British Journal of Surgery最新文献

{"title":"Reducing pancreatic fistula after left-sided pancreatectomy-the search continues.","authors":"Dyre Kleive","doi":"10.1093/bjs/znaf033","DOIUrl":"10.1093/bjs/znaf033","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 2","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490229","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":"Paying homage to all our ancestors: an analytical review of the contributions that shaped modern spinal surgery.","authors":"Baptiste Boukebous, Joseph F Baker, Julia Fanchette, Marc Antoine Rousseau","doi":"10.1093/bjs/znaf009","DOIUrl":"https://doi.org/10.1093/bjs/znaf009","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 2","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655701","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":"Risk of lymph node metastasis in pT2 rectal cancer: a nationwide retrospective analysis.","authors":"Sander C Albers, Ritchie T J Geitenbeek, Eline G M van Geffen, Tania C Sluckin, Sanne-Marije J A Hazen, Miranda Kusters, Pieter J Tanis, Esther C J Consten, Evelien Dekker, Barbara A J Bastiaansen, Jimme K Wiggers, Roel Hompes","doi":"10.1093/bjs/znaf028","DOIUrl":"https://doi.org/10.1093/bjs/znaf028","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 2","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466689","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":"Compression hosiery to avoid post-thrombotic syndrome: CHAPS randomized clinical trial.","authors":"Ankur Thapar, Rebecca Lawton, Andrew Bradbury, Nicky Cullum, Manjit Gohel, Robert Horne, Beverley J Hunt, John Norrie, Joseph Shalhoub, Alun H Davies","doi":"10.1093/bjs/znaf018","DOIUrl":"https://doi.org/10.1093/bjs/znaf018","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 2","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439281","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":"LAsting Symptoms after Oesophageal Resectional Surgery (LASORS): multicentre validation cohort study.","authors":"Heidi Paine, Swathikan Chidambaram, Asif Johar, Nick Maynard, Pernilla Lagergren, Ewen A Griffiths, Paul Behrens, Pritam Singh, Nima Abbassi-Ghadi, Shaun R Preston, Ravinder S Vohra, James Gossage, Tim Underwood, Nick Dai, J Robert O'Neill, Sherif Awad, Borzoueh Mohammadi, Khaled Dawas, Yassar Qureshi, Bilal Alkhaffaf, Rhys Jones, George B Hanna, Sheraz R Markar","doi":"10.1093/bjs/znae319","DOIUrl":"10.1093/bjs/znae319","url":null,"abstract":"<p><strong>Background: </strong>Long-term symptom burden and health-related quality-of-life outcomes after curative oesophageal cancer treatment are poorly understood. Existing tools are cumbersome and do not address the post-treatment population specifically. The aim of this study was to validate the six-symptom LASORS tool for identifying patients after curative oesophageal cancer treatment with poor health-related quality of life and to assess its clinical utility.</p><p><strong>Methods: </strong>Between 2015 and 2019, patients from 15 UK centres who underwent curative-intent oesophageal cancer treatment, and were disease-free at least 1 year after surgery, were invited to participate in the study and complete LASORS and European Organisation for Research and Treatment of Cancer QLQ-C30 and QLQ-OG25 questionnaires. Receiver operating characteristic curve analysis was used to examine the accuracy of the LASORS tool for identifying patients with poor health-related quality of life.</p><p><strong>Results: </strong>A total of 263 patients completed the questionnaire. Four of the six LASORS symptoms were associated with poor health-related quality of life: reduced energy (OR 2.13 (95% c.i. 1.45 to 3.13)); low mood (OR 1.86 (95% c.i. 1.20 to 2.88)); diarrhoea more than three times a day unrelated to eating (OR 1.48 (95% c.i. 1.06 to 2.07)); and bloating or cramping after eating (OR 1.35 (95% c.i. 1.03 to 1.77)). The LASORS tool showed good diagnostic accuracy with an area under the receiver operating characteristic curve of 0.858 for identifying patients with poor health-related quality of life.</p><p><strong>Conclusion: </strong>The six-symptom LASORS tool generated a reliable model for identification of patients with poor health-related quality of life after curative treatment for oesophageal cancer. This is the first tool of its kind to be prospectively validated in the post-esophagectomy population. Clinical utility lies in identification of patients at risk of poor health-related quality of life, ease of use of the tool, and in planning survivorship services.</p>","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 2","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466688","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":"Anterior component separation. Carbonell-Bonafé modified technique.","authors":"Isabel Sierra Fernández, Christian Esteo Verdú, Rafael Sellés Dechent","doi":"10.1093/bjs/znae328","DOIUrl":"https://doi.org/10.1093/bjs/znae328","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 2","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481807","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":"Comparing the efficacy and safety of thromboprophylaxis with enoxaparin versus normal saline after liver transplantation: randomized clinical trial.","authors":"Kunlin Xie, Hongzhao Yang, Shouping Wang, Chenghan Xiao, Tian Lan, Hanyu Jiang, Sheyu Li, Huakang Tu, Jian Yang, Tao Lyv, Jianguo Qiu, Jing Zhou, Zhongwei Zhang, Chengyou Du, Xifeng Wu, Jiwei Huang, Ahmed M Elgendi, Alfred W C Kow, Jiayin Yang, Yong Zeng, Hong Wu","doi":"10.1093/bjs/znae325","DOIUrl":"10.1093/bjs/znae325","url":null,"abstract":"<p><strong>Background: </strong>Venous thrombosis represents a significant complication after deceased-donor liver transplantation, yet there are currently no established protocols for thromboprophylaxis after deceased-donor liver transplantation. The aim of this study was to evaluate the efficacy and safety of prophylactic anticoagulation in patients undergoing deceased-donor liver transplantation.</p><p><strong>Methods: </strong>A dual-centre RCT of patients assigned to receive either enoxaparin or normal saline after liver transplantation was conducted. The primary efficacy outcome was the incidence of venous thrombosis (portal vein thrombosis and deep vein thrombosis) and the primary safety outcome was the incidence of major bleeding.</p><p><strong>Results: </strong>A total of 462 patients were recruited. In the intention-to-treat analysis, 89 patients (19.3%) experienced venous thrombosis and 141 patients (30.5%) experienced major bleeding within 90 days after transplantation. No significant differences were observed in the incidence of venous thrombosis, portal vein thrombosis, or deep vein thrombosis between the two groups in the intention-to-treat cohort. The anticoagulant group demonstrated a markedly elevated incidence of major bleeding (35.5% versus 25.5%, P = 0.020). Subgroup analysis revealed that anticoagulation was associated with a lower risk of deep vein thrombosis in hepatocellular carcinoma patients (HR 0.44 (95% c.i. 0.23 to 0.86), P = 0.016), without a significantly higher risk of major bleeding.</p><p><strong>Conclusion: </strong>Use of prophylactic anticoagulation with enoxaparin is associated with a significantly higher incidence of major bleeding in patients undergoing deceased-donor liver transplantation, rather than a lower likelihood of venous thrombosis.</p><p><strong>Registration number: </strong>ChiCTR2000032441 (www.chictr.org.cn).</p>","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 2","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481810","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":"Care of neuroendocrine tumours: the Collaborative of sUrgical Teams for NeuroEndocrine Tumors (CUTNETs).","authors":"Julie Hallet, Joel Shapiro, Andreas Pascher, Sébastien Gaujoux, Alexandra Gangi, Ismael Dominguez-Rosado, Massimo Falconi, Stefano Partelli","doi":"10.1093/bjs/znae317","DOIUrl":"https://doi.org/10.1093/bjs/znae317","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 2","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187733","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":"Rectal cancer surgery: radiology roadmaps.","authors":"Edward T Pring, David N Burling, Thomas E Glover, John T Jenkins","doi":"10.1093/bjs/znae270","DOIUrl":"https://doi.org/10.1093/bjs/znae270","url":null,"abstract":"","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 2","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363325","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":"Impact of pre-compression versus non-compression before parenchyma transection in left-sided pancreatic resection on the rate of clinically relevant pancreatic fistula: multicentre randomized clinical trial.","authors":"Tatsuaki Sumiyoshi, Kenichiro Uemura, Shingo Seo, Tsutomu Fujii, Sohei Satoi, Takeshi Miwa, Mina Fukasawa, So Yamaki, Akihiko Oshita, Tomoyuki Abe, Takeshi Sudo, Sho Tazuma, Masaru Sasaki, Yasuhiro Matsugu, Toshihiko Kohashi, Akira Nakashima, Shintaro Kuroda, Koichi Oishi, Masashi Inoue, Keisuke Okano, Hiroyoshi Matsukawa, Hideki Ohdan, Shinya Takahashi","doi":"10.1093/bjs/znaf008","DOIUrl":"https://doi.org/10.1093/bjs/znaf008","url":null,"abstract":"<p><strong>Background: </strong>Previous retrospective studies have demonstrated the effectiveness of parenchymal pre-compression in reducing pancreatic fistula after left-sided pancreatic resection; however, no multicentre RCT has been conducted. The aim of this study was to investigate whether pre-compression reduces grade B/C pancreatic fistula after left-sided pancreatic resection.</p><p><strong>Methods: </strong>Between 23 March 2021 and 26 January 2023, patients scheduled for left-sided pancreatic resection were enrolled in a multicentre RCT at 13 hospitals in Japan. These patients were randomly assigned (1 : 1) to the pre-compression group or the non-compression group. The primary endpoint was the incidence of grade B/C pancreatic fistula and the secondary endpoint was it in the subgroup.</p><p><strong>Results: </strong>Overall, 180 patients were assigned to the pre-compression group and the non-compression group (92 patients and 88 patients respectively) and 171 patients were analysed (88 patients in the pre-compression group and 83 patients in the non-compression group). Grade B/C pancreatic fistula was observed in 22 patients (12.9%), including 11 of 88 patients (12.5%) in the pre-compression group and 11 of 83 patients (13.3%) in the non-compression group (OR 0.94 (95% c.i. 0.38 to 2.31); P = 0.883).</p><p><strong>Conclusion: </strong>A statistically significant difference in the incidence of grade B/C pancreatic fistula was not observed between the pre-compression group and the non-compression group.</p><p><strong>Registration number: </strong>UMIN000042700 (https://www.umin.ac.jp).</p>","PeriodicalId":136,"journal":{"name":"British Journal of Surgery","volume":"112 2","pages":""},"PeriodicalIF":8.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555378","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}