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Best Papers in General Surgery
The five that matter, every day.
Post-surgical analysis reveals men experience significantly worse recurrence-free survival after liver resection for HCC and ICC compared to women, with 5-year rates of 30.0% versus 43.9% and 18.7% versus 26.8%, respectively. Male murine models also showed larger tumor recurrences linked to increased immunosuppressive cells. The…
A comprehensive study involving over 472,000 participants reveals critical insights into diverticular disease risk. Key lifestyle factors, including smoking, alcohol consumption, and poor sleep, correlate with increased risk, while a diet rich in fruits and whole grains offers protection. Among the 23,742 cases identified, complicated…
Analyzing over 83,000 emergency colorectal surgeries, researchers found that robotic procedures cut complications, reduced hospital stays, and slashed conversion rates compared to laparoscopic and open surgery. Robotic cases had a 7.8% conversion to open surgery vs. 24.2% in laparoscopy. Length of stay was significantly shorter,…
Research demonstrates that ileal pouch-anal anastomosis significantly improves bowel function, continence, and overall health among patients with ulcerative colitis. Over 12 months, mean scores for bowel function dropped from 50.6 to 24.3 and for mental health increased from 41.5 to 51.2. Furthermore, sexual interest increased…
In a multicenter trial involving 50 adults with chronic gastroesophageal reflux disease (GERD), RefluxStop surgery demonstrated remarkable long-term outcomes over five years. The median GERD-Health-Related Quality of Life (GERD-HRQL) score improved by 90%, and 24-hour pH monitoring revealed a 90% reduction in acid exposure time.…
Researchers found that cytoreductive surgery combined with multimodal therapies significantly improved overall survival and progression-free survival in patients with advanced ovarian, colorectal, and gastric cancers. Analyzing data from 13 studies involving nearly 4,000 patients, the experimental group showed a 14% decrease in mortality risk and…
Enhanced recovery pathways significantly reduced postoperative morbidity and LOS in cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. Among 150 patients studied, average compliance reached 77.6%, showing a notable negative correlation with postoperative complications and delays in return to intended oncological therapy. Specifically, patients with compliance below…
Researchers demonstrated that a robotic malfunction checklist (RMC) significantly reduced the resolution time for complex robotic errors by 43%, averaging 3.9 minutes. In a randomized controlled simulation, participants using the RMC reported lower task load across multiple dimensions and increased confidence in addressing robotic issues…
A clear-eyed look at the evolving conversation around uncomplicated appendicitis — and what it means for surgeons.
Researchers found that jejunal limb decompression (JLD) significantly lowers the incidence of early-onset postoperative cholangitis in patients undergoing pancreaticoduodenectomy. In a study involving 281 patients, the incidence dropped from 20.7% to 1.7% when JLD was employed. Additionally, a drainage volume of ≥1555 ml within 14…
