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Best Papers in General Surgery
The five that matter, every day.
Metabolic bariatric surgery significantly reduces the risk of acute myocardial infarction (AMI), including ST-elevation and non ST-elevation MI. Patients with a history of bariatric surgery have lower odds of AMI admission, coronary revascularization procedures, and in-hospital mortality compared to those without bariatric surgery. These findings…
Direct-acting antivirals significantly improve outcomes of liver resection for hepatitis C-related hepatocellular carcinoma. Patients achieving sustained virological response (svr) had significantly better survival rates compared to those who did not. Introduction of direct-acting antivirals in the post-era resulted in superior survival outcomes. Svr was identified…
Robotic liver resection (RLR) showcases longer operative times than laparoscopic liver resection (LLR) for hepatocellular carcinoma with no major disparities in other short-term outcomes. While overall survival remains alike, RLR promotes enhanced recurrence-free survival and a more proficient learning curve after the 11th case. RLR…
Exploring critical care nurses' challenges in managing enterocutaneous fistulas reveals difficulties in nursing care and lack of resources. Collaborative multidisciplinary efforts can enhance patient management, nurse knowledge, and overall outcomes. Improved protocols are essential for quality patient care, focusing on fluid/electrolyte balance, nutrition, sepsis control,…
Notable risk factors for lymph node metastasis in T1b esophageal adenocarcinoma include tumor size ≥20mm and poor differentiation. Endoscopic therapy (ET) showed comparable cancer-specific survival outcomes to surgery for selected cases. Age ≥65 years, ET, and chemoradiation therapy were associated with poorer overall survival. However,…
Indocyanine green (ICG) dosage of 0.02 mg/bmi demonstrated better biliary structure detection rates in laparoscopic cholecystectomy compared to lower and higher doses. The medium and higher dose groups showed superior visualization of common bile duct structures. Medium dose was non-inferior to higher dose ICG, indicating its…
Surgeons' performance may be predicted by psychomotor skills, personality, and motivation. A randomized trial involving surgical residents, experts, and medical students revealed that psychomotor skills predominantly influenced physicians' training outcomes, while motivation and personality played key roles for students. This suggests that identifying individuals with…
Magnetic sphincter augmentation (MSA) showed higher rates of discontinuing proton-pump inhibitors, increased patient satisfaction, and better functional outcomes compared to fundoplication in managing gastro-esophageal reflux disease. However, MSA had higher rates of dysphagia. The erosion and removal rates were low, but no difference was observed…
Tumour-infiltrating lymphocytes (TIL) and microsatellite instability (MSI) status are key prognostic factors in colorectal cancer. A meta-analysis of 14,028 patients revealed that TIL-high (TIL-H) subtype correlated with improved overall survival. The integrated MSI-TIL classification shows promise as a predictive tool for clinical decisions in early-stage…
Stapler line reinforcement with continuous imbricating sutures in laparoscopic sleeve gastrectomy significantly reduces leakage rates and reoperation rates postoperatively. A retrospective study involving 510 patients revealed a lower leakage incidence (0.7% vs. 4%) in the reinforcement group compared to the non-reinforcement group. While staple line…
