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Best Papers in General Surgery
The five that matter, every day.
A study examined the impact of patient transfer for definitive surgical intervention in cases of perforated peptic ulcer disease (PPUD). The analysis found that transferred patients had a significantly longer length of stay compared to non-transfer patients. The average length of hospital stay for transferred…
Subtotal cholecystectomy (SC) is a reasonable alternative to total cholecystectomy (TC) for difficult gallbladders with severe inflammation. A meta-analysis of ten studies revealed that SC significantly reduces the risk of common bile duct (CBD) injuries compared to TC. However, it increases the risk of bile…
Non-autologous reinforcement of the pancreatic stump following distal pancreatectomy significantly reduces the rate of postoperative pancreatic fistula (POPF), according to a meta-analysis of nine randomized clinical trials. The pooled analysis found a lower rate of POPF in the non-autologous reinforcement group compared to the non-reinforcement…
The surgical approach to rectal cancer resection has evolved over the past decade, with an overall increase in minimally invasive surgery (MIS) techniques. The study analyzed data from four countries and found that the proportion of MIS varied between countries initially but became more consistent…
Patients with lymph node distribution detected during laparoscopic colectomy with Japanese D3 dissection were divided into two groups: those with central vessel metastasis (LND3 group) and those without (LND1/2 group). After adjusting for background factors, the study found that LND3-positive patients had a worse prognosis…
Despite improvements in survival over the years, pancreatic cancer continues to have poor outcomes compared to other malignancies. Multimodal treatment approaches involving chemotherapy, surgery, and radiotherapy have been studied extensively. Emphasis is now placed on selecting appropriate treatments based on local extension into major vessels.…
In a pilot noninferiority randomized trial, 104 patients with complicated appendicitis were randomly assigned to receive 24-hour intravenous or oral antibiotics after appendectomy. The study found that there were no significant differences in 30-day postoperative complications or hospital length of stay between the two groups.…
A new study investigated the prognostic value of perioperative lymphopenia on short- and long-term outcomes in patients undergoing resection of hepatocellular carcinoma (HCC). Researchers found that perioperative lymphopenia, particularly severe lymphopenia on postoperative day 5, was associated with worse 5-year overall survival and disease-free survival.…
A pilot study examined the effectiveness of video-based self-assessment in enhancing surgical skills of general surgery trainees performing laparoscopic cholecystectomy. Trainees in the intervention group, who had access to video recordings of their surgeries for self-assessment, showed improved operative performance compared to the control group…
Offering small financial incentives to smokers on surgery wait-lists was not found to significantly increase smoking cessation before surgery, according to a randomised feasibility trial at an Australian public hospital. Of the 620 participants, 21.9% registered to quit when offered a $a70 supermarket voucher, increasing…
