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Best Papers in General Surgery
The five that matter, every day.
Results indicate that performance in simulated robotic gastrojejunostomy correlates significantly with intraoperative outcomes. The study surveyed 27 general surgery residents, revealing a strong positive relationship between simulated and actual scores (r=0.74, p
Outcomes from a review of 2,578 patients show that while various surgical approaches for Crohn's disease offer comparable 30-day readmission and reoperation rates, small bowel resection is linked to the longest hospital stays and the highest rates of superficial/deep wound infections (44%) and sepsis (3.5%).…
The study details the technical aspects and surgical outcomes of laparoscopic anatomical right hepatectomy using a four-incision anterior approach. Key maneuvers included blocking the glissonean pedicle and ligation of critical vessels, with an emphasis on anatomical landmarks for liver section determination. Successful patient positioning and…
At five years post-surgery, laparoscopic Roux-en-Y gastric bypass (LRYGB) achieved significantly greater weight loss compared to laparoscopic sleeve gastrectomy (LSG) with a mean difference of -7.65 kg/m² (p=0.0001). The LRYGB group also exhibited better resolution rates for type 2 diabetes mellitus (T2D) and dyslipidemia. Although…
Analysis of 1,137 cases revealed that total hospitalization costs for pancreaticoduodenectomy were notably higher compared to pancreatectomy and hepatectomy within the China Healthcare Security Diagnosis Related Groups system. Length of hospital stay was significantly longer for pancreaticoduodenectomy patients. While the costs of pancreaticoduodenectomy and pancreatectomy…
Researchers found barbed sutures significantly reduce suturing time in bariatric surgery. Analyzing 11 studies with 27,442 patients, including 3,516 using barbed sutures, they observed a mean reduction of 4.87 minutes in suturing time (95% CI -8.43 to -1.30; p
Adding a perineal block during haemorrhoidectomy markedly reduces postoperative pain intensity and opioid consumption. Patients receiving the block reported less pain (p < 0.0001), needed fewer opioids (p = 0.03), and experienced longer pain-free periods (p = 0.0002) than controls. Furthermore, only 58% of the…
In a study of 188 patients undergoing neoadjuvant therapy for locally advanced esophageal cancer, researchers developed predictive nomograms showing strong performance for estimating tumor regression grade (TRG) and ypTNM stage. Notably, 129 patients reached TRG grades 0-1, while 118 achieved ypTNM stage I. Five independent…
A study analyzing surgical outcomes for robotic pancreatoduodenectomy (RPD) found that a surgeon with extensive laparoscopic pancreatoduodenectomy (LPD) experience can successfully navigate the RPD learning curve. Performance metrics indicated that operation times significantly decreased in the proficiency phase, starting from case 34, without increasing complications…
In a study involving 212 octogenarians with acute cholecystitis, the laparoscopic approach demonstrated significant advantages over the open approach. Post-surgery, patients who underwent laparoscopic cholecystectomy experienced reduced hospital stays (5 days vs. 8 days), lower 30-day morbidity (26.5% vs. 48.5%), and decreased 30-day mortality rates…
