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Best Papers in General Surgery
The five that matter, every day.
A multinational study involving 11 expert laparoscopic cholecystectomy surgeons aimed to enhance the Laparoscopic Cholecystectomy Critical View of Safety (LC-CVS OPSA). By analyzing ratings of "unsafe" practices, the study identified three major categories: failure to achieve critical view, suboptimal technique despite safe completion, and safe…
Analyzing 598,736 patients across 52 Norwegian hospitals from 2011 to 2021, this study investigates failure to rescue (FTR30) after abdominal surgery. Despite a 30% decrease in FTR30 rates over a decade, substantial variations persist among similar hospitals. General surgical complications, with circulatory collapse and cardiac…
Investigating the potential cardiovascular benefits of postoperative stellate ganglion block (SGB) after laparoscopic colorectal cancer surgery, this randomized trial aims to enroll 950 patients with at least one risk factor for myocardial injury after non-cardiac surgery. Assessing outcomes such as myocardial injury incidence, pain levels,…
Addressing rising cancer rates in Portuguese-speaking African countries, a surgical oncology fellowship, led by the Portuguese Institute of Oncology and the Calouste Gulbenkian Foundation, trained residents and surgeons in Portugal. Following a standardized program, participants underwent hands-on training and assessments, with post-fellowship evaluations indicating enhanced…
Study Finds Decline in Pelvic Floor Integrity Associated with Increased Rectal Intussusception Grades, Independently of Obstetric and Surgical History. The analysis of 238 women revealed that factors like age, vaginal delivery, and pelvic surgery correlated with higher Oxford grades of rectal intussusception. Abnormal levator ani…
A Singapore-based prospective study transformed the surgical safety checklist through systematic reimplementation. Penetration and fidelity significantly improved, and team performance, assessed by the Oxford Non-Technical Skills system, rose substantially. Device-related interruptions decreased, safety culture surveys showed significant enhancements, and exploratory findings hinted at reduced patient…
A European multicenter study comparing total (TG) and subtotal gastrectomy (SG) for antropyloric poorly cohesive carcinoma found no significant difference in 5-year overall survival (TG: 53.8%, SG: 53.0%) or disease-free survival (TG: 46.0%, SG: 45.3%). Despite similar baseline characteristics, TG showed higher postoperative complications. This…
Robotic posterior retroperitoneal adrenalectomy and lateral transperitoneal adrenalectomy were compared using a 1:1 matched propensity analysis. In 154 matched cases, no significant differences were found in operative time, conversion to open surgery, postoperative pain, morphine use, length of stay, or 90-day complications. While posterior retroperitoneal…
A study introduced a preoperative calcium challenge for patients with elevated parathyroid hormone and normal calcium levels. Of 29 patients, 55% normalized parathyroid hormone with persistent normocalcemia, confirming secondary hyperparathyroidism. In 19%, classic primary hyperparathyroidism was diagnosed. Short-interval calcium supplementation revealed ∼50% resolved secondary hyperparathyroidism…
Examining 276 cases, researchers found that patients undergoing double conversions from adjustable gastric band (AGB) to sleeve gastrectomy (SG) and then to Roux-en-Y gastric bypass (RYGB) primarily did so due to gastroesophageal reflux disease (GERD) or inadequate weight loss/weight regain. Those converted for weight issues…
