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General Surgery

Best Papers in General Surgery

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Intestine and Lower Gastrointestinal Tract9 May 2024

Robotic Surgery Reduces Ergonomic Risk in Minimally Invasive Colorectal Resections

Robotic-assisted surgery with the open-console versius® system significantly reduces surgeons' ergonomic risks and cognitive strain during major colorectal resections compared to laparoscopic surgery, without compromising team communication or patient outcomes. This may be a safe and feasible solution to prevent work-related musculoskeletal injuries in surgeons.

BMC Gastroenterol9 May 2024

Age-based Prediction of Neoplastic Gallbladder Polyps Using Ultrasound Features

The prevalence of neoplastic polyps in gallbladder polyps increases with age. Linear scoring models based on ultrasound features effectively predicted neoplastic polyps in different age groups. Independent risk factors included number and size of polyps. The models outperformed using polyp size alone. This study provides…

Appendix, Gallbladder and Surgical Emergencies9 May 2024

Factors influencing operative time for laparoscopic cholecystectomy by trainee surgeons

Operative time for laparoscopic cholecystectomy by trainee surgeons is affected by factors such as surgeon experience, patient characteristics, and certification. Male sex, higher BMI, and lack of endoscopic skill certification in attending surgeons were associated with longer operative times. Skilled attending surgeons can help reduce…

J Hepatobiliary Pancreat Sci9 May 2024

Outcomes of Liver Resection with Vascular Reconstruction

Study identifies risk factors for mortality & morbidity in liver resection with vascular reconstruction. Surgical mortality rate highest in hepatic artery reconstruction (15.8%). Factors include age, male sex, comorbidities, liver function, and biliary reconstruction. Portal venous reconstruction most common (59.6% of cases). Analysis provides insights…

J Gastrointest Cancer9 May 2024

Impact of Cachexia Index on Prognosis After Gastrointestinal Cancer Surgery

The study evaluated the prognostic impact of cachexia index on gastrointestinal cancer surgery outcomes, finding that a low cachexia index was associated with worse overall and progression-free survival. Cachexia index was identified as a potential biomarker for assessing oncological outcomes in these patients, though study…

Br J Surg8 May 2024

Metabolic Bariatric Surgery Reduces Risk of New-Onset Type 2 Diabetes

Metabolic bariatric surgery lowers the risk of new-onset type 2 diabetes in patients with obesity, with a more pronounced reduction in those of low socioeconomic status. In a cohort study with 917 patients and 1811 controls, new-onset type 2 diabetes was less frequent in the…

Surg Endosc8 May 2024

Advancing Diversity in Surgical Leadership

The SAGES White Paper discusses the creation and evaluation of the Fundamentals of Leadership Development (FLD) curriculum to enhance diversity, equity, and inclusion in surgical practice. The FLD curriculum, developed using the ADDIE model, focuses on pipeline improvement, healthcare equity, and conflict negotiation. Surgeon leaders…

J Surg Res8 May 2024

Impact of Social Support on Weight Loss After Bariatric Surgery

Exploring patient and provider perceptions of social support post-bariatric surgery, this study identified key themes influencing weight loss maintenance. Family involvement, partner/friend engagement, transportation assistance, and addressing life stressors are crucial for sustained weight loss outcomes. Providers play a vital role in reinforcing facilitators of…

Am Surg8 May 2024

Improved Outcomes with Neoadjuvant Therapy in Pancreatic Ductal Adenocarcinoma

Patients with resectable or borderline resectable pancreatic ductal adenocarcinoma (PDAC) who received neoadjuvant chemotherapy and radiation (total neoadjuvant therapy, TNT) or neoadjuvant chemotherapy only (NAC) had longer overall survival (OS) and disease-free survival (DFS) compared to those who underwent upfront surgery. In a study with…

Langenbecks Arch Surg8 May 2024

Comparison of Purse-String vs Linear Suture for Skin Closure After Ileostomy Reversal

Comparison of purse-string technique vs linear suture for skin closure after ileostomy reversal showed a significantly lower incidence of surgical site infection (SSI) with the purse-string technique. Findings suggest purse string closure could be considered as the standard of care for wound closure after ileostomy…