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Best Papers in General Surgery
The five that matter, every day.
Metabolic bariatric surgery shows enduring weight reduction and improvement in obesity-related comorbidities. Both OAGB and SADJB-SG procedures lead to significant improvements in BMI, diabetes, hypertension, and dyslipidemia over three years. Patients also experience a substantial reduction in 10-year MACE, stroke, and atherosclerotic CVD risks. These…
Long-term multicenter study comparing image-guided thermal ablation to lobectomy for solitary papillary thyroid microcarcinoma showed no significant differences in disease progression or survival outcomes. Ablation had lower complication rates, shorter hospitalization, procedure time, reduced blood loss, and lower costs compared to lobectomy. Thermal ablation could…
A comprehensive preoperative assessment and support program for elderly gastric cancer patients significantly reduces blood loss, serious complications, and postoperative hospital stay compared to standard care. Tailored support for sarcopenia patients contributes to improved outcomes, highlighting the importance of personalized preoperative care in enhancing surgical…
Comparing laparoscopic and open surgery for colorectal cancer, researchers found significant advantages with minimally invasive surgery, including shorter hospital stay, lower medical complications, and improved survival. Both approaches showed similar pathological outcomes in terms of lymph nodes and margins. Laparoscopic surgery, when performed by skilled…
Comparative survival analysis of liver resection (LR), percutaneous radiofrequency ablation (PRFA), and transarterial chemoembolization (TACE) in early multinodular hepatocellular carcinoma (HCC) patients reveals LR as the preferred therapeutic option for improved survival rates at 1, 3, and 5 years. LR demonstrates superior outcomes compared to…
High overall volume of upper gastrointestinal surgeries at hospitals, despite lower gastrectomy volume for cancer, leads to similar postoperative outcomes to high gastrectomy volume centers. Equivalence in 5-year survival rates between hospitals with mixed and high gastrectomy operation volumes across all disease stages. Findings suggest…
Dilip's Transmucosal Internal Sphincterotomy (TMIS) simplifies the lateral internal sphincterotomy (LIS) process, offering a less invasive and more precise method for treating fissure-in-ano. With a median operative time of 7 minutes, low post-operative pain, and minimal risk of complications, TMIS presents significant benefits over traditional…
Long-segment BEA patients exhibit distinct clinicopathological features and worse treatment outcomes compared to short-segment BEA patients. Long-segment cases are associated with specific characteristics such as flat type morphology, left wall location, and higher rates of synchronous lesions. Additionally, long-segment BEA requires longer resection durations, has…
Recurrent weight gain after laparoscopic sleeve gastrectomy was studied in 122 patients over 2-7 years, showing significant weight loss and comorbidity remission rates. Diabetes, hypertension, and dyslipidemia had substantial remission rates, while a recurrent weight gain ≥ 20% of maximum weight loss indicated comorbidity progression. Healthcare providers…
Increasing intraoperative blood pressure to 150 mmHg systolic, without staple line reinforcement, significantly reduces post-bariatric hemorrhagic complications. A retrospective study of 438 patients found a reduction in postoperative bleeding rates from 10% to 5% after implementing this intervention, with a decrease in revisional surgery for…
