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Best Papers in General Surgery
The five that matter, every day.
Non-English speaking patients had a higher risk of readmission for malignant bowel obstruction, with patient age, primary language, and palliative care consultation serving as predictors for readmission and potentially impacting 90-day mortality. Modifiable factors such as palliative care consultation and multidisciplinary goals of care discussions…
This preliminary study showed that indocyanine green (ICG) fluorescence imaging-guided laparoscopic para-aortic lymphadenectomy in left-sided colorectal cancer patients resulted in increased retrieval of total lymph nodes, including inferior mesenteric artery and para-aortic lymph nodes. ICG imaging may improve the completeness of lymph node dissection without…
A synthetic minority oversampling technique (SMOTE)-based model was developed to predict postoperative delirium in elderly patients with abdominal malignancies. In this cohort of 611 patients, risk factors for delirium included Charlson comorbidity index, American Society of Anesthesiologists classification, history of cerebrovascular disease, surgical duration, perioperative…
In this population-based cohort study involving 1,647 patients undergoing gastrectomy for gastric adenocarcinoma, surgeon age ≥47 years was associated with worse 5-year all-cause mortality rates. Adjusted hazard ratios for surgeons aged 55+ were 1.21 (95% CI 1.04 to 1.41), and for those aged 47-54 were…
Microencapsulated sodium butyrate, a stable form of the compound, is gaining attention for its potential use in gastrointestinal disease prevention and treatment. It offers energy to the large intestine, supports intestinal epithelium integrity, and stimulates the immune system. This review discusses its use from both…
Comparing portal vein embolization (PVE) with simultaneous portal and hepatic vein embolization (PVE/HVE) in liver cancer patients showed significantly higher overall survival with PVE/HVE. The study demonstrated a longer 3-year overall survival in the PVE/HVE group compared to PVE alone, making PVE/HVE an independent predictor…
Implementation of an AI-based computer-vision model in laparoscopic appendectomy accurately assesses complexity grading and safety adherence, predicting operative time and intraoperative course. However, no clinical correlation is found regarding postoperative outcomes. Surgeons and inter-surgeons agreements were high for complexity grading and safety adherence. Further studies…
Endoscopic cryotherapy has shown safety and efficacy in treating gastrointestinal conditions, including complete eradication of dysplasia and neoplasia in Barrett's esophagus. It serves as a second-line treatment for refractory cases and an alternative to surgical resection for duodenal adenomas. Innovative applications for gastrointestinal bleeding and…
Standardized robotic D3-D4 lymphadenectomy improves survival in upper rectum and sigmoid colon cancer patients with more than N2 lymph node metastasis. Specific nodal stations contribute differently to overall survival, with common iliac vessels and infra-renal vein being significant predictors. Results suggest optimized surgical techniques and…
A randomized controlled trial found that training with a 3D-printed model for laparoscopic biliary-enteric anastomosis led to significantly shorter operation times, higher performance scores, and greater goal achievement compared to traditional training methods. This suggests improved skill acquisition and transferability to a clinical setting with…
