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Best Papers in General Surgery
The five that matter, every day.
Anal adenocarcinoma can be effectively treated with total neoadjuvant therapy and nonoperative management, according to a retrospective analysis conducted at a comprehensive cancer center. The study included 70 patients, out of which 77% received neoadjuvant therapy. Patients who underwent total neoadjuvant therapy had a higher…
Rectal cancer patients who undergo surgical resection with or without a temporary stoma were compared in terms of long-term functional outcomes. The study, conducted at seven Dutch hospitals with 656 patients, found that those with a temporary ileostomy experienced less constipation but more fecal incontinence…
The impact of active smoking on outcomes of minimally invasive paraesophageal hernia repair (PEHR) was assessed in this cohort study. There was no significant difference in rates of death or serious morbidity (DSM) or hernia recurrence between smokers and non-smokers. However, on further analysis using…
Researchers analyzed data from 41,827 ambulatory surgery encounters from 2016 to 2019 and found a 16.1% increase in the use of International Statistical Classification of Diseases and Health Related Problems, tenth revision (ICD-10) Z codes. The most commonly documented health determinants were multiparity or unwanted…
The study found that there is a significant gender disparity in academic leadership positions among surgeons, despite women holding more advanced non-doctoral degrees. Female surgeons were more likely to have advanced degrees than their male counterparts, but they were less likely to hold the rank…
A nationwide population-based study investigated the influence of procedural volume on the outcome of gastric endoscopic submucosal dissection (ESD) for gastric cancer or adenoma. The study included 88,687 patients who underwent 94,246 procedures between November 2011 and December 2017. The results showed that high- and…
Underwater endoscopic mucosal resection (UEMR) demonstrated higher rates of vertical resectability compared to cold snare polypectomy (CSP) for small duodenal tumors. However, CSP had shorter procedure times and fewer bleeding events. UEMR should be chosen for lesions that cannot be definitively diagnosed as mucosal low-grade…
Surgeons commonly encounter aborted cancer surgeries, which occur due to unresectable or metastasized tumors. However, little is known about how to effectively manage the unique needs of these patients. A survey of 190 surgeons revealed that aborted cancer surgeries occur in approximately 7% of cases,…
Preoperative frailty and malnutrition in surgical oncology patients were found to be predictors of higher postoperative adverse events and worse survival in a blinded, prospective trial. Frail patients had a significantly higher likelihood of readmission within 30 and 90 days, as well as higher rates…
Multimodal therapy, specifically neoadjuvant chemotherapy, was associated with increased survival in patients with diffuse type gastric and gastroesophageal junction carcinoma, including signet ring cell carcinoma. All-cause mortality within 90 days postoperatively was lower after neoadjuvant chemotherapy compared to primary surgery. Additionally, mortality remained lower in…
