Newsletter
Best Papers in General Surgery
The five that matter, every day.
Embracing cytoreductive surgery (CRS) for peritoneal malignancies faces diverse challenges worldwide. This review explores the adoption of CRS, crucial in gastrointestinal and gynecological cancers, revealing significant global disparities. High-income countries lead in establishing CRS programs, while barriers in low- and middle-income nations persist. Access to…
In the fight against colorectal cancer, understanding and managing colon polyps are pivotal. This review delves into their epidemiology, emphasizing the significance of recognizing sessile serrated lesions for effective colonoscopy screening. Established endoscopic systems remain key in identifying malignant polyps, guiding decisions during procedures. Advances,…
In a pioneering study on abdominal wall hernias (AWH), researchers delve into patients' personal narratives, uncovering the profound impact on body image. The qualitative analysis of 15 patients reveals two interconnected themes: "Changes to Perceptions of Self" and "Fears Concerning Others' Perceptions." AWH significantly harms…
Researchers explore the evolving landscape of mesenchymal stem cell (MSC) therapy in wound healing. While MSCs show promise in tissue repair, their full potential is hindered. The study advocates for combination therapies, citing enhanced efficacy through biomaterials, platelet-rich plasma (PRP), and stress-response manipulation. By synergizing…
A groundbreaking study tracked 1613 patients with low-risk papillary thyroid carcinoma (PTC) who underwent radiofrequency ablation (RFA) for an impressive 58.5 months. Results unveiled a remarkable 4.3% local tumor progression rate, with a 95.7% disease-free survival at 8 years. Subcapsular tumor location and multifocality were…
Examining 2534 cases across 58 global centers, this study dissected the impact of cirrhosis on minimally invasive major hepatectomies (MIMH) for liver malignancies. Child-Pugh A cirrhosis correlated with increased morbidity and extended hospital stays. Child-Pugh B cirrhotics faced higher transfusion rates and prolonged hospitalization. However,…
Researchers scrutinized 3421 medullary thyroid cancer (MTC) cases to see if the 2009 American Thyroid Association (ATA) guidelines had a real impact. Post-2009, 72% of non-advanced MTC cases aligned with surgery guidelines, up from 67%. Discordant cases often featured females, older patients, and non-academic facilities.…
In clinical staging for early-stage esophageal cancer, 41.2% of patients experienced upstaging upon final pathology. Tumor size, histology, and delayed esophagectomy (>30 days) were linked to upstaging risk. The rate of achieving optimal oncologic outcomes dropped from 43.8% (reliable clinical staging) to 22.5% (considering upstaging).…
Surgical critical care fellows experienced enhanced comfort and skills in point-of-care ultrasound (POCUS) after participating in a dedicated ultrasound curriculum. The program, including lectures and hands-on training, led to improved fellow-reported comfort levels in various ultrasound-guided techniques. Technician evaluations confirmed significant progress in fellows' probe…
In patients with an elevated risk of postoperative pancreatic fistula after pancreatoduodenectomy, a 10-day course of extended antibiotics significantly reduced the occurrence of clinically relevant fistulas, as well as associated complications like infections and drain placements. Patients on extended antibiotics had a shorter hospital stay…
