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Best Papers in General Surgery
The five that matter, every day.
A large retrospective analysis revealed that minimally invasive surgery (laparoscopic and robotic) for distal gastric cancer results in significantly lower 30-day readmission rates, mortality, and enhanced overall survival compared to open gastrectomy. While robotic techniques yielded superior lymph node yields and shortened hospital stays, the…
A systematic review of 13 studies involving 1,556 patients revealed that early oral feeding (EOF) significantly reduces total complications after elective colorectal surgery, with an odds ratio of 0.50. Specifically, EOF decreased anastomotic leakage rates (odds ratio 0.40) and shortened hospital stays. However, an increased…
Neoadjuvant chemotherapy combining a PD-1 inhibitor, apatinib, S-1, and oxaliplatin demonstrates significant efficacy for locally advanced gastric cancer (LAGC). In a study involving 130 patients, clinical complete response was achieved in 4.6%, with a total response rate of 71.5%. Notably, 96.1% underwent R0 resection, while…
A 20-year follow-up of patients who underwent unilateral thyroid lobectomy revealed that those receiving postoperative levothyroxine treatment experienced a significantly lower recurrence of nodular goiter compared to those who did not, with rates of 3.3% versus 30.0%, respectively. Additionally, 4.9% of the levothyroxine group required…
Diverting ileostomy provides symptom relief and reduces the need for complex surgeries in patients with dysfunctional ileoanal pouches. This technical approach includes preoperative planning by a multidisciplinary team and meticulous surgical technique using laparoscopic methods to minimize complications. Postoperative care emphasizes stoma management and symptom…
A study examining minimally invasive surgery (MIS) for hepatic and pancreatic procedures found significant benefits compared to open surgery. Among 8,705 patients, MIS was associated with a mean decrease in 1-year post-discharge healthcare costs of $9,739 and fewer missed workdays. After adjusting for factors such…
A study evaluating the Enhanced Recovery After Surgery (ERAS) protocol for laparoscopic common bile duct exploration (LCBDE) found marked improvements in patient outcomes. The ERAS group experienced significantly lower anxiety levels and complication rates (p < 0.05). Additionally, they reported reduced postoperative pain scores, achieving…
Endoscopic submucosal dissection (ESD) was found to enhance postoperative gastrointestinal function and nutritional status in patients with early gastric cancer (EGC). A study involving eighty patients demonstrated higher resection rates with ESD compared to endoscopic mucosal resection (EMR). Though the ESD group experienced increased operative…
Elevated postoperative lactate levels significantly predict anastomotic leakage (AL) following minimally invasive esophagectomy, with an occurrence rate of 8.9% among evaluated patients. Analysis revealed that lactate measured on postoperative day 2 serves as a strong independent predictor of AL, showcasing an odds ratio of 11.9.…
In a study involving 548 gastric cancer patients undergoing radical gastrectomy, stair climbing test (SCT) proved to be a superior predictor of postoperative complications and survival outcomes compared to gait speed test (GST). Low SCT performance correlated significantly with increased complications and longer recovery times,…
