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Best Papers in General Surgery
The five that matter, every day.
An analysis of recommendation letters for colorectal surgery fellowship candidates revealed gender-based differences. Women applicants received longer short answer responses, while men applicants had lengthier letters. Furthermore, the study uncovered that men were often described with more technical skill-related terms, while women's letters contained emotional…
A Scoping Review unpacked the underexplored realm of Second Victim Syndrome (SVS) in surgeons. SVS, affecting 50% of healthcare providers, often leads to enduring emotional turmoil, impacting personal lives and professional practices. The review emphasized that surgeons, due to their high-stress profession, also grapple with…
This study delves into "surgomics," a method that customizes surgical outcome predictions using machine learning and real-time surgical data. The challenge? Gathering high-quality annotations from experts. To address this, the researchers investigated active learning (AL) to make annotation more efficient. They chose ten video-based features…
Researchers investigated the impact of a weight-loss program (WLP) on patients with a high body mass index (BMI) before undergoing liver resection for hepatocellular carcinoma (HCC). In a study of 19 patients with a BMI of 25.0 or higher, WLP successfully led to weight loss…
Researchers delved into the relationship between malnutrition, assessed by the Geriatric Nutritional Risk Index (GNRI), and the outcomes of patients who had undergone curative surgery for colorectal cancer (CRC). Those with lower GNRI scores had reduced overall survival and higher risk of recurrence, particularly within…
A study involving 20 institutions and over 1,300 general surgery residents found that those with the lowest logged case volume were more likely to be female, identify as underrepresented in medicine, and pursue fellowships. Additionally, they were more likely to have graduated from low-volume programs…
Researchers compared outcomes in patients with splenic pseudoaneurysms (PSAs) following blunt trauma, some treated with splenic artery embolization (Embo) and others without (No-Embo). Patients who underwent embolization had a significantly lower rate of failure of nonoperative management (FNOM) compared to the No-Embo group (3.1% vs.…
A multicentric survey involving 11 patients with liver tumors and 23 experienced surgeons demonstrated that 3D reconstructions significantly enhance the comprehension of complex liver anatomy and the relationship between tumors and adjacent vascular structures. Compared to standard 2D CT scans, the 3D models provided superior…
Researchers investigated whether adjuvant therapy benefits patients with duodenal adenocarcinoma (DAC) and intestinal subtype ampullary carcinoma (IAC) after surgery. The study found that while DAC patients with perineural invasion and IAC patients with specific risk factors (lymph node involvement, advanced tumor stage, perineural invasion) benefited…
A comprehensive study involving over a million operations performed by 14,399 surgeons reveals a concerning trend: early career surgeons, especially those in their first year of practice, have higher mortality and severe complication rates compared to their peers in their 15th year of practice. This…
