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Best Papers in General Surgery
The five that matter, every day.
Researchers examined the feasibility and safety of endoscopic resection (ER) for giant esophageal subepithelial lesions (G-SELs) in a large study. They achieved a remarkable 93.3% en bloc resection rate with a low recurrence rate. Some patients experienced adverse events (9.3% intraoperatively and 17.3% postoperatively). A…
This study delves into the impact of the attending surgeon's and surgical resident's gender on evaluations in the operating room. Female attending surgeons rated female residents lower in terms of autonomy compared to their male counterparts. However, male attendings only showed a significant difference in…
Esophageal cancer surgery carries significant risks, especially in low and middle-income countries. This study investigated the impact of enhanced recovery protocols (ERP) in patients undergoing esophagectomy in India. Despite ERP patients having a higher predicted risk of complications, they experienced significantly lower 30-day morbidity and…
The surgical clerkship is a pivotal part of medical education, influencing students' views on surgery. A program at one institution enlisted research residents as junior clerkship coordinators and educators. Student feedback before and after implementing this program showed no change in overall course perception. However,…
Aiming to improve the prediction of benign anastomotic strictures (BAS) in patients who've undergone rectal cancer surgery, a study harnessed machine learning. Data from 1,973 patients were analyzed using multiple machine learning models, with the random forest (RF) model emerging as the best predictor of…
This study delves into the postoperative outcomes of digestive cancer surgeries with curative intent in a low-mid income country. Analyzing data from 76 patients, the study revealed that immediate preoperative morbidity was around 36.84%, with a mortality rate of 5.26%. At 90 days post-surgery, morbidity…
In a meta-analysis of randomized controlled trials, researchers evaluated two surgical approaches for rectal cancer: laparoscopic total mesorectal excision (LaTME) and trans-anal TME (TaTME). Analyzing data from 1,691 patients across six trials, they found no significant differences in morbidity, mortality, conversion to open surgery, or…
Investigating the effectiveness of antibiotics in treating uncomplicated diverticulitis, this study analyzed data from 131,936 admissions. After propensity score matching, it found that initiating antibiotics within 2 days of admission significantly reduced the rates of intestinal resection and stoma creation when compared to non-antibiotic treatment.…
Researchers conducted a multicenter international study on overweight patients, exploring the effectiveness and safety of Endoscopic Sleeve Gastroplasty (ESG) as an early intervention against obesity. The results, involving 189 patients, revealed that ESG is safe and effective in treating overweight individuals, with a significant rate…
A multi-institutional analysis of patients with locally advanced pancreatic cancer revealed that irreversible electroporation (IRE), a novel treatment, resulted in a lower rate of adverse events (25%) compared to pancreatectomy (39%) for early-stage disease. IRE patients had a greater risk of severe complications when they…
