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Best Papers in General Surgery
The five that matter, every day.
A systematic review and meta-analysis of 12 randomized clinical trials involving 903 patients indicate that delayed primary skin closure (DPC) significantly lowers the risk of surgical site infections (SSI) following surgery for gastrointestinal perforation, with an odds ratio of 0.31 (p < 0.01). However, no…
A randomized controlled trial is underway to compare the safety and efficacy of a surgical stapler method versus traditional energy devices for pancreatic parenchymal transection during pancreatoduodenectomy. Initiated in September 2023, the STRAP-PD trial at Wakayama Medical University Hospital aims to evaluate its effectiveness in…
The study establishes that cumulative post-esophagectomy C-reactive protein (CRP) levels significantly predict cancer recurrence and survival outcomes in patients. Among 125 subjects, those with lower CRP levels on day 7 demonstrated notably improved recurrence-free and overall survival rates compared to those with elevated levels. The…
A comparative analysis involving 540 patients indicates that the NOSES technique for colorectal cancer surgeries is effective and safe, with notable advantages over laparoscopic-assisted resection. Patients undergoing NOSES experienced fewer postoperative complications, shorter hospital stays, and quicker recovery of gastrointestinal function. The duration of surgery…
Fat mass index (FMI) significantly predicts early weight loss and quality of life following laparoscopic sleeve gastrectomy (LSG). In a study involving 243 patients, FMI demonstrated superior predictive ability compared to other body composition indicators, with an area under the curve of 0.813. Patients with…
A multicentric retrospective study of 82 patients with postoperative rectovaginal fistulas revealed an 85.4% treatment success rate. Notably, the creation of a diversion stoma did not enhance management outcomes. While interventions averaged 3.04 per patient, neither the number of interventions nor the stoma correlated with…
A case involving a 38-year-old male highlighted the rarity of congenital trans-mesenteric internal hernias as a cause of acute intestinal obstruction. These hernias, accounting for a small percentage of obstructions, necessitate urgent surgical intervention to prevent irreversible complications. Early recognition and laparotomy proved essential in…
A retrospective analysis of 80 patients showed that laparoscopic completion cholecystectomy significantly outperformed the open approach in terms of operative time, recovery speed, and hospital stay. Patients previously undergoing open partial cholecystectomy experienced abdominal pain and other symptoms, yet the prior procedure did not impede…
In a cohort study involving 100 colorectal cancer patients, researchers observed that robotic-assisted surgery (RAS) resulted in a significant increase in lymph node retrieval, with 95% achieving a minimum of 12 nodes compared to 88% in laparoscopic surgery. Key performance indicators were maintained or improved…
Surgery following neoadjuvant chemotherapy significantly improves overall survival for patients with borderline resectable and locally advanced unresectable pancreatic ductal adenocarcinoma, according to a retrospective study involving 124 patients. After applying methods to reduce selection and immortal time biases, analysis revealed marked survival advantages for those…
