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General Surgery

Best Papers in General Surgery

The five that matter, every day.

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Surg Endosc22 Nov 2023

Unmasking Esophageal Cancer: V’ and U’ Variables Shine Bright

Researchers unveil a tech-savvy twist to esophageal cancer diagnosis, sidelining the subjective pink-color sign's (PCS) hiccups. Testing the V' variable solo, results hit 73.91% sensitivity, lagging behind human eyes. But, combining V' and U' variables steps up the game, matching seasoned endoscopists with 86.30% accuracy.…

Surg Endosc22 Nov 2023

Revolutionizing Liver Resection: Ultrasound-Guided Compression Takes the Lead

Researchers bring a game-changer to minimal access liver surgery (MALS) for hepatocellular carcinoma (HCC). Testing the waters with laparoscopic and robotic ultrasound-guided compression anatomical resection (C-AR), they aced it with 10 patients—no post-op hiccups. This technique, known in open surgery, now waltzes into MALS, promising…

J Gastrointest Surg22 Nov 2023

Immigrant Doctors in the US and Their Vital Role in Healthcare

In a study covering 97.8 million respondents, 0.12% identified as doctors. Among them, 72.4% were citizens by birth, with naturalized citizens working more hours annually. Immigrant doctors, particularly those naturalized for over 10 years, were more likely to serve in socially vulnerable and densely populated…

Ann Surg21 Nov 2023

Predicting Pancreatic Complications: Machine Learning Triumphs Over Traditional Models.

Researchers crafted an innovative machine learning (ML) model for forecasting clinically relevant postoperative pancreatic fistula (CR-POPF) after pancreaticoduodenectomy. The ML model consistently outshone the existing modified fistula risk score (MFRS) in both internal and external validations, proving its versatility and efficacy in enhancing CR-POPF prediction.…

Br J Surg21 Nov 2023

Surgery Volume Matters: Risks in Low-Volume Centers for Colorectal Cancer.

A national study analyzing 16,883 cases across 80 centers unveils crucial associations. Low-volume centers show a 50% higher risk of severe postoperative complications, with reduced lymph node removal compared to high-volume centers. In rectal cancer cases, low-volume centers exhibit a 43% lower rate of adequate…

Perspectives, Opinions and Curiosities21 Nov 2023

Rethinking Success in Academic Surgery: A Modern Paradigm

In a paradigm-shifting viewpoint, academic surgery is urged to move beyond the traditional 'triple threat' model of clinical care, research, and teaching. The study advocates for a more sustainable and individualized approach, recognizing that the evolving healthcare landscape and external pressures make the current model…

Ann Surg Oncol21 Nov 2023

Optimizing Pancreatic Body Cancer Surgery: Distal Pancreatectomy with Portal Resection

For pancreatic body cancers, researchers compared distal pancreatectomy with portal vein resection (DP-PVR) to the more common pancreaticoduodenectomy with PVR. Despite DP-PVR having higher occlusion and complication rates, both approaches showed similar survival outcomes. Meticulous surgical techniques, including various reconstruction methods for DP-PVR, were crucial.…

Upper Gastrointestinal Tract21 Nov 2023

Gastric Cancer: Prognostic Impact of Categorized Tumor Deposits

In a gastric cancer retrospective study, researchers classified tumor deposits into distinct types. Of 868 patients, 11.1% had tumor deposits, revealing poorer survival (3-year overall survival: 53.2%) compared to those without (87.0%). Irregular nodule and the tumor deposits complex showed the worst prognosis (3-year overall…