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Best Papers in General Surgery
The five that matter, every day.
Despite therapeutic advancements, disease-free survival and overall survival have not improved in patients with locally advanced rectal cancer due to distant metastases. Total neoadjuvant therapy (TNT) is now standard to prevent local recurrence and distant metastases. Patients with high-risk features may benefit, but non-responsive patients…
Patients with chronic pain syndromes showed similar improvements in weight and psychological wellbeing after bariatric metabolic surgery (BMS) compared to patients without pain. However, the relationship between weight loss and improved self-efficacy to control eating behaviors was weaker in patients with chronic pain. Further research…
Patients on long-term opioid therapy with Medicaid insurance had a higher likelihood of experiencing postoperative unplanned care encounters compared to those with private insurance after abdominopelvic surgery. The study, involving 1212 patients in Michigan, found a 4.5 percentage point higher probability of such encounters among…
Patients undergoing emergency surgery in Michigan were prescribed an average of 9.6 opioid pills, but only consumed 4.6 pills on average. Larger prescriptions were associated with higher consumption, but did not lead to reduced pain, higher satisfaction, improved quality of life, or less regret about…
Robotic liver surgery (RLS) showed higher rates of textbook outcome in liver surgery (TOLS) and TOLS+ compared to laparoscopic liver surgery (LLS), with lower blood loss, transfusions, morbidity, and higher R0 resection margins, despite longer operative times. In subgroup analyses, RLS tended to have higher…
Patients with focal stenosis of the main pancreatic duct without pancreatic cancer may have unique pathology including fibrosis, inflammation, and calcifications. Blunt trauma, such as from motor vehicle accidents, can cause long-term complications in the pancreas, leading to obstructive changes. Awareness of this distinctive pathology…
Minimally invasive surgery in pilonidal disease treatment shows better quality of life, less pain, fewer complications, and quicker return to normal activities compared to major excisional surgery. However, it also has a higher risk of treatment failure. Complications were common, with 25% reporting unhealed wounds…
Researchers validated the genetic and morphological evaluation score as a prognostic tool for patients with colorectal liver metastases, showing that the high-risk group had significantly lower median relapse-free survival and overall survival compared to the low-risk group. The histopathological, clinical, and molecular score was also…
Researchers conducted a retrospective review of laparoscopic cholecystectomies at a large center. Among 1222 cases, 7% were subtotal cholecystectomies (SC). SC patients were more likely to be male, older, have higher ASA class, and experience longer hospital stays. SC increased the odds of requiring endoscopic…
Robotic surgery in esophagectomy for resectable esophageal cancer offers advantages such as reduced postoperative pain and pulmonary complications. A review of 113 studies shows that outcomes include a weighted mean postoperative pneumonia rate of 11%, anastomotic leak rate of 10%, and a 95% success rate…
