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Best Papers in General Surgery
The five that matter, every day.
In a cohort of 836 rectal cancer patients, 24.8% developed parastomal hernias (PSH) within 85 months following abdominoperineal resection. Key risk factors included female sex, age over 60, and a BMI of 24 or higher. The study also introduces a nomogram for predicting PSH risk,…
Laparoscopic treatment of perforated peptic ulcers significantly cuts mortality and postoperative complications compared to open surgery. A network meta-analysis of 16 studies with 1,259 patients revealed lower odds of death (OR 0.36) and fewer wound infections (OR 0.15) and ileus (OR 0.33) with laparoscopic methods.…
Patients undergoing robotic natural orifice transluminal extraction colectomy (r-notec) and robotic no-incision colectomy (r-nic) experienced significantly shorter hospital stays compared to traditional robotic colectomy. The r-notec/r-nic group averaged just 2.0 days in the hospital versus 3.4 days for conventional patients. Both methods maintained comparable safety…
Surgeons successfully performed an ex vivo liver resection and autotransplantation in a patient with extensive inferior vena cava leiomyosarcoma. The operation included en bloc tumor removal, extensive vascular reconstruction, and involvement of open-heart surgery techniques. After a 13-hour procedure and significant blood loss, the patient…
Minimally invasive distal pancreatectomy (MIDP) markedly reduces hospital stays, infections, and 90-day mortality compared to open distal pancreatectomy (ODP) in pancreatic ductal adenocarcinoma patients. Analyzing data from 20 studies involving 9,339 patients, MIDP also leads to significantly lower blood loss and transfusions. Despite showing better…
A new patch reconstruction technique for venous resection during pancreatoduodenectomy offers significant advantages. It preserves essential venous collaterals while maintaining oncologic radicality, minimizing risks of torsion or stenosis typically seen with segmental resection. This versatile approach is effective for both open and robotic surgeries, addressing…
Positive lymph node status dramatically increases the risk of very early recurrence—defined as recurrence within three months—after neoadjuvant therapy and curative resection for pancreatic ductal adenocarcinoma. In a cohort of 305 patients, 9.1% experienced this rapid recurrence, which severely impacts overall survival (6 months vs.…
A novel surgical burden score (SBS), factoring in adjusted blood loss and operative time, significantly forecasts postoperative complications in hepatocellular carcinoma (HCC) surgery. Among 801 patients analyzed, complications were noted in 39.1%, with severe cases at 11%. The SBS model surpassed existing models, achieving area…
Multimodal preoperative educational interventions, including human-contact, written, and digital formats, enhance surgical outcomes by reducing hospital stays and analgesic use. Analysis of 40 studies with over 4,100 patients revealed significant drops in length of stay and postoperative pain. Notably, in-person education decreased hospitalization by over…
After adopting robotic surgery for benign gallbladder disease, conversion rates to open surgery dropped dramatically to zero. In a study of 636 patients, conversion rates declined from 14.6% in the pre-robotic era to 4.0% during the transition and reached 0% in the robotic period. While…
