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Best Papers in General Surgery
The five that matter, every day.
The study aimed to assess the impact of adding a lidocaine infusion for postoperative pain control in ERAS patients undergoing laparoscopic colectomy. The results of the retrospective review showed that patients who received the lidocaine infusion had a significant reduction in postoperative opioid use within…
Surgical residents have a poor understanding of the costs of common operating room supplies, and this does not improve with post-graduate training. A survey of 73 residents revealed that they accurately estimated costs for only 7 out of 21 items, with considerable error ranging from…
This retrospective study analyzed the management options and outcomes of 50 adult patients with complex duodenal fistulas. Surgical closure combined with duodenal decompression yielded the highest success rate, with 76% of patients achieving fistula closure. In selected cases, nonoperative management was attempted, resulting in closure…
Researchers conducted a retrospective population study to analyze the impact of surgical sub-specialization on short- and long-term outcomes in patients undergoing emergent surgery for colon cancer. The study included 656 patients divided into three groups based on specialization of the operating team. The results showed…
Journal Article by Irfan A, Gleason F (...) Rose JB et 2 al. in Am Surg
Analysis of 2373 stage III gastric cancer patients who underwent curative gastrectomy revealed that a higher count of negative lymph nodes (NLN) (>14) significantly improved the 5-year overall survival rate compared to patients with a lower count (43.7% vs 23.1%). This study establishes NLN count…
This retrospective study investigated the surgical approach of total pelvic exenteration combined with sacral resection for rectal cancer and its impact on short-term outcomes. The association between the level of sacral resection and complications, specifically exhibiting a Clavien-Dindo grade III, was assessed. The results revealed…
The study analyzed the impact of an enhanced recovery protocol (ERP) on surgical outcomes in a high-risk population undergoing colon cancer surgery. Researchers retrospectively examined factors associated with postoperative complications (POC) and length of stay (LOS) in 408 elective colon cancer surgery patients. The results…
Early exposure of medical students to robotic surgery training positively influences their interest in a surgical career and improves their performance on simulation tasks. Seventy percent of students reported that the training had a positive impact on their decision to pursue a general surgery career.…
Surgical residents who receive prior evaluations and formative feedback for common bile duct exploration (CBDE) demonstrate better operative performance and greater autonomy compared to residents without prior evaluations. Cases with prior evaluations had a higher proportion of practice-ready or exceptional performance ratings according to both…
