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Best Papers in General Surgery
The five that matter, every day.
The study aimed to compare the incidence of bile reflux, quality of life (QOL), and nutritional status among different reconstruction methods after laparoscopic distal gastrectomy. The results showed that Roux-en-Y reconstruction had the lowest incidence of bile reflux, followed by Billroth II with Braun anastomosis,…
R Anastomosis, a novel technique for B-II-B anastomosis during laparoscopic distal gastrectomy, was compared to conventional anastomosis in a propensity score matching analysis. The study included 246 patients, with 123 in each group. The R group had significantly reduced anastomotic time, and there were no…
A prospective randomized trial compared two methods of lymphadenectomy along the left recurrent laryngeal nerve (lrln) during minimally invasive esophagectomy in esophageal squamous cell carcinoma patients. The retraction method (rm) was found to be more beneficial, as it reduced surgical duration significantly compared to the…
Researchers developed and validated a Markov-embedded multilabel model to predict the risks of various postoperative complications among surgical inpatients. The model outperformed other existing models, achieving the highest average area under the receiver operating characteristic curve (AUC) for eight outcomes, including cardiac complications, neurological complications,…
The study investigated the factors associated with offering surgery for pancreatic and small bowel neuroendocrine neoplasms (pannen and sbnen). Analysis of the surveillance databases revealed that non-white race was associated with decreased odds of surgery offer for sbnen but not pannen. These findings highlight racial/ethnic…
A retrospective clinical study on 1,077 patients undergoing pancreaticoduodenectomy compared hand-sewn anastomosis to stapled anastomosis in reducing delayed gastric emptying. After propensity score matching, the hand-sewn group demonstrated a significantly lower incidence of delayed gastric emptying and upper gastrointestinal tract bleeding. It also resulted in…
Endoscopic submucosal dissection (ESD) and laparoscopic and endoscopic cooperative surgery (LECS) were compared in patients with superficial non-ampullary duodenal epithelial tumors. The study found that both ESD and LECS achieved high rates of en bloc and curative resection, with no significant difference between the two…
Female patients who underwent multivisceral resection for rectal cancer experienced long-term functional disturbances, particularly in urinary and sexual functions, according to a cross-sectional study. Out of the 198 patients who had the surgery, 69 were assessed for functional outcomes. The study found that the removal…
Implementing advancements in technology and surgical technique for internal hemipelvectomy procedures can significantly impact patient outcomes. A retrospective study conducted at a single institution examined the experiences of surgeons and the utilization of new techniques and technologies over a 26-year period. The study found that…
Recurrence after surgery for colorectal liver metastases (CRLM) is common within two years, but there is no established guidance on follow-up methods and intensity. A systematic review of 25 articles involving 9,945 patients revealed wide variation in follow-up methods, with CT as the most common…
