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Best Papers in General Surgery
The five that matter, every day.
Study identifies preoperative factors like clinical lymph node metastasis and PET/CT status as key predictors of lateral lymph node metastasis in rectal cancer. The presence of middle rectal artery significantly correlates with pathological lymph node metastasis, particularly in the internal iliac region. Combination of clinical…
Colorectal signet-ring cell carcinoma (CSRCC) is a rare entity with poor prognosis, often diagnosed at advanced stages. Studies show an incidence of 0.1%-2.4%, associated with lower survival rates than other adenocarcinomas. Surgical intervention is challenging, and exploratory laparoscopy is advised to assess peritoneal metastases. Tailored…
Colorectal neuroendocrine neoplasms prognosis in surgical treatment can be predicted by lymph node staging systems like LNR, PLN, and LODDS. A cohort study of 895 patients showed significant predictive values for mortality. After adjusting confounders, these systems were linked with patient outcomes, proving their effectiveness…
TRIANGLE operation, combined with adequate adjuvant chemotherapy, can improve the prognosis of pancreatic head cancer. The triangle operation is safe for PDAC patients undergoing PD, reduces local recurrence rates, and may enhance patient survival with proper adjuvant chemotherapy support, according to a retrospective study. This…
Increases and decreases in liver stiffness measurements independently predict liver-related events in NAFLD. Progression to higher stiffness levels was linked to a higher risk of liver events, while regression to lower levels decreased this risk. These findings highlight the clinical significance of monitoring liver stiffness…
Rates of serious complications and 90-day mortality were comparable across different career stages for surgical oncology fellowship graduates performing complex cancer surgery in the United States. Surgeon case-specific volume was found to be a strong predictor of postoperative outcomes, highlighting the importance of individual expertise…
Study reveals that postoperative cough in esophageal cancer patients varied over time, affected by factors like cancer stage, surgical duration, and positioning. Scores post-surgery were consistently lower, emphasizing the need for targeted interventions to manage cough and improve patient outcomes. Results suggest the importance of…
Arterial coverage with retromesenteric omental flap significantly reduces clinically relevant postpancreatectomy hemorrhage after pancreaticoduodenectomy. This novel technique, compared to no coverage, led to lower hemorrhage rates, fewer postoperative pancreatic fistulas, and decreased reoperation needs. Multivariate analysis confirmed the omental flap as an independent protective factor…
Long-term study on laparoscopic gastric bypass surgery revealed sustained weight loss over 11 years, with recurrent weight gain observed in some patients. The procedure improved hypercholesterolemia and hypertriglyceridemia significantly, leading to remission of diabetes in many cases. However, adverse effects such as gallstones, bowel obstruction,…
Spontaneous rupture of hepatocellular carcinoma (RHCC) poses a major threat, with mortality rates ranging from 25-75%. Recent research highlights improved survival rates and reduced complications through a treatment combination of transcatheter arterial embolization/chemoembolization (TAE/TACE) followed by elective hepatectomy. Active surveillance efforts, advanced diagnostic tools, and…
