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Best Papers in General Surgery
The five that matter, every day.
1L-PEG regimen demonstrated superior bowel preparation quality compared to 2L-PEG and picosulphate, leading to higher adequacy rates, better Boston Bowel Preparation Scale scores, improved right-colon cleansing, and increased exam completion. Factors predicting inadequate bowel preparation included male sex, constipation history, active smoking, previous pelvic surgery,…
Findings from a multicenter study comparing Sleeve Gastrectomy (SG) and Roux-en-Y Gastric Bypass (RYGB) in morbidly obese patients revealed that RYGB resulted in greater weight loss and higher remission rates of comorbidities like hypertension, sleep apnea, and gastroesophageal reflux disease over a five-year period. The…
Delayed surgical intervention of more than three days in elderly patients diagnosed with intestinal fistula significantly increases the risk of mortality, with nearly double the length of hospital stay compared to earlier surgical groups. Mortality rates were notably higher in patients with delayed surgeries, emphasizing…
Implementing a quantitative appraisal method in primary hospital operating rooms revealed a substantial increase in annual surgical cases and improved patient and surgeon satisfaction. The collaborative scheduling system significantly decreased nurses' average daily working hours while enhancing overall work efficiency and satisfaction levels. This study…
Patients treated by female surgeons experienced lower postoperative mortality compared to those treated by male surgeons, especially for elective surgeries. No significant differences were found in readmission or complication rates. This meta-analysis of 15 retrospective cohort studies involving over 5 million participants provides moderate certainty…
An analysis of 4,331 patients undergoing esophagectomy revealed smoking, frailty index, white blood cell count, mckeown esophagectomy, and platelet counts were associated with anastomotic leak. Results showed increased odds of leak with smoking, frailty index scores of 1 or 2, and specific surgical techniques, while…
Real-time assessment of bowel perfusion using methylene blue and indocyanine green was successful in a porcine model, with MB showing a stronger correlation with local lactate levels compared to ICG. This study demonstrates the potential utility of MB as a viable alternative for assessing intestinal…
Esophagectomy induces weight loss and improves glucose and lipid metabolism in type 2 diabetes patients. Both diabetic and non-diabetic groups experience similar reductions in weight and BMI post-surgery. Fasting plasma glucose levels decrease significantly in the diabetic group, while HDL levels increase in the non-diabetic…
Utilizing the NIR-ICG imaging system during laparoscopic rectal cancer surgery can potentially reduce the incidence of anastomotic leakage (AL), a serious complication. The study protocol, a randomized controlled trial, aims to evaluate AL rates in patients receiving NIR-ICG during total mesorectal excision compared to conventional…
Neoadjuvant chemotherapy before pancreaticoduodenectomy with vascular resection led to improved disease-free survival in pancreatic cancer patients. Patients who received neoadjuvant chemotherapy had more favorable pathological outcomes, decreased vascular invasion, and completed chemotherapy more often. The neoadjuvant chemotherapy group exhibited a significant increase in disease-free survival…
