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Best Papers in General Surgery
The five that matter, every day.
In evaluating post-sleeve gastrectomy patients, this study compared nuclear scintigraphy gastric emptying with three-dimensional multi-detector computed tomography (3D-MDCT) gastric volumetry. Poor weight loss group exhibited delayed gastric emptying compared to optimal weight loss group. Gastric emptying time correlated with weight loss parameters, while gastric volume…
Over 10 years, a survey involving 452 primary care practitioners in Scotland revealed increased awareness of local bariatric referral criteria, with more making referrals. Despite recognizing the impact of bariatric surgery on weight and related diseases, knowledge gaps persisted regarding national guidelines. Comfort levels in…
In a real-world study at Oslo University Hospital, ERCP was assessed as the initial management for malignant biliary obstruction (MBO). Of 596 patients, the primary outcome was achieved in 62%, with an 80% overall technical success rate. Distal extrahepatic MBO had an 85% success rate.…
In a retrospective analysis of 168 biliary tract carcinoma patients post-surgery, 83.9% received adjuvant chemotherapy, while 16.1% did not. Notably, hepatectomy with extrahepatic bile duct resection (BDR) significantly hindered chemotherapy administration compared to other surgeries. Refractory bile leak, primarily post hepatectomy with BDR, was a…
In a multicenter randomized trial, researchers investigated the impact of lymphatic venous anastomosis (LVA) on cellulitis prevention in lower extremity lymphoedema. Patients undergoing LVA with non-operative decongestive therapy showed a significant reduction in cellulitis frequency over 6 months compared to those receiving only non-operative decongestive…
Researchers introduced an endoscopic hand-suturing with clips strategy (EHS-clips) for closing rectal defects after endoscopic submucosal dissection (ESD) or ESD with myectomy. All 49 defects achieved complete closure, with 71.4% through EHS alone and 28.6% with additional clips. Zero cases experienced delayed bleeding. Sustained closure…
In a retrospective analysis of 98 hepatocellular carcinoma patients undergoing laparoscopic segmentectomy, augmented reality navigation (ARN) combined with fluorescence imaging (FI) significantly reduced intraoperative blood loss and remnant liver ischemia compared to non-ARN-FI cases. The ARN-FI group exhibited higher 1-year and 3-year disease-free survival rates,…
Examining 4141 pancreatic cancer patients, this study in a high-volume hospital system found that Multidisciplinary Clinics (MDCs) significantly boost comprehensive treatment rates, such as neoadjuvant chemotherapy, surgery, palliative care, and clinical trial participation. MDC management effectively eliminates socioeconomic disparities in treatment access, particularly benefiting disadvantaged…
Evaluating 150 non-metastatic pancreatic ductal adenocarcinoma patients undergoing neoadjuvant FOLFIRINOX chemotherapy, researchers compared biochemical (CA 19-9 normalization) and radiologic responses. Three groups were identified: biochemical responders (BR+), radiology-only responders (BR-/RR+), and non-responders (BR-/RR-). BR+ showed the highest 3-year overall survival (71.0%), significantly better than BR-/RR+…
Analyzing 1020 patients with gastric signet-ring cell cancer (GSRCC), researchers investigated the relationship between the number of examined lymph nodes (ELNs) and prognosis. X-tile analysis determined the optimal ELN cutoff as 22. Patients with more than 22 ELNs demonstrated higher 5-year overall survival (66.9% vs.…
