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Best Papers in General Surgery
The five that matter, every day.
A study of 2,342 patients undergoing antireflux and hiatal hernia surgery revealed a 30-day morbidity rate of 18.2% and a mortality rate of 0.2%. Most complications were minor, with 13.1% classified as Clavien-Dindo grade less than 3a. In the following 31 to 90 days, morbidity…
A study involving 215 colorectal cancer patients highlighted that those with sarcopenia exhibited significantly higher preoperative inflammation markers, impacting their postoperative outcomes. Key indicators, including the immune-inflammation index and systemic inflammatory response index, demonstrated remarkable predictive capabilities for postoperative complications, with area under the curve…
Integrating the cystic plate approach with ICG fluorescence significantly enhances laparoscopic anatomical hepatectomy. In a study of 38 patients, this technique demonstrated no increase in operation time or intraoperative blood loss compared to conventional methods. Postoperative liver function and recovery metrics were also unaffected, confirming…
A systematic review of 22 studies involving 4,043 patients revealed that enhanced recovery after surgery (ERAS) significantly reduced overall complications (relative risk: 0.83) and specifically Clavien-Dindo grade 1 and 2 complications. ERAS also led to a shorter time to chemotherapy. Importantly, ERAS demonstrated no increase…
The revised IAP 2023 guidelines significantly improved diagnostic performance for predicting malignancy in patients with branch-duct or mixed-type intraductal papillary mucinous neoplasms (IPMN). Among 556 reviewed patients, the guidelines displayed higher specificity (29.1% vs. 4.9% for IAP 2017), a positive predictive value of 48.6%, and…
A modified textbook outcome (MTO) was developed for elderly gastric cancer patients, revealing strong correlations between surgical approaches and overall survival (OS). Analysis of 1,389 patients established key factors impacting OS, including MTO, tumor size, pTNM staging, and adjuvant chemotherapy. The nomogram created demonstrated robust…
A systematic review and meta-analysis of 19 randomized trials involving 4,915 abdominal surgery patients found that intraoperative wound irrigation using antimicrobial or antiseptic agents significantly decreased surgical site infections (SSI). The intervention group had an 8.26% SSI rate compared to 14.27% in the control group,…
Evidence is being gathered on the potential benefits of prehabilitation for patients undergoing gastric cancer surgery. This systematic review and meta-analysis will investigate the impact of trimodal prehabilitation, including exercise, nutrition, and psychological support, on reducing postoperative complications and enhancing recovery. The study will focus…
A follow-up study involving 91 patients undergoing mesh-augmented abdominal wall reconstruction revealed substantial enhancements in quality of life (QoL) and abdominal wall functionality. Preoperative QoL scores averaged 0.652, with 48% of patients rated poor, while post-surgery scores improved to 0.979 at 12 months. The abdominal…
Econsent delivery through a patient portal significantly improves operational efficiency by allowing patients to complete their consent forms prior to surgery. In a cohort of 7,672 patients, those who signed their consent via the portal experienced fewer first-start delays compared to those who did so…
