HCC conversion surgery matched early-stage survival
For selected patients with initially unresectable HCC who responded to conversion therapy, hepatectomy was followed by overall survival reported as comparable to direct surgery for BCLC-A disease.
Newsletter
General Surgery
Best Papers in General Surgery
The five that matter, every day.
OR delays track with longer MIS EGS stays
In 1,355 emergency appendectomies and cholecystectomies, longer time to the OR was associated with more inpatient admission and longer stays—without higher 30-day return visits.
Single-port robotics is feasible in colorectal surgery
A SAGES task-force review finds the single-port platform can support selected colorectal operations, but offers technical guidance—not evidence of better patient outcomes.
Uniportal esophagectomy linked to fewer pneumonias
In nine comparative studies of minimally invasive esophagectomy for esophageal cancer, uniportal VATS was associated with less pneumonia and a shorter stay than multiportal VATS—but the evidence is not strong enough to establish a preferred approach.
Delayed rectal surgery linked to worse outcomes
In this Swedish cohort, rectal cancer surgery 28–90 days after short-course radiotherapy was associated with more recurrence, metastasis, and worse overall survival than surgery within 7 days.
Pancreatic cancer: occult spread in 1 in 4
In this prospective multicenter cohort, staging laparoscopy found occult metastases in 25% of imaging-M0 patients—including 20.6% with resectable disease—potentially sparing some patients a nonbeneficial resection.
Robotic pancreatectomy tied to fewer complications
In an instrumental-variable analysis of 55,514 Medicare pancreatectomies, robotic surgery was associated with better outcomes than open surgery, but not laparoscopy.
Tubeless ERAS shortened stay after gastric cancer surgery
A tubeless recovery strategy after laparoscopy-assisted gastrectomy was associated with a shorter hospital stay and better early quality of life in selected non-high-risk patients.
ICG in emergency surgery: leak evidence leads
A review finds indocyanine green fluorescence can guide anatomy and tissue perfusion in acute surgery, with the strongest clinical support for reducing anastomotic leaks.
Elective cholecystectomy: 1% severe-complication benchmark
In 48,564 Swedish elective laparoscopic cholecystectomies, achievable-care benchmarks were 0.2% for serious intraoperative events and 1.0% for severe 30-day complications—useful quality targets, not guarantees of what every unit should achieve.