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Best Papers in General Surgery
The five that matter, every day.
Prolonged dehydration has limited impact on fundamental laparoscopic tissue handling skills, with no significant differences in force exertion. However, dehydrated participants demonstrated slower task times and increased errors in speed and precision, emphasizing the importance of hydration in maintaining optimal laparoscopic performance.
Researchers conducted a systematic review to develop clinical practice guidelines on the use of single-operator cholangioscopy (SOC) as a diagnostic and therapeutic alternative for indeterminate biliary strictures and difficult biliary stones. The guidelines recommend SOC with stricture pattern characterization for adult patients with indeterminate biliary…
Interim analysis of a prospective cohort study on functional gallbladder disorder (fgbd) reveals promising results for cholecystectomy as a treatment option. Despite ejection fraction and pain reproduction not predicting success, the majority of enrolled patients experienced significant improvement in biliary pain and quality of life…
Symptomatic hiatal hernia (HH) with pouch migration is a rare complication after laparoscopic Roux-en-Y gastric bypass (RYGB), and there is limited evidence on the utility of surgical repair. In this retrospective review of 44 patients who underwent isolated HH repair after previous RYGB, researchers found…
Long-term tube feeding intervention after minimally invasive esophagectomy was found to effectively prevent skeletal muscle loss and aid in preventing sarcopenia. The study compared short-term and long-term outcomes of tube feeding intervention in patients who underwent esophagectomy. While there were no significant differences in postoperative…
In patients with inflammatory bowel disease (IBD) and primary sclerosing cholangitis (PSC), subtotal colectomy may be a viable surgical option for those with rectal sparing disease, as it was found to have no dysplasia or neoplasia in the residual colon or rectum. Endoscopic surveillance showed…
Intensive dietary support significantly boosts weight loss and BMI reduction in an Asian population undergoing bariatric surgery, as demonstrated by a retrospective study. The group receiving intensive dietary support had notably superior outcomes at 6 and 12 months compared to those following standard care, without…
Speech communication interference events are common in operating rooms, with significant implications for patient safety. A study of 40 surgeries revealed a mean of 2.58 speech interference events per surgery, primarily involving attending physicians, circulating nurses, residents, and scrub techs. Most events occurred during patient-related…
Comparative study between two tertiary centers in Europe reveals that the time interval from diagnosis to treatment differs significantly between the centers. The main reasons for these differences are the need for additional diagnostics and variations in referral routines. Gastroscopy was frequently repeated for further…
The study compared the efficacy and efficiency of laparoscopic transverse abdominis plane block (lap-tap) versus ultrasound-guided tap (us-tap) in patients undergoing pancreatoduodenectomy and gastrectomy. The lap-tap group showed a significantly shorter median time to skin incision and a reduction in operation cost by $602 compared…
