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Best Papers in General Surgery
The five that matter, every day.
Utilizing rapid onsite evaluation (ROSE) during first-time fine-needle aspiration (FNA) of thyroid nodules significantly increased diagnostic adequacy from 76% to 92%. ROSE implementation raised the odds of adequate FNA by 22%, with a 28% increase seen in institutions with lower baseline diagnostic rates. Conversely, institutions…
Modern trends in primary hyperparathyroidism reveal patients presenting with lower parathyroid hormone and calcium levels. Parathyroidectomy, now more common for borderline cases with osteopenia and modest calciuria, yields a 93.7% cure rate, regardless of guideline concordance. This suggests a role for broader surgical indications, given…
Robot-assisted retroperitoneal pheochromocytoma resection was associated with lower perioperative hemodynamic instability compared to laparoscopic surgery. A nomogram predicting instability risk was developed, including tumor size, abnormal blood glucose, preoperative systolic blood pressure, robot-assisted surgery, and catecholamines as significant factors. The nomogram had an area under…
The study compared endoscopic and surgical treatment in acute necrotizing pancreatitis, showing that endoscopic treatment resulted in lower peri-interventional morbidity, shorter hospital stays, and lower mortality rates. Endoscopic treatment also led to better long-term outcomes with reduced renal insufficiency, ventilation dependency, and recurrence rates, along…
Researchers conducted a multinational study including 21,706 surgical patients from 57 countries to assess 30-day morbidity and mortality rates after cholecystectomy for benign gallbladder disease. They found that patient age, ASA physical status class, surgical setting, operative approach, and Nassar operative difficulty grade were the…
Early postoperative endoscopy after minimally invasive esophagectomy is safe and effective in predicting anastomotic leakage. A retrospective study with 436 patients showed that early endoscopy did not increase adverse events but significantly decreased the incidence of anastomotic leakage (9.8% vs 22.7%) and shortened hospital stays.…
This scoping review aimed to determine the terminology used to describe major abdominal surgical procedures. Content analysis of 312 included articles revealed 4 main categories, with operation-related factors being predominant. Gastrointestinal resection was the most frequently coded reference. Based on these findings, major abdominal surgery…
Curative laparoscopic surgical treatment for symptomatic common bile duct stones showed a 93.1% success rate, with low immediate postoperative morbidity (24.4%) and reintervention rate (5.3%). Mortality rates were zero and 0.4% at immediate and 6-week postoperative, respectively, with an average length of stay of 11.3…
Studies on 196 participants reveal that converting sleeve gastrectomy (SG) to Roux-en-Y gastric bypass (RYGB) significantly improves quality of life (QoL). Following conversion, there's a notable reduction in gastroesophageal reflux disease (GERD) symptoms, proton pump inhibitor (PPI) use, and positive outcomes in excess weight loss…
A predictive nomogram was developed to identify patients at risk for a positive circumferential resection margin (CRM) in rectal cancer surgery. Factors associated with positive CRM included tumor grade, lack of neoadjuvant chemotherapy, specific tumor histology, surgical approach, and other tumor characteristics. These findings can…
