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Best Papers in General Surgery
The five that matter, every day.
Postoperative hypophosphatemia affects a significant 77.9% of pancreaticoduodenectomy patients, correlating with a 66.3% complication rate. The lowest phosphate levels occur on day three post-surgery, linking diminished phosphate to complications like pancreaticojejunostomy leakage. Those with complications show hypophosphatemia at a striking 82.5%. Monitoring and managing phosphate…
Preoperative optimization significantly improves long-term glucose control and smoking cessation for patients undergoing abdominal wall reconstruction. Among 51 optimized diabetic patients, glycated hemoglobin (HbA1c) dropped from 8.5 to 6.5 after a 10.6-month preoptimization period. Post-surgery, 63.2% maintained HbA1c ≤ 7.2. For smoking patients, 58.6% maintained…
Robotic cholecystectomy demonstrates safety and efficacy across various gallbladder pathologies in high-comorbidity patients, both elective and emergent. An analysis of 218 cases at a tertiary care facility from June 2020 to October 2023 revealed a 30-day complication rate of just 7.3%, with no bile duct…
Anatomical segmentectomy of the liver using indocyanine green (ICG) fluorescence imaging significantly improves outcomes in cases of iatrogenic bile duct injury and recurrent cholangitis. A 46-year-old patient underwent surgical resection with ICG aiding in precise tissue identification and visualization, resulting in a successful procedure without…
A novel machine learning-based nomogram accurately predicts the surgical difficulty of laparoscopic cholecystectomy in gallstone patients. By analyzing 362 cases, the model integrated critical clinical and inflammatory indicators, achieving an impressive AUC of 0.863 in the validation set. This predictive capability enhances surgical planning and…
Postoperative complications significantly hinder recovery in oesophageal cancer surgeries. Pneumonia emerges as the top threat to survival, potentially leading to an 8.3% reduction in mortality if avoided. Anastomotic leaks drive reoperations and extended hospital stays, with impacts of 39.8% and 56.9%, respectively. Respiratory failure dominates…
An antimicrobial stewardship program tailored for pancreatic surgery significantly reduced surgical site infections (SSIs) linked to colonized bile. In a study of 1,638 pancreatoduodenectomies, the program cut overall SSI rates by 34% and superficial SSI rates by 59%. Importantly, the predictive value of intraoperative bile…
Trisectionectomies (TS) dramatically enhance overall and disease-free survival for patients with Bismuth-Corlette type II and III perihilar cholangiocarcinoma, outperforming standard hemihepatectomies (EH). In a study of 443 patients, TS improved overall survival to 52.4 months compared to 31 months for EH. Although TS resulted in…
A predictive model effectively identifies patients with non-functioning pancreatic neuroendocrine tumors (NF-PanNETs) at high risk for early recurrence (ER). Developed from a cohort of 496 patients, the model leverages preoperative clinical, pathological, and imaging variables, achieving an AUC of 0.91 in training and 0.84 in…
With primary liver cancer often diagnosed too late for surgery, systemic treatments are becoming vital. The review highlights advances in molecular targeted therapies and immunotherapies, including cutting-edge combinations that suppress disease progression, extend survival, and enhance quality of life for patients. Challenges in implementation remain,…
