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Best Papers in General Surgery
The five that matter, every day.
Between 2019 and 2024, an urban state hospital's emergency department saw a significant rise in myalgia cases, increasing from 5.01% to 10.29%. The study encompassed over 5 million patient visits, highlighting a notable decline in younger patients, with those aged 0 to 20 years dropping…
The American Society for Gastrointestinal Endoscopy's updated guidelines provide an evidence-based framework for diagnosing and managing gastroesophageal reflux disease (GERD). The recommendations cover endoscopic evaluations, lifestyle modifications, and treatment options, including proton pump inhibitors and innovative endoscopic therapies. Key changes include guidelines for patients with…
Artificial intelligence could revolutionize surgical education by providing personalized feedback, improved competency evaluations, and enhanced candidate selection. AI-driven simulations foster adaptive learning among trainees, while intraoperative tools may assist surgeons in complex procedures. However, challenges such as data quality, ethical concerns, and the risk of…
A novel prognostic tool, the Weighted Alpha-Fetoprotein Tumor Burden Score (WATS), has demonstrated enhanced predictive capabilities for hepatocellular carcinoma patients post-resection. In a study involving 772 patients, WATS outperformed existing staging systems, offering reliable assessments of progression-free survival and overall survival across various time frames.…
A cut-off value of 114 mg/l for C-reactive protein on postoperative day three successfully predicts major complications in colorectal cancer patients, demonstrating a sensitivity of 80% and specificity of 59%. The study, involving 1,536 patients, found this threshold reliable across diverse subgroups, although specificity varied…
A study comparing 1-mm computed tomography (CT) and 3-mm magnetic resonance imaging (MRI) found that 1-mm CT significantly outperformed 3-mm MRI in detecting lateral pelvic lymph node (LPLN) metastases from rectal cancer. 1-mm CT detected LPLNs more frequently (p < 0.001), while the presence of…
Marginalized groups, particularly black patients and those affected by adverse social determinants of health, encounter significant barriers to curative treatments for hepatocellular carcinoma (HCC). Research revealed common challenges, such as information overload and communication gaps, while black patients also faced psychological burdens and systemic distrust.…
A nationwide study involving 3057 patients revealed that after local excision of pT1-2 rectal cancer, locoregional recurrence (LR) rates were 14% for those undergoing surveillance compared to 4% after completion total mesorectal excision (CTME). Notably, 80% of patients with LR in the surveillance group were…
A retrospective cohort study of 226 patients with locally advanced rectal cancer revealed that a 9-11 week interval between neoadjuvant chemoradiotherapy and surgery significantly increases the rates of pathological complete response (pcr). Analysis indicated that 10.5 weeks is optimal for maximizing pcr probabilities without raising…
Satisfaction with long-term totally implantable venous access ports (TIVAPs) was assessed in 149 cancer patients, showing non-inferiority to existing literature in overall satisfaction, willingness to choose the port again, cosmetic results, and pain experience. Complications were minimal, with 91.4% of catheter accesses complication-free. While satisfaction…
