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Best Papers in General Surgery
The five that matter, every day.
An expert consensus has highlighted critical research areas in multimodal data-driven surgery to enhance data management in minimally invasive procedures. The study reveals priorities such as digitizing operating room activities, enhancing data streaming technologies, and establishing uniform protocols for multimodal data handling. Additionally, the integration…
The study identifies that high-quality multi-hospital health systems performing major cancer surgery produced an adjusted 30-day operative mortality rate of 1.7%, compared to 3.1% in lower-quality systems. These high-quality systems typically had fewer hospitals, each conducting more procedures annually, and were geographically concentrated, reducing variation…
Implementation of an Enhanced Recovery After Surgery (ERAS) protocol significantly decreased infectious complications and postoperative hospital stays in colorectal cancer patients. In a matched study of 142 patients, ERAS yielded an 8.5% reduction in anastomotic dehiscence and surgical wound infections. Importantly, it was found to…
A nomogram designed to predict cancer-specific survival (CSS) in middle-aged patients with advanced hepatocellular carcinoma demonstrated significant accuracy. Analyzing data from 3,026 patients, independent risk factors linked to CSS included gender, marital status, AJCC stage, tumor size, and metastasis. The model achieved area under the…
A mixed-methods study examined laparoscopic surgery practice among Liberian surgeons, highlighting significant training gaps. With only 32% having received laparoscopic training and 16% possessing experience, most participants expressed a strong desire for further education and willingness to invest. Despite varying levels of knowledge, the findings…
Narrow band imaging-magnifying endoscopy (NBI-ME) demonstrates high sensitivity and specificity for diagnosing gastrointestinal neoplastic lesions. In a study of 1623 patients, NBI-ME achieved an overall sensitivity of 96.2% and specificity of 91.0%. It effectively detected conditions such as Barrett's esophagus and various gastric lesions, facilitating…
A meta-analysis of 20 studies involving 10,114 colorectal cancer patients found that elevated postoperative carcinoembryonic antigen (CEA) levels significantly correlate with poorer overall survival, disease-free survival, and recurrence-free survival. Specifically, increased CEA levels were associated with hazard ratios indicating a roughly threefold decrease in survival…
In a study of 250 patients with pancreatic ductal adenocarcinoma undergoing pancreatoduodenectomy, higher modified 5-item frailty index (mFI-5) scores were linked to worse surgical outcomes. An mFI-5 score greater than 2 was independently associated with doubled mortality risk (HR 2.08), while median overall survival was…
Visualization of the cystic duct-common bile duct junction improved with indocyanine green (ICG) during laparoscopic cholecystectomy, particularly in high-risk patients. In a study of 168 patients, 100% of low-risk, 91.1% of moderate-risk, and 63% of high-risk recipients achieved clear visualization. Notably, 25% of high-risk patients…
The implementation of surgical intelligence led to a significant increase in the adoption of the critical view of safety (CVS) during laparoscopic cholecystectomies, rising from 39.2% to 69.2% over six months (p < 0.001). Monthly adoption rates surged from 33.3% to 75.7%. Procedures demonstrating full…
