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Best Papers in General Surgery
The five that matter, every day.
Neoadjuvant transarterial chemoembolization (TACE) in upfront resectable large hepatocellular carcinoma (HCC) did not significantly impact long-term outcomes overall, but showed improved overall survival in HCC ≥10 cm and a trend in single HCC and after portal vein embolization/ligation. TACE should not be routinely performed in…
The study aimed to investigate the impact of social vulnerability on treatment and survival outcomes in localized colon cancer patients. They found that higher social vulnerability was associated with reduced odds of receiving surgery and increased mortality. Patients under the age of 65 were particularly…
Despite previous reports linking blood group O to increased hemorrhage complications, this study found no significant differences in coagulopathy or mortality between ABO blood types in patients with exsanguinating trauma. After adjusting for confounding factors, type A patients were more likely to be hypocoagulable than…
Patients with high-grade liver injuries and contrast extravasation managed initially with observation versus interventional radiology were compared. While interventional radiology patients had a higher rate of operation, there were similar rates of liver-related complications and mortality between the two groups. The results suggest that initial…
After the American Society of Anesthesiologists recommended against routine preoperative laboratory testing for low-risk patients, there was a significant decrease in testing rates. In low-risk patients, the percentage of those receiving tests dropped by 6.9% post-guidelines implementation, while higher-risk patients saw only a 1.1% reduction.…
Young males under 40 with papillary thyroid cancer exhibit higher rates of nodal metastasis compared to older males and females. However, they experience similar recurrence rates at 1 year as their female and older counterparts. No significant differences were found in other outcomes such as…
Combining clinical score and ultrasound outperformed CT scan or upfront surgery in diagnosing acute appendicitis, especially in equivocal cases. The study included 3,123 patients, with the best balance of sensitivity and specificity seen in the clinical evaluation + score + ultrasound group. Ultrasound was significantly…
During a pilot study, surgeons and advanced practice providers utilized a template for goals of care discussions in the preoperative setting for gynecologic surgical oncology patients. The template improved documentation of topics of discussion, patient values, and advance care planning. Despite positive perceptions, implementation barriers…
Researchers successfully performed laparoscopic total gastrectomy in two cases of remnant gastric cancer using intraoperative indocyanine green fluorescence imaging. The technique allowed visualization of the liver and common bile duct, leading to safe dissection of severe adhesions between hepatobiliary organs and the remnant stomach. This…
Research found that patients who are non-Hispanic white, younger, have fewer comorbidities, lower household income, and receive surgery at a community cancer program within 50 miles of their primary residence are more likely to undergo timely surgery for stage 3 colon cancer. These factors play…
