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Best Papers in General Surgery
The five that matter, every day.
Approximately 56.3% of infants with surgical necrotizing enterocolitis (NEC) required gastrostomy tube (GT) placement after ostomy reversal. GT placement may be safely performed concurrently with ostomy reversal, reducing the need for an additional procedure. Gestational age and birth weight did not significantly differ between patients…
Parastomal hernia, a common complication after stoma formation, has been treated using various minimally invasive techniques. However, the optimal technique remains unclear. In this updated systematic review and meta-analysis, researchers analyzed 33 studies involving 1289 patients to compare the outcomes of four commonly used techniques.…
Researchers utilized true color and high-resolution sectioned images of a cadaver with pancreatic cancer to enhance the understanding of lymph node stations in pancreatic cancer surgery. Through the images and 3D models, they successfully identified 21 out of the known 28 lymph node stations based…
A qualitative study on healthcare professionals' experiences during the COVID-19 pandemic found that the redirection of medical attention towards COVID-19-affected patients had a significant impact on cancer service provision. The study identified three main challenges faced by healthcare professionals: multi-disciplinary team processes affected by limited…
Esophageal cancer patients treated with neoadjuvant chemoradiation followed by esophagectomy were examined to identify high-risk predictors of residual carcinoma. The study found that the presence of stricture, positive biopsy, signet ring cell histology, and a maximum standardized uptake value (SUV max) >5.4 in the absence…
Disparities in cancer outcomes were found in counties with persistent poverty since 1980, significantly affecting diagnosis, surgical resection, and survival rates for patients with non-small cell lung (nsclc), breast, and colorectal cancer. Patients in persistent poverty were more likely to present with advanced disease, less…
A study examining the association between neighborhood deprivation and postoperative outcomes for Medicare beneficiaries found that while lower neighborhood deprivation is linked to improved outcomes for both white and black patients, the benefits disproportionately favor white patients. White beneficiaries experienced a significant decrease in mortality,…
Outcomes of complications and patient satisfaction are frequently used to evaluate surgeons, but this study finds that these measures have low reliability. The research involved 333 surgeons who performed cholecystectomy, colectomy, and hernia repair on 23,533 patients. The reliability of complication rates was only 0.27,…
Patients with delayed neurocognitive recovery (DNCR) exhibited worse odor identification compared to those without DNCR. Anesthesia/surgery induced olfactory and cognitive impairment, increased levels of interleukin-6 (IL-6), reduced olfactory receptor neurons and synapses in mice. Odor enrichment and IL-6 antibody alleviated these effects. The study suggests…
The study found that a delay in the initiation of adjuvant therapy in patients with pancreatic ductal adenocarcinoma (PDAC) is associated with worse recurrence-free survival only in those who have transitional circulating tumor cells (trCTCs) after surgical resection. The presence of trCTCs and the absence…
