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Best Papers in General Surgery
The five that matter, every day.
Study determines that achieving textbook outcome after cholecystectomy is influenced by factors like age, sex, surgery type, and approach. Results show 72% attainment, with significant associations for favorable outcomes. Easy-to-use quality tool aids in assessing healthcare, including cholecystectomy procedures, offering valuable insights for healthcare quality…
Advancements in endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) have revolutionized the management of lower gastrointestinal malignancies. These techniques enable curative management of lesions with minimal morbidity, challenging traditional surgical approaches. The evolution from snare polypectomy to sophisticated ESD, along with technological innovations…
Study finds no significant difference in recurrence rates between endoscopic and surgical resection for high-risk T1 colon cancer. Lymphovascular invasion emerges as the sole independent risk factor for recurrence, highlighting its clinical relevance in treatment decisions. The findings suggest that both modalities can be equally…
Larger tumor size and elevated serum chromogranin A levels are predictive of metastatic disease in patients with gastroenteropancreatic neuroendocrine tumors undergoing DOTATATE imaging. Patients with primary tumor size ≥2 cm, serum CGA level ≥150 ng/ml, and tumor grade g2 are at higher risk of metastases,…
Preoperative biliary drainage method significantly impacts outcomes in patients with biliary tract and pancreatic cancer undergoing pancreaticoduodenectomy. Higher morbidity rates were observed with endoscopic biliary drainage methods compared to percutaneous drainage. Percutaneous drainage was associated with worse disease-free survival in biliary tract cancer but did…
Study validates optigrip® haptic grasper for arterial pulsation detection in laparoscopy. Results show 96% pulsation detection rate with haptic grasper compared to 6% with conventional grasper. Optigrip® identifies pulsations in 100% of 4-5mm arteries and 92% of smallest arteries, while conventional grasper only detects 8%…
Long-standing inequities in society, healthcare, and surgery have been highlighted, emphasizing the need for diversity, equity, and inclusion. A white paper by SAGES explores the current state of diversity in surgery and outlines efforts for meaningful change. Emphasizing the importance of DEI, the paper stresses…
Meticulous closure of mesenteric defects during laparoscopic Roux-en-Y gastric bypass significantly reduces the risk of internal hernia, particularly at the jejunojejunostomy and Petersen defects. Improvements in closure techniques led to a notable decrease in internal hernia incidence over time, with the most effective method involving…
Patients with pancreatic neuroendocrine tumors face a 20% risk of disease recurrence or metastasis post-pancreatectomy, with prognostic factors like larger tumor size, high ki-67 index, perineural invasion, and node-positive disease significantly impacting disease-free survival. Non-functional tumors are more prevalent, with 2-year and 5-year disease-free survival…
Minimally invasive surgery for gastric gastrointestinal stromal tumour (GIST) resections showed increased utilization and improved perioperative outcomes over time. Complication rates decreased, duration of admission and operating time shortened, while the composite measure of textbook outcome (TO) increased. Minimally invasive surgery was associated with fewer…
