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Best Papers in General Surgery
The five that matter, every day.
In a study evaluating ultrasound-guided erector spinae plane block (ESPB) for post-operative analgesia in laparoscopic cholecystectomy, researchers found that the ESPB group required significantly less tramadol within the first 24 hours compared to controls (p=0.005). Additionally, pain scores measured by visual analogue scale (VAS) were…
A novel model was developed to visualize hidden surgical needle tips within organs, addressing challenges in laparoscopic procedures that could lead to complications like anastomotic leakage. Testing revealed real-time image inference at 33.4 frames per second and a mean needle misalignment of just 1.03 mm,…
A multicenter trial demonstrated that radiation-emitting metallic stents (REMS) combined with hepatic arterial infusion chemotherapy (HAIC) significantly outperformed self-expandable metallic stents (SEMS) in patients with unresectable Bismuth type III or IV perihilar cholangiocarcinoma. The median overall survival was 10.2 months for REMS compared to 6.7…
A meta-analysis of 28 studies involving 512,881 patients has revealed that preoperative in-hospital delays exceeding 24 hours significantly increase the risk of complicated appendicitis, postoperative complications, and mortality. Specifically, these delays are associated with a 60% higher risk of complicated appendicitis and a 51% increased…
In high-risk advanced hepatocellular carcinoma patients, triple therapy involving FOLFOX-based hepatic arterial infusion, tyrosine kinase inhibitors, and PD-1 inhibitors significantly improved median overall survival to 24.6 months compared to 11.9 months with dual therapy (HR=0.43, p
A novel predictive model using lasso-logistic regression has been developed to assess the risk of postpancreatectomy hemorrhage. Analyzing data from over 9,600 patients, the model identifies nine independent risk factors, including preoperative BMI and ASA scores. Its predictive accuracy reached an area under the ROC…
A study involving 4,953 patients revealed that delaying surgery for at least two weeks post-COVID-19 infection can significantly lower the risks of short-term complications and mortality. Patients who postponed their procedures for over seven weeks experienced enhanced long-term functional recovery, as indicated by reduced disability…
Recent insights into gastric cancer with peritoneal metastasis (gcpm) reveal dismal outcomes, underscoring the need for improved management strategies. A growing body of clinical trials investigates the efficacy of cytoreductive surgery (crs) combined with hyperthermic intraperitoneal chemotherapy (hipec), recognized in new national guidelines. Enhanced understanding…
Feedback from 88 academic surgeons through the intraoperative 360-degree evaluation (i360) primarily highlighted crucial non-technical skills such as leadership and communication. Analysis revealed that 84.3% of comments were related to non-technical skills, with key themes including mentorship, professionalism, teamwork, and situation awareness. Leadership themes accounted…
A new structured guide addressing colorectal liver metastases (CRLM) fills a vital gap in surgical oncology education. By updating the European Society of Surgical Oncology's curriculum, it provides essential information on epidemiology, staging, and treatment strategies. Researchers conducted a thorough literature review, focusing on recent…
