World Journal of Surgery最新文献_第6页

Retrospective analysis of transabdominal preperitoneal hernia repair in emergency cases: A cohort study. 对急诊病例经腹腹膜前疝修补术的回顾性分析：一项队列研究。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-10-01 Epub Date: 2024-09-04 DOI: 10.1002/wjs.12322

Dillon Gasper, Ivy N Haskins

引用次数: 0

Single-stapled colorectal anastomotic techniques: Do not cross the line. 单缝结肠直肠吻合技术：不要越界。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-09-30 DOI: 10.1002/wjs.12342

Paul Cavallaro, Stefan D Holubar

引用次数: 0

Clinical significance of the CALLY index in patients with gastric cancer undergoing gastrectomy. 接受胃切除术的胃癌患者的 CALLY 指数的临床意义。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-09-30 DOI: 10.1002/wjs.12357

Katsunobu Sakurai, Naoshi Kubo, Tsuyoshi Hasegawa, Junya Nishimura, Yasuhito Iseki, Takafumi Nishii, Toru Inoue, Masakazu Yashiro, Yukio Nishiguchi, Kiyoshi Maeda

{"title":"Clinical significance of the CALLY index in patients with gastric cancer undergoing gastrectomy.","authors":"Katsunobu Sakurai, Naoshi Kubo, Tsuyoshi Hasegawa, Junya Nishimura, Yasuhito Iseki, Takafumi Nishii, Toru Inoue, Masakazu Yashiro, Yukio Nishiguchi, Kiyoshi Maeda","doi":"10.1002/wjs.12357","DOIUrl":"https://doi.org/10.1002/wjs.12357","url":null,"abstract":"Background: The aim of this study was to elucidate the clinical impact of the CALLY index in patients with gastric cancer (GC) undergoing gastrectomy.Methods: Between January 2014 and December 2020, 617 patients who underwent gastrectomy for GC at the Osaka City General Hospital were enrolled in this study. The CALLY index was calculated using the following formula: [albumin (g/dL) × lymphocytes (/μl)]/[CRP (mg/dL) × 104]. We compared the predictive value of four biomarkers [CALLY index, modified Glasgow prognostic score (mGPS), neutrophil-lymphocyte ratio (NLR), and platelet-lymphocyte ratio (PLR)] for short- and long-term outcomes and focused on the CALLY index to elucidate its clinical value.Results: Receiver operating characteristic analysis showed that the area under the curve for the CALLY index was the highest among the four biomarkers. The 5-year overall survival (OS) and cancer-specific survival (CSS) rates in the low and the high CALLY groups were statistically significant. Multivariate analysis identified the CALLY index as an independent factor for OS and CSS but not NLR or PLR. The mGPS was an independent factor for OS but not for CSS in multivariate analysis. Regarding complications, only the CALLY index was an independent predictor of major complications (≧ Clavien-Dindo grade 3) in multivariate analysis but not others.Conclusions: The CALLY index may have a clinical value in predicting OS, CSS, and major complications in GC patients undergoing gastrectomy.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355367","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}

引用次数: 0

Letter to the Editor: Enhanced recovery after surgery and intestinal obstruction: A scoping review. 致编辑的信：加强手术和肠梗阻后的恢复：范围综述。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-09-30 DOI: 10.1002/wjs.12365

Uday Singh Dadhwal

引用次数: 0

Track recurrence after remote-access thyroid surgeries: A systematic review. 远程甲状腺手术后的跟踪复发：系统综述。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-09-29 DOI: 10.1002/wjs.12361

Moon Young Oh, Young Jun Chai

{"title":"Track recurrence after remote-access thyroid surgeries: A systematic review.","authors":"Moon Young Oh, Young Jun Chai","doi":"10.1002/wjs.12361","DOIUrl":"https://doi.org/10.1002/wjs.12361","url":null,"abstract":"Background: Remote-access thyroidectomies have gained popularity, but track recurrence, which is the implantation of thyroid tissue or lesions along the surgical access route, has been reported in case studies. This systematic review aims to review cases of track recurrence following remote-access thyroidectomies.Methods: A comprehensive literature search was conducted using PubMed, the Web of Science, the Cochrane Library, and Google Scholar to identify case reports on track recurrence after endoscopic or robotic thyroidectomy up to June 2024. Data included patient demographics, details of the initial surgery and diagnosis, methods and timing of recurrence detection, and management strategies.Results: The search yielded 1578 articles, of which 17 case reports comprising 18 patients were included. The patients (16 females and two males) had a mean age of 34.6 ± 14.9 years. The mean size of initial tumors was 3.9 ± 1.2 cm, with diagnoses of eight cancers and 10 benign lesions. The initial surgeries included 12 endoscopic and six robotic procedures. Track recurrence was most often detected by palpable nodules followed by routine imaging and elevated serum Tg levels. The interval between initial surgery and recurrence ranged from 3 months to 8 years. Management varied from surgical resection and radioactive iodine therapy to close observation. There were no further recurrences in all but one case postoperatively.Conclusion: Track recurrence after remote-access thyroidectomy is rare but significant. Proper surgical techniques, careful handling of thyroid tissue, and rigorous postoperative monitoring are essential to minimize this risk. Awareness and prompt management of track recurrence may lead to favorable outcomes.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355274","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}

引用次数: 0

Desarda versus Lichtenstein inguinal hernia repair: A meta-analysis of randomized controlled trials. Desarda 与 Lichtenstein 腹股沟疝修补术：随机对照试验荟萃分析。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-09-29 DOI: 10.1002/wjs.12360

Bernardo Fontel Pompeu, Eric Pasqualotto, Patrícia Marcolin, Lucas Monteiro Delgado, Ana Gabriela Ponte Farias, Beatriz D'Andrea Pigossi, Lucas Soares de Souza Pinto Guedes, Sergio Mazzola Poli de Figueiredo

{"title":"Desarda versus Lichtenstein inguinal hernia repair: A meta-analysis of randomized controlled trials.","authors":"Bernardo Fontel Pompeu, Eric Pasqualotto, Patrícia Marcolin, Lucas Monteiro Delgado, Ana Gabriela Ponte Farias, Beatriz D'Andrea Pigossi, Lucas Soares de Souza Pinto Guedes, Sergio Mazzola Poli de Figueiredo","doi":"10.1002/wjs.12360","DOIUrl":"https://doi.org/10.1002/wjs.12360","url":null,"abstract":"Background: The Lichtenstein technique is the gold standard for adult open inguinal hernia repair with mesh. The Desarda technique emerged in 2001 as a novel, promising non-mesh technique that has demonstrated low recurrence and postoperative complications.Methods: We searched MEDLINE, the Cochrane Central Register of Clinical Trials, and Embase for randomized controlled trials (RCT) published until April 2024. Odds ratios (ORs) with 95% confidence intervals (CIs) were pooled using a random-effects model. Heterogeneity was assessed using Cochran's Q test and I2 statistics, with p-values <0.10 and I2>25% considered significant. Statistical analysis was performed using the R software, version 4.1.2.Results: Eighteen RCTs comprising 1756 patients were included, of whom 861 (49%) were submitted to Desarda and 895 (51%) were submitted to Lichtenstein. Desarda was associated with lower seroma rates (OR 0.55; 95% CI 0.35-0.89; and p = 0.014), less operative time (MD -8.6 min; 95% CI -14.5 to -2.8; and p < 0.01), lower postoperative pain on day one (MD -1.3 VAS score; 95% CI -2.3 to -0.3; p < 0.01) or chronic pain (OR 0.32; 95% CI 0.12-0.88; and p = 0.028), and faster return-to-work activities (MD -2.1 days; 95% CI -3.7 to -0.6; and p < 0.01). The recurrence rate was 1.4% for Desarda versus 2.1% for Lichtenstein, with no statistical difference between techniques.Conclusion: In this meta-analysis, Desarda significantly decreases seroma operative time, postoperative pain on day 1, chronic pain, and return-to-work activities.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355369","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}

引用次数: 0

Priority areas for outcomes improvement among older adults undergoing inpatient general surgery inclusive of geriatric-pertinent complications. 在接受住院普通外科手术（包括老年病相关并发症）的老年人中，改善疗效的优先领域。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-09-27 DOI: 10.1002/wjs.12331

Hadiza S Kazaure, Kimberly S Johnson, Ronnie Rosenthal, Sandhya Lagoo-Deenadayalan

{"title":"Priority areas for outcomes improvement among older adults undergoing inpatient general surgery inclusive of geriatric-pertinent complications.","authors":"Hadiza S Kazaure, Kimberly S Johnson, Ronnie Rosenthal, Sandhya Lagoo-Deenadayalan","doi":"10.1002/wjs.12331","DOIUrl":"https://doi.org/10.1002/wjs.12331","url":null,"abstract":"Background: Comprehensive studies on priority areas for improving geriatric surgery outcomes, inclusive of geriatric-pertinent data, are limited.Methods: The ACS NSQIP geriatric database (2014-2018) was used to abstract older adults (≥65 years) undergoing inpatient general surgery procedures. Thirty-day complication, functional decline, and mortality rates were analyzed, with a focus on two geriatric-pertinent complications: delirium and new/worsening pressure ulcers.Results: There were 9062 patients; 41.9% were ≥75 years. Mean age was 73.9 years. The majority of patients were female (54.0%), White (77.7%), and had independent functional status before surgery (94.0%). Overall 30-day complication, functional decline, and mortality rates were 33.6%, 34.5%, and 3.5%, respectively; failure to the rescue rate was 9.7%. Including geriatric-pertinent complications increased the overall complication rate by 20.4%. Delirium emerged as the leading complication (11.9%), followed by bleeding (11.1%), and wound-related complications (10.1%); these three accounted for 53.7% of complications. Delirium and pressure ulcers were associated with a >50% rate of postoperative functional decline (52.0% and 71.4%, respectively); pressure ulcers were also notable for a 25.5% failure to the rescue rate. Both were also among complications most likely to occur following the 3 most common procedures (colorectal surgery, pancreatic resections, and exploratory laparotomy), which overall accounted for approximately 79.6% of complications, 73.4% of patients experiencing functional decline, and 82.3% of mortality.Conclusions: Delirium is the leading complication among older adults undergoing inpatient surgery. Overall, a small number of complications and procedure groups account for most surgical morbidity and mortality among older adults and thus constitute priority areas for outcomes improvement.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355272","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}

引用次数: 0

Predictors of appendicectomy one year after antibiotic treatment for acute appendicitis: Insights from a prospective, multicentre, observational study. 急性阑尾炎抗生素治疗一年后进行阑尾切除术的预测因素：一项前瞻性多中心观察研究的启示。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-09-26 DOI: 10.1002/wjs.12337

Hannah Javanmard-Emamghissi, Brett Doleman, Jonathan N Lund, Marianne Hollyman, Susan J Moug, Gillian M Tierney

{"title":"Predictors of appendicectomy one year after antibiotic treatment for acute appendicitis: Insights from a prospective, multicentre, observational study.","authors":"Hannah Javanmard-Emamghissi, Brett Doleman, Jonathan N Lund, Marianne Hollyman, Susan J Moug, Gillian M Tierney","doi":"10.1002/wjs.12337","DOIUrl":"https://doi.org/10.1002/wjs.12337","url":null,"abstract":"Background: Surgeons are sometimes reluctant to manage uncomplicated appendicitis non-operatively. Reasons cited include the risk of recurrent appendicitis and the risk of missed appendiceal malignancy. The aim of this study was to address these uncertainties and determine the long-term efficacy of antibiotic versus operative management of appendicitis.Method: One-year follow-up of patients enrolled in the multicentre, COVID:HAREM cohort study during March-June 2020 was performed. Initial operative or non-operative management was determined on a case-by-case basis by the responsible surgeon. Outcomes were appendicectomy rate at 1-year, histology of removed appendix and predictors of unsuccessful antibiotic treatment.Results: A total of 625 patients who had non-operative management were included. Emergency appendicectomy had been performed by 1-year in 24% (149/625), with a median time to appendicectomy of 12 days [IQR 1-77] from presentation. Thirty-one patients had elective appendicectomy. Normal histology was reported in 6% of emergency procedures and 58% of elective ones. There were 7 malignancies and 3 neuroendocrine tumors identified at histology. All patients with malignant histology had ≥1 risk factors for malignancy at initial presentation. Faecolithiasis (hazard ratios (HR) 2.3, 95% confidence intervals (CI) 1.51-3.49) and a high Adult Appendicitis Score (AAS >16; HR 2.44, 95% CI 1.52-3.92) were independent risk factors for unsuccessful non-operative management.Conclusion: At 1 year, 71% of patients managed non-operatively did not undergo an appendicectomy. Recurrence of appendicitis was associated with faecolithiasis and a high AAS. Patients at higher risk for appendiceal malignancy should have targeted follow-up. These factors should be considered when counseling patients on non-operative management.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355371","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}

引用次数: 0

Comment on: Is routine histopathological analysis of hemorrhoidectomy specimens necessary? A systematic review and meta-analysis. 评论痔切除术标本的常规组织病理学分析有必要吗？系统回顾和荟萃分析。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-09-26 DOI: 10.1002/wjs.12358

Aytekin Unlu, Ali Kagan Coskun

引用次数: 0

Global partnerships for quality improvement: A step toward a better future for trauma care in low- and middle-income countries. 为提高质量建立全球伙伴关系：迈向中低收入国家创伤护理更美好未来的一步。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-09-23 DOI: 10.1002/wjs.12351

David N Naumann

引用次数: 0