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Best Papers in General Surgery
The five that matter, every day.
Researchers conducted a systematic review and network meta-analysis to determine the optimal timing and intervention for reducing mortality in necrotizing pancreatitis. They analyzed 10 studies involving 570 patients and compared 8 treatment strategies. While no statistically significant differences were found in odds ratios, trends were…
The study investigated the long-term outcomes of conservative management for complicated colonic diverticulitis. The results showed that non-operative treatment is effective and safe for selected patients, with recurrence rates of 38.1% and high severity recurrence rates of 11.1%. Lower CT stages and grade III diverticulitis…
Snapshot audit methodology, in the form of prospective observational cohort studies, offers a valuable alternative to retrospective administrative datasets and randomized control trials for exploring the effectiveness of surgical patient care. This study discusses the key features of implementing snapshot audits, including the importance of…
The 11-year population-based study on bile duct injuries (BDIs) during laparoscopic cholecystectomies (LC) revealed an overall BDI incidence rate of 0.81%, with minor and major BDI rates of 0.68% and 0.13%, respectively. No significant decline in BDI incidence was observed over the study period, contradicting…
The multicenter, prospective, international clinical study assessed the safety and effectiveness of an endoscopic powered resection (EPR) system for scarred adenomatous colorectal lesions. Among the 45 per-protocol patients with 48 lesions treated solely with the EPR device, technical success was achieved in 98% of patients.…
The study investigates the impact of hepatic pedicle clamping (HPC) on long-term survival in patients who underwent hepatectomy for hepatocellular carcinoma (HCC). The researchers analyzed data from a multicenter database and stratified patients based on whether they received intraoperative blood transfusion (IBT). While HPC did…
Physical prehabilitation is recommended before major abdominal surgery to improve short-term outcomes. A comprehensive systematic review and network meta-analysis of 25 studies found that aerobic exercise (AE) and a combination of AE with inspiratory muscle training (IMT) were the most effective approaches in reducing overall…
Comparing different staging categories for esophageal squamous cell carcinoma, this study determined that lymph node tumor regression grade (lntrg) demonstrated superior prognostic value for disease-free survival prediction compared to pretreatment pathologic n stage (prepn) and posttreatment pathologic n (ypn) categories. lntrg showed significant prognostic stratification…
The study compared outcomes of operative and nonoperative management of acute appendicitis in multi-morbid patients. Using national inpatient data, researchers found that nonoperative management was associated with a 3.5% decrease in complications for multi-morbid patients, but it resulted in a 1.5% increase in mortality. Costs…
The study evaluated the impact of indocyanine green (ICG) fluorescence-guided lymphadenectomy during laparoscopic gastrectomy for gastric cancer. It included 142 patients, with 42 receiving preoperative ICG injection. The ICG group exhibited a higher number of retrieved lymph nodes compared to the non-ICG group, regardless of…
