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Best Papers in General Surgery
The five that matter, every day.
Findings indicate that older age at diagnosis of intraductal papillary mucinous neoplasms (IPMNs) correlates with a heightened long-term risk of pancreatic carcinoma. In a cohort of 3,142 IPMN patients, those aged 55-64, 65-74, and ≥75 exhibited adjusted subdistribution hazard ratios of 1.80, 2.56, and 3.31…
Neoadjuvant immunochemotherapy (nict) demonstrated significant advantages over neoadjuvant chemotherapy (nct) in patients with locally advanced gastric cancer. The nict group showed higher objective response rates (79.5% vs. 59.0%) and lower early recurrence rates (29.7% vs. 40.8%). While surgical complications were similar between both treatments, nict…
In a randomized controlled trial involving 442 patients with stage I gastric cancer, totally laparoscopic distal gastrectomy (TLDG) and laparoscopy-assisted distal gastrectomy (LADG) were compared. Although the overall complication rates were similar (12.2% vs. 17.2%), TLDG resulted in significantly lower rates of postoperative ileus (0.9%…
In a multicenter study of 178 patients with mid-low rectal adenocarcinoma, 80.9% maintained rectal preservation after neoadjuvant treatment using either transanal local excision or a watch-and-wait approach. Overall survival at three years was 80.6%, while disease-free survival reached 97.6%. Local recurrence-free and distant recurrence-free survival…
Triage-bot, an AI-driven system based on the Canadian Triage and Acuity Scale, supports emergency department nurses by automating patient assessments. Key findings demonstrate that Triage-bot effectively measures vital signs and interprets patient expressions and tone for more accurate triage decisions. The systematic review indicates significant…
A consensus was reached among 23 surgeons regarding the safe implementation of minimally invasive hepato-pancreato-biliary (MIS HPB) surgery. Key outcomes included strong support for formal guidelines both at institutional and surgeon levels, with 91% advocating a minimum annual institutional volume cutoff for complex procedures. Additionally,…
A multicenter analysis revealed that robot-assisted pelvic exenteration (RPE) significantly reduces blood loss, transfusion rates, and postoperative complications compared to open (OPE) and laparoscopic pelvic exenteration (LPE). Specifically, RPE resulted in blood loss of 408 ml versus 2385 ml for OPE, with a transfusion rate…
High-experience surgeons significantly outperform their low-experience counterparts, operating more efficiently on complex cases, with shorter intraoperative times (115.8 vs 172.9 min) and fewer complications (4.5% vs 1.8%). Low-experience surgeons handle more emergent and urgent cases, often involving older patients with greater comorbidities. Despite increased complication…
A retrospective study of 289 inguinal hernia surgeries revealed that the modified Lichtenstein technique significantly reduced postoperative pain and recurrence rates. The modified technique demonstrated a 1.5% recurrence rate against 3.1% for the standard method. Pain assessment using the visual analogue scale showed a mean…
Findings demonstrate that the semi-erect position significantly improves the detection of inguinal hernia defects via sonography. In group A, defect measurements averaged 1.28 cm in the semi-erect position compared to 1.09 cm supine (p
