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Best Papers in General Surgery
The five that matter, every day.
Development and testing of a prototype deep learning surgical guidance system showed improved performance in identifying peritoneal surface metastases compared to oncologic surgeons. The system demonstrated potential for increasing identification of metastases by 5% and reducing unnecessary biopsies by 28% in a simulated clinical environment.
Autofluorescence significantly improved parathyroid gland identification in hemithyroidectomy, boosting surgical confidence. The near-infrared camera enabled better visualization pre-procedure, leading to higher parathyroid identification rates compared to conventional surgery. This approach may benefit low-volume institutions without parathyroid surgery experience.
Establishing patient-derived tumor organoids (PDTOs) from endoscopic ultrasound-guided biopsies yields success rates comparable to surgical specimens, offering viable options for personalized medicine in pancreatic cancer. In a meta-analysis of 24 studies, overall success rate was 63%. Pooled success rates for PDTO establishment from endoscopic ultrasound-guided…
Prior studies found low skeletal muscle mass on CT scans linked to postoperative complications. This retrospective study analyzed body composition from CT scans to predict frailty and adverse outcomes after abdominal surgery. Results showed that higher muscle quantity and quality scores correlated with reduced risk…
This study presents the implementation of surgical activity regulation methodology in operating rooms to mitigate organizational dysfunction, enhance surgical staff's quality of work life, and reduce overtime. Utilizing a scrub nurse as a real-time regulator akin to an air traffic controller, decisions are made collaboratively…
Endoscopic ultrasound-guided pancreatic cyst ablation (EUS-PCA) demonstrated superior long-term safety and pancreatic function preservation compared to surgery in selected patients with pancreatic cystic tumors. EUS-PCA group had lower rates of morbidities, adverse events, readmission, and diabetes development, with shorter hospital stay. However, surgery group showed…
Radioactive iodine administration did not significantly improve disease-specific survival in intrathyroidal classic papillary thyroid carcinoma >4 cm, suggesting limited benefit and questioning routine use in this patient population. Age ≥55 and larger tumor size were associated with increased risk of disease-specific death, emphasizing the need…
Robotic incisional hernia repairs using intraperitoneal onlay mesh (ipom) showed more perioperative complications, higher postoperative pain, and readmission rates than retromuscular (rm) repairs. However, rm repairs had higher defect closure rates and lower postoperative complications. Despite higher postoperative complication costs in ipom, total costs were…
Stent placement following pancreaticojejunostomy did not significantly reduce clinically relevant postoperative pancreatic fistulas (CR-POPFs). However, external stents and placement in patients with ≤3mm main pancreatic duct diameter showed reduced CR-POPFs compared to no stent placement. These findings suggest a potential benefit of external stents in…
Abdominal surgeries following transversus abdominis release are linked to substantial comorbidities and heightened hernia recurrence rates. Efforts to minimize reoperations post-tar procedure are crucial. Results reveal a 36.1% hernia recurrence rate in 1137 patients, with 4.7% undergoing non-hernia abdominal surgeries, primarily due to small bowel…
