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General Surgery

Best Papers in General Surgery

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J Gastrointest Oncol26 May 2024

Effect of Surgical Treatment on Patients with Peritoneal Metastasis from Gastric Adenocarcinoma

Survival analysis of 399 patients with peritoneal metastasis from gastric adenocarcinoma revealed that surgical treatment significantly improves overall survival. Subgroup analysis suggests benefits for patients with certain tumor characteristics and previous chemotherapy. Surgery may be an option to enhance prognosis in specific groups of patients…

J Gastrointest Oncol26 May 2024

Perioperative Inflammatory Indicators Predict Disease-Free Survival in Rectal Cancer

Perioperative inflammatory indicators, including preoperative neutrophil-to-lymphocyte ratio (NLR) and postoperative systemic immune-inflammation index (SII), are crucial for predicting 3-year disease-free survival (DFS) in rectal cancer patients. A nomogram based on TNM stage III and neural invasion effectively stratifies high-risk patients, enabling timely postoperative follow-up and…

Upper Gastrointestinal Tract26 May 2024

Robotic Spleen-Preserving Lymph Node Dissection in Gastric Cancer

Robotic spleen-preserving suprapancreatic and splenic hilar lymph node dissection using the preemptive retropancreatic approach in total gastrectomy for gastric cancer proved effective in reducing postoperative pancreatic complications. The novel preemptive retropancreatic technique facilitated a clear operative field and prevented contact with the pancreas during surgery,…

Ann Surg25 May 2024

EndoRobotic Submucosal Dissection for Colorectal Neoplasia

EndoRobotic Submucosal Dissection using the da Vinci SP platform showed a 100% en-bloc resection rate in 28 patients with colorectal neoplasms. There were no intraoperative complications or mortality, with only two minor postoperative complications. Pathology outcomes revealed a mix of benign and malignant lesions, indicating…

Am J Gastroenterol25 May 2024

Optimal Imaging Modalities for Detecting Gastric Neoplasms

The trial compared the effectiveness of three imaging modalities - third-generation narrowband imaging (3G-NBI), texture and color enhancement imaging (TXI), and high-definition white-light imaging (WLI) - in detecting gastric neoplasms (GNs). Results showed that 3G-NBI outperformed TXI and WLI, with higher GN detection rates and…

J Am Coll Surg25 May 2024

Collagen Changes in Distal Anastomotic Margin and Anastomotic Stenosis

Neoadjuvant chemoradiotherapy for rectal cancer can alter collagen structure, increasing the risk of postoperative anastomotic stenosis. A retrospective study with 371 patients revealed that collagen score (CS) is an independent risk factor for anastomotic stenosis. A predictive nomogram based on CS accurately identified individuals at…

Surg Endosc25 May 2024

Robotic Esophagectomy vs. Conventional Thoracoscopic Esophagectomy for Locally Advanced Esophageal Cancer

Robotic esophagectomy results in shorter postoperative recovery times and lower rates of specific complications compared to conventional thoracoscopic esophagectomy for locally advanced esophageal cancer. Both approaches have similar technical feasibility and oncological outcomes following surgery, with no significant differences in recurrence rates. Robotic esophagectomy may…

Cytoreductive Surgery & Peritoneum25 May 2024

Prognostic Indicators for Mucinous Appendiceal Neoplasm Patients

Identification of reliable prognostic indicators for different groups of appendiceal mucinous neoplasm patients revealed the Completeness of Cytoreduction (CC) score as a consistent predictor of survival. The Peritoneal Cancer Index (PCI) showed significance in specific subtypes, while the Prior Surgical Score (PSS) predicted outcomes in…

Pediatric Surgery25 May 2024

Long-term Hospital Admissions for Adult Survivors of Infant Surgical Diseases

Adult survivors of infant surgical diseases such as esophageal atresia with tracheoesophageal fistula, congenital diaphragmatic hernia, and Hirschsprung disease continue to require lifelong care, with 1140 admissions identified over a 10-year period. Patients, mostly female with a mean age of 31.6 years, required hospitalization for…