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Best Papers in General Surgery
The five that matter, every day.
The age-adjusted Charlson Comorbidity Index and sarcopenia are significant independent risk factors for prognosis in gastric cancer patients. A new prognostic score, ACCIS, combining these factors, accurately predicts prognosis and enhances predictive accuracy. Integration of ACCI score and sarcopenia improves prognostic predictions, leading to the…
The preoperative C-reactive protein-albumin-lymphocyte (CAlly) index is an independent prognostic factor for overall and disease-free survival in patients with gastric cancer. It is also a valuable predictive marker for postoperative surgical site infection, highlighting its potential clinical significance in perioperative and oncologic management of gastric…
WeChat online education and care (WOEC) interventions significantly lowered depression and anxiety levels in caregivers of elderly postoperative colorectal cancer patients. Patient satisfaction scores were notably higher in the WOEC group compared to the control group. Subgroup analysis revealed that caregivers with lower performance status…
Favorable short-term and long-term outcomes were observed in patients undergoing robotic radical surgery for rectal gastrointestinal stromal tumor (GIST), with 100% 5-year overall survival and recurrence-free survival rates. The majority of patients had negative surgical margins, underwent sphincter-preserving surgery, and experienced low postoperative complication rates,…
Local ischemic preconditioning (LIPC) and remote ischemic preconditioning (RIPC) were found to be superior to no-preconditioning in reducing postoperative serum transaminase levels in hepatectomy. There was no significant difference between the two methods in postoperative liver function and surgical outcomes. RIPC showed potential benefits in…
Indocyanine green (ICG) guidance significantly improves lymph node dissection quality in patients with locally advanced gastric cancer undergoing laparoscopic radical gastrectomy after neoadjuvant chemotherapy. ICG led to higher numbers of retrieved lymph nodes, reduced noncompliance rates, and improved lymphadenectomy quality for patients with complete response.…
Body contouring surgery after bariatric surgery leads to sustained improvements in health-related quality of life and satisfaction with appearance over a significant period. Patients who underwent body contouring surgery maintained or even improved their scores, contrasting with those who only had bariatric surgery. This highlights…
Surgeons evaluated 81 studies on digital metrics for nontechnical skills, highlighting diverse objective measures for cognitive load, situation awareness, and communication. Surgical sabermetrics, using sensors, offers promising outcomes for performance optimization. Gaps remain in assessing decision-making objectively. Future integration of physiological sensors could enhance holistic…
Same-day discharge for bariatric surgery increased from 2.4% to 7.4% between 2016 and 2021. Black race, history of MI, renal insufficiency, DVT, and smoking were associated with higher complications. Roux-en-Y had a 72% higher risk than sleeve gastrectomy. While overall major complications were lower, there…
Updated Markov model shows elective laparoscopic hernia repair increases life-years in individuals with paraesophageal hernia symptoms and Cameron lesions. Comorbid conditions impact life expectancy but do not change the preference for surgery over watchful waiting in most cases, except for the elderly without Cameron lesions.…
