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Best Papers in General Surgery
The five that matter, every day.
Robotic pancreaticoduodenectomy (RPD) offers similar or superior outcomes compared to open approaches for pancreatic ductal adenocarcinoma (PDAC) treatment. RPD shows reduced blood loss, lower post-operative pain, and shorter hospital stays. Despite similar operative times, RPD yields better oncological results, including margin status and survival rates.…
Deep learning algorithms demonstrate high accuracy in detecting renal, liver, and spleen injuries on abdominal CT scans. With a notable performance in renal injury detection (accuracy: 0.932), the model exhibits potential for rapid preliminary screening and adjunctive diagnosis of traumatic abdominal injuries. The results suggest…
Patients with "oligo-like liver metastasis" (OLLM) in post-surgical pancreatic cancer have better overall survival after recurrence through surgical intervention. Key factors defining OLLM include long recurrence-free interval, stable disease interval, and fewer recurrent tumors. OLLM patients show significantly improved prognosis compared to non-OLLM patients, suggesting…
Painless gastroscopy significantly increases early gastric cancer detection rates compared to ordinary gastroscopy. It is safer, with shorter lesion lengths and more specific endoscopic characteristics for early detection. Painless gastroscopy is especially effective for identifying hard-to-see, small, superficial lesions. This study underscores the importance of…
Comparing treatments for common bile duct stones (CBD), historical data and recent studies reveal a shift towards laparoscopic-endoscopic rendezvous (LER) technique. Before 1990, endoscopic sphincterotomy (ES) and surgery showed similar efficacy. Since 1991, LER emerged as effective, with fewer complications and shorter hospital stays. It's…
A retrospective study compared same-day discharge (SDD) ileostomy closure with traditional enhanced recovery pathways (ERP) to assess patient outcomes. Among 375 patients, the 30-day complication rate was significantly lower in the SDD group (14.8%) compared to the standard ERP group (25.7%), driven by a reduced…
Early postoperative CRP levels are a key predictor of anastomotic leakage after esophagectomy, with a cutoff value of < 222 mg/l on day 2 showing 81% sensitivity and 88% specificity. Other biomarkers like WBC counts and albumin levels had limited diagnostic accuracy. A NUN score…
Simultaneous cholecystectomy during elective colorectal cancer surgery for patients with asymptomatic gallstones reduces long-term biliary complications without increasing postoperative morbidity. Female gender, old age (≥65 years old), and small multiple gallstones are identified as independent risk factors for developing gallstone-related diseases in patients who undergo…
In patients over 70 with esophageal squamous cell carcinoma (ESCC), surgical treatment yields better clinical outcomes compared to nonsurgical approaches. A retrospective study showed that the 3-year overall survival was 59% for the surgical group and 27% for the nonsurgical group. The median progression-free survival…
A survey of 127 participants (25 trainers and 102 trainees) revealed dissatisfaction with the quality of surgical residency training in Nigeria, with 72% of trainers and 93% of trainees expressing discontent. The dissatisfaction stemmed from factors like inadequate mentorship, research, funding, and training facilities. While…
