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Best Papers in General Surgery
The five that matter, every day.
Training in single-port laparoscopic surgery using articulating laparoscopic instruments enhances skills quality, leading to smoother learning curves. All groups displayed significant performance differences, with Group C showing improvements in nine motion analysis parameters and a high level of technical competence. Group A notably enhanced bimanual…
Younger patients with low lymphocyte-to-C-reactive protein ratio had better survival rates in Fournier's gangrene. Higher hospital costs correlate with increased mortality risk. The Fournier's Gangrene Severity Index, lymphocyte-to-C-reactive protein ratio, and neutrophil-lymphocyte ratio were effective at predicting patient outcomes. A low lymphocyte-to-C-reactive protein ratio was…
A novel dissector device was developed and patented for laparoscopic procedures, allowing for improved visualization, separation, and cleaning of anatomical structures without causing damage. The device's tip, a cotton-polyester cloth impregnated with a special gel, maintains a consistent temperature when soaked in a hot saline…
Mendelian randomization study reveals an inverse association between cholecystitis and ventricular arrhythmias, aortic aneurysms, indicating a potential decrease in sudden death risk. Despite a lack of direct causal link with cerebrovascular accidents, pulmonary embolism, acute myocardial infarction, cholecystitis shows a protective effect against certain cardiac…
Establishing a dedicated multidisciplinary tumor board significantly improved surgical outcomes for retroperitoneal sarcoma patients. The post-clinic era saw a marked increase in annual surgeries from 16.3 to 42.4 (p = 0.001), and a rise in complex resections (49% vs. 18.2%; p = 0.0001). These changes…
Mouse study reveals that a high-fat-low-fiber diet leads to poor survival, weight loss, and reduced microbiome diversity compared to a low-fat-high-fiber diet. Pre-operative antibiotics enhance anastomotic healing by reducing enterococcus faecalis growth and improving collagen levels. Dietary fiber promotes post-operative recovery and microbiome biodiversity, highlighting…
Barthel Index scores below 85 indicate higher risk for adverse surgical outcomes in elderly hepatocellular carcinoma patients undergoing hepatectomy. A retrospective cohort study of 497 patients found those with lower scores had significantly lower rates of achieving textbook outcomes (TO) post-surgery compared to higher score…
Laparoscopic and robotic distal pancreatectomy are more cost-effective than open surgery, with laparoscopic surgery showing better cost savings and robotic surgery having superior surgical outcomes and improved quality-adjusted life years. Both laparoscopic and robotic approaches resulted in significantly reduced hospitalization costs compared to open surgery,…
Meta-analysis findings show that neoadjuvant imatinib achieves high 1-year, 3-year, and 5-year overall survival rates of 100%, 94%, and 88%, respectively. Patients with gastric and rectal tumors benefit most with an 8-month treatment duration. Additionally, mutational analysis can aid in treatment decision-making. Effective outcomes include…
MRI effectively predicts histological grades of soft tissue sarcomas. Peritumoral high-intensity T2-weighted signals and peritumoral postcontrast enhancement are valuable indicators of high-grade tumors. The study's findings highlight the importance of MRI in treatment decision-making for sarcoma patients, with each score point increment doubling the chance…
