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Best Papers in General Surgery
The five that matter, every day.
A prognostic nomogram was developed to estimate long-term survival for esophageal squamous cell carcinoma patients post-surgery. Using data from 224 patients, key variables influencing outcomes included tumor location, anastomotic fistula incidence, and vascular invasion, with lymph node clearance linked to improved survival. The nomogram displayed…
A retrospective study involving 222,583 colon cancer patients highlights the impact of Commission on Cancer (CoC) hospital accreditation on treatment quality and survival. At CoC-accredited facilities, 91.2% of patients received guideline-concordant lymphadenectomy and 81.9% received appropriate chemotherapy. Notably, risk-adjusted mortality rates were significantly reduced across…
Incorporating the Circulating Lipid and Inflammation Risk Score (CLIRS) significantly predicts long-term survival in gastric cancer patients. Analysis of 2,534 patients revealed that CLIRS is an independent prognostic factor for overall (HR 1.529) and disease-free survival (HR 1.511). Nomograms based on CLIRS outperformed traditional pTNM…
A predictive risk score (PRS) for lymphovascular invasion (LVI) in rectal cancer has been successfully developed, highlighting key independent predictors. Out of 55,178 patients analyzed, LVI was present in 18.9%. The PRS demonstrated an incidence of LVI of 16.3% in the low-risk group, rising to…
The implementation of the acute care surgery (ACS) system in South Korea significantly improved clinical outcomes for patients requiring emergency general surgery. In a study involving 2,146 patients, the time from emergency room admission to operating room transfer decreased from 522.1 to 452.2 minutes post-ACS.…
A systematic review and meta-analysis of 127,467 patients following thyroid surgery revealed critical risk factors for surgical site infections (SSI). Key contributors included surgical duration over two hours, existing comorbidities, patients older than 50 years, incision length greater than five centimeters, and lymph node dissection.…
A meta-analysis of 10 studies involving 3,505 patients found that the no-drainage approach following left pancreatectomy is associated with a significantly lower incidence of postoperative pancreatic fistula (grade B/C) and a reduced length of hospital stay compared to the traditional drainage method. Major morbidity rates…
A comprehensive consensus on robotic hepatectomy has been established by European experts, detailing techniques for different hepatectomy types. This expert report emphasizes best practices, from patient selection to postoperative care, aiming to standardize training and enhance surgical outcomes in robotic liver surgery. Addressing the current…
A comparative study evaluated the effectiveness of continuous local wound infiltration (LWI), four-quadrant transversus abdominis plane (4QTAP) block, and needle electrical twitching intramuscular stimulation (NETOIMS) for pain management in pancreaticoduodenectomy. The 4QTAP and NETOIMS techniques significantly reduced postoperative pain scores, opioid, and ibuprofen consumption, while…
An international registry of 104 rectal cancer surgeries using single port robotic technology reported successful outcomes. The procedure demonstrated a 97.1% completeness in total mesorectal excision specimens and a low R1 margin rate of 3.8%. Operating time averaged 168 minutes with no intraoperative complications and…
