World Journal of Surgery最新文献

{"title":"Risk Factors for Nosocomial Infections Following Appendectomy for Perforated Appendicitis. A Prospective Pediatric Cohort.","authors":"Mohamed Zouari, Manel Belhajmansour, Manar Hbaieb, Wiem Rhaiem, Hamdi Louati, Najoua Ben Kraiem, Mahdi Ben Dhaou, Riadh Mhiri","doi":"10.1002/wjs.70051","DOIUrl":"10.1002/wjs.70051","url":null,"abstract":"","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2549-2551"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144971651","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":"Influence of Preoperative Thyroid Status on Clinical Outcomes in Graves' Disease Undergoing Thyroidectomy.","authors":"Po-Sheng Lee, Jui-Yu Chen, Po-Chung Kuo, Chia-Chin Lee, Pei-Lung Chen, Harn-Shen Chen, Chun-Jui Huang","doi":"10.1002/wjs.70020","DOIUrl":"10.1002/wjs.70020","url":null,"abstract":"<p><strong>Background: </strong>Guidelines recommend achieving a euthyroid state before thyroidectomy to minimize surgical complications. However, this is not always attainable due to drug intolerance, refractory disease, or surgical urgency. This study aims to evaluate the impact of preoperative thyroid status, particularly thyrotoxicosis, on surgical outcomes in patients with Graves' disease.</p><p><strong>Methods: </strong>This retrospective study included patients with Graves' disease who underwent thyroidectomy at Taipei Veterans General Hospital, Taiwan, between 2019 and 2023. Data on demographics, day-of-surgery vital signs, thyroid function, comorbidities, biochemical parameters, perioperative management, complications, and hospital stay were collected. Surgical outcomes were compared between patients with preoperative thyrotoxicosis and those who were euthyroid.</p><p><strong>Results: </strong>A total of 81 patients (79.0% female; mean age: 45.1 ± 12.2 years) were analyzed, with 33.3% (n = 27) presenting with preoperative thyrotoxicosis. The thyrotoxic group had higher Burch-Wartofsky Point Scale scores, lower thyrotropin levels, elevated thyrotropin receptor antibody titers, increased alanine aminotransferase levels, and more frequent use of Lugol's solution, lithium, and hydrocortisone preoperatively. Surgical outcomes, including hypocalcemia, hematoma, hoarseness, intraoperative blood loss, and operation time, were comparable between groups. No cases of thyroid storm or mortality occurred. Hospital stay duration did not differ significantly between the thyrotoxic and euthyroid groups (median total stay: 11.0 [5.5-21.5] vs. 5.0 [4.0-6.0] days, p = 0.314; median postoperative stay: 5.0 [4.0-7.5] vs. 4.0 [3.0-5.0] days, p = 0.518).</p><p><strong>Conclusion: </strong>Thyroidectomy can be safely performed in patients with preoperative thyrotoxicosis when optimal preparation is provided, supporting its feasibility in selected cases where complete biochemical euthyroidism may not be achieved.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2464-2473"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761571","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":"Establishing an Essential Dataset for Trauma Registry in LMICs: Insights From a Delphi Survey.","authors":"Theresa Farhat, Steven Di Marco, Gabriela Sanchez, Samjhana Basnet, Ibrahima Konate, Vitaliy Krylyuk, Respicious Boniface, Victoria Munthali, Tarek Razek, Jeremy Grushka, Dan Deckelbaum","doi":"10.1002/wjs.70009","DOIUrl":"10.1002/wjs.70009","url":null,"abstract":"<p><strong>Background: </strong>Injury is a leading cause of morbidity and mortality globally, with 90% of deaths occurring in low-middle-income countries (LMICs). Establishing well-functioning trauma systems is crucial in LMICs, with a trauma registry being an integral component. This study used the Delphi Technique to gather insights from trauma experts on essential data variables for adult trauma registries in LMICs. It aimed to identify critical variables that can improve trauma care in resource-constrained settings.</p><p><strong>Methods: </strong>A two-round Delphi survey was conducted from October 2023 to June 2024, engaging trauma specialists from diverse regions. Experts evaluated variables as essential, optional, or excluded, with a consensus of 70% agreement. Feedback from the first round informed the second round, focusing on variables lacking consensus.</p><p><strong>Results: </strong>In the first round, 37 variables reached consensus as essential, including demographics, injury-related data, prehospital information, some clinical assessment variables, injury classification, road traffic accident data, and patient outcome data. The second round identified additional variables and categorized others as optional, including education level, income level, certain advanced imaging modalities, cost of care, and some outcome measures. Birthplace was identified as the only variable for exclusion from the trauma registry.</p><p><strong>Conclusions: </strong>This study identifies essential elements of a trauma registry in LMICs, leveraging insights from experts experienced in resource-limited settings. These recommendations ensure relevance and feasibility for implementation. Establishing such a registry is crucial for quality assurance, jurisdictional comparisons, and the foundation of trauma systems.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2585-2593"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Representation on Gender Stereotypes and Discrimination for Women Surgeons in Ukraine.","authors":"Marta Antoniv, Inesa Huivaniuk, Rachel Mark, Lesya Strilka, Mariana Kuryk, Anna Malovanna, Kateryna Potapova, Anastasiia Prystaia, Solomia Semeniv, Galyna Shabat, Andrei Nikiforchin, Jennifer S Davids, Nelya Melnitchouk","doi":"10.1002/wjs.70010","DOIUrl":"10.1002/wjs.70010","url":null,"abstract":"<p><strong>Background: </strong>Women physicians remain underrepresented in surgical specialties and leadership roles, highlighting the need to address persistent barriers to equality and professional development. We aimed to explore challenges faced by female surgeons in Ukraine, focusing on how representation and leadership influence experiences of discrimination, stereotypes, and career advancement.</p><p><strong>Methods: </strong>We conducted a cross-sectional study using a web-based self-administered anonymous survey among Ukrainian female surgical residents and attendings (January-February 2024). The survey included items on demographics, training, operative autonomy, and workplace experiences. Descriptive statistics and multivariable logistic regression were used to identify factors associated with gender-related challenges.</p><p><strong>Results: </strong>The survey was accessed 492 times and 340 responses were included: 218 from female attendings (64.1%) and 122 from residents (35.9%). Overall, 17.1% (n = 59) reported being the only woman surgeon at their hospitals and 34.4% (n = 117) were the only female resident. Additionally, 56.8% (n = 193) reported no women in surgical leadership and 43.8% (n = 149) lacked a mentor. Bias and discrimination were widespread: 48.5% (n = 165) reported gender stereotypes, 80.0% (n = 272)-explicit discriminatory comments, 59.1% (n = 201)-primarily assisting in surgeries, and 68.5% (n = 233)-lack of patient trust in surgical competence. Over half (54.4%, n = 188) experienced sexual harassment or objectification by colleagues, with no significant variation by years of practice. In multivariable analysis, hospitals with 8-20 (OR 0.24 and 95% CI: 0.08-0.73) and > 20 (OR 0.21 and 95% CI: 0.06-0.71) female attendings had lower odds of discriminatory comments. Misidentification as nurses and assistants by patients was less likely in hospitals with > 20 attendings (OR 0.14 and 95% CI: 0.02-0.81). Presence of women surgeons in leadership was associated with lower odds of workplace gender stereotypes (OR 0.51 and 95% CI: 0.32-0.84) and sexual harassment (OR 0.58 and 95% CI: 0.36-0.94). Having a mentor (OR 3.71 and 95% CI: 2.03-6.80) and being an attending (OR 3.89 and 95% CI: 1.99-7.60) were linked to reporting similar operative autonomy as men surgeons. Hospital type, capacity, and number of female surgical residents were not significant factors.</p><p><strong>Conclusions: </strong>Representation of women in surgical attending and leadership roles is associated with fewer workplace gender-related challenges. However, barriers, such as limited operative autonomy and lack of mentorship, remain. Targeted reforms are needed to build more equitable surgical environments in Ukraine.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2425-2435"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675917","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":"Postoperative Care After Reconstructive Surgery for Burn Contractures in Communities Affected by War: A Retrospective Study in Iraq.","authors":"Ian M Furst, Sarezh Mohammed Saber, Lass Azad Abdulkarim, Nicola Keller, Mustafa Subhe Muhyadin, Sarmad Nashat Ahmad, Ala Ismail Shakur, Ahmed Ibrahim Berzenji, Michael Glogauer, Kathrin Schulze, Sarkhell Radha, Enrique Steiger, Walter Künzi, Natasha Forster","doi":"10.1002/wjs.70011","DOIUrl":"10.1002/wjs.70011","url":null,"abstract":"<p><strong>Background: </strong>Burn injuries are a major health concern in conflict-affected settings, where displaced populations such as refugees and internally displaced persons (IDPs) face limited access to surgical and rehabilitative care. Postoperative follow-up is often limited by socioeconomic and logistical barriers beyond the patient's control. This study examines follow-up adherence, rehabilitation participation, and complication rates after secondary reconstructive surgery for complications resulting from burn injuries performed by Swisscross teams in northern Iraq.</p><p><strong>Methods: </strong>A retrospective chart review was conducted for patients who underwent secondary reconstructive surgery for burn-related injuries between October 1, 2021, and February 6, 2025, through the Swisscross Foundation. A total of 147 episodes of care (EoCs) across 123 patients were included. Data on demographics, socioeconomic status, follow-up adherence, physical therapy participation, use of ad hoc care providers, and postoperative complications were collected and analyzed. Ethical approval was granted by the University of Toronto Research Ethics Board (protocol #00047579).</p><p><strong>Results: </strong>Of the 123 patients, 59 were IDPs, 19 were refugees, and 45 were local residents. Full follow-up adherence was highest in locals (90%), followed by refugees (83%) and IDPs (64%). Overall noncompliance (< 20% adherence) was low at 4%. Formal physical therapy was prescribed in 34 cases, with the highest compliance among refugees (78%) and the lowest among IDPs (31%). Ad hoc care providers were used for rehabilitation in 47% of cases prescribed therapy, primarily among IDPs. Complications occurred in 36% of operations (53/147 EoCs), the majority being minor and manageable without surgery (35/147). Reoperation for immediate complications was required in 4% of cases and for relapse in 8%, with no significant difference between groups.</p><p><strong>Conclusions: </strong>Despite significant barriers, structured support and interagency coordination enabled meaningful follow-up and rehabilitation among displaced burn patients. Complex reconstructive care is both feasible and impactful in conflict settings, particularly when supported by transportation services and flexible rehabilitation strategies. These findings highlight the importance of targeted infrastructure to improve surgical outcomes in vulnerable populations.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2314-2324"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709173","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":"Improving Perioperative Mortality Rate Data Capture in Hawassa, Ethiopia: A Mixed-Methods Study.","authors":"Ajiel Mae F Basmayor, Jerusalem Fissehatsion, Biruk Woisha, Asegid M Ergete, Maria V Sgro, Kayleigh Cook, Qausarat Ogunneye, Belay Mellese, Taylor J Jaraczewski, Chris Dodgion, Atkilt Michael, Andualem Beyene, Katherine R Iverson","doi":"10.1002/wjs.12625","DOIUrl":"10.1002/wjs.12625","url":null,"abstract":"<p><strong>Background: </strong>In 2015, Ethiopia created a national strategic plan aimed at increasing surgical capacity. This encompassed a set of surgical indicators collected at each hospital, which facilitates assessment of the current state of surgical practices and enables monitoring of progress towards improving outcomes. This project aimed to investigate one of these key surgical indicators, the perioperative mortality rate (POMR), in the largest referral hospital in the Sidama region.</p><p><strong>Methods: </strong>Perioperative mortality was defined as death after major surgery prior to hospital discharge. The number of surgical deaths and surgical volume for the most recent reporting year (July 2022-May 2023) were extracted from registries and discharge information. POMR was compared between the following data sources: (1) paper registries from the operating rooms, surgical wards, ICU, (2) aggregate discharge information from the Liaison Office, (3) monthly indicator reports to the health management information system (HMIS), and (4) reports on the national data collection system (DHIS2). Additionally, qualitative interviews with healthcare professionals and data officers were conducted to evaluate current practices and challenges in collecting POMR.</p><p><strong>Results: </strong>The aggregate reported 1-year POMR was 0.9% (56/6438) for registries, 0.9% (57/6336) for discharge information, 0.5% (33/6437) for HMIS reports, and 0.6% (35/5935) for DHIS2 reports. Qualitative interviews (n = 17) reported regular tracking of perioperative deaths within surgical departments and surgical data quality checks by quality officers. However, many interviewees identified the lack of an electronic system as a significant barrier to accurate, timely data collection. Other proposed solutions include implementing closer monitoring of data quality, providing additional equipment and training for staff on data entry, and promoting timely completion of monthly reports.</p><p><strong>Conclusion: </strong>Explanations behind the discrepancies in POMR between data sources in this study include inconsistencies in data entry, lack of consolidation of postoperative deaths from different service points (wards, ICU), and reports generated without a mechanism to include updated registry or discharge counts. These findings, along with the diverse perspectives from our interviews, point toward the need for a well-trained workforce and the development of a digital record system to improve POMR data capture.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2501-2509"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095108","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":"Commentary on, \"PostOperative Care Following Reconstructive Surgery for Burn Contractures in Communities Affected by War: A Retrospective Study in Iraq\".","authors":"Barclay T Stewart, Yves Sanou","doi":"10.1002/wjs.70017","DOIUrl":"10.1002/wjs.70017","url":null,"abstract":"","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2325-2327"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144699704","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":"Invited Commentary: \"Improving Perioperative Mortality Rate Data Capture in Hawassa, Ethiopia: A Mixed Methods Study\"-The Next Step in Building Surgical Capacity.","authors":"Selena J An, Jared Gallaher","doi":"10.1002/wjs.70022","DOIUrl":"10.1002/wjs.70022","url":null,"abstract":"","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2510-2511"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754625","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":"Survival of the Patients With Breast Cancer Who Underwent Oncotype DX Recurrence Score Testing: Long-Term Survival Update of a Prospective Multicenter Study in Türkiye According to Different Cut-Offs.","authors":"Enver Özkurt, Çetin Ordu, Ertan Koç, Erhan Gokmen, Mustafa Ozdogan, Nilufer Guler, Cihan Uras, Bahadır Öz, Orhan Demircan, Abdurrahman Isikdogan, Pinar Saip, Vahit Ozmen","doi":"10.1002/wjs.70025","DOIUrl":"10.1002/wjs.70025","url":null,"abstract":"<p><strong>Background: </strong>Seventy percent of early-stage breast cancers are hormone receptor positive. In this prospectively designed study, we aim to update the long-term survival outcomes of chemotherapy decision-making according to Oncotype DX Recurrence Score (ODX-RS) and its relation with different cut-offs.</p><p><strong>Materials and methods: </strong>Ten academic centers in Türkiye that routinely discuss all new cases at multidisciplinary tumor board participated. Consecutive patients who are pT1-3, pN0-N1mic, M0 were identified. Adjuvant treatment decisions were discussed at tumor board before and after ODX-RS results.</p><p><strong>Results: </strong>Of the 165 patients (26-76, median 48 years) with a median follow-up of 108 months, ODX-RS ≤ 25 had significantly better overall survival (OS) than those with ODX-RS ≥ 26 (p = 0.022). When evaluated by age, OS and disease-free survival (DFS) was significantly better with ODX-RS ≤ 15 in patients aged ≤ 50 years and with ODX-RS ≤ 25 in patients aged > 50 years (p = 0.034 and p = 0.024). ODX-RS ≤ 20 in patients aged ≤ 50 years and ODX-RS ≤ 25 in patients aged > 50 years had significantly better OS (p = 0.002). There was no difference in OS between those who received chemotherapy before ODX-RS and those who did not (p = 0.119). Conversely in the post-ODX-RS, ODX-RS predicted survival better and OS was lower in patients who received chemotherapy compared to those who did not (p = 0.020) meaning that ODX-RS can predict OS. The ODX-RS test significantly reduced overall chemotherapy-related costs, yielding a favorable ICER of $3787.5 per QALY gained, thus demonstrating its cost-effectiveness.</p><p><strong>Conclusions: </strong>The ODX-RS significantly influences treatment decisions resulting comparable survivals for patients who received chemotherapy and who did not. Different cut-offs have variable significant prognostic effect on survival prediction models.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2303-2313"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765592","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":"Surgical Outcomes for Cervical Esophageal Cancer: A Retrospective Cohort Study.","authors":"Chang Yuan, Zhichao Liu, Bin Li, Yuxin Yang, Kaiyuan Zhu, Boyao Yu, Cong Qi, Chenyang Jing, Xinyi Fan, Zhigang Li, Chunguang Li","doi":"10.1002/wjs.70029","DOIUrl":"10.1002/wjs.70029","url":null,"abstract":"<p><strong>Background: </strong>Although definitive chemoradiotherapy (dCRT) remains the standard for cervical esophageal cancer (CEC), studies on surgical outcomes have reported conflicting results. This highlights the need for more data on surgical treatment for CEC.</p><p><strong>Methods: </strong>This study reviewed 152 patients who underwent surgical treatment for CEC at a single center between May 2014 and May 2024. Patients were stratified by surgical procedure: laryngeal-preserving esophagectomy (LP) versus. total pharyngo-laryngo-esophagectomy (TPLE). Baseline data and perioperative outcomes were analyzed. Kaplan-Meier analysis and multivariable Cox regression were performed.</p><p><strong>Results: </strong>Eighty-five patients underwent LP whereas 67 patients underwent TPLE. The median follow-up time was 24 months. Overall survival (OS) rate at 2-year for all patients was 58.9%, and a higher 2-year OS rate (71.2% vs. 43.5% and p = 0.035) was observed in the LP group compared to the TPLE group. The TPLE group had a higher R0 resection (negative resection margin) rate (75.3% vs. 89.6% and p = 0.024) but higher incidence of noncancer-related mortality (16.4% vs. 4.7% and p < 0.001) and 90-day mortality (7.5% vs. 0% and p = 0.010) compared to the LP group. Multivariable Cox regression analysis demonstrated that TPLE as an independent risk factor for OS (hazard ratio (HR), 1.872; 95% confidence interval [CI], 1.101-3.184; and p = 0.021).</p><p><strong>Conclusions: </strong>The survival outcomes of surgical treatment for CEC showed promising when compared to historical data of definitive chemoradiotherapy. Although the LP group had a lower R0 resection rate than the TPLE group, it demonstrated better survival rates and perioperative safety.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2560-2569"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785448","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}