Updates in Surgery最新文献

{"title":"Standardized handover improves trauma team communication: evidence from a level I Trauma Center in Italy.","authors":"S Saronni, G Mecca, M Altomare, S Cimbanassi, O Chiara","doi":"10.1007/s13304-026-02606-w","DOIUrl":"https://doi.org/10.1007/s13304-026-02606-w","url":null,"abstract":"<p><p>Effective communication during trauma handover is critical to ensuring continuity and quality of care. The ATMIST framework offers a standardized format for transferring essential patient information between pre-hospital and hospital teams. To quantify the concordance between information transmitted by emergency medical services (EMS) and data documented during in-hospital trauma handovers using the ATMIST protocol at a Level I Trauma Center in Italy. We conducted a prospective observational study of trauma patients admitted between December 2023 and May 2024. Variables analyzed included demographics, mechanism of injury, vital signs, suspected injuries, and pre-hospital interventions. Concordance was defined as the presence of matching information in both pre-hospital and in-hospital records. We calculated absolute agreement percentages and unweighted Cohen's kappa coefficients to assess inter-observer agreement. Of 118 trauma patients evaluated, 85 met inclusion criteria. The overall mean absolute agreement across all variables was 74.5% (± 12.7). The highest concordance was observed for endotracheal intubation (95.5%, κ = 0.87) and patient age (94.3%, κ = 0.68). The lowest agreement was found for time of injury (κ = 0.10) and triage priority (κ = 0.12), indicating substantial variability in the transmission of time-sensitive and prioritization data. Structured handover using the ATMIST framework reliability conveyed critical clinical interventions and core patient characteristics. However, logistical and prioritization elements showed poor concordance, representing key targets for system improvement. Standardized training and the integration of digital handover tools may further enhance communication accuracy and patient safety.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication skill training in surgical residency: insights from Y-SICO (Young-Italian Society of Surgical Oncology).","authors":"Rossella Melcarne, Federico Cappellacci, Filippo Carannante, Ludovico Carbone, Federica Ferracci, Stefano Fracon, Michele Manigrasso, Erica Milone, Edoardo Maria Muttillo, Stefania Piccioni, Silvia Sofia, Giulia Turri, Marcello Deraco, Antonio Macrì, Franco Roviello, Arcangelo Picciariello","doi":"10.1007/s13304-026-02557-2","DOIUrl":"https://doi.org/10.1007/s13304-026-02557-2","url":null,"abstract":"<p><p>Surgical training programs primarily emphasize technical skills for diagnosis and treatment. However, communication and interpersonal skills are equally essential for residents. Trainees often face sensitive situations, such as delivering bad news and discussing end-of-life decisions and lack of communications skills could result in a negative impact on patients and malpractice claims. Despite their importance, communication skills training is often underrepresented in surgical education. This study aimed to explore the extent to which such training is offered during surgical residency in Italy, and to investigate how surgical trainees and young surgeons perceive their own communication competence and confidence, particularly in emotionally demanding scenarios. The \"COSTRUIRE\" (COmmunication Skills TRaining in sUrgIcal REsidency) survey, conducted from July to September 2024 by the Young Group of the Italian Society of Surgical Oncology, utilized a 30-item online questionnaire to gather data on participants' communication experiences, emotional experiences, burnout risk, and training preferences. The responses were analyzed in accordance with the CHERRIES guidelines. A total of 189 participants met the inclusion criteria, including general surgery residents (61.4%) and early-career surgeons. Most respondents (85.2%) reported having communicated a difficult diagnosis without supervision during training. While participants rated their communication skills positively, over 70% expressed a desire to have handled these conversations differently, often citing the need for better tools or support. Notably, 73.9% reported learning communication informally by observing mentors. Only 7.9% received formal training during residency, despite 91% recognizing its importance. Emotional impact was significant, with high levels of emotional involvement but also early signs of burnout. The COSTRUIRE survey identified the importance of structured communication skills training in Italian surgical residency. Addressing this gap may contribute to improving self-perceived competence and confidence in managing emotionally challenging clinical interactions.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The double cap pattern of autofluorescence validated as a pathognomonic pattern of autofluorescence on near infrared autofluorescence (NIRAF) imaging for parathyroid adenomas.","authors":"Sohail Bakkar, Angeliki Chorti, Theodosis Papavramidis","doi":"10.1007/s13304-026-02630-w","DOIUrl":"https://doi.org/10.1007/s13304-026-02630-w","url":null,"abstract":"","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social determinants of health in medical education: insights from final-year students in a multicentre study in Italy.","authors":"Giulia Milanesi, Basem A Khalil, Antonino Morabito","doi":"10.1007/s13304-026-02619-5","DOIUrl":"https://doi.org/10.1007/s13304-026-02619-5","url":null,"abstract":"","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: Outcomes of damage control surgery in perforated sigmoid diverticulitis: a comparison before and after implementing a new treatment algorithm.","authors":"Pietro Fransvea, Maria Michela Chiarello, Giuseppe Brisinda","doi":"10.1007/s13304-026-02639-1","DOIUrl":"https://doi.org/10.1007/s13304-026-02639-1","url":null,"abstract":"","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the safety and feasibility of subcutaneous areolar tunnel single-port thoracoscopic radical resection for lung cancer: a retrospective cohort study.","authors":"Kai Yang, Keyong Li, Chao Guo, Changhao Que, Zhuang Zuo, Jin Wang, Qi Wang, Dacheng Jin, Yunjiu Gou, Chengfeng Wang","doi":"10.1007/s13304-025-02514-5","DOIUrl":"https://doi.org/10.1007/s13304-025-02514-5","url":null,"abstract":"","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploration of ERK/Myc regulating ribosomal biosynthesis and promoting ALPPS related liver regeneration.","authors":"Jue Wang, Wei Wang, Qilin Yi, Jilong Wang, Banghao Xu, Hai Zhu, Ya Guo, Li Bao, Zhang Wen","doi":"10.1007/s13304-026-02615-9","DOIUrl":"https://doi.org/10.1007/s13304-026-02615-9","url":null,"abstract":"","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified preperitoneal endoscopic pauli (Pe-Pauli) approach for concomitant repair of parastomal and midline hernias.","authors":"Javier García-Quijada García, Ramón Sanz-Ongil, Carlos Bustamante-Recuenco, Aritz Equisoain-Azcona","doi":"10.1007/s13304-026-02627-5","DOIUrl":"https://doi.org/10.1007/s13304-026-02627-5","url":null,"abstract":"<p><p>Parastomal hernia repair remains a complex surgical challenge due to high recurrence rates and significant technical demands. The modified Sugarbaker technique, particularly Pauli's retromuscular adaptation, has demonstrated promising outcomes. Concurrently, the PeTEP approach enables extensive preperitoneal dissection while preserving the integrity of the abdominal wall. We present the first reported case of atotally endoscopic preperitoneal repair combining both techniques (Pe-Pauli) for the simultaneous treatment of parastomal and midline hernias. A 73-year-oldwoman with a prior Hartmann procedure and failed reconstruction presented with symptomatic parastomal and midline incisional hernias. Through a cranial endoscopic approach, trocars were placed for PeTEP, along with an additional lateral access for parastomal repair. To preserve peritonealintegrity, the Red Cross Step technique was employed, facilitating safe dissection through the transversalis fascia and the musculoaponeurotic edge of the transversus abdominis muscle. The hernia contents were reduced, the defects were closed with barbed sutures, and a 20 × 30 cm Synecor® mesh was positioned in the preperitoneal space. A second polypropylene mesh was placed to reinforce the midline. The procedure lasted 325 minutes, with an uneventful recovery and no recurrence at 6-monthfollow-up. The Pe-Pauli approach allows for anatomical extra peritoneal reconstruction of complex hernias in a single-stage procedure. Although technically demanding, it may improve outcomes in selected patients. Further studies are required to validate its long-term safety and efficacy.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Preoperative prognostic nutritional index in prediction of surgical complications and oncological outcomes in retroperitoneal sarcoma\".","authors":"Yilu Bao, Jiezhen Peng","doi":"10.1007/s13304-026-02623-9","DOIUrl":"https://doi.org/10.1007/s13304-026-02623-9","url":null,"abstract":"","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender equity and professional experience of female colorectal surgeons in Italy: results of a National survey.","authors":"Roberta Tutino, Luca Manfrino, Simona Deidda, Gaya Spolverato, Roberto Passera, Isabella Frigerio, Laura Lorenzon, Daniela Rega, Paola De Nardi","doi":"10.1007/s13304-026-02622-w","DOIUrl":"https://doi.org/10.1007/s13304-026-02622-w","url":null,"abstract":"","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}