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Best Papers in General Surgery
The five that matter, every day.
A national home-based laparoscopic and core surgical skills course, Monash Online Surgical Training (MOST), was evaluated for its educational impact. The 6-week remote course, designed to address limitations to surgical education access during the COVID-19 pandemic, showed statistically significant improvement in all 11 learning-outcome domains,…
A comparative study analyzed data from patients undergoing laparoscopic sleeve gastrectomy (LSG) in Egypt over 11 years to evaluate the efficacy and safety of staple line reinforcement (SLR). The SLR group had longer surgery times but a lower rate of postoperative bleeding compared to the…
Death patterns and factors associated with trauma deaths in the Western Cape of South Africa were examined through a retrospective cross-sectional analysis. The study found that the majority of trauma deaths (94.0%) occurred on-scene, predominantly among young men. Firearms were the leading cause of injury…
Researchers conducted a prospective observational study to develop a predictive risk model for the recurrence of acute diverticulitis (AD) after the first episode. They analyzed data from 368 patients with AD who had a good response to treatment and found that colonic perforation in the…
Among 31 patients who underwent optimal resection for metastatic colorectal cancer (mCRC), circulating tumor DNA (ctDNA) was detected in 83.4% of those who experienced postoperative recurrence, while remaining undetectable in those without recurrence. ctDNA was detected earlier than clinical diagnosis by a median of nine…
A multi-institutional retrospective study investigated the clinical impact of conversion surgery for esophageal cancer with synchronous distant metastasis after induction therapy. Out of the 66 enrolled patients, distant lymph node metastasis occurred in 77%, while distant organ metastasis occurred in 23%. The study found that…
Researchers present the first-ever full robotic surgical step-by-step technique for treating perihilar cholangiocarcinoma, a challenging procedure. This innovative approach allows for better dissection and suture due to the flexible and accurate movements of the robotic instruments, overcoming the limitations of laparoscopic techniques. The study showcases…
Frail patients with pancreatic cancer who underwent minimally invasive pancreaticoduodenectomy had improved postoperative outcomes compared to open surgery, according to a study. The analysis of pancreaticoduodenectomy cases for pancreatic ductal adenocarcinoma revealed lower rates of complications, major morbidity, and nonhome discharge for those who underwent…
A propensity score-matched analysis compared the outcomes of laparoscopic pancreaticoduodenectomy (LPD) and open pancreaticoduodenectomy (OPD). LPD showed longer operative times, reduced blood loss, higher rates of pancreatic fistula and delayed gastric emptying, while postpancreatectomy hemorrhage, major morbidity, mortality, hospital stay, and readmissions were not significantly…
Grade-C postoperative pancreatic fistulas (POPfs) following pancreaticoduodenectomy are serious complications associated with high morbidity and mortality rates. Researchers analyzed a national database of 26,552 patients who underwent this surgery and found that 1.2% of patients suffered from grade-C POPfs, while the rate of grade-B POPfs…
