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Best Papers in General Surgery
The five that matter, every day.
The study compared the oncological outcomes of long-course chemoradiotherapy (LC-CRT) and short-course radiotherapy with delayed surgery (SCRT-delay) in locally advanced rectal cancer (LARC) patients. The results showed that LC-CRT had higher overall survival (OS) rates at 1, 3, and 5 years compared to SCRT-delay. Additionally,…
Researchers conducted a comprehensive analysis using big data to investigate the frequency of hiatus hernia (hh) and its association with esophageal disorders. They reviewed endoscopic reports of over 75,000 patients and found that hh was present in 16.8% of cases, with the majority being small…
A retrospective multicenter cohort study compared two follow-up strategies for patients after curative resection of biliary tract cancer. The study found that structured follow-up resulted in more patients receiving palliative therapy after recurrence compared to pragmatic follow-up. Additionally, the median overall survival was significantly lower…
Recent advancements in chemo/radiotherapy have rendered previously inoperable patients with pancreatic ductal adenocarcinoma (PDAC) potentially resectable. This narrative review highlights the current state of surgical treatment for borderline resectable, locally advanced, and synchronous or metachronous oligometastatic PDAC. Neoadjuvant therapy (NAT) is recommended before surgery, although…
Researchers conducted a simulation study to determine the optimal age to discontinue long-term surveillance of low-risk intraductal papillary mucinous neoplasms (IPMNs). Using a markov model and clinical cohort data, they calculated the cost-effectiveness of continued versus discontinued surveillance at different ages. They found that the…
Laparoscopic right posterior sectionectomy (RLPS) with an extrahepatic Glissonian approach and modified hanging maneuver, guided by indocyanine green fluorescence imaging, proves safe and feasible for a patient with mid-rectum adenocarcinoma and synchronous liver metastases. The procedure involves selective clamping, indocyanine green injection, and precise parenchymal…
Laparoscopic two-stage hepatectomy with portal vein embolization ensures safe completion of surgery for initially unresectable colorectal liver metastases. Three patients received chemotherapy followed by laparoscopic colorectal resection and limited hepatectomies. After right portal vein ligation, laparoscopic portal vein embolization using ethanol facilitated the second hepatectomy.…
Approximately 25.2% of pancreatic cancer patients who underwent upfront resection did not receive adjuvant therapy (AT), according to a prospective observational study. The main reasons for AT omission were postoperative complications, oncologist's choice, baseline comorbidities, patient's choice, and early recurrence. Older age, comorbidities, and postoperative…
The study compared postoperative pain levels between transoral and conventional transcervical thyroidectomy. After matching patients based on six covariates, the transoral group had higher pain scores than the conventional group from day 1 to day 6 post-surgery, with no significant difference at 1 month. Among…
This study evaluated the feasibility, efficacy, and safety of a digital cholangioscopy-assisted endoscopic intervention for cholelithiasis. The procedure achieved biliary access in 285 patients with a 100% success rate for exploring the common bile duct, cystic stump, hilar ducts, and secondary radicals. Stone clearance was…
