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Best Papers in General Surgery
The five that matter, every day.
Establishing the SPARC program led to improved patient outcomes for retroperitoneal sarcoma at RPAAH and COBLH. The program saw an increase in operations from 15 to 35 cases annually, with liposarcomas and leiomyosarcomas being the most common types resected. The majority of cases underwent extended…
Endoscopic treatment and surgery show similar overall and cancer-specific survival rates in gastrointestinal neuroendocrine neoplasms. Endoscopic treatment may offer a better cancer-specific survival in certain cases such as stage I tumors and those smaller than 10mm. Both treatment options are viable for patients, with endoscopic…
Preoperative glucose/lymphocyte ratio (GLR) in colorectal cancers independently predicts prognosis. Analysis of 222 patients showed high GLR (≥3.04) correlated with increased mortality (p=0.001) and lower overall survival rates. GLR levels (p≤0.001) significantly related to age, perineural invasion, tumor grade, TNM stage, and surgery time. GLR…
Robotic total mesorectal excision (TME) and transanal TME showed better postoperative results compared to laparoscopic TME in locally advanced rectal cancer patients. Robotic TME had lower rates of anastomotic leakage and open surgery conversions, while transanal TME had shorter hospital stays and time to flatus.…
Patients with low-risk thyroid cancer changed their valuation of treatment outcomes after surgical decisions, favoring quality of life factors post-treatment. Emotional impact led to overuse of total thyroidectomy. Those choosing lobectomy increased importance on risk of recurrence, while total thyroidectomy patients valued it less. Surgeons…
Study finds that socioeconomic vulnerability is independently associated with increased in-hospital mortality, perioperative complications, longer hospital stays, higher costs, non-home discharge, and readmission rates after emergency general surgery. Results highlight the need for new interventions to address healthcare disparities and improve outcomes for vulnerable patient…
Researchers analyzed 5606 gastric cancer patients, identifying key risk factors for lymph node metastasis (LNM) in early gastric cancer (EGC). Significant predictors include female gender, lower tumor location, tumor size >2 cm, mixed and undifferentiated histologic types, t1b stage, ulceration, and lymphovascular invasion. A nomogram…
Integration of machine learning into prognostic modeling for distal cholangiocarcinoma yielded a robust predictive model for disease-free survival after pancreaticoduodenectomy. Significant predictors of recurrence included lnr15, neural invasion, n stage, surgical radicality, and differentiation grade. The model demonstrated strong discriminatory capacity with internal and external…
Identification of pulmonary ventilation function abnormalities, age over 70, BMI over 27 kg/m2, and porcine small intestine submucosal mesh as independent risk factors for incisional hernia recurrence after open preperitoneal repair. Significant differences in recurrence and non-recurrence patients noted in factors such as mesh materials,…
Pancreatic cancer's radiomorphological appearance on MRI correlates with tumor budding, a marker of poor prognosis. Intermediate to high spiculation on MRI was seen in 64% of tumors, with over 90% showing tumor buds. A positive correlation existed between MRI spiculation grade and histopathological tumor bud…
