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Best Papers in General Surgery
The five that matter, every day.
The study evaluated the safety and cost of outpatient laparoendoscopy for treating cholecystocholedocholithiasis. Data from patients treated between January 2015 and January 2019 were collected, and two groups were compared. The study found that outpatient treatment by laparoendoscopy was safe and viable for most cases,…
Laparoscopic partial splenectomy in distal pancreatectomy may preserve splenic function and help retain immunocompetence, according to a study involving five patients. The procedure, which involves resection of the distal pancreas and the inferior portion of the spleen, was completed laparoscopically within four hours. All patients…
The systematic review of 604 cases revealed that the accessory appendicular artery (AAA) is absent in most cases (83.6%). When present, it commonly originates from the posterior cecal artery (12.4%), followed by the descending branch of the ileocolic artery (2%), and the ileal branch of…
The study analyzed the implications of the geometric location (fundal end vs cystic ductal end) of gallbladder cancer on postoperative outcomes. Researchers compared the oncologic outcomes of 575 patients with gallbladder cancer and found that patients with cancer located on the cystic ductal end had…
Studies comparing organ-preserving pancreatectomy procedures have shown that central pancreatectomy (CP) leads to a lower incidence of new-onset or exacerbated diabetes compared to distal pancreatectomy (DP). However, CP is associated with increased morbidities such as pancreatic fistula. Spleen-preserving DP using the Kimura procedure reduces the…
Distinct intra-tumoral cell neighborhoods were identified in pancreatic ductal adenocarcinoma (PDA), with variations in immune and tumor cell subsets based on neighboring cells. Tumors from long-term survivors had a higher presence of stromal-associated macrophages, while short-term survivors had more immune-excluded tumor cells. Chemotherapy-treated tumors showed…
Discontinuous growth (DG) in esophageal adenocarcinoma (EAC) is associated with adverse clinicopathologic features and worse patient outcomes. DG was found to be an independent adverse predictor of survival outcomes in EAC, even after adjusting for other factors such as tumor size and stage. This multi-institutional…
Researchers conducted a systematic review and analyzed 359 studies involving 212,048,069 patients to examine the variation in the definition of 'failure to rescue' from postoperative complications. They found that there was a wide range of complications included in the failure to rescue denominator, with a…
The study analyzed operative case logs of general surgery residents in the United States from 2010 to 2023. It found that the mean overall endoscopy procedures per resident remained stable during this period, with the majority performed by surgeon juniors. Colonoscopy and esophagogastroduodenoscopy were the…
A multicenter study developed and validated the prealbumin-bilirubin (preALBI) score as an alternative to the widely used albumin-bilirubin (ALBI) score for predicting long-term survival after hepatectomy for hepatocellular carcinoma (HCC). The preALBI score, incorporating serum prealbumin and bilirubin levels, showed superior performance in predicting survival…
