POD2 CRP identifies low leak risk after colon resection
After elective colon cancer resection, POD2 CRP below 100 mg/L identified patients with about a 1% risk of major anastomotic leak—potentially supporting earlier discharge.
Newsletter
General Surgery
Best Papers in General Surgery
The five that matter, every day.
Robotic biliary resection for gallbladder cancer
A single-case report details robotic partial central hepatectomy and bile-duct resection with Roux-en-Y reconstruction for gallbladder adenocarcinoma—an example of a complex operation performed minimally invasively, not evidence that it is ready for routine use.
Pyloric dilation linked to fewer post-esophagectomy complications
In this two-centre cohort, prophylactic balloon dilation was associated with less early delayed conduit emptying and pneumonia after esophagectomy.
High-risk biliary cancer: NAC linked to better survival
In resectable biliary tract cancer, clinical node positivity or CA19-9 ≥200 U/mL flagged early-recurrence risk; neoadjuvant chemotherapy was associated with better survival in this high-risk group.
Extended lymphadenectomy linked to longer survival in gallbladder cancer
In this 505-patient retrospective study, extended lymphadenectomy was associated with longer overall survival after matching—but also more postoperative morbidity.
International Training Program Boosts Robotic Pancreatoduodenectomy
A structured training program for robotic pancreatoduodenectomy (RPD) demonstrated feasibility, improving technical skills and outcomes among 20 European centers previously inexperienced in RPD.
Survival Outcomes in Gastric Cancer with Peritoneal Metastasis
In patients with gastric cancer and positive peritoneal lavage cytology or localized peritoneal metastasis, upfront chemotherapy followed by surgery yields better outcomes than surgery followed by chemotherapy.
Financial Toxicity Post-Esophagectomy Impacts Nearly 40% of Patients
More than one-third of patients with esophageal cancer experience significant financial toxicity after esophagectomy, which can complicate recovery and quality of life.
Extended Prophylaxis Reduces VTE in Minimally Invasive Colorectal Surgery
In patients undergoing minimally invasive colorectal resections within an enhanced recovery after surgery (ERAS) protocol, extended venous thromboembolism (VTE) prophylaxis significantly reduces post-discharge VTE rates, albeit with a small absolute risk reduction.
Enhanced Visualization of Biliary Structures in Laparoscopic Cholecystectomy
This study investigates the use of computer vision to improve the identification of extrahepatic biliary ducts during laparoscopic cholecystectomy, showing significantly enhanced visibility through a novel fusion imaging approach.