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Best Papers in General Surgery
The five that matter, every day.
Research comparing the effect of esophagogastrostomy on the anterior and posterior walls of the gastric conduit in minimally invasive esophagectomy revealed that placing the anastomosis on the anterior wall resulted in a lower rate of delayed gastric emptying. Out of the 439 patients included in…
The systematic review and meta-analysis of randomized clinical trials compared laparoscopic appendectomy with single port (SILA) to the conventional three-access laparoscopic appendectomy (CLA). The analysis included 21 studies with 2646 patients. The results showed that SILA had a significantly longer operative time, especially in pediatric…
A retrospective study investigated the impact of postoperative adjuvant chemotherapy (POAC) on outcomes in patients with colorectal cancer liver metastases (CRLM) undergoing simultaneous resection. After propensity score matching analysis, 478 patients were enrolled and assigned to POAC or non-POAC groups. The study found that POAC…
The study analyzed surgeons' hand movements to characterize the differences in movement efficiency between experienced and novice surgeons. Hand motions were recorded using an inertial measurement unit (IMU) during a simulated surgical procedure. The results showed that experienced surgeons exhibited more fluid and efficient hand…
Cell neighborhoods within the tumor microenvironment of pancreatic ductal adenocarcinoma (PDA) play a crucial role in determining clinical outcomes. Researchers used immunohistochemistry and image analysis to study cell neighborhoods in PDA tumors from chemotherapy-naïve and chemotherapy-treated patients. They found that distinct intratumoral immune and tumor…
Researchers conducted a retrospective analysis of 238 women with defecatory disorders and found that age, vaginal delivery, and prior pelvic surgery were associated with increased grades of rectal intussusception. The study also revealed that obstructive defecation symptoms and dyssynergic defecation were common across the groups.…
Researchers proposed a prognosis-oriented definition for borderline resectable hepatocellular carcinoma (HCC) based on a study of 221 patients. They identified risk factors for early recurrence, including serum α-fetoprotein levels ≥12 ng/ml, tumor diameters >5 cm, tumor number ≥3, and macrovascular invasion. With these criteria, they…
A cross-sectional cohort study examining patients with abdominal aortic aneurysm, ventral hernia, and colon cancer found that patients without health insurance were more likely to undergo unplanned surgery for these conditions compared to those with private insurance or Medicaid. Additionally, uninsured patients had higher rates…
Laparoscopic subtotal cholecystectomy is a safe bailout strategy for difficult gallbladders when the critical view of safety cannot be achieved. In this retrospective cohort study, researchers compared postoperative outcomes of laparoscopic cholecystectomy and laparoscopic subtotal cholecystectomy in patients with severe cholecystitis. They found that the…
In a large series of Crohn's disease patients, the Kono-S anastomosis demonstrated very low postoperative complication rates (1.5% anastomotic failure, 6.1% infection). Surgical recurrence occurred in 7.6% of cases, with perianal disease, urgent/emergent surgery, and postoperative steroid use associated with increased risk. The anastomosis showed…
