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Best Papers in General Surgery
The five that matter, every day.
A consensus from Chinese experts has established eight recommendations for diagnosing and treating hepatocellular carcinoma (HCC) with microvascular invasion (MVI). These guidelines emphasize the use of MVI grading criteria and the EH-BH nomogram for improved accuracy in prediction and management. The goal is to enhance…
Management of choledocholithiasis has evolved towards single-stage techniques, which demonstrate significantly lower 30-day morbidity and shorter hospital stays compared to traditional two-stage laproendoscopic approaches. Intraoperative endoscopic rendezvous procedures show further enhanced patient outcomes by minimizing the risk of post-endoscopic pancreatitis. Additionally, laparoscopic common bile duct…
A study of 192 patients undergoing laparoscopic right colectomy revealed that intracorporeal anastomosis is associated with a significantly lower incidence of incisional hernia compared to extracorporeal anastomosis. Notably, no incisional hernias occurred at the minilaparotomy site in the intracorporeal group, while 13.3% of extracorporeal patients…
A study in Johannesburg revealed that 25% of surgical mortalities during the COVID-19 pandemic tested positive for the virus, with a notable prevalence among HIV-positive patients. It found that smoking, chronic obstructive pulmonary disease (COPD), and hypertension markedly increased the odds of COVID-19 infection in…
Health-related quality of life improves markedly for patients post-laparoscopic hiatal hernia repair with anterior 180° fundoplication. Over 12 months, physical functioning surged from 66.3 to 95.6, and bodily pain scores rose from 38.1 to 79.2 (p < 0.001). Notable enhancements in social functioning and mental…
An international consensus has developed the CoReAL Reporting Framework for standardizing the reporting of colorectal anastomotic leaks. This framework includes 33 evidence-based statements and 43 key reporting elements derived from extensive literature review and expert consensus. Focused on addressing variability in published leak rates, it…
A study from St Vincent's Hospital evaluated percutaneous and surgical microwave ablation (MWA) in treating hepatocellular carcinoma (HCC). Findings indicated that surgical MWA (SMWA) resulted in significantly lower local recurrence rates compared to percutaneous MWA (31.4% vs. 10.7%). Although SMWA was associated with longer procedure…
In a study involving 8,433 bariatric surgery patients, ursodeoxycholic acid (UDCA) significantly lowered cholecystectomy incidents. Among the 5,061 patients not receiving UDCA, 2.9% underwent cholecystectomy, compared to just 0.5% of the 3,372 patients treated with 600 mg of UDCA daily for six months. Notably, the…
A systematic review indicates that the pocket-creation method of endoscopic submucosal dissection (pcm-esd) offers significant advantages over the conventional method (cm-esd) for treating early gastric cancer. The pcm-esd demonstrated a faster dissection speed (mean difference of 5.57 mm²/min) and resulted in fewer perforations without increasing…
A retrospective study evaluated the concordance between therapeutic recommendations made by multidisciplinary teams and those generated by ChatGPT for colorectal cancer. Of 100 patients, pre-therapeutic discussions showed a 72.5% complete concordance, while post-therapeutic discussions revealed an increase to 82.8%. Discordance was notably higher among patients…
