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Best Papers in General Surgery
The five that matter, every day.
In a study of 268 resected colorectal cancer cases, researchers found that preoperative complete blood count parameters can significantly predict early liver and lung metastases. Decreased red blood cells, lymphocytes, and an elevated monocyte-to-lymphocyte ratio correlated with liver metastases, while lower eosinophil counts were linked…
The 2023 nationwide survey by the Korean Gastric Cancer Association revealed that early gastric cancer comprised 63.1% of cases. Notably, the mean patient age increased to 64.6 years, with those aged ≥71 rising to 31.7% since 1995. The use of totally laparoscopic surgery was predominant…
An algorithm was developed to automate the grading of surgery-related adverse events using the Clavien-Dindo classification, showing substantial agreement with manual annotations. In a study of 1,379 colorectal procedures, the algorithm achieved a kappa of 0.77 with surgeons and 0.74 with nurses, improving to 0.89…
Antibiotic treatment is a viable alternative to appendicectomy for adults with imaging-confirmed acute appendicitis, as evidenced by a one-year complication rate of 5.4% for antibiotics compared to 8.3% for surgery. Approximately 66% of patients treated with antibiotics avoided surgery within the first year. However, patients…
Analysis of data from 1.25 million hospitalizations in Germany reveals a trend towards minimally invasive surgery for colonic diverticular disease, with rates rising from 34.6% to 52.9% for complicated cases and from 67.8% to 86.2% for uncomplicated cases between 2019 and 2023. Open surgery was…
The 2024 Korean Practice Guidelines for Gastric Cancer present significant updates, particularly in systemic treatment, following a thorough review by an interdisciplinary team. Six key questions were revised, and seven statements developed based on extensive systematic reviews and recent research. The updated guidelines aim to…
Function-preserving gastrectomy (FPG) techniques, such as pylorus-preserving and proximal gastrectomy, effectively balance oncological safety while enhancing patients' quality of life (QoL) following early gastric cancer treatment. These methods yield comparable oncological outcomes to traditional surgery and promote better nutritional recovery with fewer gastrointestinal issues. However,…
A study found that preserving the inferior mesenteric artery during laparoscopic colorectal resection for diverticular disease significantly reduced the incidence and severity of defecatory disorders. With 219 patients evaluated, those who had the artery preserved reported improved quality of life and stable defecatory function over…
Measuring lymph node size via preoperative CT significantly predicts pathological lymph node metastasis in colon cancer. Researchers established optimal cutoff values of 6.5 mm for maximum long diameter and 5.5 mm for short diameter, with AUCs of 0.7794 and 0.7755, respectively. Importantly, cutoff values varied…
A study involving 134 patients from the RECOPANC trial found that AI-assisted analysis of pancreatic tissue composition can reliably predict postoperative pancreatic fistula (POPF) risk. The strongest determinant identified was the relative fibrotic tissue area, which outperformed conventional surgical assessments of pancreatic texture. These findings…
