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Best Papers in General Surgery
The five that matter, every day.
In a comparative study of endoscopic therapy (ET) versus surgical resection for 2-5 cm gastrointestinal stromal tumors, long-term outcomes showed no significant difference in overall or cancer-specific survival rates. After propensity score matching, both groups had comparable survival rates, suggesting that ET may be a…
This prospective study assessed benchmark outcomes for distal pancreatectomy (DP) across Spanish HPB centers. Key findings include a median DP rate of 7 per center, 69.3% performed minimally invasively, with a major complication rate of 21.1% and a 90-day mortality of 1.6%. Compared to previous…
External validation of the Scoring System of Appendicitis Severity (SAS) fell short in distinguishing complicated appendicitis. The SAS 2.0 was developed and externally validated, showing high accuracy in predicting complicated appendicitis in patients. It provides individual probability estimates with a 95% confidence interval, aiding in…
During the COVID-19 pandemic, oncology patients had a higher hazard of 28-day mortality, with a 4.35 adjusted hazard ratio. They also experienced higher odds of respiratory complications (OR 5.35) and pulmonary infections (OR 1.53), although the adjusted incidence of other infections was lower. This study…
A potent nomogram incorporating tumor budding accurately predicts lymph node involvement in early gastric cancer patients, providing exceptional discriminative power and precise predictive capabilities. Tumor budding, along with other clinicopathological factors, demonstrated a robust association with lymph node involvement, improving clinical decision-making by reducing the…
Comparing modified Billroth-II with hinged anti-peristaltic afferent loop and Roux-en-Y reconstruction after distal gastrectomy for gastric cancer, the former showed superior outcomes in terms of operating time, postoperative hospital stays, and time to semi-solid diet tolerance. However, both methods had similar functional outcomes. The study…
Drain amylase on postoperative day three is an independent predictor of clinically relevant postoperative pancreatic fistula after both open and laparoscopic distal pancreatectomy. However, the optimal cutoff value for predicting this complication is significantly higher after laparoscopic surgery than after open surgery. This difference suggests…
Robotic surgery showed similar overall complications to laparoscopic surgery, better than open surgery, with fewer open conversions and shorter hospital stays. Longer operative times were noted for robotic surgery but were offset by benefits for experienced robotic surgeons in reducing complications and open conversions. These…
Revisional bariatric surgery from adjustable gastric band to Roux-en-Y gastric bypass (RYGB) resulted in significantly greater weight loss at 5 years compared to conversion to sleeve gastrectomy (LSG). RYGB patients had higher percentage total weight loss, excess weight loss, and decreased BMI. There were no…
Researchers found significant disparities in access to quality surgical equipment and supplies worldwide, particularly in low- and middle-income countries. Regulatory disparities and complexities in device lifecycle management pose challenges in effective regulation, distribution, and waste management. Improved communication and harmonization of manufacture and disposal regulations…
