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Best Papers in General Surgery
The five that matter, every day.
Surgeons and surgeon trainees in Canada showed higher levels of divergent thinking compared to the adult norm, with increased fluency and flexibility in generating ideas. However, their ability to produce original ideas was below average. Female participants had higher divergent thinking scores. The study also…
Researchers found that agile 3+ and agile 4 scores from vibration-controlled transient elastography had the highest discriminatory power in predicting liver-related events in patients with metabolic dysfunction-associated steatotic liver disease. These scores accurately categorized patients between high and low risk categories, with a decrease in…
The study describes 17 cases of post-ERCP cholecystitis out of 4428 patients undergoing ERCP (incidence 0.38%). Cover metal stenting resulted in a higher incidence of cholecystitis (1.50%). Symptoms appeared at a median of 5 days post-ERCP. Management strategies included cholecystectomy and endoscopic stent removal. These…
Colonic-enteric lumen-apposing metal stents (LAMS) showed high technical success (100%) and clinical success (92.3%) in managing small-bowel obstruction (SBO) in patients who are not surgical candidates due to malignancy. Adverse events occurred in 15.4% of patients, including bleeding, diarrhea, and postprocedure sepsis. Patients were able…
Surgeons across specialties experience musculoskeletal discomfort, with new techniques adding complexity. Gender disparities in surgeon ergonomics are not well understood. Female surgeons, especially pregnant ones, suffer more ergonomic discomfort than males. To address this, the study suggests: 1) improved education on ergonomic injury prevention, 2)…
Utilizing the SMA-first approach in robotic pancreaticoduodenectomy (RPD) resulted in notable improvements in surgery for pancreatic cancer. The technique involved early dissection of the superior mesenteric artery (SMA) from the posterior aspect, facilitating a more systematic mesopancreatic dissection. The approach, demonstrated in a video, included…
General surgery residents in the US have experienced a significant increase in gastric surgery volume from 2009 to 2022, mainly driven by a rise in laparoscopic gastric reduction for morbid obesity. There was also a notable growth in laparoscopic partial gastric resections, repair of gastric…
Ultrasound-guided robotic procedures offer significant advantages in general and oncological surgeries, including precise tumor localization, feasibility testing, and comparison with laparoscopic probes. The systematic review of 20 studies highlights the potential of robotic intraoperative ultrasound to support surgeons, reduce procedure times, and improve outcomes in…
Stenting as a bridge to surgery for non-metastatic obstructing left-sided colorectal cancer increases the risk of peritoneal recurrence, especially in cases of T4 tumors, diabetes, and nodal positivity. However, no significant differences were found in overall survival, cancer-specific survival, or recurrence-free survival between stenting and…
Patients with BMI ≥ 50 kg/m undergoing single anastomosis duodenal switch (SADI-S) had higher and sustained weight-loss results compared to Roux-en-Y gastric bypass (RYGB), along with better comorbidity resolution. Both procedures showed similar safety profiles, but further research is needed to confirm the long-term safety of SADI-S. This…
