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Best Papers in General Surgery
The five that matter, every day.
In rectal cancer surgery, laparoscopic, robot-assisted, and transanal approaches were compared for permanent stoma rates. Among 1198 patients, laparoscopic surgery had a 40.1% stoma rate, while robot-assisted and transanal surgeries showed lower rates of 21.3% and 25.6%, respectively. For low anterior resection, robot-assisted and transanal…
Novice robotic surgeons, undergoing a 5-day course on da Vinci® X and Xi systems, demonstrated improved basic robotic skills. Using Objective Clinical Human Reliability Analysis (OCHRA) alongside established tools, the study found OCHRA highly reliable and concurrently valid. Performance enhancement, evidenced by reduced errors, was…
When it comes to treating stage I colorectal cancers (CRCs), those detected through screening tend to receive less invasive treatment compared to non-screen-detected cases. The study, based in the Netherlands, analyzed data from 2008 to 2020. Screen-detected stage I CRCs were more frequently at T1…
Researchers recalibrated drain fluid amylase (DFA) cutoffs for early removal post-pancreatoduodenectomy (PD) in a study of 267 patients. For low-risk patients, maintaining 100% sensitivity, DFA1
Dedicated perioperative Advanced Practice Providers (APPs) substantially decrease readmissions by almost 50%, saving $900 per case. Financially self-sustaining with 113 to 139 annual cases, these APPs prove pivotal in optimizing outcomes, minimizing resource utilization, and cost savings for high-volume hepatopancreatobiliary centers.
The Ohio State University Wexner Medical Center's Department of Surgery shares insights on building a robust national brand. In a digital age flooded with health choices, establishing a standout brand is crucial. Focusing on mission, visual elements, voice, and consistent messaging, the department strategically promotes…
OhioHealth's simulation team revolutionizes EMS education with drive-thru sessions in hospital ambulance bays. Over three days, 171 learners achieved objectives, and 90% agreed the environment fostered learning. This approach, utilizing existing infrastructure, effectively overcomes barriers like cost and equipment access, offering a feasible solution to…
Unraveling the mystery of early recurrence in hepatocellular carcinoma (HCC), researchers crafted a risk scoring system based on tumor morphology. Analyzing 124 patients, they pinpointed age, histological grade, AFP, and intratumoral hemorrhage as key factors. The scoring system accurately stratified patients into low and high-risk…
In a groundbreaking study on emergency general surgery (EGS) transfers, researchers unveil stark racial and gender disparities. Analyzing over 28,000 interhospital transfers, they found higher odds of complications for EGS patients transferred between hospitals. Black patients faced increased minor complications, while Native Hawaiian, Pacific Islander,…
A game-changing study dives into stage II colon cancer, revealing the power of dynamic carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9) monitoring. With 1,517 patients in play, researchers uncovered that postoperative elevation in CEA/CA19-9 spells trouble, signaling a poor prognosis. Strikingly, normal pre- and…
