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Best Papers in General Surgery
The five that matter, every day.
In a prospective randomized trial, researchers compared pancreaticoduodenectomy (PD) and total pancreatectomy (TP) with islet autotransplantation (IAT) in high-risk patients. They found that TP-IAT had a lower morbidity rate and shorter postoperative stay compared to PD. PD was associated with a higher risk of complications,…
LPD and OPD were compared in this study, and it was found that LPD is feasible and equally safe and efficient as OPD when performed by highly skilled surgeons in high-volume centers. LPD has a shorter length of hospital stay, shorter ICU stay, lower blood…
Small bowel neuroendocrine tumors (SB-NETs) are increasingly identified and have become the most frequent entity among small bowel tumors. Surgical treatment goals include control of tumor volume, endocrine secretion, and prevention of locoregional complications. The study presents eight steps for systematic surgical planning and execution…
Actual 5-year survival rates after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) for patients with peritoneal carcinomatosis (PC) of colorectal origin were reported in this study. A total of 103 patients were analyzed, with a median follow-up of survivors at 88 months. The 5-year overall…
Renowned international liver surgeons achieved consensus on the definition of Textbook Outcome in Liver Surgery (TOLS) using a modified Delphi method. The TOLS definition includes the absence of intraoperative incidents, postoperative complications, bile leakage, liver failure, readmission due to major complications, mortality within 90 days,…
Pancreatectomy with resection of the portal vein and/or superior mesenteric vein, along with jejunal vein resection, is a safe procedure for patients with pancreatic ductal adenocarcinoma. The study found that postoperative complications and mortality rates were similar across all groups. Overall survival did not significantly…
Perioperative circulating tumor DNA (ctDNA) dynamics have been found to correlate with outcomes in patients undergoing hepatectomy for colorectal liver metastases (CLM). In this prospective study, 48 patients were analyzed for ctDNA presence before and after surgery. It was found that patients with ctDNA detected…
A multicenter study investigated the impact of surveillance after esophageal cancer surgery on recurrence patterns, treatment, survival, and quality of life. The study found that intensive surveillance was associated with reduced symptomatic recurrence, increased tumor-directed therapy, and improved overall survival for patients who underwent surgery…
Thoracic duct (td) resection does not improve the prognosis of patients with esophageal cancer, according to a study analyzing 12,237 patients who underwent esophagectomy between 2007 and 2012 in Japan. The study found that td-resected patients had similar overall survival and cause-specific survival rates compared…
Surgeons demonstrated low adherence to documenting care preferences and surrogate decision-makers, while maintaining high adherence to discussing goals of surgery without documentation. Conflicting views arose concerning the relevance of care preferences and documentation of surrogate decision-makers. Participants questioned the direct connection between documentation of quality…
