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Best Papers in General Surgery
The five that matter, every day.
Patients who underwent enucleation (en) for solid pseudopapillary tumor of the pancreas had a shorter hospital stay and similar rates of 30-day and 90-day mortality compared to those who underwent partial pancreatectomy (pp) or pancreaticoduodenectomy (pd). Survival analysis showed no difference in overall survival between…
French nationwide study evaluated 61,169 high-risk digestive cancer surgeries. Postoperative mortality rates varied across types, with liver and pancreas surgeries showing benefits from the new criteria. Higher volume thresholds could further decrease mortality risks. Centralization policies and improved clinical pathways may enhance patient access to…
Patients with preoperative opioid exposure experienced higher pain scores 30 days after surgery compared to opioid-naïve individuals. As opioid exposure increased, the probability of reporting moderate to severe pain also increased. Furthermore, clinical outcomes such as ED visits, readmissions, and reoperations within 30 days, as…
Among Medicare fee-for-service beneficiaries hospitalized for gastrointestinal bleeding, larger hospital size, greater case volume, increased staffing levels, and availability of advanced capabilities were associated with lower 30-day mortality. Patients treated at hospitals with multiple advanced specialized capabilities had a 22% reduction in mortality risk, compared…
Entrustable Professional Activities (EPAs) in general surgery show moderate validity evidence and practical recommendations for implementation, providing a more accurate assessment of residents' competence compared to other methods. Challenges include obtaining faculty and resident buy-in for microassessments and feedback. EPAs represent a significant shift in…
Investigators analyzed data from 12,433 patients who underwent ambulatory cancer surgery and completed 110,936 surveys on symptom severity and interference. Pain severity was highest on postoperative days 1-3, but gradually improved, with moderate initial fatigue that rarely reached severe levels. Nausea was common, while vomiting…
Anatomic liver resection prioritizing portal territory margins for hepatocellular carcinoma (HCC) treatment offers improved surgical efficacy over traditional approaches. MPT-AR maximizes oncological and rehabilitation benefits, overcoming limitations of traditional AR and local liver resection while avoiding postoperative complications like liver failure. This innovation addresses challenges…
Injecting indocyanine green into the Glisson pedicle in a patient with intrahepatic cholangiocarcinoma allowed accurate tracing of hepatic lymphatic drainage area during laparoscopic surgery. The technique enabled identification and dissection of regional lymph nodes, providing a potential method for precise lymph node mapping in liver…
Implementing mobile health in surgical practice can improve patient outcomes, satisfaction, and system performance by addressing issues of poor communication and care coordination. Experts developed an implementation guide using human-centered design techniques, focusing on identifying mobile health use in surgical practice, mapping the pathway to…
Neoadjuvant immunotherapy for non-metastatic, mismatch repair deficient colon cancer showed high rates of pathologic complete responses in locally advanced cases. Among 8 included studies, complete resections were achieved in 98-100% of cases, with 50-91% showing ypt0n0 pathology post-treatment. Safety profiles were generally favorable, with mostly…
