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Best Papers in General Surgery
The five that matter, every day.
A study involving 131 non-surgical pancreatic ductal adenocarcinoma patients revealed that radiomics features from baseline CT images could significantly predict overall survival. Out of 845 extracted features, 45 were notably different among survival tertiles. The developed radiomics score demonstrated significant differentiation (p = 0.034) and…
A retrospective analysis of 578 pancreatoduodenectomy patients revealed that 42.91% achieved an 'ideal outcome' (io). Key factors enhancing io likelihood included neoadjuvant chemotherapy and neuroendocrine tumors. In contrast, older age and percutaneous transhepatic biliary drainage reduced the odds of achieving io. Notably, patients with io…
A patient-centered mobile application enhanced compliance with the Enhanced Recovery After Surgery (ERAS) protocol by 10% among colorectal surgery patients. Notable improvements were observed in early solid food intake (42% increase) and early mobilization (27% increase). While adherence to active ERAS elements improved, postoperative outcomes…
The analysis of 35,908 gastrointestinal cancer surgeries revealed significant cost variability across hospitals and surgical procedures. Factors influencing charges were predominantly patient-related (83%), followed by surgeon (9%) and hospital factors (8%). The median Medicare payments varied by procedure type, particularly with pancreatectomy averaging $26,709. Major…
A multicenter study involving 933 rectal cancer patients indicates that surgeons certified by the endoscopic surgical skill qualification system (ESSQS) demonstrate superior performance in laparoscopic surgeries. After matching, patients operated on by ESSQS-qualified surgeons had significantly lower rates of open conversions (0.3% vs 2.3%) and…
A systematic review of nine cohort studies involving 128,421 participants found that frailty is a strong predictor of postoperative outcomes following cholecystectomy. The analysis revealed frail patients have a 5.54 times increased risk of short-term mortality and a 2.65 times higher risk of postoperative morbidity…
A randomized controlled trial at Hasan Sadikin Hospital demonstrated that vitamin D supplementation significantly improved the quality of life for stage II-III colorectal cancer patients undergoing adjuvant chemotherapy. With a daily intake of 10,000 IU, participants' serum vitamin D levels rose sharply, contrasting with declines…
A randomized control trial involving 55 surgical residents revealed that video-based instruction significantly outperformed traditional operating room teaching. The video intervention group achieved a learning gain of 65%, compared to 41% for the control group, with both groups showing improvements in post-test scores. Notably, evaluators…
A randomized controlled trial with 221 patients showed that the virtual scale endoscope (VSE) achieved superior accuracy in measuring smaller colorectal polyps compared to snare-based techniques. VSE demonstrated an accuracy rate of 80.0%, significantly higher than the 66.4% accuracy from snares, with notably lower misclassification…
A systematic review and meta-analysis of 746 patients revealed that cytoreduction and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) significantly enhances median overall survival to 32.3 months, compared to 14.5 months with systemic chemotherapy alone. In patients undergoing complete cytoreduction, the study reported a major morbidity rate of…
