7%). After matching, 1958 patients showed that those receiving NAC experienced enhanced oncological outcomes following resection…
Analyzing 1614 cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) cases, researchers found that over 50% of patients traveled more than 100 miles for treatment. While regionalization showed no survival difference, those traveling further had fewer disparities but higher disease severity, raising concerns about access…
In a comprehensive review encompassing 64 studies, including 227,242 patients for inguinal hernia repair (IHR) and 158,384 for ventral hernia repair (VHR), robotic surgery exhibited superiority. Robotic IHR significantly lowered hernia recurrence risk (OR 0.54), demonstrating its safety and efficacy. The meta-analysis underscores that robotic…
Contrary to the conventional recommendation, researchers analyzed SEER data (2004-2015) for stage III rectal mucinous adenocarcinoma (RMC) patients. RMC, distinct in T and N stage at diagnosis, emerged as an independent poor prognostic factor for overall and cancer-specific survival. Notably, adjuvant radiotherapy failed to confer…
