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General Surgery

Best Papers in General Surgery

The five that matter, every day.

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J Coll Physicians Surg Pak15 Jun 2024

Prognostic Factors in Colorectal Cancer Survival

Higher carcinoembryonic antigen levels, recurrence, and lack of surgery are linked to poor survival in colorectal cancer patients in Karachi, Pakistan. Monitoring CEA levels, timely surgical interventions, and follow-up care for recurrent cases can enhance survival outcomes. Early-onset colorectal cancer cases (

Ann Med Surg (Lond)15 Jun 2024

Optimizing Surgical Management in Pregnancy

Approximately 1-2% of pregnant women undergo non-obstetric surgery under anaesthesia. This systematic review emphasizes the importance of thorough preoperative evaluation, modifications in anaesthetic management to accommodate physiological changes during pregnancy, and prompt urgent surgeries to optimize outcomes for both mother and foetus. Avoiding maternal hypoxaemia,…

Upper Gastrointestinal Tract15 Jun 2024

Robot-assisted Surgery Shows Fewer Complications in Gastric Cancer Patients

Meta-analysis comparing robot-assisted and laparoscopic surgery for gastric cancer in patients with high visceral fat area found that robot-assisted procedures had longer operative times but lower major complication rates, including fewer abdominal infections, leaks, and abscesses. No significant differences were observed in hospital stay, blood…

Appendix, Gallbladder and Surgical Emergencies14 Jun 2024

Trauma Care Access in South Chicago

Opening in 2018, the University of Chicago Medicine trauma center has significantly reduced patient transport time on the south side by up to 8.9 minutes, with a 40% penetrating trauma rate. The violence intervention program, engaging over 8000 patients, has strengthened community partnerships. This system…

Ann Surg14 Jun 2024

TraumaICDBERT Excels in Predicting Injury ICD-10 Codes

A natural language processing algorithm, traumaicdbert, demonstrated superior performance in predicting injury ICD-10 diagnosis codes compared to existing tools. Analyzing over 3000 tertiary survey notes, traumaicdbert outperformed Amazon Web Services Comprehend Medical, showing potential for improved real-time availability of diagnosis codes in clinical settings. Each…

Ann Surg14 Jun 2024

Early Intervention Improves Survival in High Output Chyle Leak After Esophagectomy

Early intervention for high output chyle leak after esophagectomy is crucial for improved survival. A retrospective study revealed that patients who received prompt interventional management had similar overall survival to those without leaks. Late intervention and nonoperative management were linked to increased mortality and longer…

Ann Surg Oncol14 Jun 2024

CRS-HIPEC Improves Survival in Malignant Peritoneal Mesothelioma

Study of 118 patients with malignant peritoneal mesothelioma revealed cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) led to longer overall and progression-free survival. The platinum-pemetrexed combination was effective for metastatic patients and those medically inoperable. Non-surgical patients had poorer prognoses. CRS-HIPEC emerged as…

Surg Endosc14 Jun 2024

Superior outcomes of laparoscopic liver resection for NAFLD-associated HCC

Comparing laparoscopic liver resection (LLR) and open liver resection (OLR) for nonalcoholic fatty liver disease-associated hepatocellular carcinoma (NAFLD-HCC), LLR showed lower rates of complications, blood loss, transfusion, and shorter postoperative stay. Both groups had comparable major morbidities and survival outcomes. LLR appears to be a…

J Gastrointest Surg14 Jun 2024

Nomogram Predicts MSA Explantation Risk

Study developed a nomogram to predict magnetic sphincter augmentation (MSA) explantation, using variables like preoperative demeester score, GERD quality of life score, manometry values, and BMI. The scoring tool helps in preoperative patient selection and treatment decisions, aiding in determining the probability of explantation before…

J Surg Res14 Jun 2024

Ultrasound Predicts Lymphatic Spread in Papillary Thyroid Cancer

Ultrasound features like loss of fatty hilum, architectural distortion, enlarged size, and microcalcifications are associated with metastatic papillary thyroid cancer. A combination of these features shows high specificity and positive predictive value for malignancy. This study suggests a risk stratification model based on these ultrasound…