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Best Papers in General Surgery
The five that matter, every day.
A study of 16,921 cases of nonelective sigmoidectomy for acute complicated diverticulitis revealed a rising trend in the use of primary anastomosis with diverting loop ileostomy, from 5.3% in 2012 to 8.4% in 2020. Compared to Hartmann's procedure, primary anastomosis with diverting loop ileostomy was…
Survey of 290 pancreatologists revealed significant differences in managing malignant gastric outlet obstruction (MGOO) due to pancreatic cancer. Endoscopic stenting (ES) was most common, but EUS-Gastrojejunostomy (EUS-GJ) adoption is increasing. Decision drivers include life expectancy and patient frailty, with lack of standardized algorithms. Availability of…
Researchers examined 167,125 patients with uncomplicated appendicitis, finding that 82.4% underwent surgical management, while 17.6% underwent nonoperative management (NOM). The NOM group had older patients (53 vs. 43 years), more Medicare recipients (33.6% vs. 16.1%), and higher rates of comorbidities like diabetes (7.8% vs. 5.5%).…
Clinicians developed a nomogram to predict cancer-specific survival (CSS) in hepatocellular carcinoma (HCC) patients without lymph node metastasis (LNM), achieving high accuracy in both internal and external validation. Analysis of 6,840 HCC patients revealed age, gender, bone metastasis, lung metastasis, AFP, T stage, surgery, and…
Clinicians found that anchored straight stomach reconstruction (SSR) significantly reduces the incidence of delayed gastric emptying (DGE) after pancreaticoduodenectomy (PD), also leading to improved postoperative nutritional recovery. A case series analysis of 125 PD patients showed that those in the SSR group had a DGE…
Study finds high inaccuracy (31%) in self-reported conflicts of interest (COIs) in prominent general surgical journals. Authors from the US had the lowest accuracy rate at 69%, compared to the UK (93%) and Australia (96%). Most inaccuracies were observed in corresponding/senior authors (39%), highlighting the…
A study of 88,092 Medicare patients over 65 with serious mental illness (SMI) found that a post-discharge mental health visit (MHV) within 30 days after emergency general surgery (EGS) hospitalization was associated with significantly lower odds of acute care readmission in both operative (odds ratio…
Pancreas-preserving duodenectomy (PPrD) achieved an R0 resection rate of 93% among patients treated for duodenal neoplasms. In a retrospective cohort of 29 patients, postoperative complications occurred in 34.4% of cases, with 13.7% at Clavien-Dindo grade III-V. PPrD had lower rates of pancreatic leak, delayed gastric…
Longer operative time is associated with higher odds of major complications and prolonged postoperative stay in minimally invasive esophagectomy. The relationship between operative time and achieving textbook outcome (TO) is characterized by an inverse U-shaped correlation, with a significant peak at 298 minutes. Prolonged operative…
A novel patient-calibrated quantitative ICGFA method was developed to recommend optimal bowel transection sites during surgery, showing 85% agreement with baseline perfusion. The software successfully identified expert surgical transection sites in almost all cases, reducing the risk of anastomotic complications. High-resolution augmented reality heatmaps were…
