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Best Papers in General Surgery
The five that matter, every day.
This retrospective study analyzes the optimal biliary stenting strategy for palliation in cholangiocarcinoma patients. It found that self-expanding metal stents (SEMS) and plastic stents (PS) within SEMS had higher clinical success rates but also higher stent-specific adverse events. Removing PS may facilitate percutaneous biliary drainage…
Gasless single-incision endoscopic surgery via subclavicular approach (ESSA) is a safe and effective procedure for lateral neck dissection in patients with papillary thyroid cancer. Results showed that ESSA had comparable lymph node yield to video-assisted endoscopic surgery (VAES) and open surgery (OP), while also resulting…
Patients with esophageal cancer were offered decision counseling (dc) either before or after neoadjuvant chemoradiotherapy (ncrt) to reflect on their treatment preferences. Interviews with patients revealed that those who received counseling before ncrt were satisfied with the timing, while some patients who received counseling after…
The results of three phase Ib/IIa clinical trials show that treatment with ex vivo expanded allogeneic bone marrow-derived mesenchymal stem cells is safe and effective for severe perianal, rectovaginal, and peripouch fistulizing Crohn's disease. At 6 months, 83.3% of perianal, 33.3% of rectovaginal, and 30.8%…
The study evaluated surgical-oncologic textbook outcomes in patients with stage I to III pancreatic ductal adenocarcinoma using national registries. The results showed that over 50% of patients achieved surgical-oncologic textbook outcomes in both the US and Germany. Patients who failed to achieve these outcomes had…
The nationwide study analyzed the use and outcome of tailored surgical treatment for symptomatic chronic pancreatitis (CP) based on pancreatic morphology. The analysis revealed that surgical drainage procedures, such as extended lateral pancreaticojejunostomy, resulted in the best safety profile and excellent functional outcomes. Mortality rates…
Interim analysis of a randomized Phase III trial comparing complete mesocolic excision (CME) with conventional surgery for right colon cancer showed that CME was associated with a significantly higher lymph node yield (25 vs. 20) and improved surgical quality indicators. No differences were observed in…
The study evaluated the outcomes and predictors of treatment failure in patients undergoing anti-reflux mucosectomy for gastroesophageal reflux disease. The results showed that the procedure significantly improved quality of life, with symptom improvement and resolution in a majority of patients. However, symptom resolution did not…
A comparative study was conducted to compare the effectiveness and safety of transabdominal and retroperitoneal laparoscopic adrenalectomies. The study involved 472 patients, with laparoscopic transabdominal adrenalectomies (LTA) being the preferred approach for most surgeons. It was found that retroperitoneal adrenalectomies (RPA) had advantages in terms…
The study evaluated the safety and accuracy of the temporary inflow control of the Glissonean pedicle (TICGL) technique combined with indocyanine green (ICG) fluorescence imaging in laparoscopic anatomical S2/3 resection. Twelve patients underwent this procedure, with 7 undergoing S2 resection and 5 undergoing S3 resection.…
