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Best Papers in General Surgery
The five that matter, every day.
Three randomized controlled trials have reported improved functional recovery after laparoscopic pancreatoduodenectomy (LPD) compared to open pancreatoduodenectomy (OPD). This monocentric retrospective cross-sectional study found that patients who underwent LPD had significantly higher quality of life scores, better pancreas specific health status, improved physical functioning, and…
The study demonstrates that high-resolution 3D computed tomography (CT) is a valuable tool for assessing the anatomical characteristics of hiatal hernias (HH) and aiding in surgical planning for laparoscopic or robotic antireflux procedures. CT scans accurately identified HH in 70% of patients and correlated well…
In recent years, there has been an increased use of minimally invasive surgery (MIS) for adrenocortical carcinoma (ACC). However, MIS has been associated with noncurative resection and locoregional recurrence. This study aimed to identify risk factors for margin-positive resection in ACC patients undergoing MIS. Factors…
Over 5 billion people worldwide lack access to basic surgical procedures, and it is projected that the number of surgical procedures needed for cancer care will rise by 5 million between 2018 and 2040. The greatest surge in demand is expected in low- and middle-income…
Older adults undergoing major elective surgery experience significant impact on their valued life activities and psychosocial well-being due to postoperative symptoms, according to a qualitative study. Participants felt unprepared for the intensity and duration of these symptoms and expressed a need for additional support and…
Implementing enhanced recovery pathways in hospitals varies widely. This qualitative study analyzed interviews with perioperative leaders, clinicians, and staff from eight US hospitals to identify factors that distinguished hospitals with greater success in implementing these pathways. The study found that information-sharing practices, planning, engaging, positive…
Researchers examined pancreatic cancer patients with long-term survival and found that a subgroup with normal levels of the biomarker CA19-9 had a significantly higher overall survival rate and 5-year survival compared to patients with high CA19-9 levels. This subgroup also had lower levels of circulating…
Patients who are incarcerated within the Texas Department of Criminal Justice (TDCJ) receive similar rates of mortality and readmission compared to the general nonincarcerated population when undergoing surgical procedures. However, incarcerated patients have significantly higher rates of morbidity. These findings highlight the need for further…
Developing an integrated strategic plan in surgical leadership requires a variety of tools. The most common tool is a strengths, weaknesses, opportunities, and threats analysis, which evaluates internal and external factors. Various additional tools, such as the political, economic, social, technological, legal, and environmental analysis,…
A novel combined pre-operative risk score composed of radiologic main pancreatic duct diameter (mpd), body mass index (bmi), and comorbidity-polypharmacy score (cps) was found to be an independent predictor of post-operative pancreatic fistula (popf) occurrence after pancreatectomy. Patients with mpd diameter
