Surgical Innovation最新文献

HernIA: Real-Time Anatomical Structure Segmentation in Video Laparoscopic Inguinal Hernioplasties With AI. 疝：人工智能在视频腹腔镜腹股沟疝成形术中的实时解剖结构分割。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-17 DOI: 10.1177/15533506251352101

Franco J Marcelo, Pablo Zalazar, Florisel Papasidero, Ciro Hernandez, Jorge Ruiz Todone

{"title":"HernIA: Real-Time Anatomical Structure Segmentation in Video Laparoscopic Inguinal Hernioplasties With AI.","authors":"Franco J Marcelo, Pablo Zalazar, Florisel Papasidero, Ciro Hernandez, Jorge Ruiz Todone","doi":"10.1177/15533506251352101","DOIUrl":"https://doi.org/10.1177/15533506251352101","url":null,"abstract":"BackgroundLaparoscopic transabdominal preperitoneal (TAPP) hernioplasty, a minimally invasive procedure, reduces postoperative pain and recovery time but faces challenges like the \"ping-pong effect\" (alternating focus between operative field and monitors) and a 1%-2% error rate due to anatomical misidentification, risking complications like vascular injuries.ObjectiveTo develop and validate HernIA, an AI-based system for real-time segmentation of anatomical structures in TAPP, targeting an Intersection over Union (IoU) ≥85% and error reduction ≥50% compared to manual identification.MethodsHernIA employs YOLOv11m-seg, trained on 21 443 annotated laparoscopic images from 45 TAPP procedures at Clinica Colón and Hospital de Campaña Escuela Hogar. Annotation by expert laparoscopists achieved high inter-rater reliability (Cohen's kappa = 0.87). Validation used 5-fold cross-validation and a 10 800-frame dataset.ResultsHernIA achieved an IoU of 89.4% (±2.1%), Jaccard Index of 81.2%, mAP@50 of 92.3%, and F1 score of 0.94 (confidence threshold ∼0.45). It reduced identification errors by 62% in a simulated TAPP environment (10 800 frames, 24 FPS, 42 ms latency). Clinical validation was limited to one case of bilateral hernia repair.ConclusionHernIA enhances surgical precision and training in TAPP, with potential to reduce complications. Multi-center trials are needed to confirm generalizability.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251352101"},"PeriodicalIF":1.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retroperitoneal Laparoscopic Repair of Primary Lumbar Hernia Using Self-Gripping Mesh. 腹膜后腹腔镜下自夹持补片修复原发性腰疝。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-17 DOI: 10.1177/15533506251348535

Huadong Du, Yingmo Shen, Huiqi Yang, Yilin Zhu

{"title":"Retroperitoneal Laparoscopic Repair of Primary Lumbar Hernia Using Self-Gripping Mesh.","authors":"Huadong Du, Yingmo Shen, Huiqi Yang, Yilin Zhu","doi":"10.1177/15533506251348535","DOIUrl":"https://doi.org/10.1177/15533506251348535","url":null,"abstract":"ObjectiveThe aim of this study was to explore the safety and efficacy of retroperitoneal laparoscopic repair of primary lumbar hernia using Self-Gripping mesh.MethodsThis retrospective study included 11 patients with primary lumbar hernias who underwent retroperitoneal laparoscopic repair with Self-Gripping mesh from May 2020 to October 2023 in our hospital. Observation indicators were intraoperative measured diameter of hernia ring defect, operation time, length of hospital stay, postoperative follow-up, complications, postoperative visual analogue scale (VAS) score, chronic pain.ResultsThe operations were completed successfully in 11 cases. The mean diameter of hernia ring was 2.57 ± 0.49 cm (ranged from 2.0 to 3.0 cm), the mean operation time was 53.31 ± 19.33 min (ranged from 35 to 90 min), the intraoperative blood loss was 3.01 ± 1.43 mL (ranged from 2 to 10 mL), and the mean postoperative hospital stay was 2.43 ± 1.41 days (ranged from 1 to 4 days). The mean postoperative VAS scores at 24 h were 1.10 ± 0.32 (ranged from 1 to 2). All cases were followed up for 21.05 ± 16.73 months (ranged from 3 to 42 months) without seroma, hematoma, incision or mesh infection, recurrence and obvious chronic pain.ConclusionRetroperitoneal laparoscopic repair of primary lumbar hernia using Self-Gripping mesh is safe and feasible. Its efficacy in the short term is favorable.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"15533506251348535"},"PeriodicalIF":1.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comments on "Minimally Invasive Treatment of Pelvic Fractures With Titanium Elastic Nailing: An Innovative Technology". “钛弹性钉微创治疗骨盆骨折：一项创新技术”评论。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-10 DOI: 10.1177/15533506251351461

Marco Antonio Altamirano-Cruz

引用次数: 0

A Novel Surgical Technique for Transsphincteric Anal Fistulas: A Comparison Between the Modified Submucosal Ligation of Fistula Tract (MSLOFT) and the Hybrid Seton Techiniques - A Propensity Score Matching Analysis. 一种新的经括约肌肛瘘手术技术：改良粘膜下瘘道结扎术（MSLOFT）与混合Seton技术的比较-倾向评分匹配分析。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-01 Epub Date: 2025-02-10 DOI: 10.1177/15533506251320296

Ramazan Gündoğdu, Afig Gojayev, Murathan Erkent, Tevfik Avcı, Murat Kuş, Serkan Erkan, Hüseyin Onur Aydın, Ali Ezer

{"title":"A Novel Surgical Technique for Transsphincteric Anal Fistulas: A Comparison Between the Modified Submucosal Ligation of Fistula Tract (MSLOFT) and the Hybrid Seton Techiniques - A Propensity Score Matching Analysis.","authors":"Ramazan Gündoğdu, Afig Gojayev, Murathan Erkent, Tevfik Avcı, Murat Kuş, Serkan Erkan, Hüseyin Onur Aydın, Ali Ezer","doi":"10.1177/15533506251320296","DOIUrl":"10.1177/15533506251320296","url":null,"abstract":"BackgroundThis study aimed to compare the outcomes of a modified submucosal ligation of the fistula tract (MSLOFT) technique with the hybrid seton technique for treating transsphincteric anal fistulas.Material and MethodsA retrospective analysis was conducted with ethical approval from Baskent University. Patients over 18 years of age with a diagnosis of transsphincteric fistula and complete data were included in the study. Patients with fistulas of non-cryptoglandular origin, incontinence, multiple fistula tracts, inflammatory bowel disease, or malignancy were excluded. The study involved 255 patients, divided into: MSLOFT (n = 31) and hybrid seton (n = 224) groups. Propensity score matching (PSM) was performed to balance age, gender, and body mass index between the groups, resulting in 30 patients per group.ResultsThere was no significant difference between the MSLOFT and hybrid seton groups regarding Wexner scores, incontinence rates, recurrence, or reoperation rates, in the overall cohort and after PSM. However, in the overall cohort and after PSM analysis, the operation time (P = 0.047) and follow-up time (P < 0.001) of the MSLOFT group were significantly longer. Recurrence was noted in 3 MSLOFT patients and 2 hybrid seton patients after PSM.ConclusionMSLOFT is a feasible and effective sphincter-preserving technique for transsphincteric anal fistulas, providing low recurrence and incontinence rates similar to the hybrid seton technique.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"201-210"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Innovative Low Cost Technique of Hand Port Creation for Hand Assisted Laparoscopic Surgery (HALS)- the AIIMS Technique. 一种用于手辅助腹腔镜手术（HALS）的低成本创新技术——AIIMS技术。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-01 Epub Date: 2025-03-19 DOI: 10.1177/15533506251328761

Asuri Krishna, Sushant Soren, Ramita Mukherjee, V Seenu

引用次数: 0

Imaging Derived Holograms Improve Surgical Outcome in Inexperienced Surgeons: A Meta-Analysis. 成像衍生全息图改善无经验外科医生的手术效果：荟萃分析。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-01 Epub Date: 2025-03-18 DOI: 10.1177/15533506251325351

Andrea Demeco, Francesco Renzi, Antonio Frizziero, Stefano Palermi, Antonello Salerno, Ruben Foresti, Chiara Martini, Cosimo Costantino

{"title":"Imaging Derived Holograms Improve Surgical Outcome in Inexperienced Surgeons: A Meta-Analysis.","authors":"Andrea Demeco, Francesco Renzi, Antonio Frizziero, Stefano Palermi, Antonello Salerno, Ruben Foresti, Chiara Martini, Cosimo Costantino","doi":"10.1177/15533506251325351","DOIUrl":"10.1177/15533506251325351","url":null,"abstract":"BackgroundMixed reality (MR) is an emerging technology that has been employed in medicine, providing a holographic representation of patient anatomy.PurposeThe aim of this review is to examine the use of imaging-derived holograms in the management of musculoskeletal conditions.Research DesingA literature search was performed on PubMed, Embase, Web of Science, Scopus, and Google Scholar up to June 2023, a total of 31 studies were included. A random-effects model was employed for the meta-analysis.ResultsMR has been extensively used in orthopedic surgery, spinal surgery, and interventional procedures for pain management. A 3D model is derived from DICOM images and superimposed on the surgical field. The procedure's accuracy has yielded remarkable results, especially for operators with less surgical experience. Furthermore, this technology minimises the need for intra-procedure imaging, thus reducing radiation exposure.ConclusionThe meta-analysis showed an impact of MR in reducing operatory time and improving inexperienced surgeons' accuracy.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"270-300"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hand-Assisted Laparoscopic Surgery (HALS) as an Alternative to Unplanned Laparoscopic Conversion to Open Surgery (LCOS) in Colectomies for Acute Diverticulitis. 手辅助腹腔镜手术（HALS）在急性憩室炎结肠切除术中替代非计划腹腔镜开放手术（LCOS）。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-01 Epub Date: 2025-01-29 DOI: 10.1177/15533506251317288

Satyam K Ghodasara, Jana K Elsawwah, Stephanie S Hyon, Joseph S Flanagan, Patricia B Stopper, Rolando H Rolandelli, Zoltan H Nemeth

{"title":"Hand-Assisted Laparoscopic Surgery (HALS) as an Alternative to Unplanned Laparoscopic Conversion to Open Surgery (LCOS) in Colectomies for Acute Diverticulitis.","authors":"Satyam K Ghodasara, Jana K Elsawwah, Stephanie S Hyon, Joseph S Flanagan, Patricia B Stopper, Rolando H Rolandelli, Zoltan H Nemeth","doi":"10.1177/15533506251317288","DOIUrl":"10.1177/15533506251317288","url":null,"abstract":"BackgroundIn difficult colorectal cases, surgeons may opt for a hand-assisted laparoscopic (HALS) colectomy or attempt a laparoscopic surgery that may require an unplanned conversion to open (LCOS). We aimed to compare the clinical outcomes of these 2 types of surgeries.MethodsColectomies for acute diverticulitis with a HALS or LCOS surgery were selected from the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) 2022 Targeted Colectomy Database. After confirming a difference in propensity scores between the cohorts, they were matched using propensity score matching (PSM) based on preoperative factors. RStudio was utilized for filtering and performing the PSM, while Minitab was used for statistical analysis.ResultsWe identified 804 HALS colectomies and 284 LCOS colectomies. After PSM, both cohorts contained 284 patients. Absolute standardized mean errors for all matched factors were less than 0.1, confirming well-balanced cohorts. Following PSM, preoperative and perioperative factors were similar between both colectomy groups. Postoperatively, HALS surgeries had a shorter average length of stay (7.67 ± 0.38 vs 10.57 ± 0.41, P < 0.001) as well as lower rates of ileus (13.73% vs 22.54%, P = 0.007) and superficial surgical site infection (2.11% vs 5.28%, P = 0.045).ConclusionTo the best of our knowledge, this is the first national database study comparing HALS and LCOS colectomies. After accounting for confounding variables, our PSM analysis showed the benefits of HALS colectomies for acute diverticulitis. Future studies may use single-center data containing risk adjustment profiles to create an even more uniform comparison.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"222-228"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparative Evaluation of Laparoscopic Origami Crane Training With 3D and 2D Laparoscopy: Correlation With Fundamentals of Laparoscopic Surgery Scores. 三维和二维腹腔镜下折纸鹤训练的比较评价：与腹腔镜手术基础评分的相关性。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-01 Epub Date: 2025-03-04 DOI: 10.1177/15533506251324486

Shoichiro Mizukami, Tatsuya Shonaka, Tomohiro Takeda, Hiroki Takahata, Ryotaro Shimazaki, Masahide Otani, Mizuho Ohara, Chikayoshi Tani, Kimiharu Hasegawa, Hideki Yokoo

{"title":"Comparative Evaluation of Laparoscopic Origami Crane Training With 3D and 2D Laparoscopy: Correlation With Fundamentals of Laparoscopic Surgery Scores.","authors":"Shoichiro Mizukami, Tatsuya Shonaka, Tomohiro Takeda, Hiroki Takahata, Ryotaro Shimazaki, Masahide Otani, Mizuho Ohara, Chikayoshi Tani, Kimiharu Hasegawa, Hideki Yokoo","doi":"10.1177/15533506251324486","DOIUrl":"10.1177/15533506251324486","url":null,"abstract":"Objective. This prospective comparative study evaluated the efficacy and relationship between laparoscopic origami crane training (LOCT) and the Fundamentals of Laparoscopic Surgery (FLS) score using 3D vs 2D laparoscopy.Methods. From 2020 to 2023, fourth-year medical students at Asahikawa Medical University created 20 origami cranes (1 per day) in a laparoscopic dry box. FLS scores were assessed 5 times, corresponding to every fifth crane. Primary outcomes included LOCT production time, quality, and FLS scores, analyzed using the Mann-Whitney U test and repeated-measures ANOVA.Results. Eighteen participants were divided into 2 groups: 8 in the 3D laparoscopy (3D) group and ten in the 2D laparoscopy (2D) group. At the end of the study, the 3D group (16.5 min) produced cranes significantly faster than the 2D group (27 min, P = 0.02). Repeated-measures ANOVA showed that the production time, origami crane score, and FLS score improved over time. The 3D group had a significantly shorter production time (F (1, 16) = 8, P = 0.01). The origami crane score was not significantly different between the groups (F (1, 7) = 3, P = 0.13) but tended to be higher in the 3D group. No significant differences were found in the FLS scores between the groups for any task. A significant negative correlation between LOCT production time and FLS score in both groups confirmed that shorter production time correlated with higher FLS scores.Conclusions. LOCT is effective for extraclinical laparoscopic training and correlates with FLS scores. 3D laparoscopy may help beginners develop depth perception, improve bimanual and hand-eye coordination, and enhance LOCT effectiveness.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"262-269"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Role of AI in Modern Hernia Surgery: A Review and Practical Insights. 人工智能在现代疝气手术中的作用：综述与实践见解。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-01 Epub Date: 2025-03-19 DOI: 10.1177/15533506251328481

Gabriela Restrepo-Rodas, Juan S Barajas-Gamboa, Freddy Miguel Ortiz Aparicio, Juan Pablo Pantoja, Carlos Abril, Suleiman Al-Baqain, John Rodriguez, Alfredo D Guerron

{"title":"The Role of AI in Modern Hernia Surgery: A Review and Practical Insights.","authors":"Gabriela Restrepo-Rodas, Juan S Barajas-Gamboa, Freddy Miguel Ortiz Aparicio, Juan Pablo Pantoja, Carlos Abril, Suleiman Al-Baqain, John Rodriguez, Alfredo D Guerron","doi":"10.1177/15533506251328481","DOIUrl":"10.1177/15533506251328481","url":null,"abstract":"BackgroundArtificial intelligence (AI) is revolutionizing various aspects of health care, particularly in the surgical field, where it offers significant potential for improving surgical risk assessment, predictive analytics, and research advancement. Despite the development of numerous AI models in surgery, there remains a notable gap in understanding their specific application within the context of hernia surgery.PurposeThis review aims to explore the evolution of AI utilization in hernia surgery over the past 2 decades, focusing on the contributions of Machine Learning (ML), Natural Language Processing (NLP), Computer Vision (CV), and Robotics.ResultsWe discuss how these AI fields enhance surgical outcomes and advance research in the domain of hernia surgery. ML focuses on developing and training prediction models, while NLP enables seamless human-computer interaction through the use of Large Language Models (LLMs). CV assists in critical view detection, which is crucial in procedures such as inguinal hernia repair, and robotics improves minimally invasive techniques, dexterity, and precision. We examine recent evidence and the applicability of various AI models on hernia patients, considering the strengths, limitations, and future possibilities within each field.ConclusionBy consolidating the impact of AI models on hernia surgery, this review provides insights into the potential of AI for advancing patient care and surgical techniques in this field, ultimately contributing to the ongoing evolution of surgical practice.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"301-311"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Apple Vision Pro-guided Laparoscopic Radio Frequency Ablation for Liver Tumors: The Pioneer Experience. Apple Vision Pro-guided腹腔镜射频消融术治疗肝脏肿瘤：先锋体验。

IF 1.2 4区医学

Surgical Innovation Pub Date : 2025-06-01 Epub Date: 2025-01-24 DOI: 10.1177/15533506251316001

Yu-Chieh Tsai, Chin-Cheng Hsiao, Charles Chung-Wei Lin, Ming-Chih Chern, Shih-Wei Huang

{"title":"Apple Vision Pro-guided Laparoscopic Radio Frequency Ablation for Liver Tumors: The Pioneer Experience.","authors":"Yu-Chieh Tsai, Chin-Cheng Hsiao, Charles Chung-Wei Lin, Ming-Chih Chern, Shih-Wei Huang","doi":"10.1177/15533506251316001","DOIUrl":"10.1177/15533506251316001","url":null,"abstract":"Background: This study evaluates the feasibility of Apple Vision Pro goggles as an augmented reality (AR) surgical navigation tool for laparoscopic-assisted ultrasound-guided radiofrequency ablation (RFA) of liver tumors. Traditional RFA is effective but challenging due to the integration of multiple imaging modalities.Purpose: The primary aim of this research is to assess how Vision Pro goggles can enhance the surgical navigation process during RFA, improving tumor localization and the overall effectiveness of the procedure.Research Design: A feasibility study design was used to analyze the implementation of AR technologies in surgical navigation, focusing specifically on their application in laparoscopic surgeries.Study Sample: Participants included patients undergoing laparoscopic-assisted ultrasound-guided RFA, with pre-operative imaging workups involving CT and MRI scans followed by intraoperative laparoscopic sonography.Data Collection and/or Analysis: Data were collected through observations during surgical procedures using the Vision Pro goggles, which displayed various imaging inputs (MRI, 3D reconstruction, and laparoscopic sonography) in the surgeon's field of view. Image manipulation was assessed based on accuracy and effectiveness of tumor ablation.Results: The goggles enhanced tumor localization accuracy and facilitated real-time image manipulation, resulting in effective tumor ablation. Initial results show promising outcomes in the precision and efficiency of the RFA procedure.Conclusions: While the initial results are promising, larger studies are necessary to validate the technology's efficacy and safety. Future research should compare outcomes with traditional methods and explore its applicability to other surgeries, aiming to refine the system further. The Vision Pro goggles potentially represent a significant advancement in surgical technology by improving RFA precision and efficiency.","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":" ","pages":"312-314"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0