British Journal of Surgery最新文献

{"title":"Addressing global inequities in surgery with the FAIR and CARE principles.","authors":"Justin W Collins, Prokar Dasgupta","doi":"10.1093/bjs/znaf026","DOIUrl":"10.1093/bjs/znaf026","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 3","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Defining resectability criteria for primary retroperitoneal sarcoma: a challenging imperative.","authors":"Fahima Dossa, Carol J Swallow","doi":"10.1093/bjs/znaf044","DOIUrl":"https://doi.org/10.1093/bjs/znaf044","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 3","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143646626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathological staging predicts survival more accurately than clinical staging in locally advanced rectal cancer following total neoadjuvant therapy.","authors":"Jyi Cheng Ng, Richard Sassun, Annaclara Sileo, William R G Perry, Kellie L Mathis, David W Larson","doi":"10.1093/bjs/znaf034","DOIUrl":"https://doi.org/10.1093/bjs/znaf034","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 3","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143603154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and external validation of prediction risk scores (STRISK and NOFA) to predict immediate surgical need in adhesive small bowel obstruction: an observational prospective multicentre study.","authors":"Panu Räty, Akseli Bonsdorff, Helka Parviainen, Eila Lantto, Thomas Hackenberg, Hanna Lampela, Taina Nykänen, Ilana Lyytinen, Panu Mentula, Ville Sallinen","doi":"10.1093/bjs/znaf025","DOIUrl":"https://doi.org/10.1093/bjs/znaf025","url":null,"abstract":"<p><strong>Background: </strong>Adhesive small bowel obstruction (SBO) is a common cause of emergency admission. Identification of patients at high risk of strangulation or failure of non-operative treatment is difficult. In this multicentre prospective observational study, prediction models for strangulation and non-operative treatment failure in adhesive SBO were developed.</p><p><strong>Method: </strong>This study was carried out in three Finnish hospitals between June 2014 to May 2022. Patients with CT-confirmed adhesive SBO and prospective case report forms were included. The main outcomes were strangulation defined by operative finding of any intestinal ischaemia and failure of non-operative treatment within 30 days from admission. The model was developed using binary logistic regression, internally validated by bootstrapping and then externally validated.</p><p><strong>Results: </strong>Of 626 patients, 481 were included; 355 patients formed the model development group and 126 formed the external validation group. Strangulation occurred in 58 (16%) patients and non-operative treatment failed in 93 (31%) patients in development cohort. The following six variables were included in the risk model for strangulation and non-operative treatment failure: neutrophil-leucocyte ratio, number of previous SBOs, abdominal guarding, mesenteric changes and free abdominal fluid, closed loop sign, and faeces sign on CT. In the development cohort, the optimism corrected area under the receiver operator characteristics curve for the strangulation model was 0.860 (95% c.i. 0.808-0.917), and 0.751 (95% c.i. 0.694-0.816) for the non-operative treatment failure model respectively. At external validation, the models retained their discrimination and demonstrated stable calibration.</p><p><strong>Conclusion: </strong>A clinically relevant prediction model to predict strangulation and non-operative treatment failure in adhesive small bowel obstruction has been developed.</p>","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 3","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a surgical complexity score to predict postoperative morbidity following primary retroperitoneal sarcoma resection: a collaborative study from the Transatlantic Australasian Retroperitoneal Sarcoma Working Group (TARPSWG).","authors":"Mark Fairweather, Joshua S Jolissaint, Marco Fiore, Dirk Strauss, Sylvie Bonvalot, Samuel J Ford, Winan J van Houdt, Carol Swallow, Piotr Rutkowski, Alessandro Gronchi, Chandrajit P Raut","doi":"10.1093/bjs/znaf029","DOIUrl":"https://doi.org/10.1093/bjs/znaf029","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 3","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143661652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Liver transplantation for locally advanced non-resectable intrahepatic cholangiocarcinoma treated with neoadjuvant therapy: early results from the TESLA trial.","authors":"Sheraz Yaqub, Sondre Busund, Tor Magnus Smedman, Trygve Syversveen, Ammar Khan, Jon Magnus Solheim, Trine Folseraas, Kristine Wiencke, Kristoffer Lassen, Svein Dueland, Pål-Dag Line","doi":"10.1093/bjs/znaf054","DOIUrl":"10.1093/bjs/znaf054","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 3","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11914714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143646629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrence patterns and post-recurrence survival of patients with bilobar colorectal liver metastases: international multicentre retrospective study.","authors":"","doi":"10.1093/bjs/znaf003","DOIUrl":"https://doi.org/10.1093/bjs/znaf003","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 3","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Routine anaesthesia ward-based patient visits in surgery: 1-year outcomes of the TRACE randomized clinical trial.","authors":"Valérie M Smit-Fun, Dianne de Korte-de Boer, Thomas Damen, Annick Stolze, Linda M Posthuma, Markus W Hollmann, Wolfgang F F A Buhre","doi":"10.1093/bjs/znaf019","DOIUrl":"10.1093/bjs/znaf019","url":null,"abstract":"<p><strong>Background: </strong>The TRACE (Routine posTsuRgical Anaesthesia visit to improve patient outComE) RCT did not show any perioperative benefit from ward-based visits by anaesthetists after surgery. The aim of this study was to evaluate the impact of this intervention on longer-term outcomes.</p><p><strong>Methods: </strong>Patients were followed up in the TRACE RCT to 1 year in nine hospitals in the Netherlands. Patients undergoing elective non-cardiac surgery, and at risk for adverse postoperative outcome, were included. Patients in the intervention group additionally received routine anaesthesia visits on postoperative days 1 and 3. Clinical outcome measures included 1-year mortality, hospital readmission, and reoperation. Functional recovery (FR) was measured using the patient-reported global surgical recovery (GSR) index, ability to perform activities of daily living (ADL), and functional recovery index (FRI). Quality of life (QoL) was measured using EQ-5D-5L.</p><p><strong>Results: </strong>Some 5473 adult patients were followed up. No differences were found between the control and intervention groups for clinical, FR, and QoL outcome measures. One-year mortality was 5.4% in the control group and 5.8% in the intervention group, readmission was 27% and 26% respectively, and reoperation was 20% and 18% respectively. At 1 year, FR and QoL had recovered to preoperative levels. However, 30% of patients were not able to fully perform ADL and 40%-51% of patients still reported a problem in the EQ-5D-5L dimensions mobility, usual activities, and pain/discomfort.</p><p><strong>Conclusion: </strong>Routine postoperative anaesthesia ward visits of patients did not improve clinical, functional, and QoL outcomes. A substantial proportion of patients still experienced health-related limitations in daily life 1 year after surgery. In conclusion, an early postoperative intervention with postoperative anaesthesia visits in the ward after non-cardiac surgery had no effect on 30-day or 1-year clinical outcome. Remarkably, TRACE shows that compared with data sampled 10 years ago, 1-year mortality has not improved in the Netherlands. At 1 year, functional recovery or QoL showed little improvement compared with baseline. Importantly, a substantial number of patients still reported incomplete recovery and problems that limit QoL, which indicate that there is still room for improvement.</p>","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 3","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11897594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143603161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic total pelvic exenteration: a simplified procedure using the fascial space priority approach.","authors":"Hongjie Yang, Yuanda Zhou, Peishi Jiang, Jiafei Liu, Zhichun Zhang, Qingsheng Zeng, Peng Li, Yu Long, Xipeng Zhang, Yi Sun","doi":"10.1093/bjs/znae316","DOIUrl":"https://doi.org/10.1093/bjs/znae316","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 3","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143661653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parathyroid vascular anatomy using intraoperative mapping angiography: the PARATLAS study.","authors":"Fares Benmiloud, Neil Tolley, Anne Denizot, Aimee Di Marco, Frederic Triponez","doi":"10.1093/bjs/znae307","DOIUrl":"10.1093/bjs/znae307","url":null,"abstract":"<p><strong>Background: </strong>Understanding vascular anatomy of the parathyroid glands (PG) is crucial during thyroidectomy. The aim of this study was to describe patterns and distribution of parathyroid vessels.</p><p><strong>Method: </strong>An analysis of all intraoperative mapping angiographies from indocyanine green injection and fluorescence imaging in patients undergoing thyroid surgery between February 2020 and September 2021. The parathyroid vessels were classified according to the pattern of contact with the thyroid. Data collection and analysis were carried out in accordance with MR004 reference methodology.</p><p><strong>Results: </strong>A total of 200 angiographies from 196 patients were analysed (159 female/37 male, mean(s.d.) age: 54.2 ± 13.7 years), and 320 PGs were assessed. The parathyroid vessels had no contact with the thyroid in 20 (6%; Type 0), a single-point of contact in 74 (23%; Type 1), a posterior path in 47 (15%; Type 2), a lateral path in 68 (21%; Type 3), an intrathyroidal path in 19 (6%; Type 4), and a possible medial path in 26 (8%; Type X1) cases. The course of the vessels was unclear in 36 cases (11%; Type X2). Spatial distribution analysis showed a concentration of superior parathyroid vessels around Zuckerkandl's tubercle, whereas the distribution of the inferior parathyroid vessels was anterior and sparse.</p><p><strong>Conclusion: </strong>Intraoperative mapping angiographies help to define the main patterns of the parathyroid vessels according to their contact with the thyroid and provide surgically useful information about spatial vessel distribution.</p>","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 3","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143603151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}