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Best Papers in General Surgery
The five that matter, every day.
Low neighborhood socioeconomic status is associated with poor outcomes in young adults with colorectal cancer. Patients in the lowest quintile were more likely to present with metastases and had lower survival rates compared to those in the highest quintile. Racial disparities were also observed, with…
Damage-control laparotomy and primary fascial closure were associated with lower superficial, but not organ-space, surgical-site infection risks compared to primary fascial and skin closure. Body mass index increased superficial infection risk, while frailty increased organ-space infection risk. Interestingly, the number of operations did not impact…
Banded Roux-en-Y gastric bypass (RYGB) surgery results in a statistically significant increase in percent excess weight loss at 1, 2, and 5 years postoperatively compared to standard RYGB procedures. Additionally, patients undergoing banded RYGB do not have a significantly higher risk of postoperative complications. This…
High-volume colorectal center study finds low rates of severe complications and conversions to open surgery in laparoscopic sigmoidectomy for fistulizing diverticular disease. 10.6% experienced Clavien-Dindo grade ≥ III complications with a 1.9% rate of anastomotic leaks. Most patients were stoma-free at last follow-up with only 0.9% mortality…
Lobectomy is superior to total thyroidectomy in reducing complications, including transient parathyroid dysfunction, for intermediate-risk papillary thyroid carcinoma patients. Both lobectomy and total thyroidectomy show similar effects on survival outcomes and recurrence rates. This systematic review and meta-analysis suggest considering lobectomy as the optimal surgical…
The Double Balloon Interventional Platform (DBIP) significantly reduced the mean procedure time for colorectal endoscopic submucosal dissection (ESD) by 36.5% compared to traditional methods (88.6 vs. 139.5 minutes, p
Indocyanine green angiography identified 14.75% of devascularized parathyroids during thyroid cancer surgery. Patients with all four parathyroids evaluated by angiography had decreased rates of permanent hypoparathyroidism compared to those without. In fact, no patients in the indocyanine group developed permanent hypoparathyroidism. This method may help…
Computed tomography-based vascular burden index accurately predicts vascular resection and pathological vascular invasion in pancreatic cancer patients post neo-adjuvant chemotherapy. The study found that the vascular burden index values, specifically around adjacent arteries and veins, significantly predicted vessel resection and invasion. These indices, particularly the…
An augmented reality (AR) system for laparoscopic liver surgery shows promise in improving visualization of internal anatomy. The system achieved a mean registration time of 2.4 minutes and a high accuracy rate of 93.8% in aligning preoperative 3D models with real-time laparoscopic images. Evaluations by…
Serum hepcidin levels were significantly elevated in patients with acute appendicitis (1750±285 pg/ml) compared to healthy controls (1066±225 pg/ml, p
