Surgery Today最新文献_第9页

Prognostic impact of subcutaneous fat quality and sarcopenia on the survival outcomes in patients with colorectal cancer. 结直肠癌患者皮下脂肪质量和肌肉减少对生存结果的影响。

IF 1.6 4区医学

Surgery Today Pub Date : 2025-08-01 Epub Date: 2025-01-10 DOI: 10.1007/s00595-024-02985-w

Takaaki Fujimoto, Koji Tamura, Kinuko Nagayoshi, Yusuke Mizuuchi, Yuta Okada, Satoru Osajima, Kyoko Hisano, Kohei Horioka, Koji Shindo, Naoki Ikenaga, Kohei Nakata, Kenoki Ohuchida, Masafumi Nakamura

{"title":"Prognostic impact of subcutaneous fat quality and sarcopenia on the survival outcomes in patients with colorectal cancer.","authors":"Takaaki Fujimoto, Koji Tamura, Kinuko Nagayoshi, Yusuke Mizuuchi, Yuta Okada, Satoru Osajima, Kyoko Hisano, Kohei Horioka, Koji Shindo, Naoki Ikenaga, Kohei Nakata, Kenoki Ohuchida, Masafumi Nakamura","doi":"10.1007/s00595-024-02985-w","DOIUrl":"10.1007/s00595-024-02985-w","url":null,"abstract":"Purpose: This study aimed to evaluate the relationship between the quantity and quality of subcutaneous fat and prognosis following colorectal cancer resection.Method: We conducted a retrospective analysis of the clinical data of 399 patients who underwent curative resection for stage 2 or 3 colorectal cancer between January 2013 and March 2019. This study examined the correlation between sarcopenia and various fat parameters, including fat area and density, and assessed their impact on the prognosis.Results: Sarcopenia was associated with a lower subcutaneous and visceral fat area, higher Hounsfield unit value in subcutaneous fat, and reduced modified intramuscular adipose tissue content in the multifidus, erector spinae, and psoas muscles. A low modified intramuscular adipose tissue content in the multifidus and erector spinae muscles was an independent prognostic factor for overall survival (hazard ratio, 2.28; p = 0.0329) and recurrence-free survival (hazard ratio: 2.32, p = 0.0233). Additionally, subcutaneous fat with a high Hounsfield unit was an independent predictor of a recurrence-free survival (hazard ratio, 2.68; p = 0.0142).Conclusion: Subcutaneous fat quality is correlated with sarcopenia and it thus serves as a prognostic factor for recurrence after stage 2 or 3 colorectal cancer resection.","PeriodicalId":22163,"journal":{"name":"Surgery Today","volume":" ","pages":"1032-1042"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955418","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

Clinicopathological features and perioperative outcomes of robot-assisted thoracoscopic surgery for primary lung cancer: An analysis of initial outcomes based on the National Clinical Database. 机器人辅助胸腔镜手术治疗原发性肺癌的临床病理特征和围手术期结果：基于国家临床数据库的初步结果分析

IF 1.6 4区医学

Surgery Today Pub Date : 2025-08-01 Epub Date: 2025-02-07 DOI: 10.1007/s00595-025-02992-5

Tomohiro Haruki, Hiroyuki Yamamoto, Yasushi Hoshikawa, Hisashi Iwata, Yukio Sato, Kenji Suzuki, Ichiro Yoshino

{"title":"Clinicopathological features and perioperative outcomes of robot-assisted thoracoscopic surgery for primary lung cancer: An analysis of initial outcomes based on the National Clinical Database.","authors":"Tomohiro Haruki, Hiroyuki Yamamoto, Yasushi Hoshikawa, Hisashi Iwata, Yukio Sato, Kenji Suzuki, Ichiro Yoshino","doi":"10.1007/s00595-025-02992-5","DOIUrl":"10.1007/s00595-025-02992-5","url":null,"abstract":"Purpose: To analyze the clinicopathological features and perioperative outcomes of patients who underwent robot-assisted thoracoscopic surgery (RATS) for primary lung cancer in the initial period after insurance approval in Japan.Methods: The data source was the National Clinical Database, using four annual datasets (2018, 2019, 2020, and 2021) that included information on individuals who underwent lobectomy with lymph-node dissection via robot-assisted thoracoscopic surgery for primary lung cancer. Clinicopathological features and perioperative outcomes by year were analyzed descriptively.Results: The median console time was reduced by 22 min from 2018 to 2021 (from 171 min to 149 min, respectively). The median overall operative time was also reduced by 29 min from 2018 to 2021 (from 245 min to 216 min, respectively). The conversion rate from robotic to other approaches was 3.5% in 2018 and 2.4% in 2021, with the frequency decreasing each year. The incidence of postoperative complications ranged from 14.6% to 16.6%, and the 90-day mortality rate ranged from 0.3% to 0.5%, with no remarkable change within the study period.Conclusions: The initial perioperative outcomes of RATS for lung cancer in Japan were favorable. Further accumulation of cases and comparative analyses of long-term outcomes with other approaches are expected.","PeriodicalId":22163,"journal":{"name":"Surgery Today","volume":" ","pages":"1124-1131"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366012","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

Regional disparity in surgical residency training and work environment between urban and regional hospitals: an additional perspective from a nationwide survey of surgical residents. 城市和区域医院之间外科住院医师培训和工作环境的地区差异：来自全国外科住院医师调查的另一个视角。

IF 1.6 4区医学

Surgery Today Pub Date : 2025-08-01 Epub Date: 2025-02-11 DOI: 10.1007/s00595-025-03011-3

Genki Watanabe, Jun Watanabe, Saki Hayashi, Takaaki Konishi, Saseem Poudel, Yoshiyuki Kiyasu, Masayuki Fukumoto, Takahiro Korai, Shinsuke Nomura, Naohiro Yamamoto, Masao Nakajima, Keiko Hosoya, Mitsue Saito

{"title":"Regional disparity in surgical residency training and work environment between urban and regional hospitals: an additional perspective from a nationwide survey of surgical residents.","authors":"Genki Watanabe, Jun Watanabe, Saki Hayashi, Takaaki Konishi, Saseem Poudel, Yoshiyuki Kiyasu, Masayuki Fukumoto, Takahiro Korai, Shinsuke Nomura, Naohiro Yamamoto, Masao Nakajima, Keiko Hosoya, Mitsue Saito","doi":"10.1007/s00595-025-03011-3","DOIUrl":"10.1007/s00595-025-03011-3","url":null,"abstract":"Purpose: To investigate the current status of regional disparities in surgical residency training between urban and regional hospitals.Methods: Based on a nationwide online questionnaire survey of newly certified surgical trainees, the responding residents were divided into the following two groups according to the size of the city in which they had trained: the urban city group (UC group; population > 1 million) and the regional city group (RC group; population < 1 million. Surgical education and work environment of the two groups were compared.Results: The UC group (n = 317, 42%) was characterized by greater post-graduate experience, older age, a higher proportion of female surgeons, and a higher percentage of full-time working partners relative to the RC group (n = 439, 58%). More residents in the UC group were from urban areas, whereas the RC group had more residents from regional areas. No differences were observed in the number of surgeries performed, published papers, opportunities for off-the-job training, or satisfaction with the surgical residency training program. With the exception of higher income in the RC group, no differences were observed for other factors related to the work environment.Conclusions: There was little regional disparity regarding the impressions of surgical residency training between urban and regional cities, including surgical education and work environment.","PeriodicalId":22163,"journal":{"name":"Surgery Today","volume":" ","pages":"1143-1154"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399961","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

Effect of ground-glass opacity components on the recurrence of pathological stage IB non-small cell lung cancer harboring epidermal growth factor receptor mutations. 毛玻璃混浊成分对伴有表皮生长因子受体突变的病理期IB非小细胞肺癌复发的影响

IF 1.6 4区医学

Surgery Today Pub Date : 2025-08-01 Epub Date: 2025-02-03 DOI: 10.1007/s00595-025-03006-0

Yukio Watanabe, Takuo Hayashi, Aritoshi Hattori, Mariko Fukui, Takeshi Matsunaga, Momoko Tonosaki, Kazuya Takamochi, Kenji Suzuki

{"title":"Effect of ground-glass opacity components on the recurrence of pathological stage IB non-small cell lung cancer harboring epidermal growth factor receptor mutations.","authors":"Yukio Watanabe, Takuo Hayashi, Aritoshi Hattori, Mariko Fukui, Takeshi Matsunaga, Momoko Tonosaki, Kazuya Takamochi, Kenji Suzuki","doi":"10.1007/s00595-025-03006-0","DOIUrl":"10.1007/s00595-025-03006-0","url":null,"abstract":"Purpose: This study aimed to examine the influence of ground-glass opacity (GGO) on the prognosis of epidermal growth factor receptor (EGFR)-mutated pathological (p)-stage IB non-small cell lung cancer (NSCLC).Methods: Between 2009 and 2021, 115 patients underwent complete anatomical lung resection with mediastinal lymphadenectomy for p-stage IB non-squamous NSCLC harboring common EGFR mutations. The patients were classified into the part-solid and pure-solid arms based on the presence of GGO components.Results: The median follow-up time was 70.2 months. Sixty-seven patients (58%) had pure-solid tumors and 112 (97%) were diagnosed with adenocarcinoma. No patients received adjuvant EGFR-tyrosine kinase inhibitors (TKIs). The 5-year disease-free survival (DFS) rates in the pure-solid arm were significantly lower than those in the part-solid arm (5-year DFS: 45.3% vs. 86.8%, p < 0.01). The 5-year cumulative incidence of recurrence was higher in the pure-solid arm than that in the part-solid arm (49.9% vs. 9.0%, p < 0.01). A multivariable analysis revealed that pure-solid tumors were an independent prognostic predictor of disease-free survival, whereas pathological factors were not.Conclusions: In EGFR-mutated p-stage IB NSCLC, pure-solid tumors were significant predictors of DFS. The presence of GGO components should be considered in the decision criteria for adjuvant therapy with TKIs.","PeriodicalId":22163,"journal":{"name":"Surgery Today","volume":" ","pages":"1107-1115"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123742","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

A comparison of the diagnostic ability of 1-mm computed tomography and 3-mm magnetic resonance imaging for detecting lateral pelvic lymph node metastases from rectal cancer. 1毫米计算机断层扫描和3毫米磁共振成像对直肠癌盆腔外侧淋巴结转移的诊断能力比较。

IF 1.6 4区医学

Surgery Today Pub Date : 2025-08-01 Epub Date: 2025-02-26 DOI: 10.1007/s00595-025-03018-w

Ryutaro Kobayashi, Kay Uehara, Tomoki Ebata, Hiroshi Yatsuya, Yuanying Li, Koya Hida, Yojiro Hashiguchi, Soichiro Ishihara, Shimpei Ogawa, Akio Shiomi, Kazushige Kawai, Yoichi Ajioka

{"title":"A comparison of the diagnostic ability of 1-mm computed tomography and 3-mm magnetic resonance imaging for detecting lateral pelvic lymph node metastases from rectal cancer.","authors":"Ryutaro Kobayashi, Kay Uehara, Tomoki Ebata, Hiroshi Yatsuya, Yuanying Li, Koya Hida, Yojiro Hashiguchi, Soichiro Ishihara, Shimpei Ogawa, Akio Shiomi, Kazushige Kawai, Yoichi Ajioka","doi":"10.1007/s00595-025-03018-w","DOIUrl":"10.1007/s00595-025-03018-w","url":null,"abstract":"Aim: The best modality for evaluating lateral pelvic lymph node (LPLN) metastases from rectal cancer remains unclear. This study compared the diagnostic ability of 1-mm computed tomography (CT) and 3-mm magnetic resonance imaging (MRI) in identifying LPLN metastases based on size.Methods: This observational study analyzed not individual patients but 191 sides from 100 rectal cancer patients without preoperative treatment for whom preoperative CT and MRI and corresponding pathological results for LPLNs were available. A swollen LPLN was defined as an LN with a short-axis size of ≥5 mm on 1-mm CT.Results: LPLNs were detected significantly more frequently with 1-mm CT than with 3-mm MRI (p < 0.001). Among the 117 sides without swollen LPLNs, metastasis was observed in 1.7% of patients. In contrast, LPLN metastasis was confirmed in 28.4% of 74 sides with swollen LPLNs. In the evaluation of swollen LPLNs, 3-mm MRI yielded a 34% improvement in the diagnostic performance of LPLN metastasis over 1-mm CT (categorical net reclassification improvement: 0.341, p = 0.045).Conclusions: In conclusion, 1-mm CT should be performed preoperatively to evaluate LPLNs. Further evaluations can be omitted in the absence of swollen LPLNs. In patients with swollen LPLNs, a careful assessment of LPLN metastasis should be conducted via additional MRI, even in early T-stage tumors.","PeriodicalId":22163,"journal":{"name":"Surgery Today","volume":" ","pages":"1189-1197"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516473","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

Clinical evaluation of platelet-to-albumin ratio as a predictor of surgical site infection in pediatric patients with ulcerative colitis. 血小板-白蛋白比作为小儿溃疡性结肠炎患者手术部位感染预测因子的临床评价

IF 1.6 4区医学

Surgery Today Pub Date : 2025-08-01 Epub Date: 2025-02-04 DOI: 10.1007/s00595-025-02997-0

Koki Higashi, Yuhki Koike, Yuki Sato, Ma Ruiya, Shinji Yamashita, Yuka Nagano, Tadanobu Shimura, Takahito Kitajima, Kohei Matsushita, Yoshiki Okita, Yoshinaga Okugawa, Yuji Toiyama

{"title":"Clinical evaluation of platelet-to-albumin ratio as a predictor of surgical site infection in pediatric patients with ulcerative colitis.","authors":"Koki Higashi, Yuhki Koike, Yuki Sato, Ma Ruiya, Shinji Yamashita, Yuka Nagano, Tadanobu Shimura, Takahito Kitajima, Kohei Matsushita, Yoshiki Okita, Yoshinaga Okugawa, Yuji Toiyama","doi":"10.1007/s00595-025-02997-0","DOIUrl":"10.1007/s00595-025-02997-0","url":null,"abstract":"Purpose: This study explored the predictive factors for surgical site infection (SSI) in a pediatric ulcerative colitis (UC) population.Methods: Data from 35 patients with UC who underwent surgery before 15 years at Mie University Hospital between January 2000 and December 2022 were retrospectively reviewed. Potential preoperative and intraoperative predictors of SSI, including various demographic and clinical variables, were analyzed using the Mann-Whitney U test and logistic regression analysis. The optimal cutoff value for the variables was determined by examining the receiver operating characteristic curve.Results: Of the 35 patients, 8 (22.9%) experienced SSI. The platelet-to-albumin ratio (PAR) is a more accurate predictor of SSI occurrence than the serum albumin level, platelet count, or C-reactive protein level. The sensitivity and specificity of PAR were 75.0% and 77.8%, respectively, with an area under the curve (AUC) of 0.782 (p = 0.018). A multivariable analysis revealed that preoperative PAR was the only significant independent predictor (cutoff value: 115,000, p = 0.047) when the optimal cutoff value was applied rather than the median value.Conclusions: This study demonstrated the value of the preoperative PAR in the management of pediatric patients with UC. Assessing the patient's PAR before surgery allows proactive treatment to reduce the risk of SSI.","PeriodicalId":22163,"journal":{"name":"Surgery Today","volume":" ","pages":"1116-1123"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190431","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

Maintenance of resection margins in gastrectomy for cancer: simple in procedure, influential in survival-current status and literature review on optimal lengths and positive margins. 胃癌胃切除术中切缘的维持：手术简单，对生存现状的影响及最佳长度和阳性切缘的文献综述

IF 1.6 4区医学

Surgery Today Pub Date : 2025-08-01 Epub Date: 2025-06-07 DOI: 10.1007/s00595-025-03068-0

Masaru Hayami, Manabu Ohashi, Motonari Ri, Rie Makuuchi, Tomoyuki Irino, Takeshi Sano, Souya Nunobe

{"title":"Maintenance of resection margins in gastrectomy for cancer: simple in procedure, influential in survival-current status and literature review on optimal lengths and positive margins.","authors":"Masaru Hayami, Manabu Ohashi, Motonari Ri, Rie Makuuchi, Tomoyuki Irino, Takeshi Sano, Souya Nunobe","doi":"10.1007/s00595-025-03068-0","DOIUrl":"10.1007/s00595-025-03068-0","url":null,"abstract":"Purpose: The prognostic significance of the proximal margin length (PML) and positive resection margins (PRMs) in gastric cancer (GC) remains controversial. International guidelines for PML differ widely, reflecting a lack of consensus on optimal surgical margins. While positive RMs are associated with poor survival, their impact varies according to the tumor stage and nodal involvement.Methods: A comprehensive review of the relevant literature was conducted to evaluate guideline recommendations on PML, factors influencing pathological negativity, the prognostic impact of PMLs and PRMs, and treatment strategies for cases with PRMs, including incidence, additional resection, and adjuvant therapy.Results: A tumor-specific approach is essential for determining the optimal PML. When achieving the recommended PML is challenging, an intraoperative frozen section (IFS) analysis helps to ensure negative margins while minimizing unnecessary resection. PRMs are associated with poor survival, particularly in early stage GC, whereas their impact in advanced-stage GC is often overshadowed by systemic disease progression. Additional resection may benefit the selection of patients with early stage GC; however, its role in advanced-stage GC remains uncertain.Conclusion: Further research should refine surgical decision-making, optimize PML thresholds, and evaluate the role of multimodal treatment strategies, including molecular profiling and intraoperative imaging techniques. Effective management of PRMs requires balancing oncological safety with functional preservation.","PeriodicalId":22163,"journal":{"name":"Surgery Today","volume":" ","pages":"1013-1023"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249683","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

Dynamics of the prognostic index during the course of treatment for anaplastic thyroid carcinoma. 甲状腺间变性癌治疗过程中预后指标的动态变化。

IF 1.6 4区医学

Surgery Today Pub Date : 2025-08-01 Epub Date: 2025-01-06 DOI: 10.1007/s00595-024-02991-y

Masaomi Sen, Ryo Ito, Takeshi Abe, Hiroko Kazusaka, Mami Matsui, Marie Saitou, Ryuta Nagaoka, Tomoo Jikuzono, Iwao Sugitani

{"title":"Dynamics of the prognostic index during the course of treatment for anaplastic thyroid carcinoma.","authors":"Masaomi Sen, Ryo Ito, Takeshi Abe, Hiroko Kazusaka, Mami Matsui, Marie Saitou, Ryuta Nagaoka, Tomoo Jikuzono, Iwao Sugitani","doi":"10.1007/s00595-024-02991-y","DOIUrl":"10.1007/s00595-024-02991-y","url":null,"abstract":"Purpose: Tumor/node/metastasis staging and prognostic index (PI) are used to predict prognosis and guide treatment for anaplastic thyroid carcinoma (ATC). With the advent of treatments, such as BRAF/MEK inhibitors and immune checkpoint inhibitors, dynamic markers to assess disease status and treatment efficacy are needed. This study examined the utility of PI as a dynamic marker for ATC treatment.Methods: This retrospective study investigated 20 patients with ATC who were treated aggressively from January 2011 to December 2022. Patients were categorized into low-, high-, low-, and high-high groups according to the PI before and after treatment. Survival was then compared between the groups.Results: The median overall survival was not reached for the Low-Low, 363 days for the High-Low, 158.5 days for the Low-High, and 90.5 days for the High-High groups (p < 0.01). Among the 13 patients with an initially high PI, 6 patients achieved a low PI during treatment, but three showed subsequent increases. Categorizing PI further into decreased, temporarily decreased, and non-decreased groups, median overall survival was 363 days, 158.5 days, and 87 days, respectively (p < 0.01).Conclusion: PI is a critical prognostic indicator that facilitates treatment decision-making for ATC. PI may also have potential as a dynamic marker for assessing the disease status and treatment efficacy.","PeriodicalId":22163,"journal":{"name":"Surgery Today","volume":"55 8","pages":"1024-1031"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Questionnaire survey on the long-term quality of life of patients with congenital esophageal atresia in Japan. 日本先天性食管闭锁患者长期生活质量问卷调查。

IF 1.6 4区医学

Surgery Today Pub Date : 2025-08-01 Epub Date: 2025-02-07 DOI: 10.1007/s00595-025-03010-4

Reina Hoshi, Shuichiro Uehara, Jun Fujishiro, Tsugumichi Koshinaga, Tomoaki Taguchi

{"title":"Questionnaire survey on the long-term quality of life of patients with congenital esophageal atresia in Japan.","authors":"Reina Hoshi, Shuichiro Uehara, Jun Fujishiro, Tsugumichi Koshinaga, Tomoaki Taguchi","doi":"10.1007/s00595-025-03010-4","DOIUrl":"10.1007/s00595-025-03010-4","url":null,"abstract":"Purpose: To identify the current challenges faced by children with surgically treated esophageal atresia (EA) at the start of elementary, junior high, and high schools.Methods: Questionnaire surveys were administered at the pediatric surgery departments of 19 representative institutions across Japan between December 1, 2018, and January 31, 2019. The surveys included gross classification, status of hospital visits, surgical procedures, postoperative complications, symptoms at the time of the final evaluation, status of school attendance, and related information at 7, 13, and 16 years old.Results: A total of 572 children with EA were included. Data from 59 first-grade elementary school students, 42 first-year junior high school students, and 30 first-year high school students were extracted for this study. Most postoperative complications remained unresolved, and many children with EA continued to exhibit symptoms at the final evaluation. Despite many children having clinical and academic problems, 33% (43/131) were lost to follow up.Conclusion: Older children with EA experience various problems. Long-term follow-up and continuous support are important for all EA patients.","PeriodicalId":22163,"journal":{"name":"Surgery Today","volume":" ","pages":"1132-1137"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366033","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

Advantages of ultrasound-guided reduction and elective surgery versus emergency repair for incarcerated obturator hernia. 超声引导下复位和选择性手术与嵌顿性闭孔疝急诊修复的优势。

IF 1.6 4区医学

Surgery Today Pub Date : 2025-08-01 Epub Date: 2025-02-12 DOI: 10.1007/s00595-025-03014-0

Yoshiyuki Kiyasu, Naoki Oka, Makio Mike, Hiroshi Kusanagi

{"title":"Advantages of ultrasound-guided reduction and elective surgery versus emergency repair for incarcerated obturator hernia.","authors":"Yoshiyuki Kiyasu, Naoki Oka, Makio Mike, Hiroshi Kusanagi","doi":"10.1007/s00595-025-03014-0","DOIUrl":"10.1007/s00595-025-03014-0","url":null,"abstract":"Purpose: To compare the benefits of ultrasound-guided reduction (UGR) followed by elective versus emergency repair for incarcerated obturator hernia (OH).Methods: This is a retrospective cohort study. Before UGR implementation, all patients with incarcerated OH underwent emergency surgery. To compare the UGR candidates fairly, only patients who did not require bowel resection were classified as the emergency group. Following UGR implementation, the patients without bowel necrosis, based on our criteria, underwent UGR. Among these, those who underwent elective repair were classified into the elective group. The surgical outcomes were compared between the groups and are presented as the median (range).Results: Among the 60 patients with incarcerated OH, 23 were in the emergency group and 11 in the elective group. UGR was successful in 16 of 17 cases (94%). The elective group had significantly shorter times to first defecation (4 [1-7] vs. 0 [0-1]) and meal initiation (3 [1-8] vs. 1 [1-3] days) than the emergency group. Although not statistically significant, the mesh repair rate was higher in the elective group (100% vs. 78%, respectively).Conclusions: UGR can be safely performed with an appropriate diagnosis. Compared with emergency surgery, UGR followed by elective repair led to reduced postoperative ileus and elevated mesh repair rates.","PeriodicalId":22163,"journal":{"name":"Surgery Today","volume":" ","pages":"1155-1161"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399859","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