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Best Papers in General Surgery
The five that matter, every day.
A novel single-incision gasless trans-subclavian endoscopic approach for thyroidectomy has demonstrated feasibility in 243 patients. No conversions to open surgery occurred, with average surgery times of 84.9 minutes for lobectomy plus central neck dissection and 95 minutes for lobectomy alone. Complications included temporary recurrent laryngeal…
Preoperative robotic median arcuate ligament release significantly mitigates complications in pancreatoduodenectomy, particularly for patients with celiac artery stenosis. The technique demonstrates a nearly 90% success rate in resolving ischemic complications, preventing hepatic ischemia, and ensuring normal arterial flow to the gastrointestinal tract. A case involving…
In colorectal cancer patients with iron deficiency anemia, preoperative intravenous iron (IVI) significantly raised hemoglobin levels and reduced the need for red blood cell transfusions, complications, and wound dehiscence. An analysis of data from 11 studies involving 2024 patients demonstrated these benefits, highlighting the importance…
A precise control pathway for haemostatic clip usage during laparoscopic cholecystectomy was established based on patient variations. Key factors affecting clip consumption included acute cholecystitis, anatomical variation, and severe adhesions. The study revealed that the optimal usage included no more than three clips in 17.3%…
A novel end ileostomy surgical technique significantly decreased stoma outlet obstruction (SOO) rates in patients post-rectal resection. In a study of 78 patients, only 2.9% with end ileostomy experienced SOO compared to 25% with loop ileostomy, identifying the latter as an independent risk factor. This…
A decade-long evaluation of the Wade Programme reveals its innovative educational framework effectively supports surgical anatomy training. After delivering 105 courses globally to 1,191 participants, feedback-rated satisfaction stood at 95%. The Wade educational approach, based on visualization, conceptual understanding, and practical application, received widespread acclaim…
A novel silicone-based training model for laparoscopic appendectomy was developed, combining clinical and engineering insights. Iteratively refined through four stages and stakeholder consensus, the model closely mimics anatomical structures and provides realistic haptic feedback. At a cost of only €9.67, it is scalable for various…
In a study of 191 endoscopic ultrasonography (EUS)-guided biliary drainage procedures, researchers achieved a technical success rate of 97.38% and a clinical success rate of 89.01%. Among the 191 patients, 16.75% experienced complications, including six fatal cases. These advanced techniques offer effective alternatives to traditional…
Prophylactic use of tamsulosin significantly decreased urinary retention rates (4.7% vs. 9.2%) and reduced hospital stays (4.2 days vs. 5 days) in colorectal surgery patients. The study, which involved 2,072 patients, demonstrated that incorporating tamsulosin into the enhanced recovery after surgery (ERAS) protocol can enhance…
A novel modified nutritional index model (mcns) demonstrated high predictive value for long-term survival among elderly patients with advanced gastric cancer. Analyzing data from 555 patients, the study identified tumor size, pn, and the modified nutritional score (mconut) as independent prognostic factors, improving patient risk…
