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Best Papers in General Surgery
The five that matter, every day.
A meta-analysis of 16 studies involving 3,147 patients revealed that laparoscopic intracorporeal reinforcing sutures markedly decreased the rate of anastomotic leakage (AL) following rectal cancer surgery. Patients who received these sutures experienced a significant reduction in AL incidence, with an odds ratio of 0.33, suggesting…
Recent advancements in peroral flexible endoscopy improve approaches to managing gastric subepithelial tumors (SETs) with malignant potential. Resection techniques depend on tumor size, with options like endoscopic mucosal resection for superficial lesions and endoscopic enucleation for small tumors. When full-thickness resection is complex, laparoscopic and…
Effective endoscopic characterization for colorectal lesions >2 cm leads to better treatment outcomes compared to non-targeted and targeted biopsies. In a study of 84 patients, endoscopic methods proposed adequate treatment in 52.3 to 70.5% of cases, while biopsies resulted in 72.7% and 69.3% respectively. However,…
A systematic review encompassing 37 studies and 4,647 patients reveals significant reductions in postoperative ileus with specific interventions. Notably, electro-acupuncture decreased the time to passage of first flatus by 18.33 hours, while prokinetic agents and chewing gum notably reduced time to first stool by 32.27…
A novel risk prediction nomogram incorporating inflammatory and nutritional indexes has shown strong potential for forecasting postoperative pulmonary infection (POI) in colorectal cancer patients after radical surgery. Analyzing data from 866 patients, researchers identified key factors such as age, respiratory diseases, and systemic inflammation response…
An umbrella review of 28 articles involving over 80,000 patients reveals that extending postoperative antibiotic prophylaxis (PAP) beyond 24 hours offers no significant advantages in preventing surgical site infections compared to immediate discontinuation. The pooled risk ratio (RR) was found to be 1.07, supporting the…
A retrospective study of 1,743 elderly trauma patients revealed a concerning trend: they exhibited longer hospital stays, higher complication rates, and increased medical expenses compared to younger counterparts. Accidental falls predominated among these cases, particularly impacting women. Key mortality predictors included age, trauma severity, and…
Disparities in perioperative outcomes linked to socioeconomic status and race/ethnicity were revealed in a study of 1,519 elective colorectal surgery patients. Low socioeconomic status was associated with decreased adherence to preoperative measures, longer hospital stays (4 vs. 3 days, p
A research agenda for entrustable professional activities in surgical specialties has been proposed to enhance competency-based medical education. Key domains of inquiry include practice readiness, environmental biases, certification features, qualitative feedback, and patient outcomes. This framework aims to integrate innovative training methodologies into residency and…
A new laparoscopic liver resection technique utilizing the ventral avascular area of the inferior vena cava shows promise in improving surgical outcomes. In a study of 256 patients, this method yielded significantly larger tumor resections and reduced intraoperative complications, such as bleeding and tumor compression,…
