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Best Papers in General Surgery
The five that matter, every day.
Adherence to opioid prescribing guidelines in a hospital setting was higher for total morphine milligram equivalents (mme) prescribed compared to number of days prescribed. Surgeons showed higher adherence for severe predicted pain cases in both mme and days prescribed. Attending physicians had higher adherence rates…
Portal vein stenting in peri-hilar cholangiocarcinoma patients led to 100% technical success, improvement in 75% of clinical symptoms, and enabled anticancer therapy in 69% of cases. Complications occurred in 13%, including biliary injury and cholangitis, but patency was high at 86% after one year. Stent…
Results of an international survey show substantial variability in European hpb surgery fellowship programs, highlighting the need for a more standardized clinical curriculum. Fellowships typically last one or two years, with funding provided in 70% of cases. Fellows commonly perform pancreatic and liver resections as…
Among 950 patients with pathologic T1B gallbladder cancer, receiving either simple or radical cholecystectomy, there was no significant difference in median overall survival between the two groups. This suggests that highly selected patients may not benefit from extended resection, highlighting comparable outcomes with simple cholecystectomy…
Professional judgment about the value of surgery varies among US surgeons, according to a national survey. Researchers found that for 19 out of 30 exemplar cases, there was consensus on the value of surgery, with a range of 63% to 99% agreement. Exposure to peer…
Colorectal cancer (CRC) risk after resection of low- and high-risk adenomas was investigated in a fit-based CRC screening program. The study included 87,248 post-fit+ colonoscopies and found that patients with low-risk adenomas did not have an increased CRC incidence compared to the fit+/colonoscopy negative group.…
This study compared the outcomes of patients undergoing magnetic sphincter augmentation (MSA) or fundoplication for anti-reflux surgery using the ACS-NSQIP registry. A total of 7,882 patients were included, with MSA patients being younger and more often male. Compared to fundoplication, MSA was associated with reduced…
Robotic surgery has been shown to significantly reduce the occurrence and severity of low anterior resection syndrome (LARS) in patients with lower rectal cancer. In a study involving 342 patients, the incidence of major LARS was significantly lower in the robotic surgery group compared to…
Researchers conducted a needs assessment in African surgical education, revealing a critical need for comprehensive surgical training in low-middle-income countries (LMICs). The survey of program directors identified high priority skills such as intracorporeal suturing, laparoscopic camera driving, and medial visceral rotation. Interviews highlighted a desire…
Adrenalectomy for adrenal metastasis remains controversial, and the feasibility of laparoscopic adrenalectomy (LA) is under debate. A retrospective review of 141 patients undergoing adrenalectomy compared open adrenalectomy (OA) to LA. For tumors less than 8 cm without adjacent organ resection, LA had shorter operation time,…
