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Best Papers in General Surgery
The five that matter, every day.
Laparoscopic segmentectomy using ICG fluorescence navigation with the negative staining method showed superior outcomes compared to open segmentectomy. Patients who underwent laparoscopic surgery experienced shorter operative times, reduced blood loss, and shorter hospital stays. Additionally, they had significantly fewer grade II and grade III or…
Increased lymph node yield (LNY) of 22 or more nodes is linked to better overall survival (OS) and longer time to recurrence (TTR) in node-negative pancreatic ductal adenocarcinoma (PDAC) patients receiving neoadjuvant therapy (NAT). This association was observed in two separate patient cohorts, highlighting the…
Robotic pancreatoduodenectomy showed decreased complications and increased efficiency with experience, as seen in 150 consecutive patients. Morbidity was lower, mortality rates were comparable, and operative times significantly reduced in the latter half of cases. Higher lymph node resection and more partial portal vein resections were…
Study of 600 patients shows robotic cholecystectomy in UK training program has low bile duct injury, conversion to open surgery, and need for subtotal cholecystectomy. Majority female, discharged same day with low 30-day readmission rate. Key indications: biliary colic, cholecystitis, gallbladder polyps, pancreatitis. Median stay:…
Emergency upper gastrointestinal surgeries show better 30-day and in-hospital mortality outcomes when performed by specialists. A systematic review and meta-analysis of 24 articles found a significant decrease in mortality rates when UGI specialists were involved. Surgeons are advised to consider early subspecialist team involvement for…
Severely graded esophageal perforations (grades I-IV) impact patient survival differently, with grades II-IV showing lower overall survival rates. Factors such as duration of injury >24 hours, presence of mediastinitis, and esophageal necrosis are associated with unfavorable outcomes. Grading severity based on diagnostic CT scans, endoscopic,…
The study explored the association between the 6MWT and other physical function measurements in cancer patients awaiting major surgery. Results showed moderate-to-strong correlations between 6MWT and the 30" sit-to-stand test, DASI, and handgrip strength. A combination of six variables successfully classified patients into good or…
The albumin-bilirubin-alpha-fetoprotein (ALB-AFP) score effectively predicts survival in patients with recurrent hepatocellular carcinoma undergoing repeat hepatectomy. By combining albumin-bilirubin grading and serum alpha-fetoprotein levels, researchers stratified patients into three groups, revealing significant differences in 5-year recurrence-free survival: 22.4%, 20.7%, and 0.0%. The ALB-AFP score demonstrated…
Robotic total mesorectal excision (RTME) in patients with rectal cancer demonstrated better functional outcomes, higher lymph node yield, and more complete total mesorectal excision resections compared to transanal total mesorectal excision (TATME). Analysis of 12 studies with 3025 patients revealed no significant differences in total…
Heart-shaped tension-reducing suture combined with lbd suturing technique led to improved scar quality in hypertrophic scar patients. Results showed reduction in scar width, significant enhancements in scar assessment scores, and higher levels of patient satisfaction postoperatively. This novel approach demonstrated better outcomes in color, stiffness,…
