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Best Papers in General Surgery
The five that matter, every day.
After systematically reviewing 14 randomized controlled trials involving 1982 surgical patients, researchers found insufficient evidence to support the use of vitamin D supplementation in improving overall survival or postoperative mortality rates. The studies varied in patient conditions, surgical procedures, and dosages of vitamin D administered.…
Recurrence-risk stratification using the Beppu score can help clinicians estimate the postoperative disease-free survival for colorectal liver metastases. The study identified three risk groups based on the Beppu score: low, moderate, and high-risk. For each group, different treatment options were recommended: hepatectomy alone for low-risk,…
The study aimed to compare the injury severity, mortality, injury regions, and length of hospital and intensive care unit stay between obese and normal-weight motorcycle crash patients. The analysis of trauma registries from three Pennsylvania level 1 trauma centers on 1,164 adult motorcycle crash patients…
Researchers conducted a mapping exercise to identify opportunities for data dictionary harmonization in colorectal cancer outcome registries. They compared data dictionaries from three major registries and developed a combined comprehensive dataset of 225 fields under seven domains. A common dataset with 38 overlapping fields was…
Wittmann Patch-Assisted Closure proves more clinically effective (19.43 QALYs) and cost-efficient ($7777 cost reduction) than planned ventral hernia repair. A decision tree analysis, rollback, and ICUR (-156,679.77) support Wittmann Patch's cost-effectiveness, with a 96.8% confidence from Monte Carlo analysis. This study establishes Wittmann Patch-Assisted Closure…
A revised ypStage grouping system was proposed for esophageal squamous cell carcinoma patients who underwent neoadjuvant chemoradiotherapy followed by surgery. The new system adequately addressed the limitations of the existing American Joint Committee on Cancer (AJCC) system, showing improved prognostic relevance and higher discrimination ability.…
Results from this observational study using the Operating Room Black Box demonstrated how surgical team members adapt their teamwork skills during instances of uncertainty, specifically when dealing with intraoperative adverse events (IAEs). Nurses exhibited increased backup behavior skills during IAEs, while surgeons and medical trainees…
Impedance planimetry measurements provide objective assessments in diagnosing gastric sleeve stenosis (GSS), a common complication following sleeve gastrectomy. This retrospective analysis of 110 upper endoscopies identifies new benchmark values for the diagnosis and severity of GSS. Impedance planimetry measurements of diameter and distensibility index were…
Hybrid resection (HR) for laterally spreading lesions of the papilla, involving hot snare papillectomy and cold snare resection, was compared to conventional hot snare resection (CR) in a study. HR was associated with a significantly higher recurrence rate of recurrent or residual adenoma (RRAs) compared…
The book-binding technique (BBT) is a safe and feasible method for intracorporeal gastroduodenostomy in totally laparoscopic distal gastrectomy (TLDG) for patients with gastric malignancy. This retrospective study evaluated 188 patients who underwent TLDG with BBT reconstruction, showing low rates of anastomotic stenosis and leakage. The…
