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Best Papers in General Surgery
The five that matter, every day.
Magnetic compression anastomosis (MCA) offers sutureless passage construction for tubular organs, showing promise due to low recurrence rates and improved clinical outcomes compared to conventional treatments. The review highlights MCA's use in various gastrointestinal diseases, showcasing superior anastomotic results compared to surgical sutures. Although initial…
Utilizing a mixed methods approach, the MEASURE study aims to evaluate the productivity, patient care, and workforce impact of the high-volume low complexity surgical hubs programme on the backlog of elective surgery patients in England. The study, informed by the consolidated framework for implementation research,…
Placebo-controlled surgical trials showed similar recruitment but significantly higher attrition compared to non-operative trials. Incorporating additional follow-up timepoints can reduce attrition rates in placebo-controlled studies. Researchers should consider strategies to mitigate dropout and loss to follow-up in surgical trials with placebo controls.
Clinical practice guidelines for rectal cancer vary in reporting quality, with unique weaknesses in basic information, evidence, recommendations, and review processes. Common themes include limited financial discussion and lack of transparency. Even with variability, current guidelines meet most checklist elements, highlighting the importance of high-quality…
General surgery is a highly litigious specialty, with most claims related to delays in diagnosis or surgical negligence. A study analyzing malpractice cases from the last two decades found that the majority named surgeons as defendants, with a higher likelihood of verdicts favoring defendants. Payouts…
The joint American Society for Gastrointestinal Endoscopy-European Society of Gastrointestinal Endoscopy (ASGE-ESGE) guideline provides evidence-based recommendations for endoscopic bariatric and metabolic therapies (EBMTs) in treating obesity. Using the GRADE framework, the guideline evaluates the efficacy and safety of EBMT devices and procedures with CE Mark…
Developed to minimize visible scars on the abdomen, the hidden port site incision technique at the pubic hairline offers a cosmetically superior approach for common foregut and hepatopancreatobiliary procedures. This technique maximizes cosmetic outcomes while maintaining clinical efficacy, especially beneficial for patients with poor healing…
The study identified independent predictors of failure in non-operative treatment for patients with diverticular abscesses, highlighting the significant role of Hinchey classification, tobacco smoking, and abscess characteristics. Percutaneous drainage did not impact treatment success in larger abscesses. This underscores the need for targeted interventions in…
External radiotherapy plus camrelizumab as first-line therapy for unresectable intrahepatic cholangiocarcinoma demonstrated a 1-year progression-free survival rate of 44.4% and antitumor activity with low toxicity levels. The objective response rate was 61.1% and the disease control rate was 86.1%. Further investigation is warranted for this…
A decade-long analysis of 500 robotic hepatectomies reveals the learning curve to achieve long-term mastery. Cumulative sum chart analysis identified a significant minimum number of cases required to overcome the learning curve for minor, major, and technically challenging minor resections. This data can guide surgeons…
