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General Surgery

Best Papers in General Surgery

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World J Surg27 Mar 2024

Prognostic Factors for Liver Metastasis in Small Intestinal Stromal Tumors

Researchers analyzed data from 1582 patients with small intestinal stromal tumors to identify risk factors for liver metastasis. They found that poor tumor grade, absence of surgery, later T-stage, and no chemotherapy were associated with an increased risk of liver metastasis. A nomogram prediction model…

Syst Rev27 Mar 2024

Global Surgery Collaborations with Africa

Global surgery collaborations with Africa are dominated by European institutions, with most African countries participating. South Africa and Nigeria have the highest collaboration frequency, but most publications originate from Eastern Africa. High- and low- to middle-income countries leveraging synergies, well-defined structures, and secure data platforms…

Gastrointest Endosc26 Mar 2024

Low Rates of Metastases in Mucosal Esophageal Adenocarcinoma with Poor Differentiation

Patients with mucosal esophageal adenocarcinoma and poor differentiation had low rates of metastases after endoscopic resection, even when additional risk factors were present. Metastasis rates were 4.0% for single risk factor patients and 20.0% for those with additional risk factors. Overall death rates were 28.0%…

J Am Coll Surg26 Mar 2024

Esophagectomy improves 5-year overall survival in locally advanced esophageal adenocarcinoma

Esophagectomy is associated with improved 5-year overall survival in locally advanced esophageal adenocarcinoma. Factors like age, race, treatment location, insurance, and tumor size influence esophagectomy use. Non-surgical treatment, government insurance, low income, non-academic centers, comorbidities, and larger tumors increase the risk of all-cause mortality. Esophagectomy…

Ann Surg Oncol26 Mar 2024

Histological Growth Pattern Predicts Survival in Peritoneal Metastases

Patients with colorectal peritoneal metastases who underwent cytoreductive surgery had better disease-free and overall survival if they had a dominant pushing histological growth pattern compared to infiltrating pattern. The study confirmed the prognostic value of these patterns regardless of neoadjuvant chemotherapy or extent of peritoneal…

Am J Surg26 Mar 2024

Optimal Weight Loss Improves CVD Risk After Bariatric Surgery

After bariatric surgery, cardiovascular disease risk scores significantly decrease, showing a greater reduction in patients with optimal weight loss compared to suboptimal weight loss. 91% of patients experienced a decrease in their Framingham score one year post-surgery, with a mean CVD risk score decrease from…

Surg Endosc26 Mar 2024

Anti-reflux Suture Reduces De Novo GERD After Gastric Bypass

Researchers compared the efficacy of adding an anti-reflux mechanism during one anastomosis gastric bypass (OAGB) to treat preoperative GERD and prevent de novo GERD. The study found that the anti-reflux suture reduced the incidence of de novo GERD symptoms, with a lower rate in patients…

Surg Endosc26 Mar 2024

Improving Surgeon Skilling Through Video Management and Analytics

Surgeons record a limited portion of eligible cases due to barriers such as lack of perceived value, forgetfulness, legal concerns, and difficulty accessing equipment and videos. Touch Surgery Enterprise, a new recording solution, addresses these barriers and is highly recommended by respondents for adoption due…

Surg Endosc26 Mar 2024

Deep Learning Model Successfully Segments Robotic Pancreaticojejunostomy Videos

Researchers developed a deep learning model for automated segmentation of robotic pancreaticojejunostomy videos. The model achieved an accuracy of 88.01% and mean per-class f1 scores of 85.34%, proving to be effective in identifying the tasks involved in the procedure. Future work will focus on skills…

Appendix, Gallbladder and Surgical Emergencies26 Mar 2024

Similar Outcomes of Anastomosis vs. Colostomy After Sigmoid Colectomy for Volvolus

Outcomes between primary anastomosis and end colostomy following emergency sigmoid colectomy for sigmoid volvulus were compared using ACS-NSQIP data. Results showed no significant differences in major complications, mortality, hospital stay, or readmission rate. Patients with colostomy had a higher likelihood of being discharged to a…