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Best Papers in General Surgery
The five that matter, every day.
Medical students' perseverance, a subconstruct of grit, was found to be associated with lower burnout and higher compassion satisfaction during clerkships in both surgical and non-surgical specialty units. Older students experienced less burnout, and male students reported higher compassion satisfaction compared to their female counterparts.…
Malignancies in the upper gastrointestinal tract can be effectively treated through endoscopic resection at an early stage. Key factors influencing successful resection include thorough pre-resection assessment, precise delineation of margins, and selection of appropriate resection techniques. This review outlines clinical algorithms for the endoscopic resection…
Preventive measures like coffee consumption, probiotics, and use of dikenchuto within enhanced recovery programs significantly reduce postoperative ileus frequency and duration. Minimally invasive surgical approaches show promise as additional preventive strategies. Treatment options like alvimopan, NSAIDs, and acupuncture are effective, but lidocaine use raises concerns.…
Surgical intelligence led to a significant increase in Critical View of Safety (CVS) adoption in laparoscopic cholecystectomy procedures, reaching 69.2% from 39.2% within six months. Visualization of the cystic duct and artery significantly improved adoption rates. Procedures with full CVS were shorter with fewer events,…
Following preoperative biliary stenting, patients with persistent hyperbilirubinemia (>1.2 mg/dl) are at higher risk of serious complications post-anatomic hepatectomy. Persistent hyperbilirubinemia independently predicts increased rates of serious complications and mortality, highlighting its importance in preoperative risk assessment. Failed preoperative biliary drainage serves as a crucial…
Real-time organ hypoperfusion detection using Indocyanine Green in a piglet model showed immediate decreases in oscillation signals in most organs when peripheral arterial supply was occluded. Complete disappearance of oscillation curves was observed when central arterial supply was blocked. Continuous monitoring using high-frequency, low-dose ICG…
Digitizing operating theater data at Tanzanian referral hospital showcased significant advancements in data management, with over 4449 procedures conducted, emphasizing orthopedics/trauma. Challenges included securing local support and technology integration, but lessons learned highlighted the importance of stakeholder communication and training. The success of the web-based…
Study shows laparoscopic exploration with a disposable bronchoscope is safe and effective for removing common bile duct stones in gastric bypass patients, achieving 100% stone clearance without conversions to open surgery. This cost-effective approach offers a practical alternative to traditional methods, demonstrating feasibility and safety…
Two-stage hepatectomy with portal vein embolization in Japanese patients with colorectal liver metastasis showed a 1-, 3-, and 5-year overall survival rate of 92.5%, 70.8%, and 34.7%. Patients with more than 10 liver nodules had a 4.2-fold increased mortality risk. Repeat hepatectomy post-tsh was more…
A study comparing lenvatinib plus drug-eluting bead transarterial chemoembolization with and without hepatic arterial infusion chemotherapy for hepatocellular carcinoma > 7.0 cm with major portal vein tumor thrombosis found that the addition of haic significantly improved objective response rate, time to progression, and overall survival,…
