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Best Papers in General Surgery
The five that matter, every day.
Duodenum-preserving pancreatic head resection for benign tumors, cystic neoplasms, and neuroendocrine tumors offers a cure with fewer complications compared to pancreatoduodenectomy. The meta-analysis showed lower mortality and reoperation rates with duodenum-preserving resection. It also demonstrated comparable rates of tumor recurrence between the two procedures. This…
Consensus meeting of national experts led to national practice guidelines for hilar cholangiocarcinoma, highlighting the importance of a multidisciplinary approach for patient management. Diagnostic and staging workup includes imaging modalities and histopathologic confirmation may not always be necessary before resection. Surgical resection based on the…
Double-nylon purse-string sutures effectively close wounds post-endoscopic full-thickness resection (EFTR) of large (≥ 3 cm) gastric submucosal tumors (SMTs). In a retrospective analysis of 85 patients, all tumors were completely resected using EFTR, with no serious adverse events reported. This technique is valuable, especially for…
Letters of recommendation are crucial for applicant selection in medical education. The shift to pass/fail USMLE scoring has increased their importance. Narratives may introduce bias and inflation. Standardized letters can address these issues. Interviews and focus groups informed the development of a new standardized letter…
SAGES implements updates to its guidelines development process to address health equity issues, aiming to minimize downstream health disparities. These updates ensure an evidence-based, standardized approach that considers health equity throughout the guideline development process, facilitating better patient counseling and research recommendations to mitigate disparities.…
This systematic review and meta-analysis of 28 observational studies involving 2213 patients revealed a mean total weight loss (%TWL) of 27.2% and a decrease in BMI of 10.2 kg/m² after revisional bariatric surgery. These findings underscore the effectiveness of revisional procedures in achieving sustained weight…
Postoperative complications and depression diagnosis increase the risk of chronic abdominal pain after RYGB, while being an ex-smoker and older age are protective factors. The study underscores the importance of the bariatric multidisciplinary team in adequately selecting patients before surgery to mitigate this complication.
Study finds using multiple disease-modifying drugs in ulcerative colitis increases risk of surgical resection. Each additional drug significantly raises likelihood of surgery, highlighting importance of patient counseling. However, postoperative risk of complications, ER visits, and readmissions remain unaffected by number of drugs used. Findings offer…
Aspartate transaminase to platelet ratio index (APRI) ≥0.7 is independently associated with perioperative transfusion, overall morbidity, and 30-day mortality following minor hepatectomy. This suggests APRI could serve as a noninvasive tool for risk stratification in elective hepatectomy patients.
Implementing a multidisciplinary intraoperative model significantly reduced 30-day mortality in bowel obstruction surgery by favoring definitive over palliative procedures. The strategy also increased laparoscopic interventions and decreased stoma creations, indicating improved surgical outcomes.
