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Best Papers in General Surgery
The five that matter, every day.
A systematic review encompassing 22,349 patients revealed substantial variability in postinsertion management of cholecystostomy tubes for acute cholecystitis. While 92.7% of studies utilized follow-up imaging, protocols varied significantly regarding timing and necessity. Tube removal averaged over four weeks post-insertion in many cases, and interval cholecystectomies…
In a study involving 1,150 colorectal cancer cases, a multidisciplinary tumor board (MDTB) led to a 28.3% modification rate in treatment plans post-discussion. Specific changes included a 24.1% alteration in radiological assessments, a 36.1% change in surgical strategies, and a 31.9% adjustment in radiotherapy recommendations.…
A novel Composite Endpoint of Liver Surgery (CELS) has been developed to enhance the feasibility of clinical trials in liver surgery by significantly reducing required sample sizes. Analyzing data from 1,958 patients, researchers found that 19.3% met CELS criteria, demonstrating strong predictive accuracy for surgery-related…
A thorough analysis of 150 robotic-assisted minimally invasive esophagectomies reveals an impressive 90% textbook outcome rate. Conducted at a single cancer center, the study involved predominantly clinical stage T3 tumors, with 85% receiving neoadjuvant therapy. Postoperative complications included a low rate of anastomotic leaks and…
A multi-institutional study analyzed 1,515 hepatocellular carcinoma patients, revealing distinct prognostic clusters based on preoperative alpha-fetoprotein (AFP) and des-gamma-carboxy prothrombin (DCP) levels. Notably, patients with concurrent elevated AFP and DCP faced a 5-year overall survival rate of 52.8% and a recurrence rate of 79.3%. In…
Anorectal fistulas present significant challenges in colorectal surgery, necessitating precise anatomical understanding for effective treatment. Recent findings highlight that modern imaging techniques achieve up to 98% accuracy in identifying fistula anatomy. Surgical success rates vary widely, achieving 92-97% for simple cases, while complex cases yield…
A training program focused on robotic-assisted surgery (RAS) demonstrated significant enhancements in novice surgeons' technical skills and confidence. An analysis of 300 robotic cholecystectomies revealed no major complications or conversions to other surgical methods. Additionally, the comprehensive RAST curriculum, employing a multimodal learning approach, emphasizes…
A comparative study of cis-cut and retro-cut techniques for gastric tube fabrication in esophageal reconstruction revealed significantly lower rates of postoperative anastomotic leakage (3.9% vs 16.7%) and stricture (15% vs 28.6%) in the retro-cut group. Logistic regression identified the cis-cut method as an independent risk…
A study of 53 patients with adult small-bowel intussusception reveals balloon-assisted enteroscopy (BAE) as a pivotal tool in management. Among patients diagnosed via CT, those receiving preoperative double-balloon enteroscopy had lower surgical resection rates (40% vs. 73.9%, p=0.037) and a more favorable diagnosis profile, with…
Proctoring in robotic surgery significantly improved surgical skills and reduced operating times, according to a retrospective analysis of surgeons' feedback in a single-center program. The study revealed that proctoring not only enhanced individual surgical abilities but also positively influenced the number of cases performed and…
