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Best Papers in General Surgery
The five that matter, every day.
Shock Index (SI) is a critical indicator of outcomes in trauma patients. A study comparing SI values in different age groups reveals that geriatric patients have higher SI and mortality rates. Each 0.1 increase in SI is associated with increased mortality, need for blood transfusion,…
3D-printed anatomical models accurately reflect MRI findings of perianal fistulas, showing almost perfect agreement for classification, substantial agreement for complexity and location, and moderate agreement for sphincter involvement. Further research is needed to assess the clinical utility of these models in preoperative planning and education.…
Laser hemorrhoidoplasty demonstrated superior clinical efficacy over rubber band ligation in treating grade II hemorrhoids, with significantly improved postoperative pain, bleeding, and anal distension within 2 weeks. Both methods effectively relieved symptoms, with no difference in recurrence rates at 1 year post-surgery. Patients undergoing laser…
Frailty significantly increases the risk of postoperative complications and mortality after major emergency abdominal surgery. Patients with higher Clinical Frailty Scale scores experienced more complications, including pneumonia, delirium, and atrial fibrillation. Severe frailty was linked to increased surgical complications and 30-day mortality. The study emphasizes…
Adjuvant chemoradiotherapy post-multiagent neoadjuvant chemotherapy in pancreatic cancer patients enhances survival, especially for those with lvi+ or grade iii tumors. While initial unadjusted analysis showed shorter median survival with chemoradiotherapy, adjusted results indicated a 25% risk reduction in mortality. Notably, patients with grade iii or…
Laparoscopic liver resection proves most cost-effective with lower total costs and superior postoperative outcomes compared to open and robotic liver resection. Open liver resection incurs the lowest procedural costs, but highest hospitalization costs. Robotic liver resection has the highest total and procedural costs but reduces…
High-volume centers in the USA saw positive results with Transanal Total Mesorectal Excision (TaTME) for rectal cancer. The study of 391 patients revealed low rates of local recurrence, high completion rates of TME specimens, and promising 3-year overall survival. These findings support the oncologic safety…
One anastomosis gastric bypass (OAGB) and sleeve gastrectomy with loop duodenojejunal bypass (SG + LoopDJB) demonstrate similar weight loss, type 2 diabetes remission, and lipidemia improvements at 1 year post-operation. OAGB presents higher hypoalbuminemia but lower gastroesophageal reflux disease symptoms compared to SG + LoopDJB.…
Survival outcomes differed between left-sided colon and middle/low rectal cancer post-colorectal hepatic metastasectomy. Patients with left-sided colon cancer exhibited significantly better overall survival (OS) than those with middle/low rectal cancer, especially in the subgroup analysis of ras mutations. The study suggests that middle/low rectal cancer…
Whipple over the splenic artery (WOTSA) can replace most total pancreatectomies for ductal adenocarcinoma, offering similar complication rates but improved postoperative glycemic status and potentially better disease-free survival. Results show no reoperations required in the WOTSA group due to pancreas or spleen issues, with comparable…
