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Best Papers in General Surgery
The five that matter, every day.
Patients with hepatocellular carcinoma undergoing major hepatectomy had higher complication rates and shorter recurrence-free survival compared to those undergoing minor hepatectomy, regardless of propensity score matching. Major hepatectomy was identified as an independent predictor for HCC recurrence. Minor hepatectomy resulted in fewer postoperative complications and…
Development of a preoperative nomogram model effectively predicts perineural invasion in advanced gastric cancer. Key independent risk factors include extramural vascular invasion, Borrmann classification, tumor thickness, and systemic inflammation response index. The nomogram demonstrates a high AUC value of 0.838, good calibration, and clinical net…
Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) shows high technical and clinical success rates (96.55% and 82.75%, respectively) with low adverse events (27.59%) in acute cholecystitis and malignant distal biliary obstruction. This multicenter study in India highlights the safety and effectiveness of EUS-GBD, offering a minimally invasive…
Study identifies key factors influencing postoperative weight loss trajectories after bariatric surgery, including demographics like age, sex, and race/ethnicity, as well as preoperative clinical factors such as preoperative BMI and comorbidities. Men, older patients, and certain ethnic groups were more likely to have lower postoperative…
Robotic total mesorectal excisions show higher 5-year overall survival rates and comparable long-term oncological outcomes compared to laparoscopic approach for rectal cancer. Additionally, robotic surgery results in lower conversion rates, shorter hospital stays, and fewer postoperative complications. This study suggests robotic surgery as a safe…
Revisional bariatric surgery showed a positive impact on antidiabetic treatment reimbursement over a 4-year follow-up, reducing or discontinuing treatments and decreasing costs per patient. A study in France compared different revisional surgery sequences after sleeve gastrectomy and adjustable gastric banding, revealing significant changes in reimbursed…
Comprehensive regional program, including the mirec pathway, significantly reduced hospital stays after laparoscopic gastrectomy without increasing adverse events. Gastric cancer surgery outcomes improved with decreased hospital stays and lower complication rates. The program revolutionizes care delivery, enhancing quality and value for patients through regionalization, laparoscopic…
Retrospective study found a newly developed through-the-needle injection-capable electrosurgical knife achieved successful en-bloc resection in 82.1% of gastrointestinal lesions. Good safety profile and curative resection rates were observed, with a median ESD time of 1.0 hour. Notably, success rates were lower in patients with submucosal…
Researchers validated an artificial intelligence platform for diagnosing acute appendicitis. The platform demonstrated high sensitivity (92.2%), specificity (97.2%), and negative predictive value (98.7%), outperforming CT scanning in accuracy metrics. Decision curve analysis showed a substantial net benefit, indicating the platform's clinical utility in decision-making. The…
A palliative care curriculum was shown to reduce moral injury symptoms in surgical residents, with over 50% reporting guilt and functional impairment pre-intervention. Post-intervention, 30% experienced improvements. The curriculum focused on self-reflection, communication skills, and peer support, offering a practical and impactful tool for enhancing…
