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Best Papers in General Surgery
The five that matter, every day.
Researchers investigated the diagnostic accuracy of transient elastography (TE) for steatosis and liver fibrosis in patients with metabolic dysfunction-associated fatty liver disease (MAFLD) undergoing sleeve gastrectomy (SG). TE's controlled attenuation parameter (CAP) and liver stiffness measurement (LSM) showed high accuracy in identifying liver steatosis and…
Early-onset pancreatic cancer (EOPC) is increasing globally, particularly in Asia, with high burden in central and eastern Europe. From 1990 to 2019, EOPC saw a rise in incidence, mortality, and disability-adjusted life-years (DALYs). Risk factors include smoking, high BMI, and high glucose levels. Prevention strategies…
A nomogram incorporating treatment data proved better than the AJCC staging system in predicting overall survival for gastroenteropancreatic neuroendocrine tumors. Key factors include sex, age, race, tumor location, and treatment modalities. Internal and external validation showed superior performance, advocating for individual risk evaluation to enhance…
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…
Minimally invasive surgical techniques, such as endoscopic mucosal resection and laparoscopic and endoscopic cooperative surgery, offer precise and effective options for treating early gastric cancer. These advanced procedures result in less trauma, blood loss, and quicker recovery for patients, providing unique value in the examination…
Direct percutaneous endoscopic jejunostomy (DPEJ) is a safe and effective alternative to surgical jejunostomy, with lower rates of adverse events at 90 days. Procedural success rates were similar among DPEJ, laparoscopic jejunostomy, and open jejunostomy, but DPEJ had significantly lower rates of tube dysfunction. DPEJ…
Researchers found that using antiseptic solutions for prophylactic intraoperative incisional wound irrigation significantly reduced surgical site infections (SSIs). In this systematic review and network meta-analysis involving 41 randomized clinical trials with 17,188 patients, antiseptic solutions showed a 40% relative risk reduction in SSIs compared to…
Researchers found that using a dual-ring plastic wound protector during open gastrointestinal surgery significantly reduced the rate of surgical site infections (SSIs) compared to conventional surgical gauze. In this randomized clinical trial with 457 patients, the SSI rate for the wound protector group was 10.9%…
Researchers discuss the pros and cons of interval appendectomy for patients who have recovered from acute uncomplicated appendicitis after successful antibiotic treatment. Although surgery has traditionally been the standard treatment, recent data suggest that antibiotics are a safe alternative. However, the high rate of recurrent…
Clinicians debate the merits of interval appendectomy for patients who recover from antibiotic treatment for acute uncomplicated appendicitis. Offering this surgery to avoid future appendicitis risks extra costs, disability, and potential complications, even though many patients may never need surgery. Major clinical trials show high…
