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Best Papers in General Surgery
The five that matter, every day.
Robotic liver surgery in elderly patients leads to less blood loss and shorter hospital stays compared to open liver surgery, especially in minor liver resections. Overall morbidity is similar between the two groups, but operative times are longer with the robotic approach. These findings highlight…
Neutrophil to lymphocyte ratio (NLR) > 6.8 was identified as the sole independent predictive factor for bowel ischemia in non-strangulated adhesive small bowel obstruction, with 78% sensitivity and 65% specificity. This study highlights the importance of NLR as a straightforward and reproducible parameter in predicting…
A meta-analysis comparing piperacillin/tazobactam and traditional antibiotics for surgical prophylaxis during pancreatoduodenectomy showed significant reductions in surgical-site infections, major complications, postoperative pancreatic fistulas, and mortality in patients receiving piperacillin/tazobactam. Subgroup analysis demonstrated reduced incidences of superficial and organ/space infections. These findings support the use of…
Study comparing long-term outcomes of patients treated with additional surgery after endoscopic resection versus primary surgery for T1 colorectal cancer found no adverse effects on overall survival rates. The 5-year survival rates were 97.1% in the additional surgery group and 96.0% in the primary surgery…
Delaying adjuvant chemotherapy for more than 6 weeks post colorectal cancer surgery is associated with worse disease-free survival in high-risk stage II and III patients. A study of 5719 individuals revealed a 5-year disease-free survival of 78.0% vs. 73.2% in early vs. late-start groups, respectively.…
A randomized clinical trial compared open retromuscular Sugarbaker and keyhole mesh placements for parastomal hernia repair over 2 years in 150 patients. At the 2-year mark, parastomal hernia recurrence rates were similar between the two groups. There were no significant differences in reoperations, complications, or…
Endoscopic ultrasonography (EUS) is a sensitive method for identifying residual rectal neuroendocrine tumors (NETs) post-resection. EUS detection, with a high sensitivity of 94%, is superior to visual detection. Salvage endoscopic treatment, incorporating EUS, is safe and effective in managing incompletely resected NETs, with no recurrence…
In minimally invasive upper gastrointestinal and bariatric surgery, a trocar-less elastic intra-corporeal retractor (icr) was developed and proven effective in liver retraction. The icr is safe, inexpensive, and easily reproducible, reducing risks of bleeding, infection, and liver injury associated with conventional methods. It offers quick…
First study assessing hpb surgical capacity in West Africa reveals limited availability of specialized procedures like major hepatic resections and the whipple procedure. Most institutions lack hpb-trained surgeons, highlighting the need for regional quality improvement initiatives to enhance surgical care for hepato-pancreato-biliary malignancies in the…
ICG-guided laparoscopic hepatectomy significantly improves R0 resection rates for liver malignancies compared to non-ICG methods. A meta-analysis of seven studies totaling 598 patients showed a higher rate of complete tumor eradication with ICG guidance, indicating its efficacy in enhancing surgical outcomes without compromising safety. This…
