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Best Papers in General Surgery
The five that matter, every day.
The study highlights the importance of assessing the quality of endoscopic submucosal dissection (ESD) not only for curative cases but also for non-curative ones. With unclear management strategies for Ecurac-1 tumors, research primarily focuses on additional surgical procedures for high-risk patients. Exploring management strategies and…
Primary anastomosis with diverting loop ileostomy showed higher 1-year ostomy closure rates and less complications upon stoma closure compared to Hartmann's procedure for acute diverticulitis. Despite increased unplanned readmissions, primary anastomosis patients had favorable outcomes, supporting guidelines favoring this approach.
Laparoscopic subtotal cholecystectomy is a safe option for complex cholecystitis, with 8.5% of cholecystectomies requiring this procedure. Factors such as male sex, older age, necrotic gallbladder, and other complications increase the likelihood of needing lsc. Postoperative complications occurred in 26.4% of lsc patients, mainly bile…
Significant weight loss and improvements in body composition and metabolic biomarkers were observed in obese patients after laparoscopic sleeve gastrectomy. These positive effects were seen regardless of the presence of metabolic syndrome. Visceral fat area and liver fat were notably reduced, indicating the effectiveness of…
Patients with hepatocellular carcinoma undergoing minimally invasive hepatectomy (MIH) showed comparable likelihood of achieving textbook outcome in liver surgery (TOLS) compared to open hepatectomy (OH). MIH was associated with a shorter hospital stay, with TOLS incidence similar between the two approaches after propensity score matching.…
Laparoscopic simulation significantly improves surgical skills and reduces errors and time, even for participants with limited experience. In contrast, robotic simulation is less effective without prior laparoscopic experience. Transfer of skills from simulation to real surgical settings is feasible. Simulation is a valuable tool for…
High-intensity interval training (HIT) is safe for postoperative inpatients, with favorable physiologic outcomes and recovery. Results show higher perceived exertion, shorter exercise completion time, and trend towards faster gait speed compared to low-intensity ambulation. HIT may be beneficial in promoting positive recovery after major surgery.
The modified Glasgow prognostic score (MGPS) is linked to poorer overall and disease-free survival in biliary tract cancer (BTC) patients, indicating its potential as an independent prognostic indicator. Meta-analysis of 15 studies, encompassing 2447 patients, underscores the significance of MGPS in predicting clinical outcomes in…
Gastrin plays a central role in glucose improvement after sleeve gastrectomy (SG). SG induces a medium-term elevation of the insulin response and plasma gastrin levels, with long-term depletion of the insulin response and elevated oral glucose tolerance test results. Gastrin antagonists, like netazepide, prevent these…
Study evaluates how radiologic splenic vessels involvement affects postoperative complications, overall survival, and disease-free survival in pancreatic adenocarcinoma patients undergoing distal pancreatectomy. Findings suggest that radiologic splenic vessels involvement increases major complication rates and decreases survival outcomes, serving as a potential prognostic marker for treatment…
