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Best Papers in General Surgery
The five that matter, every day.
Advanced surgical planning and intraoperative hepatic vein guidance with a cranio-caudal approach facilitates safe and complex laparoscopic liver resections, leading to successful outcomes with minimal complications. Operative time was 360 min with 450 ml blood loss, and the patient was discharged on the seventh postoperative…
Robotic liver parenchymal transection using the SynchroSeal demonstrated superior outcomes compared to the Vessel Sealer, with lower blood loss (48 ml vs 95 ml) and similar perioperative results. The SynchroSeal led to low conversion rates, minimal blood loss, short hospital stays, and acceptable morbidity. This analysis highlights…
Long-term follow-up of patients who underwent primary ventral hernia repair or midline incisional hernia repair with sandwich mesh showed minimal pain, normal activities, and favorable patient-reported outcomes. Most patients had an extra-peritoneal sandwich mesh repair, with a low recurrence rate (9.3%). The study suggests that…
Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) accurately diagnosed pancreatic masses in 64 patients, with 46 cases of adenocarcinoma and favorable outcomes for patients negative for malignancy. EUS-FNA showed superior results compared to CT scans, highlighting its effectiveness in tissue sampling for preoperative management of pancreatic masses.
Patients with secondary peritonitis who received a subcutaneous drain post-laparotomy had a significantly lower incidence of incisional surgical site infections (20% vs. 68%) and shorter hospital stays (8.96 days vs. 14.04 days) compared to those without the drain. Although not statistically significant, the drain also…
Establishing a dedicated center for trauma survivorship generates increased revenue and significantly boosts follow-up visits and necessary procedures for severely injured patients. Financial data from a pre and post-cohort study showed that patients treated in the specialized center not only had higher subsequent visits and…
Bariatric surgery significantly lowers PAI-1 levels, which correlate with improvements in lipids, glucose, and insulin resistance. The surgery also induces a decrease in body weight and BMI, and helps reverse type 2 diabetes. PAI-1 acts as a regulator of PCSK9, TG, and BMI, while PCSK9…
Circulating tumor cells (CTCs) detected in 37% of colorectal cancer patients with peritoneal metastases were associated with shorter recurrence-free and overall survival after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. Patients with CTCs post-neoadjuvant treatment had significantly worse outcomes. Adjuvant therapy improved prognosis in CTC-positive patients…
A novel classification system for extrahepatic choledochal cyst (ecc) has been developed, consisting of type a, type b, type c, and type d. The incidence of comorbidities and postoperative biliary stricture varies significantly among the types. Factors like age, BMI > 30, classification, and presence…
Abdominal wound length significantly affects the time of first flatus passage, hospital stay length, and cytokine levels among colorectal cancer patients. Smaller wounds and lower postoperative interleukin-6 levels are associated with quicker recovery and shorter hospital stays. This study highlights the intricate relationship between wound…
