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General Surgery

Best Papers in General Surgery

The five that matter, every day.

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J Am Coll Surg2 Nov 2023

Conflict of Interest Disclosures Fall Short in Robotic Surgery Studies

A study scrutinized conflict of interest (COI) disclosures in gastrointestinal and abdominal wall surgery research related to robotics. It found that a substantial majority (86.4%) of these studies had inaccurate or undisclosed COI statements. Moreover, many authors who received funding from robotics companies failed to…

BMC Surg2 Nov 2023

Colorectal Mixed Neuroendocrine-Non-Neuroendocrine Neoplasms Benefit from Adjuvant Chemotherapy

This study delved into the rare world of mixed neuroendocrine-non-neuroendocrine neoplasms in colorectal cancer and their more aggressive counterpart, neuroendocrine carcinomas. They found that adjuvant chemotherapy significantly improved survival for patients with stage III mixed neuroendocrine-non-neuroendocrine neoplasms and neuroendocrine carcinomas. The median survival for these…

Surg Endosc2 Nov 2023

Robotic Surgery May Improve Surgeon Wellness and Reduce Work-Related Pain

A survey of 79 surgeons in an academic hospital system compared workload, physical discomfort, and neuromusculoskeletal disorders (NMSDs) across four surgical modalities: endoscopic, laparoscopic, open, and robot-assisted (Da Vinci). Physical demand and mental workload were highest in open surgery. Robotic surgeons reported lower shoulder and…

Intestine and Lower Gastrointestinal Tract2 Nov 2023

Transanal Surgery Shows Advantages Over Laparoscopy in Rectal Cancer

This meta-analysis evaluated the outcomes of transanal total mesorectal excision (TaTME) versus laparoscopic TME (LaTME) for rectal cancer. Analyzing data from 22 studies comprising 5056 patients, including randomized controlled trials and prospective studies, revealed that TaTME had a lower conversion rate and better circumferential resection…

Surg Endosc2 Nov 2023

Inequities in Bariatric Surgery Access for Medicaid Patients: A Program-Specific Divide

This study delves into bariatric surgery access for Medicaid patients and reveals stark disparities among programs. Involving a comprehensive data registry spanning 14 years and 43 programs, it highlights that the proportion of Medicaid cases varies significantly between institutions. Programs with more Medicaid patients treated…

World J Surg2 Nov 2023

Defining Quality Performance Indicators for Oesophageal Cancer Surgery

This systematic review explored existing quality performance indicators (QPIs) for the surgical management of oesophageal cancer (OC). Researchers collected data from articles, guidelines, and consensus reports. QPIs were categorized as process, outcome, or structural measures, covering aspects like multidisciplinary involvement, reoperation rates, and the role…

Ann Surg1 Nov 2023

Pancreatic Cancer Recurrence: A Second Chance for Some

Researchers examined the post-recurrence progression in patients with resected pancreatic ductal adenocarcinoma (PDAC) and the implications for treatment. Most PDAC patients experience recurrence within two years, with varying survival outcomes depending on the site of recurrence. Lung recurrence showed significantly longer post-recurrence survival. A subset…

Ann Surg1 Nov 2023

Continuing Aspirin Reduces Thromboembolic Risk in Gastroenterological Surgery

Researchers conducted a multicenter study to assess the impact of continuing preoperative aspirin monotherapy in patients on antiplatelet therapy (APT) during gastroenterological surgery. The study revealed that patients who continued aspirin had significantly lower rates of thromboembolic complications compared to those who discontinued aspirin or…