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Best Papers in General Surgery
The five that matter, every day.
Timely palliative care and surgery improve quality of life and reduce costs for seriously ill adults. However, healthcare providers in Singapore lack knowledge and face significant challenges in providing palliative care. A survey revealed misconceptions and limited understanding among providers, emphasizing the need for improved…
Following bariatric surgery, patients with gout benefited from uric acid-lowering medication, exhibiting reduced gout attacks and serum uric acid levels. Patients who continued medication showed fewer gout attacks and decreased serum uric acid levels after 6 months, compared to those who did not receive treatment.…
Preoperative laboratory data indicators, including the systemic immune-inflammation index (SII) and prognostic nutritional index (PNI), were found to significantly impact overall survival in patients with postoperative staged T3N0M0 esophageal carcinoma. These indicators, along with the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and lymphocyte-to-monocyte ratio (LMR),…
Use of the modified frailty index (mfi-11) showed a significant association between frail patients undergoing colonic diverticular disease surgery and increased postoperative mortality and morbidity. Findings reveal higher postoperative mortality, morbidity, longer hospital stays, and increased costs in frail individuals. The mfi-11 could serve as…
Metabolic and bariatric surgery (MBS) is effective for sustained weight loss in chronic kidney disease (CKD) patients, with acceptable complication rates. Roux-en-Y gastric bypass (RYGB) leads to higher weight loss percentages but carries a higher risk of late surgical complications compared to sleeve gastrectomy (SG).…
Day-case robotic liver resection is safe and feasible, with 65% of patients discharged within 24 hours. No major complications or mortalities were reported in this case series, indicating the potential for a shorter hospital stay and improved recovery. Implementation of follow-up pathways is crucial for…
Veterans receiving more non-Veterans Affairs care and residing in highly deprived areas have higher postoperative mortality rates. Conversely, black veterans and those in rural areas exhibit lower mortality rates. Integrating social determinants of health into models did not enhance predictive accuracy. Addressing care fragmentation and…
Meta-analysis of eight studies demonstrates that the incidence of surgical site infections (SSIs) was significantly lower in patients receiving cephalosporin antibiotics compared to non-cephalosporins after colorectal surgery (14.8% vs 25.1%). Cephalosporins may be more effective in the short term, but long-term efficacy is similar. Clinicians…
Robotic gastrectomy (RG) demonstrated higher overall survival, lower postoperative complications, faster recovery, and other advantages compared to laparoscopic gastrectomy (LG) in gastric cancer patients. While mortality and disease-free survival were similar between the two techniques, RG offered better outcomes in specific scenarios like intracorporeal reconstruction…
Higher examined lymph node (ELN) counts (≥17) in stage III colorectal cancer (CRC) patients correlate with improved long-term survival outcomes. ELN count independently predicts overall survival, cancer-specific survival, and progression-free survival. Subgroup analysis highlights benefits in patients treated with adjuvant chemotherapy with medium to large…
