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Best Papers in General Surgery
The five that matter, every day.
Patients undergoing emergency general surgery felt they had no choice and were often excluded from decision-making. Females reported this more commonly. Patients with minor complications expressed less trust and communication issues, while those with major complications showed more confidence in their team. Patients not admitted…
Physical impairment and mental health symptoms are prevalent in trauma survivors who spent significant time in the ICU. ICU patients had higher rates of new ADL limitations, worse SF-12 mental and physical scores, with factors like age, gender, race, education level, polytrauma, ventilator use, psychiatric…
Surgeons in training in East Denmark lack knowledge and utilization of clinical decision rules for diagnosing appendicitis. 48% knew one rule, but 72% never used them. While most found appendicitis diagnosis challenging, they primarily relied on symptoms, physical exams, and c-reactive protein. Surgeons were divided…
Early drain removal (EDR) after pancreaticoduodenectomy (PD) is superior to late drain removal (LDR) in reducing major morbidity and shortening length of stay. While the difference in postoperative pancreatic fistula rates was not statistically significant, EDR showed lower rates of major morbidity and shorter length…
Dissecting para-aortic lymph nodes at station 16 is essential for prognostication in gastrointestinal, colorectal, and hepatobiliary cancers. A strategic approach involving duodenal mobilization, thermal fusion for chyle leak prevention, and careful dissection below the left renal vein ensures safe sampling and accurate risk stratification.
Patients undergoing pelvic exenteration for locally recurrent rectal cancer, with or without en bloc sacrectomy, had similar rates of r0 resection, survival, and quality of life outcomes. Although sacrectomy patients experienced more postoperative complications, mortality rates were not increased. The median overall survival was slightly…
Researchers analyzed 287 esophageal cancer patients to assess if initial tumor volume on CT scans correlated with histomorphological regression after neoadjuvant therapy. Despite measuring tumor volumes and assessing regression grades, no significant relationship was found. The study concludes that tumor volume does not predict histopathological…
Short-term postoperative outcomes of lymphadenectomy for cholangiocarcinoma, hepatocellular carcinoma, and colorectal liver metastases were analyzed in 3456 patients undergoing liver resection. Lymphadenectomy was performed in 16% of cases, with the highest rate seen in robotic-assisted resections. However, it was associated with an increased risk of…
Adjuvant chemotherapy (AC) shows a significant survival advantage in patients with resected gallbladder adenocarcinoma, according to a retrospective cohort analysis. Factors like age, tumor grade, and stage were identified as independent prognostic factors. Poor/undifferentiated tumor histology, higher tumor stage, and lymph node involvement were also…
High C-reactive protein (CRP) levels on postoperative day 2 (POD 2) indicate an increased risk of major complications after oncological colorectal surgery. Patients with CRP levels ≥170 mg/L on POD 2 should be carefully assessed. Leucocytes and Modified Early Warning Score also peak on POD…
