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General Surgery

Best Papers in General Surgery

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Ann Surg Oncol20 Aug 2024

Innovative protocol enables high compliance in genetic testing

A novel protocol for germline genetic testing (GGT) in pancreatic ductal adenocarcinoma (PDAC) demonstrated a high patient compliance rate of 98.7%, with 310 patients tested over three years. The physician compliance rate was 82.6%, and 14.2% of patients had actionable pathogenic variants. The protocol effectively…

Surg Endosc20 Aug 2024

Modified Surgical Apgar Score enhances postoperative complication prediction

Modified Surgical Apgar Score (MSAS) may serve as a valuable tool in predicting postoperative complications in rectal cancer patients undergoing robotic surgery. The study analyzed 524 patients, revealing a 17.4% complication rate, with MSAS scores of 6 identified as optimal cut-off values. The area under…

J Gastrointest Surg20 Aug 2024

Gastric stimulator improves outcomes after pyloroplasty failure.

Patients undergoing pyloroplasty for gastroparesis showed significant symptom improvement, with a GCSI score reduction from 3.5 to 2.7 at 18.7 months. However, 28.8% required gastric stimulation due to inadequate recovery. Patients who needed adjunct stimulation were younger and had higher baseline GCSI scores. Following gastric…

Hernia20 Aug 2024

European Hernia Society Classification Aids Surgical Planning for Parastomal Hernias

The study validates the European Hernia Society classification for parastomal hernias (PH) by analyzing 160 cases at a single center. It demonstrates that this classification effectively categorizes PH, essential for surgical planning and anticipating complications. Findings reveal a high incidence of complex type III and…

HPB & Spleen20 Aug 2024

Adipose-derived stem cells enhance pancreatic islet revascularization.

Co-transplantation of adipose tissue-derived mesenchymal stem cells (ADMSCs) with pancreatic islets into decellularized pancreatic skeletons improved vascularization and preserved islet morphology. While ADMSCs did not suppress immune responses in vivo, their presence reduced the proliferation of splenocytes in vitro. In contrast, endothelial cell co-transplantation resulted…

Obes Surg19 Aug 2024

Probiotics enhance weight loss and eating behavior after surgery

Participants receiving probiotic supplementation alongside a weight loss program and cognitive behavioral therapy experienced significantly greater reductions in weight, body mass index, and fat mass compared to the placebo group (p 

HPB & Spleen19 Aug 2024

Nomogram effectively predicts liver metastasis in colorectal cancer

A nomogram combining circulating tumor cells (CTC) from the first drainage vein and clinical parameters was developed to predict liver metastasis in colorectal cancer (CRC) patients. Analysis of data from 343 patients revealed that higher CTC levels correlated with liver metastasis. Key identified predictors included…

Langenbecks Arch Surg19 Aug 2024

Minor resections may be preferred for large hepatocellular carcinoma

A multicenter study analyzed 535 patients with single large hepatocellular carcinoma (slhcc). Results indicated that major hepatectomy led to significantly higher major complications and no long-term survival benefits compared to minor resections, especially left lateral sectionectomy, which was associated with better overall survival (p=0.02). The…

BMC Surg19 Aug 2024

Surgical smoke contains multiple infectious viruses.

A systematic review of 26 studies revealed that surgical smoke (ss) harbors various infectious viruses, including human papillomavirus (HPV), HIV, varicella zoster, hepatitis B, SARS-CoV-2, and oral poliovirus. These findings indicate a potential transmission risk to healthcare workers in operating rooms during procedures involving smoke-producing…

Eur J Trauma Emerg Surg19 Aug 2024

Elderly patients experience worse outcomes in acute appendicitis.

Patients aged 65 and older with acute appendicitis presented later, requiring more diagnostic imaging and experiencing higher rates of complications compared to younger adults. The study revealed that elderly individuals had longer symptom durations (7.88 days vs. 3.56 days) and required CT scans more frequently…