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Best Papers in General Surgery
The five that matter, every day.
Surgical techniques during laparoscopic sleeve gastrectomy significantly affect the development of gastroesophageal reflux disease (GERD). Analyzing 7,435 patients, the study found that using a narrower bougie size and resecting further from the pylorus increased the likelihood of requiring proton pump inhibitors (PPIs) post-surgery. Advanced age…
A study on enhanced recovery after surgery (ERAS®) revealed notable improvements in patient recovery post-elective colorectal surgery. Patients in cohorts following ERAS® implementation experienced significantly higher rates of bowel movement and solid food intake, with 98% achieving bowel movements by discharge compared to only 66%…
Laparoscopic hepatectomy utilizing near-infrared fluorescence imaging significantly enhanced tumor identification, identifying over 59% of tumors on the liver surface. The technique yielded a remarkable 96.6% clear resection margins among patients with colorectal liver metastases. Furthermore, no tumor cells were found in 21.3% of cases analyzed,…
Prehabilitation significantly improves functional capacity and reduces postoperative complications in surgical oncology patients undergoing major abdominal surgery. An analysis of 27 studies involving 2532 patients found a mean difference of 28.32 meters in the 6-minute walk distance for those who underwent prehabilitation. It also showed…
A study analyzed 13,628 patients undergoing ostomy construction, revealing that early discharge within 1-2 days did not significantly increase 30-day readmission rates compared to discharges of 3-5 days. Readmission rates were 13.6% for expedited discharges versus 14.2% for nonexpedited, with no significant difference found after…
Trained medical students demonstrated excellent reliability in evaluating minimally invasive right hemicolectomy videos, achieving an intraclass correlation coefficient of 0.885. When combined with expert colorectal surgeons' scores, the inter-rater reliability increased to 0.945. These trained students accurately identified lower quality surgeries, while untrained students assigned…
Research indicates that partial splenic embolization (PSE) significantly enhances platelet counts and reduces complications for cancer patients suffering from hypersplenism. Optimal splenic infarction volumes of 388 to 540 ml are essential for achieving these benefits. In cases of massive splenomegaly, the noninfarcted spleen volume is…
A systematic review and meta-analysis examining randomized controlled trials reveals that indocyanine green fluorescence angiography (ICG-FA) leads to a 45% reduction in overall anastomotic leaks during colorectal surgery. Specific findings indicate a 47% reduction for low anastomoses and a 69% reduction in grade A leaks.…
A clinical trial demonstrated that negative-pressure wound therapy (NPWT) significantly reduces the incidence of surgical site infections and occurrences in laparotomy patients compared to conventional dressings. Among 275 participants, those using NPWT had a 13% lower absolute risk for infections and a 12% reduction in…
An artificial intelligence system was developed for predicting surgical case lengths, significantly outperforming current electronic health record estimates. Analyzed data from 125,493 inpatient elective surgical cases revealed the categoricalboost regressor using clinical text embeddings achieved a mean absolute error of 46.4 minutes, compared to 120.0…
