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Best Papers in General Surgery
The five that matter, every day.
The study aimed to assess the prognostic relevance of splenic vessel involvement in distal pancreatic adenocarcinoma. The researchers identified 149 patients who underwent surgery, with 46.3% showing splenic vascular involvement. Among them, 14.8% had a pathologic tumor thrombosis of the splenic vein. The presence of…
The study analyzed 212 papillary thyroid cancer patients who underwent either gasless transoral endoscopic thyroidectomy vestibular approach (TOETVA) or open surgery. The gasless TOETVA group exhibited higher oral health impact profile-14 scores in the first year after surgery compared to the open surgery group, but…
Researchers investigated the misdiagnosis of suspected cancer among patients undergoing pancreatoduodenectomy (PD) over a 30-year period. They found that diagnostic errors resulted in PD being mistakenly performed for benign disease. Of the 1,812 patients who underwent PD for suspected malignancy, 97 (5.2%) were ultimately diagnosed…
According to a systematic review and meta-analysis, researchers found that lymph node dissection (LND) did not significantly impact overall survival, disease-free survival, or risk of major complications in patients with intrahepatic cholangiocarcinoma (ICC). However, for clinically node-negative patients, LND was associated with improved overall survival…
Researchers evaluated a new endoscopic closure technique, "internal traction-assisted suspended closure," for large full-thickness defects after endoscopic resection. The pilot study included eight patients, all of whom were successfully treated with the technique without serious adverse events. The median length and width of the defects…
People experiencing homelessness (PEH) who undergo surgery for malignancy face significant barriers to access care and experience poorer outcomes compared to housed patients. This retrospective cohort study of 67,034 patients in three US states found that PEH more frequently underwent unplanned surgery (65.3% vs 23.7%)…
The study evaluated the efficacy and safety of near-infrared fluorescence identification of the thoracic duct during left lateral neck dissection. Results showed that near-infrared fluorescence visualization successfully identified the thoracic duct in a higher percentage of patients compared to ambient light. The procedure was feasible…
A retrospective multicenter analysis involving 503 patients who underwent pancreaticoduodenectomy revealed that perioperative oral care management significantly reduces the incidence of organ/space surgical site infections. Patients who received oral care management had a lower rate of complications compared to those who did not. The study…
The study aimed to determine the textbook outcome in distal pancreatectomy by analyzing a multicenter database. The specific definition of textbook outcome included factors such as hospital stay, complications, mortality, readmission, and absence of pancreatic fistula. Among the 450 patients included, 58.2% achieved textbook outcomes.…
A study conducted at a tertiary academic center investigated the correlation between quantitative indocyanine green metrics and subjective indocyanine green perfusion assessment in determining the acceptance or rejection of anastomotic margins. The study included 89 perfusion assessments in 156 intestinal segments. The results showed that…
