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Best Papers in General Surgery
The five that matter, every day.
The study found that while operations for pancreatic malignancies remained stable during the pandemic, operations for hepatic malignancies were temporarily reduced but quickly returned to normal levels. Additionally, there was an increase in pancreatic operations following neoadjuvant therapy. These results suggest that surgery for hepato-pancreato-biliary…
Survival paradox persists between stage IIB/C and IIIA colon cancer, even after adjusting for chemotherapy and lymph node retrieval. Optimal treatment for IIIA yields significantly better 5-year survival rates compared to IIB/C. Stage remains an independent predictor of overall survival, with significant differences in survival…
Patients with higher baseline BMI, diabetes mellitus, hypothyroidism, and those undergoing laparoscopic sleeve gastrectomy may experience lower %EBWL in the first year post-bariatric surgery. Anxiety, depression, and obstructive sleep apnea were not significantly associated with %EBWL. This study highlights the need for tighter control of…
Geriatric patients with locally advanced gastric cancer who underwent laparoscopic gastrectomy had lower overall complication rates, shorter hospital stays, and less blood loss compared to those who underwent open gastrectomy. There was no significant difference in 3-year overall survival between the two groups, suggesting laparoscopic…
Academic laparoscopic sleeve gastrectomy videos provide more detailed information on technical steps, instruments used, and patient outcomes compared to online videos. A newly developed quality assessment tool can enhance the value and reliability of educational video resources. Commercial videos on platforms like YouTube score lower…
A study validated the Brazilian version of the Yale Food Addiction Scale (BR-YFAS 2.0-OBES) for individuals with severe obesity, demonstrating its adequacy in terms of convergent validity, reliability, and one-factor structure. This adaptation allows its use among Brazilian candidates for bariatric surgery and individuals with…
Outpatient observation for acute diverticulitis (Hinchey 1a) and no antibiotics resulted in lower recurrence rates and shorter hospital stays compared to inpatient treatment and antibiotics. Recurrence, hospital admissions, and mortality rates were similar between outpatient and inpatient management. Future studies are needed to confirm the…
Therapeutic effects of routine lymph node dissection (LND) with liver resection for intrahepatic cholangiocarcinoma (ICC) were inconclusive. However, subgroup analyses revealed a potential benefit for ICC patients with low risk of bias, suggesting a positive impact on overall survival. More studies are needed to clarify…
Pelvic ultrasound in women with right iliac fossa pain led to 42% pathology detection, with appendicitis diagnosis in 4.8%. Ultrasound had 78% specificity for appendicitis. Preoperative imaging reduced negative appendicectomy rates to 21.3%. Results advocate for ultrasound as a useful tool alongside clinical assessment in…
Hospitals are significant contributors to global warming, with operating theatres generating 70% of hospital waste. This study explores the assignment of use-by dates to surgical equipment and the potential for reusing or re-sterilizing expired items to reduce waste. While incineration is common, alternative disposal methods,…
