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Best Papers in General Surgery
The five that matter, every day.
Laparoscopic transcystic common bile duct exploration (LTCBDE) achieves a 71.1% textbook outcome rate, defined by seven key criteria including postoperative complications and length of stay. Researchers identified major risk factors for failure: delayed drainage removal and prolonged hospitalization. Preoperative endoscopic retrograde cholangiopancreatography emerged as a…
Lower patient income significantly increases the risk of postoperative complications and mortality within 90 days of surgery. A comprehensive analysis of 36 studies involving over 24 million patients revealed that those on Medicaid and Medicare face higher odds of adverse outcomes compared to their privately…
Preoperative nutritional status plays a critical role in predicting overall survival for patients undergoing abdominal tumor surgery. A meta-analysis of 32 studies involving over 10,000 patients revealed a strong link, with a pooled hazard ratio of 1.61 indicating that better nutritional health correlates with improved…
A real-time AI-driven polyp detection system significantly improved detection rates in a multicenter trial. The system achieved a polyp detection rate of 67.18% compared to 56.92% in the control group. It particularly excelled at identifying smaller polyps (5 mm), enhancing both sensitivity and specificity. Results…
A novel pancreatic head clockwise devascularization approach during robotic pancreaticoduodenectomy significantly reduced operation time and blood loss compared to the traditional superior mesenteric artery-first method. Surgery duration dropped to 616 minutes with only 50 ml of blood loss, while the conventional method saw 772 minutes…
A new anatomical landmark, the perinephric vein, enhances access to the left renal vein during minimally invasive distal pancreatectomy (MIDP) for pancreatic cancer. In a cohort of 114 patients, 63.2% with pancreatic ductal adenocarcinoma showed the vein could help secure the posterior surgical margin, improving…
An organ-sparing approach via active surveillance shows promise for oesophageal cancer patients achieving complete clinical response after neoadjuvant therapy. Trials validate a comprehensive diagnostic strategy while early results suggest comparable survival rates and improved quality of life versus immediate surgery. Despite concerns over delayed interventions…
Cholecystectomy during the initial hospital admission for acute cholangitis significantly reduces in-hospital mortality and lowers readmission rates at 30 and 90 days. Among over 29,000 patients studied, those receiving surgery on admission exhibited a 60% lower mortality risk and substantially improved readmission outcomes, regardless of…
Patients with colorectal cancer receiving cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy (CRS plus HIPEC) experience significantly improved quality of life (QoL) compared to those undergoing CRS alone. Results indicate a notable minimal clinically important difference (MCID) favoring the HIPEC group, with improvement often evident within…
An international panel reached a consensus on sleeve gastrectomy, endorsing its use for diverse patient populations, including adolescents and the elderly. Key recommendations included avoiding routine dissection of the hiatus and prioritizing endoscopic pigtail drainage for managing acute leaks. Additional surgical options were outlined for…
