Newsletter
Best Papers in General Surgery
The five that matter, every day.
Unraveling the immigrant tapestry, this study delves into the backstories of Asian American surgeons. From Chinese laborers shaping the landscape to post-1965 policy shifts, the narrative weaves struggles and triumphs. Discrimination and restrictive acts clashed with contributions, yet resilience prevailed. The study spotlights pivotal moments…
In the realm of gastric cancer surgery, a study flexes the stats on surgical approaches. Analyzing 21,015 patients, the research spotlights robotic gastrectomy (RG) as the champ, significantly elevating the likelihood of achieving Textbook Oncologic Outcome (TOO). Minimally invasive gastrectomy (MIG) emerges as a key…
A survey of 169 post-bariatric surgery individuals reveals a 23.1% significant weight recurrence rate. Sleeve gastrectomy increases risk (OR = 12.99). Anxiety, depression, and maladaptive eating patterns correlate with recurrence. Mindful eating and adequate sleep emerge as key protective factors, significantly reducing recurrence risk (OR…
In a study involving 33,449 patients, the Electronic Frailty Index (EFI) — a tech-driven health record tool — categorized individuals as fit, prefrail, or frail based on preoperative data. Prefrail and frail statuses significantly increased the likelihood of postoperative adverse events compared to fit individuals.…
Researchers explored the global landscape of robot-assisted minimally invasive gastrectomy (RAMIG) for gastric cancer in a 2020-2023 registry spanning 25 centers. In 759 cases, RAMIG showcased varying techniques and excellent outcomes. Anastomotic leakage rates after total and distal gastrectomy reflected high surgical quality. The study…
Researchers classified intrahepatic cholangiocarcinoma (ICC) into perihilar and peripheral subtypes, revealing distinctive features and survival outcomes. Among 1264 patients, 84.3% were ICC-peripheral, while 15.7% were ICC-perihilar. The perihilar subtype exhibited aggressive characteristics and poorer survival than the peripheral subtype. Interestingly, ICC-perihilar behaved akin to bile…
In a study of 796 preoperative gastric cancer patients, 5.4% had synchronous colorectal cancer (SCRC). Endoscopic treatments were successful, and all SCRC patients underwent curative treatment, with no attributed deaths. Cumulative mortality rates showed 12.6% for gastric cancer-related deaths but none for SCRC. Screening total…
In a breakthrough study, researchers introduced the first histopathologic grading system for Median Arcuate Ligament Syndrome (MALS). Examining specimens from 36 patients who underwent robotic MALS surgery, the team identified unique nerve and lipogranuloma findings. Histopathologic abnormalities correlated with postoperative improvement, supporting nerve compression and…
Examining trends from 2012 to 2020, researchers unveil that over 50% of 51,407 patients with locally advanced rectal cancer received total neoadjuvant chemoradiation (TNT). Factors like age and comorbidities influenced TNT rates, with stage III patients more likely to undergo it. Notably, TNT usage increased…
Delving into Crohn's disease post-ileocolic resection, this meta-analysis (17 studies, 2087 patients) compares anastomotic techniques. Endoscopic postoperative recurrence (epor) risk at ≥6 months was 37.2%. Kono-S anastomosis (17.7% cases) outshone conventional methods (81% cases), showing a lower epor incidence (24.7% vs. 42.6%). Results suggest Kono-S…
