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Best Papers in General Surgery
The five that matter, every day.
Findings indicate that robotic-assisted hepatectomy in a high-volume center leads to shorter hospital stays, fewer complications, and lower severe morbidity rates compared to traditional methods. Analyzing 111 patients from Lille University Hospital revealed costs dropped from €12,169 in 2018 to €8,513 in 2021, cumulatively saving…
Preoperative frailty, measured by the modified frailty index (MFI), significantly predicts postoperative mortality. Patients who experienced in-hospital mortality exhibited higher preoperative MFI scores (0.178) compared to those discharged alive (0.115). This difference persisted on postoperative day 1 (0.240 vs. 0.143) and along the entire hospitalization…
The global health burden of gallbladder and biliary diseases persists, with the age-standardized incidence rate decreasing by 12.84% from 1990 to 2021. However, the absolute number of cases increased by 60.11%, primarily due to population aging and growth. Health inequalities persist, particularly in high-burden regions…
A network meta-analysis of 20 studies evaluated various mesh placement techniques for parastomal hernia repair. Results indicated that the hybrid 3D technique significantly reduced hernia recurrence and surgical site infections compared to keyhole and Sugarbaker methods. Among the assessed methods, the Sandwich technique ranked highest…
A cohort study of 6,463 gastric cancer patients established new benchmarks for lymph node harvesting in gastrectomy. Results showed that just five lymph nodes (LNs) sufficed for CT1 patients to maintain a low risk of false negatives, while CT2 patients required 17 nodes. For CT3…
A study of 445 patients undergoing laparoscopic appendectomy for acute appendicitis revealed a 3.8% conversion rate to open surgery. Statistical analyses identified a Malatya Complicated Appendicitis Prediction Score (MCAPS) of 6 or higher as the only significant independent risk factor for conversion during the procedure.…
An advanced AI tool has been developed to predict intraoperative liver resection complexity (LRC) using preoperative CT scans. By generating 3D models of anatomy, including tumors and vascular structures, the tool outperforms traditional predictions made by surgeons. With an accuracy of 79.4% and an AUC…
A study identified that the implementation of specific firearm laws could significantly reduce suicide rates across the U.S. Child Access Prevention (CAP) laws and Concealed Carry Permitting (CCP) laws were highlighted as the most impactful missing regulations, with CAP associated with a 47% reduction in…
Implementing computerized provider order entry (CPOE) prompts significantly reduced the use of empiric extended-spectrum antibiotics for non-critically ill patients with abdominal infection. In a trial involving 198,480 patients across 92 hospitals, a 35% relative reduction in antibiotic days was observed with CPOE intervention compared to…
A study of 1,834 patients revealed a significant increase in the adoption of robotic surgery for hiatal and paraesophageal hernia repairs. Robotic techniques led to superior symptom resolution compared to open surgery, especially in larger hernias. Although overall rates for recurrence and reoperation remained low,…
