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Best Papers in General Surgery
The five that matter, every day.
A nationwide study with 433 patients undergoing ileocolonic resection, including 155 with Kono-S anastomosis, found no significant reduction in endoscopic recurrence compared to conventional side-to-side anastomosis. In a 1:2 propensity score-matched comparison, endoscopic recurrence (≥i2) occurred in 47.5% of patients with Kono-S and 44.3% with…
This systematic review and network meta-analysis compared the oncologic outcomes and surgical completeness of gasless transaxillary approach (GTAA), bilateral axillo-breast approach (BABA), and transoral approach (TOA) with conventional transcervical thyroidectomy (CTT). Results suggest similar oncologic outcomes in GTAA, BABA, and TOA compared to CTT, with…
Understanding the anatomy and surgical techniques of thyroidectomy and neck dissection is crucial for successful outcomes and minimizing complications. Emphasis is placed on preserving critical structures, like the parathyroid glands and recurrent laryngeal nerve, to ensure better survival rates. Evaluating various thyroidectomy techniques, including minimally…
Hybrid ointment significantly improved wound bed scores and reduced healing times across various chronic wounds, with diabetic ulcers showing significant improvement. Patients reported high satisfaction rates, efficient debridement, and pain reduction. This treatment may be a valuable addition to wound care practices, especially for challenging…
Patients with gallbladder carcinoma who have abnormal levels of CA19-9 to total bilirubin ratio post-surgery experience poorer long-term survival outcomes. Adjuvant therapy can significantly enhance the overall survival and recurrence-free survival rates in these patients. The study highlights the importance of monitoring CA19-9/TB ratio changes…
A comprehensive assessment of the intrinsic pancreatic microbiome across diverse neoplastic conditions found very low biomass, consistent microbial composition, and no differences between normal pancreas, ipmn, or pdac. Dysplastic ipmn showed low bacterial abundances with minor compositional changes in cyst fluid, indicating an unlikely role…
The hepatic blood supply, a crucial aspect of liver surgery and transplantation, has undergone significant reorientations in recent years. Despite advancements, gaps in our understanding persist, impacting outcomes in living donor liver transplantation. This review delves into the complexities of portal hemodynamics in liver disease,…
Neoadjuvant chemotherapy demonstrates better long-term survival outcomes compared to neoadjuvant chemoradiotherapy. Although the latter may exhibit a higher pathological complete response rate, it does not necessarily translate to improved survival. Additionally, neoadjuvant chemoradiotherapy is associated with higher 30-day mortality and unclear postoperative complications, potentially compromising…
A novel gastric endoscopic submucosal dissection (ESD) training model, the G-Master, significantly improved procedural speed for trainees compared to traditional methods. Trainees using the G-Master showed faster skill development, lower perforation rates, and reduced need for expert intervention, highlighting its effectiveness in enhancing ESD skills.…
Patients undergoing laparoscopic omentum-preserving gastrectomy had shorter hospital stays, lower postoperative morbidity, and more lymph nodes extracted compared to open surgery. There was no significant difference in 5-year survival rates between the groups. Omental preservation did not increase the risk of peritoneal dissemination or intestinal…
