International journal of surgery最新文献

{"title":"Assessment of surgery delay-associated risk in resectable stages I-IIIA non-small-cell lung cancer.","authors":"Zhenyi Niu, Yijun Wu, Runsen Jin, Hecheng Li","doi":"10.1097/JS9.0000000000001612","DOIUrl":"10.1097/JS9.0000000000001612","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":"5847-5849"},"PeriodicalIF":12.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The professionalism of ChatGPT in the field of surgery: low or high level?","authors":"Haiyang Wu, Wanqing Li, Xiaofeng Chen, Cheng Li","doi":"10.1097/JS9.0000000000001618","DOIUrl":"10.1097/JS9.0000000000001618","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":"5859-5860"},"PeriodicalIF":12.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A commentary on 'Comparative long-term outcomes of natural orifice specimen extraction surgery and conventional laparoscopic colectomy for left-sided colorectal cancer: a propensity score-matched analysis'.","authors":"Zechuan Wang, Qiang Hu, Fengru Zhou","doi":"10.1097/JS9.0000000000001637","DOIUrl":"10.1097/JS9.0000000000001637","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":"5887-5888"},"PeriodicalIF":12.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140943731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integration of GPT-4 into multimodal bioinformatics for surgical specimens.","authors":"Siqi Fan, Yue Zheng, Xu Sun, Ailin Zhao, Yijun Wu","doi":"10.1097/JS9.0000000000001617","DOIUrl":"10.1097/JS9.0000000000001617","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":"5854-5856"},"PeriodicalIF":12.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140944473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dexmedetomidine use during orthotopic liver transplantation surgery on early allograft dysfunction: a randomized controlled trial.","authors":"Liqun Yang, Ling Zhu, Bo Qi, Yin Zhang, Chenlu Ni, Yijue Zhang, Xiao Shi, Qiang Xia, Joe Masters, Daqing Ma, Weifeng Yu","doi":"10.1097/JS9.0000000000001669","DOIUrl":"10.1097/JS9.0000000000001669","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have shown a protective effect of dexmedetomidine use in kidney transplantation. In contrast, it is not known whether intraoperative administration of dexmedetomidine can reduce early allograft dysfunction (EAD) incidence following liver transplantation.</p><p><strong>Objective: </strong>To investigate the effect of dexmedetomidine use during surgery on EAD following orthotopic liver transplantation (OLT).</p><p><strong>Study design: </strong>This is a single-center, double-blinded, placebo-controlled randomized clinical trial. Three hundred thirty adult patients undergoing OLT were enrolled from 14th January 2019 to 22nd May 2022. Patients received dexmedetomidine or normal saline during surgery. One year follow-ups were recorded.</p><p><strong>Methods: </strong>Patients were randomized to two groups receiving either dexmedetomidine or normal saline intraoperatively. For patients in the dexmedetomidine group, a loading dose (1 μg/kg over 10 min) of dexmedetomidine was given after induction of anesthesia followed by a continuous infusion (0.5 μg/kg /h) until the end of surgery. For patients in the normal saline group, an equal volume loading dose of 0.9% saline was given after the induction of anesthesia followed by an equal volume continuous infusion until the end of surgery. The primary outcome was EAD. Secondary outcomes included primary graft nonfunction, acute kidney injury, and acute lung injury/acute respiratory distress syndrome.</p><p><strong>Results: </strong>Of 330 patients included in the intention-to-treat analysis, 165 were in the dexmedetomidine group [mean (SD) age, 49 (10) years; 117 (70.9%) men], and 165 were in the normal saline group [mean SD age, 49 (9) years; 118 (74%) men]. 39 (24.4%) patients in the dexmedetomidine group and 31 (19.4%) in normal saline group developed EAD and the difference was statistically insignificant ( P =0.28). Secondary outcomes including primary graft nonfunction and acute kidney injury was similar between the two groups.</p><p><strong>Conclusion: </strong>Intraoperative administration of dexmedetomidine did not reduce EAD rate after OLT.</p>","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":"5518-5526"},"PeriodicalIF":12.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applications of generative AI in peer review process: friend or foe?","authors":"Haiyang Wu, Zaijie Sun, Qiang Guo, Cheng Li","doi":"10.1097/JS9.0000000000001689","DOIUrl":"10.1097/JS9.0000000000001689","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":"5921-5922"},"PeriodicalIF":12.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Generative AI intervention clinical trials: a call for pre-registration - correspondence.","authors":"Haiyang Wu, Zaijie Sun, Qiang Guo, Xiaojun Liu, Kunming Cheng, Cheng Li","doi":"10.1097/JS9.0000000000001690","DOIUrl":"10.1097/JS9.0000000000001690","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":"5926-5927"},"PeriodicalIF":12.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of combined extrahepatic bile duct resection in radically resected cases with intrahepatic cholangiocarcinoma: a SEER-based retrospective cohort study and an external validation.","authors":"Tian-Run Lv, Jun-Ke Wang, Fu-Yu Li, Hai-Jie Hu","doi":"10.1097/JS9.0000000000001661","DOIUrl":"10.1097/JS9.0000000000001661","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of the combined extrahepatic bile duct resection (EHBDR) in cases with intrahepatic cholangiocarcinoma (IHCC) in terms of clinicopathological features and long-term survival.</p><p><strong>Methods: </strong>Radically resected cases with IHCC from 2000 to 2020 were identified from Surveillance, Epidemiology, and End Results (SEER) database. Comparative analyses were performed between resected IHCC patients who received EHBDR and those without EHBDR. Moreover, an external validation was further performed based on a single-center cohort.</p><p><strong>Results: </strong>A total of 1521 radically resected cases with IHCC (EHBDR: 189) were identified from the SEER database. Comparable age, sex, race, marital status, liver cirrhosis, differentiation status, and adjuvant chemotherapy were acquired between the two groups. EHBDR was associated with a higher incidence of adequate lymphadenectomy ( P <0.001). The incidence of cases with T3-4 or N+ disease was significantly higher in EHBDR group ( P <0.001). Adjuvant radiotherapy was more frequently performed in cases with EHBDR ( P <0.001). EHBDR failed to bring any survival benefit and was associated with a worse prognosis even after matching. Similar findings have also been revealed in the external validation cohort ( n =522, EHBDR: 117). EHBDR was associated with more extended resections, more aggressive tumor biological features, and worse prognosis. In the matched validation cohort, EHBDR was still associated with a higher incidence of early recurrence.</p><p><strong>Conclusion: </strong>EHBDR was an indicator of the advanced stage and failed to bring any survival benefit. It is the tumor stage that really determines the prognosis. More in-depth analyses focusing on different situations of EHBDR with more detailed clinical data are required.</p>","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":"5342-5354"},"PeriodicalIF":12.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141093649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prognostic impact of tumor location in nonmuscle-invasive bladder cancer patients undergoing transurethral resection: insights from a cohort study utilizing Chinese multicenter and SEER registries.","authors":"Lilong Liu, Kaiwen Li, Shao-Gang Wang, Jianli Wang, Zhipeng Yao, Yu Xie, Zhigang Ji, Zhiwen Chen, Hailong Hu, Haige Chen, Junyi Hu, Yaxin Hou, Zhenghao Liu, Yang Li, Yuhong Ding, Yingchun Kuang, Yang Xun, Jia Hu, Jiaqiao Zhang, Heng Li, Tie Chong, Jianbin Bi, Zhiping Wang, Yinhuai Wang, Peng Zhang, Qiang Wei, Zhaohui Chen, Lei Li, Jian Huang, Zheng Liu, Ke Chen","doi":"10.1097/JS9.0000000000001675","DOIUrl":"10.1097/JS9.0000000000001675","url":null,"abstract":"<p><strong>Objective: </strong>Most bladder cancers are nonmuscle invasive bladder cancer (NMIBC), and transurethral resection of bladder tumors (TURBT) is the standard treatment. However, postoperative recurrence remains a significant challenge, and the influence of bladder tumor location on prognosis is still unclear. This study aims to investigate how tumor location affects the prognosis of NMIBC patients undergoing TURBT and to identify the optimal surgical approach.</p><p><strong>Methods: </strong>A multicenter study was conducted, which included Chinese NMIBC data from 15 hospitals (1996-2019) and data from 17 registries of the Surveillance, Epidemiology, and End Results database (SEER) (2000-2020). Patients initially diagnosed with NMIBC and undergoing TURBT or partial cystectomy were analyzed, with cases lost to follow-up or with missing data excluded. The study investigated the overall survival (OS), disease-specific survival (DSS), and recurrence-free survival (RFS) among patients with different tumor locations. Kaplan-Meier, Cox regression, and propensity score matching methods were employed to explore the association between tumor location and prognosis. Stratified populations were analyzed to minimize bias.</p><p><strong>Results: </strong>This study included 118 477 NMIBC patients and highlighted tumor location as a crucial factor impacting post-TURBT prognosis. Both anterior wall and dome tumors independently predicted adverse outcomes in two cohorts. For anterior wall tumors, the Chinese cohort showed hazard ratios (HR) for OS of 4.35 ( P <0.0001); RFS of 2.21 ( P <0.0001); SEER cohort OS HR of 1.10 ( P =0.0001); DSS HR of 1.13 ( P =0.0183). Dome tumors displayed similar trends [Chinese NMIBC cohort OS HR of 7.91 ( P <0.0001); RFS HR of 2.12 ( P <0.0001); SEER OS HR of 1.05 ( P =0.0087); DSS HR of 1.14 ( P =0.0006)]. Partial cystectomy significantly improved the survival of dome tumor patients compared to standard TURBT treatment ( P <0.01).</p><p><strong>Conclusion: </strong>This study reveals the significant impact of tumor location in NMIBC patients on the outcomes of TURBT treatment, with tumors in the anterior wall and bladder dome showing poor post-TURBT prognosis. Compared to TURBT treatment, partial cystectomy improves the prognosis for bladder dome tumors. This study provides guidance for personalized treatment and prognosis management for NMIBC patients.</p>","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":"5641-5651"},"PeriodicalIF":12.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141093650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comment to 'Efficacy of surgical intervention over conservative management in intertrochanteric fractures among nonagenarians and centenarians: a prospective cohort study'.","authors":"Jiaan Lu, Guanhu Yang, Hao Chi, Qinglai Wang","doi":"10.1097/JS9.0000000000001740","DOIUrl":"10.1097/JS9.0000000000001740","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":"6022-6023"},"PeriodicalIF":12.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11392104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}