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Best Papers in General Surgery
The five that matter, every day.
Findings indicate that team member familiarity directly enhances perceived team effectiveness in operating rooms. This relationship is significantly mediated by shared mental models and mutual trust among team members. Data from two hospitals reveal that individual variance primarily drives perceived effectiveness, with a smaller portion…
A comparison of distal pancreatectomies across North America and Europe revealed that minimally invasive techniques were performed in 36% of cases, varying from 29% to 54% among regions. This approach demonstrated significantly lower 30-day mortality (odds ratio 1.633) and fewer severe complications in North America…
A randomized trial involving 89 patients undergoing elective anal fistula or hemorrhoid surgery revealed that an enhanced recovery protocol utilizing multimodal analgesia substantially decreased oral opioid consumption in the first postoperative week. Patients in the enhanced recovery group reported median oral morphine milligram equivalent (mme)…
The acute care surgery (ACS) model significantly improved patient management for acute appendicitis over a five-year study at a Seoul tertiary hospital. Key findings included reduced time intervals for surgical decision-making, decreased perforation rates, and higher discharge rates within 24 or 48 hours post-surgery. Comparisons…
Intraperitoneal ropivacaine significantly reduced opioid consumption and pain scores, enhancing postoperative recovery following laparoscopic digestive surgery. The analysis of 24 randomized controlled trials (RCTs) with 1705 patients revealed decreased total opioid use within the first 24 hours (mean difference = -21.93) and shorter hospital stays…
In a comparative analysis of an electronic health record-based machine learning model and established clinical risk scores for gastrointestinal bleeding, researchers found the model significantly outperformed the Glasgow-Blatchford Score and Oakland Score. With an area under the receiver-operating-characteristic curve (AUC) of 0.92 versus 0.89 (p
Development and validation of the ISGPP model marks a significant advancement in automating residual pancreatic cancer (RPC) quantification. The model demonstrated robust performance across diverse scanners, achieving mean F1 scores of 0.81-0.71 upon validation. A comprehensive dataset of 528 unique H&E slides from 528 patients…
A single high dose of intravenous dexamethasone prior to emergency laparotomy significantly reduces postoperative inflammatory responses, as shown by lower C-reactive protein levels (median 170 vs. 220 mg/l, p = 0.015). This administration correlates with enhanced recovery indicators, such as improved hemodynamics and earlier mobilization.…
A novel simulation-based assessment of operative competence was developed, demonstrating high inter-station reliability (α = 0.81) and acceptable inter-rater reliability (0.77). Significant differences emerged in mean scores between junior and senior trainees (44.82 vs 58.18, p = 0.004), with mean scores moderately correlating with training…
Elevated-risk patients for pancreatic ductal adenocarcinoma (PDAC) who underwent guideline-based screening achieved significantly improved overall survival compared to non-screened counterparts. Among 826 patients, those in the high-risk clinic experienced longer median survival rates, with 68% diagnosed at stage 0 versus 31% in the surgical oncology…
