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Best Papers in General Surgery
The five that matter, every day.
A novel device, the vas guide, significantly enhances blood vessel handling in robot-assisted surgeries. In a study of 83 patients, the vas guide group demonstrated faster looping times (31 seconds vs. 90 seconds), fewer complications (0% vs. 30%), and no additional instrument usage, contrasting sharply…
Comprehensive analysis of 311 patients with locally advanced rectal cancer revealed a 26.4% pathological complete response rate and significant downstaging in 75.2% of cases. At a median follow-up of 36 months, local and distant recurrence rates were 5.7% and 12.5%, respectively. The five-year cancer-specific survival…
Bariatric surgery yields substantial economic benefits, with total healthcare costs for surgical patients decreasing by an average of $5,677 compared to nonsurgical counterparts within two years. The study examined 18,864 adults, revealing a 22.6% reduction in costs, particularly among those with type 2 diabetes, steatohepatitis,…
A systematic review and meta-analysis examined treatment outcomes for acute cholecystitis, revealing that laparoscopic cholecystectomy (CC) significantly reduces mortality (OR=0.26) and readmission rates (OR=0.37) compared to percutaneous cholecystostomy (PC). While CC showed superior results, PC remains a viable option for high-risk patients. Studies comparing PC…
Implementation of the Orlando Score in robotic-assisted surgery led to a significant 7.5% cost reduction per procedure among participating surgeons. In contrast, the control group saw increased costs without any differences in operative time, length of stay, or readmission rates. The study emphasizes the effectiveness…
A multidisciplinary jury of 71 international experts produced 71 recommendations for managing perihilar cholangiocarcinoma (pcca) after reviewing 570 studies. Their consensus emphasized the need for centralized care and multidisciplinary expertise to improve patient outcomes, focusing on curative resection and minimizing morbidity. Through a systematic evidence…
A comprehensive analysis of severe liver injuries revealed a stable in-hospital mortality rate of 18.7% from 2017 to 2022, despite increasing utilization of angioembolization as a treatment strategy. Compared to laparotomy, angioembolization—either alone or combined with other methods—demonstrated improved survival rates. However, observation only led…
A new preoperative assessment index integrating liver-to-spleen signal intensity ratio of the remnant liver and future liver volume effectively predicts post-hepatectomy liver failure (PHLF). In a study of 333 patients, those with a volume-adjusted ratio below 0.147 were significantly linked to PHLF, with a particularly…
A recent study highlights the advantages of robot-assisted minimally invasive esophagectomy (RAMIE) over traditional methods. RAMIE reduces complication rates, particularly pulmonary issues, and facilitates faster patient recovery while achieving comparable oncological outcomes. Despite higher initial costs, RAMIE offers financial viability due to its potential to…
A groundbreaking training simulator, COLOMASTER, has been developed for laparoscopic right hemicolectomy. This innovative device eschews animal tissue, utilizing dry polyester fibers and hydrogel to emulate human anatomy and facilitate realistic surgical techniques. Surgeons can practice complete mesocolic excision, central vascular ligation, and intracorporeal anastomosis,…
