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Best Papers in General Surgery
The five that matter, every day.
The study aimed to assess the association between insulin-like growth factor 1 (IGF-1) levels and weight loss in female patients post laparoscopic sleeve gastrectomy (SG). It included 100 patients who underwent clinical and laboratory investigations, with follow-up after one year. Results showed a significant reduction…
The systematic review aims to evaluate the safety and feasibility of robotic surgery for locally advanced and recurrent rectal cancer. Researchers will assess perioperative outcomes, oncological clearance rates, and survival and recurrence rates post-robotic beyond total mesorectal excision (TME) surgery. The review will include studies…
A retrospective analysis evaluated the effectiveness of the manual layered insertion anastomosis technique in reducing anastomotic leakage post-esophagectomy. The study included 56 patients who underwent this technique, all receiving minimally invasive esophagectomy. With no reported anastomotic leakages, the technique showed potential in reducing complications such…
Approximately 36.5% of critically ill surgical patients experience functional decline after admission to the intensive care unit (ICU). The study, which analyzed data from over 52,000 surgical patients across 236 hospitals, revealed that patients undergoing pulmonary, musculoskeletal, neurological, gastrointestinal, and skin and soft tissue surgeries…
A 66-year-old male with stage II intrahepatic cholangiocarcinoma underwent a 240-minute laparoscopic left hepatectomy using a no-touch en bloc technique and lymphadenectomy skeletonization. The patient was discharged after 6 days without complications and received postoperative gemcitabine and cisplatin treatment. After 14 months of follow-up, there…
Conversion of the j pouch to a continent ileostomy is a significant surgical procedure aimed at creating a well-functioning reservoir with a high-quality valve mechanism while preserving as much small bowel as possible. This study provides an overview of the indications, contraindications, technical principles, and…
A systematic review and regression analysis of 15 US-based colorectal cancer surgical trials found significant disparities in the representation and reporting of racially and ethnically diverse participants. Out of the included trials, 66.7% did not report race and 73.3% did not describe ethnicity adequately. The…
Approximately 50.2% of patients who underwent total colectomy for ulcerative colitis in the United States received ileal pouch-anal anastomosis. Younger age, lower comorbidities, elective cases, and laparoscopic approach were associated with a higher likelihood of undergoing this procedure. Socioeconomic status did not influence the decision.…
The Comprehensive Complication Index (CCI) showed a stronger positive association than the Clavien-Dindo Classification (CDC) with short-term postoperative complications in patients with gastric cardia adenocarcinoma. The CCI demonstrated superior correlation strength for hospital length of stay, duration of ICU stay, time to return to normal…
Findings from a nationwide analysis revealed that achieving a modified textbook outcome (MTO) after surgery for colorectal liver metastases (CRLM) was associated with better overall survival (OS). Out of 6,525 eligible patients, 81% achieved MTO. Between 2014 and 2018, patients achieving MTO had a 5-year…
