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General Surgery

Best Papers in General Surgery

The five that matter, every day.

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J Invest Surg29 Apr 2025

New diagnostic model effectively predicts microvascular invasion in HCC

A novel preoperative model for predicting microvascular invasion (MVI) in hepatocellular carcinoma (HCC) has been developed based on key clinical characteristics and serum biomarkers. Analyzing 1,027 patient cases, independent risk factors identified include hepatitis B virus infection, tumor size, and several alpha-fetoprotein markers. The model…

Br J Surg28 Apr 2025

Alignment with Bologna guidelines improves outcomes in SBO patients

Compliance with the World Society of Emergency Surgery Bologna guidelines significantly enhanced outcomes for patients with adhesive small bowel obstruction (SBO). Among 982 patients, those receiving successful non-operative management (NOM) had a mean hospital stay of 5.3 days, while surgical interventions resulted in longer stays.…

Surg Endosc28 Apr 2025

Gastropexy reduces recurrence rates of giant hiatal hernias.

In a study involving 77 patients with giant hiatal hernias, those undergoing anterior gastropexy experienced significantly lower recurrence rates of hiatal hernias and esophagitis compared to those without the procedure. Despite longer operating times for the gastropexy group, both groups showed no differences in post-operative…

Am Surg28 Apr 2025

Cholecystectomy improves symptoms in patients with gallbladder hyperkinesia

Cholecystectomy for patients with gallbladder hyperkinesia led to notable improvements, with 85% experiencing complete symptom resolution and 94% reporting partial improvement. A study involving 67 patients showed that those achieving complete resolution had a higher gallbladder ejection fraction (94%) compared to those without symptom resolution…

HPB (Oxford)28 Apr 2025

Surface microdialysis effectively monitors liver metabolism post-surgery

A novel surface microdialysis probe demonstrated safety and feasibility for monitoring liver metabolism after resection in 17 patients. Complications were minimal and consistent with Clavien-Dindo classification. Key metabolites, including glucose, lactate, and pyruvate, were analyzed, revealing significantly higher lactate in liver samples compared to plasma,…

Perspectives, Opinions and Curiosities28 Apr 2025

Multimodal analgesia research shows rising global interest

A bibliometric analysis of multimodal analgesia (MA) research from 2013 to 2023 revealed a significant increase in publications, particularly post-2020, with 1,939 studies identified. The USA, China, and Canada emerged as leading contributors. Popular themes included non-steroidal anti-inflammatory drugs, enhanced recovery after surgery, and patient-controlled…

World J Surg27 Apr 2025

High hospital volume reduces postoperative mortality after esophagectomy

A study examining 6,234 esophagectomy cases across 161 hospitals in Australia and New Zealand found a significant correlation between hospital surgical volume and in-hospital mortality. Mortality rates were lowest at 0.73% in high-volume hospitals performing 21 or more surgeries annually. In contrast, low-volume hospitals reported…

Int J Med Robot27 Apr 2025

Interactive model enhances pancreas segmentation accuracy in CT images

A novel deep-learning network, RRM-TransUNet, significantly improves pancreas segmentation accuracy in CT images. Achieving a dice similarity coefficient of 93.82% and an average symmetric surface distance error of 1.12 mm on multiple datasets, this model integrates clinical expertise with user interaction. By using advanced techniques…

HPB & Spleen27 Apr 2025

Microwave ablation matches surgical resection for liver metastases

In a cohort study involving 1,027 patients with colorectal liver oligometastases, survival outcomes between microwave ablation (MWA) and surgical resection (SR) were compared. After a median follow-up of 39.8 months, no significant differences were found in overall survival rates (MWA: 70.6 months vs. SR: 83.2…

Digital Surgery and Telemedicine27 Apr 2025

Artificial intelligence enhances precision and safety in surgery

The integration of artificial intelligence (AI) in surgical medicine is revolutionizing the field, enhancing the precision and safety of procedures. AI aids in preoperative diagnosis, real-time navigation during surgery, and postoperative management. Specific case studies demonstrate significant improvements in surgical outcomes, such as reduced complications…