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Best Papers in General Surgery
The five that matter, every day.
In their quest to refine morbidity and mortality conferences (MMCs), a treasure trove of 59 studies revealed valuable insights. These MMC makeovers, assessed through the Medical Education Research Study Quality Instrument, struck a harmonious balance. They spotlighted the significance of pre-conference groundwork and post-event follow-up…
A novel cranial-to-caudal approach (CC approach) for minimally invasive distal pancreatectomy (MIDP) in pancreatic cancer was examined. The study included 94 patients, with 23 undergoing the CC approach. This approach aimed to identify Gerota's fascia from the cranial side of the pancreas and ensure complete…
Over a 10-year span, a medical center's experience with 100 major robotic liver resections was examined, showing the evolution of robotic surgery. The study found no significant differences in key parameters like operative time, blood loss, length of hospital stay, 90-day readmission, major complications, and…
A comparative study of 2,158 adult appendicitis patients in different hospital settings revealed notable differences in surgical outcomes. Patients in tertiary care hospitals experienced longer surgical waiting times, increased surgical delays, longer operation times, higher rates of appendix perforation, and greater hospital costs compared to…
Researchers compared two surgical techniques for rectal cancer patients who underwent intersphincteric resection (ISR): transverse coloplasty pouch (TCP) and straight coloanal anastomosis (SCAA). While oncological outcomes were similar, the study found that two years after ileostomy closure, the TCP group had significantly less major low…
Researchers investigated the safety and feasibility of a modified lymph node dissection (LLND) in mid-low-lying rectal cancer, involving routine resection of visceral branches of internal iliac vessels. The study compared two groups: one with routine resection (RVR) and one without (NVR). The RVR group saw…
A systematic review compared the effectiveness of mechanical prophylaxis devices in preventing venous thromboembolism (VTE) during and after surgery. The study included 14 articles and found that intermittent pneumatic compression (IPC) was superior to graduated compression stockings (GCS) when used alone. Additionally, a combination of…
A retrospective study on 87 patients who underwent hepaticojejunostomy (HJ) for bile duct injuries (BDI) aimed to determine whether the dilation status of the bile duct before repair affected outcomes. The study found that dilation status had no impact on short- or long-term results, including…
Researchers utilized the OR Black Box, a surgical data capture system, to evaluate surgical safety checklist performance across 7 North American academic medical centers. Their analysis of 7,243 surgical procedures revealed that most included a time-out (98.4%) and 62.3% included a debrief. These procedures often…
In the realm of liver surgery, understanding the "condition(s) present at time of surgery" (PATOS) from the American College of Surgeons (ACS) database is crucial. Researchers explored postoperative complications, considering PATOS, and found that when these conditions were factored in, complication rates dropped across the…
