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Best Papers in General Surgery
The five that matter, every day.
The liver pucker sign, a depression in the region of the gallbladder caused by chronic contractive inflammation, indicates a challenging laparoscopic cholecystectomy. A case series reports three instances where the pucker sign was discovered during surgery, suggesting it can be used to anticipate complications. This…
Pathologists developed recommendations based on international consensus to enhance the clinical value of tissue samples in intrahepatic cholangiocarcinoma management. The guidance includes consensus statements on specimen handling, reporting content, and the need for molecular information to guide personalised therapies. These recommendations aim to standardize reporting…
Transarterial chemoembolization (TACE) combined with targeted therapy and immunotherapy (TACE-T-I) shows greater efficacy and safety compared to TACE with targeted therapy alone (TACE-T) in treating unresectable hepatocellular carcinoma (HCC). A meta-analysis of 14 studies with 2144 patients revealed that the TACE-T-I group had higher overall…
The Indonesian adaptations of the Hemorrhoidal Disease Symptom Score (HDSS) and the Short Health Scale Hemorrhoidal Disease (SHSHD) have been validated and confirmed as reliable tools for assessing health-related quality of life in Indonesian patients with hemorrhoidal disease. The study included 91 patients (55 males,…
Early cholecystectomy for acute calculus cholecystitis shows safe postoperative outcomes, regardless of symptom onset timing. Operative time was longest for patients with delayed surgery, but bile leaks and conversion rates were similar across groups. Hospital stay was slightly longer for those operated on within 72…
Endoscopic ultrasound (EUS) for incidental common bile duct (CBD) dilation revealed that only 8.3% of cases had significant findings. Researchers identified predictors including age ≥70, non-biliary-type abdominal pain, CBD diameter ≥15 mm, and prior ERCP. A novel clinical prediction model was created, scoring age, pain…
A scoring system based on seven significant independent prognostic factors, including age, comorbidity, gastrectomy type, complications, cancer stage, and resection status, was developed and validated to predict 1-year mortality in patients with gastric cancer undergoing gastrectomy. This system demonstrated high sensitivity and specificity, aiding in…
The oakland and Glasgow-Blatchford scores demonstrated excellent performance in predicting severe LGIB, need for blood transfusion, and mortality, outperforming the AIMS65 score. Hemostatic interventions and rebleeding prediction by all scores were suboptimal. These results suggest Glasgow-Blatchford score as an alternative for risk stratification in patients…
Transfer of technical surgical skills from laparoscopic to robot-assisted surgery is feasible and efficient, facilitating combined training and credentialing. However, no evidence supports skill transfer from open to robot-assisted surgery. Recommendations for future studies aim to enhance comparability and significance in assessing skill transfer across…
Esophageal pull-down technique significantly improves outcomes in end-stage achalasia compared to classical laparoscopic Heller-Dor myotomy. Treatment failure rates were significantly lower in the pull-down technique group, confirming its efficacy in challenging cases. This technique shows promise in enhancing treatment success for difficult-to-treat achalasia patients with…
