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Best Papers in General Surgery
The five that matter, every day.
Task division by multiple console surgeons in robotic pancreaticoduodenectomy significantly reduced operation time and postoperative complications compared to a single console surgeon approach. Despite less experienced surgeons, the turnover between resection and reconstruction led to safer pancreatojejunostomy. Surgeons adopting the multiple approach observed early benefits…
Large duct-type ICCA exhibits worse overall and recurrence-free survival rates compared to small duct-type ICCA. Mutational landscape analysis revealed distinct genetic alterations, with specific mutations in ARID1A, DOT1L, and ELF3 more common in large duct-type ICCA, while mutations in IDH1 and BAP1 were prevalent in…
Stage IV colorectal cancer patients who undergo primary tumor resection in addition to systemic therapy have significantly longer survival rates compared to those who receive only systemic therapy. Results show a 26% higher 12-month survival rate and a 15% higher 36-month survival rate in the…
Cold resection of large nonpedunculated colorectal polyps showed significantly lower major adverse events compared to hot resection, with lower rates of perforation and post-endoscopic bleeding. However, cold resection led to a higher residual adenoma rate. Individualized approaches based on polyp size and histology require further…
Appendicoscopy using a single-operator cholangioscope demonstrated a technical success rate of 96.4% and a clinical success rate of 91.8% in managing acute obstructive appendicitis. The procedure was effective, with 99.1% of patients experiencing pain relief within 6 hours and an average postoperative hospital stay of…
Spanish-speaking trauma and burn patients face unique challenges post-discharge, including mental health and socioeconomic needs. The NESTS pathway successfully identified and addressed these needs, connecting patients with community resources and improving access to mental healthcare. Food support was a prevalent need, with more patients connected…
Robotic emergency general surgery in the US increased significantly, with lower blood transfusion rates in large bowel resections and cholecystectomies. Costs were higher but postoperative complications were reduced, suggesting safety and efficacy. Robotic techniques are a valuable adjunct to laparoscopy, offering potential benefits in selected…
Bariatric surgery post-liver transplantation, particularly sleeve gastrectomy, resulted in significant and sustained weight loss, improved liver health, and reduced metabolic dysfunction in a Belgian nationwide study. Patients experienced a decrease in body mass index and notable reductions in liver enzyme and HbA1c levels post-surgery. The…
Endoscopic pouch phenotypes in patients with inflammatory bowel disease can transition over time, with normalization of pouches associated with favorable outcomes. Subsequent development of diffuse inflammation, pouch-related fistulas, and afferent limb/inlet stenoses significantly worsen pouch outcomes. Patients with pouch inflammation who achieve subsequent normalization have…
Omentoplasty significantly lowers overall complications, particularly in gastrointestinal and liver surgery. It reduces postoperative infection in thoracic and liver surgery. Patients with a BMI over 25 undergoing esophageal or gastrointestinal surgery benefit the most. No significant differences in pelvi-perineal surgery were found, except for specific…
