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Best Papers in General Surgery
The five that matter, every day.
Preoperative exclusive enteral nutrition (EEN) significantly decreases the risk of skin and soft tissue infections and intra-abdominal septic complications in Crohn's disease (CD) patients undergoing intestinal surgery, according to a meta-analysis of 14 nonrandomized cohort studies. The relative risk of intra-abdominal septic complications was reduced…
A retrospective study compared the laparoscopic transabdominal preperitoneal (TAPP) technique with the open technique for emergency groin hernia repair. The TAPP group had younger patients with less severe clinical scenarios, while the open group had a higher incidence of bowel herniation and required more bowel…
The study assessed the feasibility, safety, and clinical utility of a vessel-sparing approach in totally robotic sigmoidectomy for adenocarcinoma. The results showed that the completely vessel-sparing technique was feasible and safe, with a median of 21 examined lymph nodes and zero positive lymph nodes. The…
Researchers conducted a pilot study to determine the impact of background music on stress levels in surgeons during operations. The study involved five primary operators performing 74 elective surgeries while listening to selected music or working in a non-music environment. The protocol was well-tolerated, with…
The long-term consequences of necrotising pancreatitis, including complications, interventions, and quality of life, were assessed in a follow-up study of 373 patients. Results showed that 26% of patients were readmitted for recurrent pancreatitis, 13% received endoscopic or percutaneous drainage, and 8% underwent pancreatic necrosectomy or…
Combining intraoperative segmental pancreatic occlusion and insulin assays significantly enhances the localization and complete resection of hypersecretory pancreatic tissues in patients with pancreatic hypoglycemia. A retrospective analysis of 11 cases showed that the insulin assay, performed 30 minutes post-resection, accurately located target tissues and achieved…
Portal vein resection in surgery for pancreatic neuroendocrine neoplasms was analyzed in this study. Among 666 patients, 8% underwent portal vein resection. Postoperative complications were comparable to standard resection, with a low 90-day mortality rate. Radical resection resulted in excellent 5-year overall and disease-specific survival…
A study evaluated the safety and feasibility of a robotic true D3 lymph node dissection using a superior mesenteric vein taping technique for right colon cancer. The technique allowed for accurate exposure of the ileocolic artery and provided a good view for lymph node dissection.…
The study aimed to identify the predictors of persistent pain in patients with chronic calcific pancreatitis following extracorporeal shockwave lithotripsy (ESWL). A total of 640 patients were assessed, and 68% experienced pain relief after ESWL while 32% had persistent pain. Predictors of persistent pain included…
Findings from a study on early implementation of robotic training in surgical and surgical subspecialty residencies show that only 9.4% of participants had any formal robotic surgery training prior to the training session, with just 19% reporting robotic operative experience. A standardized introduction of multidisciplinary…
