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Best Papers in General Surgery
The five that matter, every day.
Surveying HPB surgeons, this study found significant variations in the decision-making and surgical practices for pancreatic adenocarcinoma. Most respondents performed staging laparoscopy selectively and would abort the procedure in the presence of a pathological aorto-caval node. However, they would continue surgery with a positive hepatic…
Out of 765 patients with T1 and T2 colorectal cancer, 11.3% had lymph node metastasis (LNM), leading to a poorer recurrence-free survival (RFS) compared to patients without LNM (72.6% vs. 88.6%). Multivariable analysis revealed that high-grade tumors were a significant risk factor for LNM. Radical…
The systematic review and meta-analysis investigated gastroesophageal reflux disease (GERD) as a major concern following one anastomosis gastric bypass (OAGB). The analysis of 40 studies involving 17,299 patients revealed that 2% of patients experienced GERD after OAGB, with reflux rates six times higher in revisional…
A European single-center study evaluated the outcomes of total pancreatectomy with islet autotransplantation (tp-iat) in patients with chronic pancreatitis. The study found that tp-iat is a safe procedure with a low risk of complications. Islet autotransplantation into the liver resulted in higher levels of fasting…
A nationwide cohort study in Sweden compared the treatment and survival outcomes of hepatocellular carcinoma (HCC) in cirrhotic versus non-cirrhotic livers. Out of the 4259 identified patients, 34% had HCC in a non-cirrhotic liver. Cirrhotic patients presented at a younger age, had poorer performance status,…
Results from a propensity score-matching study comparing robotic gastrectomy (RG) and laparoscopic gastrectomy (LG) revealed that RG is safe and feasible for elderly patients with advanced gastric cancer. The study found that RG was associated with less intraoperative blood loss, a faster postoperative recovery time,…
Patients who underwent one Anastomosis Gastric Bypass (OAGB) had significantly higher total BAROS scores at the five-year follow-up compared to those who underwent Roux-en-Y Gastric Bypass (RYGB) and Sleeve Gastrectomy (SG). All three common metabolic and bariatric surgical procedures (SG, RYGB, and OAGB) significantly improved…
Patients with localized biliary tract cancers (BTCs) who underwent surgical resection had higher long-term survival rates compared to those treated with multiagent chemotherapy alone, according to a study. The research analyzed data from 5,988 patients with localized BTCs and found that surgical resection led to…
The main result of this study is that surgeons agree that patients prefer to make their own health decisions after considering their physician's opinion, rather than having the physician make decisions for them. However, the study also revealed gaps in patient-centered decision-making, as only a…
There is significant variability in instrument and supply choices among surgeons performing common general surgery operations. This study analyzed surgeon preference cards for various operations and found that the number of sterilizable instrument trays and disposable supplies varied greatly. The variability in supply costs and…
