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Best Papers in General Surgery
The five that matter, every day.
Medicare beneficiaries from low social capital areas underwent unplanned surgery for access-sensitive conditions at higher rates (40.67%) than those from high social capital areas (35.28%). Additionally, they experienced more postoperative complications (24.99% vs. 22.90%). However, no significant differences were noted in readmission or mortality rates.…
The study validated the ISGPS classification to predict clinically relevant pancreatic fistula (CRPF) risk in 1,422 patients undergoing pancreatoduodenectomy for periampullary tumors. The CRPF rate was 22.2%, with a higher rate of 25.8% for periampullary tumors. Although the original ISGPS model showed moderate performance (AUC=0.632),…
Indocyanine-green (ICG)-guided lymphography during minimally invasive esophagectomy significantly decreased the incidence of postoperative chyle leak from 11.8% to 4.6% (p=0.026). Additionally, it was linked to a shorter median hospital stay of 9 days compared to 13 days in patients without ICG guidance (p=0.006). Although chyle…
A novel critical view approach in paraesophageal hernia repair yielded significant outcomes. Patients experiencing this technique had a recurrence rate of 9.7% versus 20% for standard repair (p < 0.01) and reoperation rates of 0.5% compared to 10% (p < 0.001). Adjusted outcomes also indicated…
The study revealed a significant association between postoperative hypothermia and increased complications in patients undergoing major abdominal surgery. Out of 30,194 patients, those who experienced hypothermia had a 9% higher incidence of complications, particularly acute kidney injury, which was 14% more prevalent in this group.…
The study evaluated the intracorporeal triangular anastomotic technique (INTACT) in robotic distal gastrectomy (RDG) with Billroth I reconstruction, involving 81 patients aged 31 to 91 years. Results showed median blood loss was 0 ml, and postoperative stays averaged 8 days. Importantly, there were no incidences…
A population-based study indicates that staging laparoscopy in gastric cancer patients increased from 19.6% in 2016 to 32.3% in 2021 (p
A retrospective study of 60 patients with unresectable upper biliary tract cancer revealed that gemcitabine and cisplatin plus S-1 (GCS) therapy, followed by conversion surgery, significantly increased median overall survival to 28 months compared to 12.4 months for those receiving only GCS. The response rate…
In a phase II study involving 51 patients with pilonidal sinus (PNS), RD2 Ver.02 demonstrated significant results. Three months post-treatment, 82.4% achieved primary healing, increasing to 90.2% and 82.4% at six and twelve months, respectively. Recurrence occurred in 11.8% of patients within a year, while…
Preoperative iron deficiency anemia (IDA) significantly impacts colorectal cancer (CRC) patients, with up to 80% experiencing iron deficiency. This condition predisposes them to increased risk of allogeneic blood transfusion, postoperative complications, prolonged hospital stays, and higher mortality. An effective strategy for managing IDA involves using…
