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Best Papers in General Surgery
The five that matter, every day.
A stepped-wedge cluster randomised hybrid study will evaluate the effectiveness of local adaptations in hypothermia prevention for perioperative patients. Conducted in five major hospitals in Queensland, Australia, the trial aims to reduce the incidence of hypothermia upon arrival at the post-anaesthetic care unit. Key outcomes…
In a prospective cohort study, clinicians evaluated transanal repair's effectiveness on 22 patients who suffered anastomotic leakage post low anterior resection for rectal cancer. Among 11 patients receiving the procedure, 9 achieved healed anastomoses and 8 restored bowel continuity. The approach, requiring early detection and…
A novel machine learning model effectively predicts very early recurrence (VER) of perihilar cholangiocarcinoma (PCCA) post-surgery. In a study of 434 patients, 15% experienced VER, significantly reducing median overall survival to 8.4 months compared to 38.5 months for those without recurrence (p
A study analyzed the impact of glycemic control on surgical outcomes in 502,478 patients, revealing that diagnosed diabetes and Hba1c levels significantly influence postoperative complications. While undiagnosed prediabetes correlated with lower surgical risks, undiagnosed diabetes increased medical complications. Notably, those with very low and high…
A significant trend toward minimally invasive esophagectomy (mie) and robotic-assisted minimally invasive esophagectomy (ramie) between 2010 and 2019 has been observed, with open esophagectomies (oe) declining by 52%. Mie utilization rose by 49% and ramie by 704%. Both mie and ramie demonstrated lower 30-day and…
The incorporation of generative artificial intelligence in academic surgery presents transformative opportunities but also significant ethical challenges. Key benefits include improved efficiency in tasks like manuscript writing and clinical documentation. However, concerns regarding bias, transparency, intellectual property, and privacy necessitate strict guidelines for responsible use.…
Findings indicate that effective management of bowel endometriosis involves a multidisciplinary strategy combining gynecologic and gastrointestinal expertise. Key techniques discussed include hormonal therapies and various surgical options, notably shaving excision for its lower complication rates, with segmental resection reserved for severe cases. The review underscores…
A novel protease-activated nanosensor assay effectively identifies pancreatic ductal adenocarcinoma (pdac) in patients with high specificity and sensitivity. The assay achieved 98% specificity and 73% sensitivity for pdac samples and demonstrated an impressive 85% sensitivity for stage I pdac combined with the CA 19-9 biomarker.…
A post hoc analysis involving 490 gastric cancer patients reveals that high preoperative visceral fat area (VFA) significantly increases the risk of intraoperative adverse events (IAEs) during laparoscopic gastrectomy. Specifically, IAEs occurred in 29% of the high VFA group, compared to 12% in the low…
A retrospective cohort analysis of 212 patients revealed significant discrepancies in the endoscopic localization of distal colorectal tumors. Of those diagnosed with distal sigmoid tumors, 30.7% were found to have rectal cancer during surgery, despite prior endoscopic assessments. Additionally, 25.1% of lesions were invisible on…
