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Best Papers in General Surgery
The five that matter, every day.
A systematic review identified imaging strategies for patients with multiple or severe injuries, highlighting the importance of whole-body computed tomography (WBCT). Among 21 studies involving over 55,000 patients, extended focused assessment with sonography for trauma was recommended alongside WBCT as essential diagnostic tools. Modifications were…
A pragmatic trial involving 57,404 individuals revealed that faecal immunochemical test (FIT) screening is non-inferior to colonoscopy in reducing colorectal cancer mortality over 10 years. Participation rates were higher for FIT at 39.9% compared to colonoscopy's 31.8%. The colorectal cancer mortality risk was nearly identical…
A nationwide study in Japan reveals that the risk of adverse events (AEs) during colorectal endoscopic submucosal dissection (ESD) escalates significantly in older adults, particularly those aged 85 and above. Among 143,925 patients, AEs were recorded at 5.3% for ages 60-64, rising to 9.2% for…
A study involving 148 patients demonstrated that polyglycolic acid (PGA) mesh wrapping significantly reduces the incidence of clinically relevant postoperative pancreatic fistula (CR-POPF) after minimally invasive left pancreatectomy. The PGA group showed a 20% CR-POPF rate compared to 44% in the control group (p =…
Long-term follow-up of 40 patients treated for external pancreatic fistulas revealed a 100% closure rate after rendezvous internalization treatment, with an average closure time of 20 days. Complication rates were modest, including post-procedural acute pancreatitis (12.5%) and minor bleeding (7.5%). During a median follow-up of…
The study reveals that 41.3% of metabolic and bariatric surgeons experience diminished professional confidence due to serious complications, with 39.7% affected at home. Feelings of guilt, anxiety, and sleep disorders were reported by 53.7%, 53.7%, and 44.6% of respondents, respectively. Key barriers to seeking help…
A retrospective study analyzed 21,080 patients undergoing oesophagectomy, revealing that desflurane anaesthesia resulted in lower rates of respiratory complications and ventilatory failure compared to sevoflurane and propofol. Patients receiving sevoflurane and propofol had significantly higher incidences of respiratory issues, with odds ratios of 1.13 and…
The study investigates the specific trauma caused by the TOS-1A thermobaric artillery during the Ukraine conflict. It found that injuries predominantly consisted of third- and fourth-degree burns, alongside significant respiratory damage and barotrauma. These injuries were more severe than those from conventional thermal sources. Findings…
A nationwide study involving 879 patients revealed that extended colectomy significantly improves overall and disease-free survival rates for individuals with ulcerative colitis-associated neoplasia compared to segmental colectomy. Specifically, five-year disease-free survival rates for total proctocolectomy and subtotal colectomy were 87.8% and 83.9%, respectively, outperforming segmental…
A novel tumour biology characteristics score (TBCS), utilizing alpha-fetoprotein and PIVKA-II levels, significantly predicts recurrence-free survival (RFS) and overall survival (OS) in hepatocellular carcinoma (HCC) patients post-resection. Analysis of 695 patients revealed distinct survival outcomes across TBCS groups: 5-year RFS and OS were lowest in…
