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Best Papers in General Surgery
The five that matter, every day.
Eating-specific dichotomous thinking fully mediates the relationship between dietary restraint and weight loss after weight-loss surgery, while generalised dichotomous thinking shows no mediation effect. This suggests that pre-surgical assessment of dichotomous thinking and psychological therapy to promote flexible thinking about food may be beneficial for…
Recent advancements in surgical visualization and guidance, including fluorescence-guided surgery, contrast-enhanced ultrasound, and augmented reality, are shaping the future of general surgery. This narrative review explores cutting-edge technologies and their integration with artificial intelligence, promising enhanced intraoperative decision-making and surgical precision. While these innovations offer…
Between 1990 and 2019, the number of pancreatic cancer deaths in older adults, age-standardized death rate, disability-adjusted life years, and age-standardized DALY rate increased globally. The burden is highest in southern Latin America and has grown fastest in the Caribbean. Males aged 65 to 74…
Endoscopic gallbladder stenting significantly reduced the rate of recurrent cholecystitis at 3 months compared to patients who did not receive stenting. At 3-6 months, the stenting group also showed a lower, though not statistically significant, rate of recurring cholecystitis. The majority of recurrences in the…
Total neoadjuvant therapy for rectal cancer is associated with higher rates of breached total mesorectal excision compared to standard long-course chemoradiation, but no significant differences in surgical mortality or major complications. However, it significantly lowers the risk of disease progression to an unresectable stage during…
Early closure of diverting loop ileostomy after proctectomy is associated with a higher risk of anastomotic leak, particularly when closure is done within 2 weeks of ileostomy formation. Factors such as diabetes mellitus, smoking, and early closure within 2 weeks are significantly associated with postoperative…
In a randomized clinical trial comparing laparoscopic and open pancreaticoduodenectomy for pancreatic or periampullary tumors, researchers found similar 3-year overall survival rates between the two groups. Quality of life, depression, and other outcomes also showed no significant differences. Laparoscopic pancreaticoduodenectomy, when performed by experienced surgeons,…
Researchers compared robotic pancreaticoduodenectomy (RPD) and open pancreaticoduodenectomy (OPD) outcomes in a high-volume center. RPD showed lower blood loss, higher rates of no complications, longer operative time, and fewer harvested lymph nodes in patients with ductal adenocarcinoma compared to OPD. No significant differences were found…
Antibiotic duration did not impact infection rates in pancreatoduodenectomy patients with biliary stents. A retrospective cohort study found similar composite infection rates among patients receiving short, medium, or long-duration antibiotics, with no significant differences in other outcomes. Postoperative pancreatic fistula and male sex were associated…
Operative management of emergency general surgery conditions leads to higher in-hospital costs compared to nonoperative management, with costs remaining higher or equivalent through 180 days. Out-of-pocket costs are similar for both approaches. For hepatopancreaticobiliary conditions, costs for operative management start higher but become equivalent at…
