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Best Papers in General Surgery
The five that matter, every day.
Surgical management, including primary tumor resection alone or with metastasectomy, significantly improved overall survival (OS) in metastatic adrenocortical carcinoma (ACC) patients. Metastasectomy alone did not show a survival benefit. Primary resection with metastasectomy was associated with better OS compared to primary tumor resection alone. These…
In this study, rule-based guidelines derived from in-hospital opioid consumption were compared to standard guidelines for postoperative opioid prescribing. Results showed that the rule-based guidelines, tailored to individual patient consumption, outperformed other approaches and were more effective in aligning prescribed opioids with actual post-discharge consumption.…
Patients with locally advanced esophageal adenocarcinoma who received neoadjuvant immunotherapy (io) combined with chemotherapy showed similar perioperative outcomes compared to those who received neoadjuvant chemotherapy alone. Rates of overall and major complications, anastomotic leak, respiratory complications, hospital stay length, and mortality were comparable between the…
After assessing spleen-preserving distal pancreatectomy (SPDP) and distal splenopancreatectomy (DSP) for body pancreatic ductal adenocarcinoma, it was found that SPDP is associated with less postoperative morbidity and does not impair oncological outcomes. Propensity score matching balanced patient characteristics, showing that SPDP is a viable option…
Patients younger than 50 years, of non-white race, with annual income
Most gastric leiomyomas are benign subepithelial tumors, with few becoming symptomatic or increasing in size. A retrospective review of 231 cases showed that only 2.4% experienced size increase, one of which was leiomyosarcoma. The majority remained stable, with resections confirming leiomyoma. Close monitoring may be…
Patients with functional esophageal disorders (FED) are more likely to be non-Hispanic Asian, have an underweight BMI, chronic pain, insomnia, and allergic rhinitis. Conversely, patients with an overweight BMI and who use alcohol have a decreased risk for FED. These findings provide valuable information for…
The geriatric nutritional risk index (GNRI) was found to be a predictor of postoperative infectious complications in older adults after emergency gastrointestinal surgery. Low GNRI was associated with higher age, serum C-reactive protein levels, and sarcopenia proportion, as well as longer hospital stays. GNRI also…
Patients with right-sided colonic diverticulitis who underwent surgery showed satisfactory short and long-term outcomes, with no disease recurrence or colorectal cancer detected on colonoscopy. A significant improvement in quality of life (QOL) was observed at 24 months post-surgery. The study highlights the effectiveness of surgical…
Navigator nurse implementation in liver resections led to reduced length of stay, fewer emergency room visits, and readmissions. Patients receiving counseling and postoperative follow-up from navigator nurses had faster functional recovery and discharge, especially those with complications and undergoing open surgery. The presence of navigator…
