World Journal of Surgery最新文献_第8页

Para-aortic lymph node dissection following neoadjuvant chemotherapy for type 4 or large type 3 gastric cancer with extensive lymph node metastasis. 对有广泛淋巴结转移的 4 型或大型 3 型胃癌进行新辅助化疗后的主动脉旁淋巴结清扫术。

IF 2.6 3区医学

World Journal of Surgery Pub Date : 2024-09-12 DOI: 10.1002/wjs.12327

Takeyuki Wada,Takaki Yoshikawa,Shunya Honda,Yurina Fujisaki,Tomofumi Uotani,Yudai Kumamoto,Rei Ogawa,Masashi Nishino,Ryota Sakon,Kenichi Ishizu,Tsutomu Hayashi,Yukinori Yamagata,Yasuyuki Seto

{"title":"Para-aortic lymph node dissection following neoadjuvant chemotherapy for type 4 or large type 3 gastric cancer with extensive lymph node metastasis.","authors":"Takeyuki Wada,Takaki Yoshikawa,Shunya Honda,Yurina Fujisaki,Tomofumi Uotani,Yudai Kumamoto,Rei Ogawa,Masashi Nishino,Ryota Sakon,Kenichi Ishizu,Tsutomu Hayashi,Yukinori Yamagata,Yasuyuki Seto","doi":"10.1002/wjs.12327","DOIUrl":"https://doi.org/10.1002/wjs.12327","url":null,"abstract":"BACKGROUNDD2 and para-aortic lymph node dissection (PAND) following neoadjuvant chemotherapy (NAC) are reportedly effective for gastric cancer (GC) with extensive lymph node metastasis (ELM), such as para-aortic nodal metastasis or bulky nodal metastasis, around the major perigastric arteries. However, type 4 and large type 3 tumors were excluded from previous studies, as they are considered special subtypes that easily spread to the peritoneum. Whether or not PAND contributes to the survival of type 4 or large type 3GC with ELM is thus unclear.METHODSThis study examined patients who underwent radical gastrectomy with D2 resection and PAND following NAC between 2002 and 2019. Patients were classified into the normal-type group and the type 4 or large type 3 group. The overall survival (OS) and prognostic factors were investigated.RESULTSForty-nine patients were examined and classified into the normal-type group (34 patients) and type 4 or large type 3 group (15 patients). The 5-year OS rates of the normal-type and type 4 or large type 3 groups were 55.5% and 26.7%, respectively. Type 4 or large type 3 tumors were an independent risk factor for a poor prognosis in the multivariate analysis (hazard ratio: 2.506, 95% confidence interval: 1.111-5.650, and p = 0.027).CONCLUSIONSThe prognosis of type 4 or large type 3 GC with ELM treated with radical gastrectomy with D2 and PAND after NAC was poor. Type 4 or large type 3 GC with ELM should be treated using a different strategy than the normal type with ELM.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142268500","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

Intraoperative wound irrigation to prevent surgical site infection: A systematic review and meta-analysis. 术中伤口冲洗预防手术部位感染：系统回顾和荟萃分析。

IF 2.6 3区医学

World Journal of Surgery Pub Date : 2024-09-11 DOI: 10.1002/wjs.12339

Kaique Flavio Xavier Cardoso Filardi,Gustavo Roberto Minetto Wegner,Arnaldo Bastos Dos Santos,Rafaela Goes Machado Filardi,Luana Ferreira Vasques,Marília Cardoso Massoni,Milena Poliana Chimanski Da Costa

{"title":"Intraoperative wound irrigation to prevent surgical site infection: A systematic review and meta-analysis.","authors":"Kaique Flavio Xavier Cardoso Filardi,Gustavo Roberto Minetto Wegner,Arnaldo Bastos Dos Santos,Rafaela Goes Machado Filardi,Luana Ferreira Vasques,Marília Cardoso Massoni,Milena Poliana Chimanski Da Costa","doi":"10.1002/wjs.12339","DOIUrl":"https://doi.org/10.1002/wjs.12339","url":null,"abstract":"INTRODUCTIONThe potential benefit of intraoperative wound irrigation (IOWI) in preventing surgical site infection (SSI) remains unclear. The use of antimicrobial agents (AMA) or antiseptic agents (ASA) is controversial worldwide.METHODSWe performed a systematic review and meta-analysis of randomized clinical trials comparing AMA or ASA with saline solution in patients who underwent abdominal surgery. Sub-analyses were performed on the type of surgery, type of intervention agent, and wound classification.RESULTSNineteen studies comprising 4915 patients undergoing abdominal surgery were included. SSI was observed in 207 out of 2504 patients in the intervention group (8.26 %) and 344 out of 2411 patients in the control group (14.27%). Overall, intraoperative wound irrigation (IOWI) with AMA or ASA was associated with a lower SSI (Odds ratio (OR) 0.62; 95% CI 0.47, 0.82; p < 0.01; I2 = 50%). Sub-analyses have shown a tendency for decreased SSI in patients from emergency surgery (OR 0.46; 95% CI 0.30, 0.70; p < 0.01; I2 = 23%), patients with contaminated wound (OR 0.48; 95% CI 0.31, 0.74; p < 0.01; I2 = 24%), and either the use of AMA or ASA (OR 0.53 vs. 0.65).CONCLUSIONThe overall use of AMA or ASA before skin closure was associated with decreased SSI. Lower rates of SSI were observed in the subgroup analysis. Furthermore, we must consider the critical heterogeneity of the studies.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142198902","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

A high Ki-67 labeling index and high thyroglobulin doubling rate are significant predictors of excision-site recurrence of papillary thyroid carcinoma following airway resection for locally curative surgery. 高Ki-67标记指数和高甲状腺球蛋白倍增率是预测甲状腺乳头状癌气道切除术后切除部位复发的重要指标。

IF 2.6 3区医学

World Journal of Surgery Pub Date : 2024-09-09 DOI: 10.1002/wjs.12325

Yasuhiro Ito,Akira Miyauchi,Mitsuyoshi Hirokawa,Makoto Kawakami,Minoru Kihara,Naoyoshi Onoda,Akihiro Miya

{"title":"A high Ki-67 labeling index and high thyroglobulin doubling rate are significant predictors of excision-site recurrence of papillary thyroid carcinoma following airway resection for locally curative surgery.","authors":"Yasuhiro Ito,Akira Miyauchi,Mitsuyoshi Hirokawa,Makoto Kawakami,Minoru Kihara,Naoyoshi Onoda,Akihiro Miya","doi":"10.1002/wjs.12325","DOIUrl":"https://doi.org/10.1002/wjs.12325","url":null,"abstract":"BACKGROUNDPapillary thyroid carcinoma (PTC) occasionally invades the trachea and requires airway resection. Tracheal excision site recurrence (ESR) is a serious problem. We investigated predictors of ESR in patients with PTC who underwent airway resection for locally curative surgery.METHODSWe enrolled 149 patients with PTC who underwent airway resection (median age at the initial surgery: 67 years), including partial-thickness resection (n = 73) or full-thickness resection (n = 76), for grossly curative surgery. The median postoperative follow-up period was 93 months.RESULTSTo date, 11 patients (6.7%) underwent ESR: 6 underwent full-thickness resection and 5 underwent partial-thickness resection. The time to ESR ranged from 14 to 113 months (median: 57 months) after the initial surgery. None of the 11 ESR patients underwent adjuvant external beam radiotherapy (EBRT) and none of the 4 airway resection patients who underwent EBRT developed ESR. The 5- and 10-year ESR rates were 4.3% and 11.3%, respectively. In the multivariate analysis (forward-backward stepwise selection method), a Ki-67 labeling index (LI) ≥5% (p = 0.048) and the thyroglobulin doubling rate (Tg-DR) >0.33/year (p = 0.009) (for Tg-antibody negative cases) were independent predictors of ESR. Nine of the 11 patients underwent ESR resection and only one developed a second recurrence.CONCLUSIONSA high Ki-67 LI was a static predictor, and high Tg-DR was a dynamic predictor, of ESR in patients with PTC following airway resection. In such patients, careful postoperative monitoring for ESR is necessary and adjuvant therapies, such as EBRT, may be considered.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142225452","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

The cure must not be worse than the disease. 治疗不能比疾病更糟糕。

IF 2.6 3区医学

World Journal of Surgery Pub Date : 2024-09-09 DOI: 10.1002/wjs.12326

Sean McCafferty,Andrew L Tambyraja

引用次数: 0

Predictors of distant metastatic recurrence in intermediate-risk papillary thyroid carcinoma. 中危甲状腺乳头状癌远处转移复发的预测因素

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-08-26 DOI: 10.1002/wjs.12289

Naoyoshi Onoda, Yasuhiro Ito, Akihiro Miya, Minoru Kihara, Akira Miyauchi

{"title":"Predictors of distant metastatic recurrence in intermediate-risk papillary thyroid carcinoma.","authors":"Naoyoshi Onoda, Yasuhiro Ito, Akihiro Miya, Minoru Kihara, Akira Miyauchi","doi":"10.1002/wjs.12289","DOIUrl":"https://doi.org/10.1002/wjs.12289","url":null,"abstract":"Background: Patients with intermediate-risk papillary thyroid carcinoma (PTC) have a favorable prognosis with standard treatment of total thyroidectomy (TT) and adjuvant radioactive iodine therapy (RAIT). However, the benefits of TT or adjuvant RAIT remain undetermined, and they are often omitted in Japan. We investigated risk factors for life-threatening distant recurrence in patients with intermediate-risk PTC who are optimal candidates for adjuvant RAIT.Patients and methods: Outcomes without RAIT were retrospectively examined in 4030 intermediate-risk conventional PTC cases underwent initial surgery from 2005 to 22 (IRB approval 20200709-1).Results: Lobectomy (LT) and TT was performed in 11.5% and 88.5%, respectively. Recurrent laryngeal nerve paralysis and hypoparathyroidism was less commonly observed in LT (1.3% and 0%) than TT (2.4% and 3.5 %). Fifty-six cases (1.4%) had distant recurrence. Recurrence-free survival rates at 10 years was 93.5%. There was no significant difference in recurrence rate between LT and TT. Age ≥55, cN1b, and tumor diameter >30 mm significantly associated with distant recurrence. There was a strong relationship between the number of positive risk factors and recurrence; the distant recurrence rate in cases of 0, 1, 2, and 3 positive factors was 0.3% (4/1203), 1.3% (25/1889), 2.7% (23/830) and 7.1% (4/52) (HR 6.46 (2.34-17.86), Log-rank <0.001).Conclusion: For intermediate-risk conventional PTC, there is no difference in prognosis even if LT was selectively conducted. However, in patients with risk factors for distant metastatic recurrence, such as age ≥55 years, cN1b, and tumor size >30 mm, adjuvant RAIT was considered eligible.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074055","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

Comparison of clinical and patient-reported outcomes in patients with benign euthyroid solitary nodules after ultrasound-guided percutaneous microwave ablation and endoscopic thyroidectomy. 超声引导下经皮微波消融术和内镜甲状腺切除术后良性甲状腺单发结节患者的临床和患者报告结果比较。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-08-22 DOI: 10.1002/wjs.12320

Sanjay Kumar Yadav, Akanksha Mehra, Pawan Agarwal, Dhananjaya Sharma, Goonj Johri, Anjali Mishra

{"title":"Comparison of clinical and patient-reported outcomes in patients with benign euthyroid solitary nodules after ultrasound-guided percutaneous microwave ablation and endoscopic thyroidectomy.","authors":"Sanjay Kumar Yadav, Akanksha Mehra, Pawan Agarwal, Dhananjaya Sharma, Goonj Johri, Anjali Mishra","doi":"10.1002/wjs.12320","DOIUrl":"https://doi.org/10.1002/wjs.12320","url":null,"abstract":"Background: Percutaneous ultrasound-guided microwave ablation (MWA) for benign solid thyroid nodules is the newest modality for treatment. However, the differences in treatment outcomes between MWA and endoscopic thyroidectomy vestibular approach (TOETVA) for patients with benign euthyroid solitary nodules remain unknown. We are sharing initial results from our prospective study.Methods: Prospective study between January 2022 and December 2023 was conducted and data were noted at 3 time points in patients planned for treatment (Preoperative, 1 week, and 12 months). Main outcome measures were clinical outcome and comparison of thyroid-related quality of life using the ThyPRO-39hin and swallowing-related quality of life using the SWAL-QoL.Results: Of the 36 included patients, 20 patients underwent TOETVA and 16 underwent MWA. Both the groups were comparable in terms of demographic and clinicopathological profiles. The nodule volume reduction rate of patients at 12 months after MWA was 75.10% and 100% for TOETVA. The mean preoperative ThyPRO-39hin and SWAL-QoL scores were comparable in all domains between the two groups. Mean ThyPRO-39hin and SWAL-QoL scores on postoperative day 7 were significantly better in the MWA group in domains impaired social life (p < 0.0001) and impaired daily life (p = 0.0002). However, at the end of 12 months, mean ThyPRO-39hin and SWAL-QoL scores became significantly better in the TOETVA group as compared to the MWA group.Conclusion: Our findings suggest that transoral endoscopic thyroidectomy results in significant superior clinical outcome, thyroid-related quality of life, and swallowing-related quality of life in the long term.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037151","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

Same-day parathyroidectomy for primary hyperparathyroidism -an over 20-year practice. 原发性甲状旁腺功能亢进症的当天甲状旁腺切除术--20多年来的实践。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-08-22 DOI: 10.1002/wjs.12319

Chandler A Annesi, Andrea Gillis, Jessica M Fazendin, Brenessa Lindeman, Herbert Chen

{"title":"Same-day parathyroidectomy for primary hyperparathyroidism -an over 20-year practice.","authors":"Chandler A Annesi, Andrea Gillis, Jessica M Fazendin, Brenessa Lindeman, Herbert Chen","doi":"10.1002/wjs.12319","DOIUrl":"https://doi.org/10.1002/wjs.12319","url":null,"abstract":"Introduction: There has been a shift in recent years toward same-day parathyroidectomies due to the decrease in mutual costs with few significant differences in postoperative morbidity or mortality. We sought to determine if demographics, preoperative patient risk factors, or comorbidities were associated with a patient's likelihood of having same-day or inpatient surgery.Materials and methods: A prospective database of parathyroid operations from 2001 to 2022 (n = 2948 patients) was reviewed for surgeries completed for primary hyperparathyroidism. Patients were categorized as same-day or inpatient surgery; demographics, risk factors, and co-morbidities were examined and differences across practice patterns during the 21-year period were studied and also analyzed in a subset of patients from 2013 to 2022.Results: In a recent subset of patients from 2013 to 2022, patients having inpatient surgery were more likely to be Black and use anticoagulation or antiplatelet therapy. Multivariable regression confirmed increased odds of aging and black patients requiring inpatient parathyroidectomy. Compared to 2001-2003, there was a significantly increased proportion of patients undergoing same-day surgery; compared to 2010-2012, there was a similar proportion of patients undergoing outpatient surgery between 2013 and 2018, and there was an increased proportion from 2019 through 2022.Conclusion: Same-day parathyroidectomies have been shown to be safe and has become the typical practice for high-volume parathyroid surgeons over the last decade. Complications such as postoperative hematoma or hypocalcemia were previously shown to be incompletely mitigated by increased LOS or inpatient surgery, although demographics are considered to increase the odds of inpatient parathyroidectomy.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037152","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

Invited commentary: "Risk of neuropsychiatric disorders in primary hyperparathyroidism: Parathyroidectomy versus nonoperative management". 特邀评论："原发性甲状旁腺功能亢进症的神经精神障碍风险：甲状旁腺切除术与非手术治疗"。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-08-21 DOI: 10.1002/wjs.12318

Christine J O'Neill

引用次数: 0

Association of county-level provider density with hepatobiliary cancer incidence and mortality. 县级医疗机构密度与肝胆癌发病率和死亡率的关系。

IF 2.3 3区医学

World Journal of Surgery Pub Date : 2024-08-15 DOI: 10.1002/wjs.12316

Muhammad Muntazir Mehdi Khan, Muhammad Musaab Munir, Razeen Thammachack, Yutaka Endo, Abdullah Altaf, Selamawit Woldesenbet, Zayed Rashid, Mujtaba Khalil, Mary Dillhoff, Susan Tsai, Timothy M Pawlik

{"title":"Association of county-level provider density with hepatobiliary cancer incidence and mortality.","authors":"Muhammad Muntazir Mehdi Khan, Muhammad Musaab Munir, Razeen Thammachack, Yutaka Endo, Abdullah Altaf, Selamawit Woldesenbet, Zayed Rashid, Mujtaba Khalil, Mary Dillhoff, Susan Tsai, Timothy M Pawlik","doi":"10.1002/wjs.12316","DOIUrl":"https://doi.org/10.1002/wjs.12316","url":null,"abstract":"Background: Access to healthcare providers is a key factor in reducing cancer incidence and mortality, underscoring the significance of provider density as a crucial metric of health quality. We sought to characterize the association of provider density on hepatobiliary cancer population-level incidence and mortality.Study design: County-level hepatobiliary cancer incidence and mortality data from 2016 to 2020 and provider data from 2016 to 2018 were obtained from the CDC and Area Health Resource File. Multivariable logistic regression was utilized to evaluate the relationship between provider density and hepatobiliary cancer incidence and mortality.Results: Among 1359 counties, 851 (62.6%) and 508 (37.4%) counties were categorized as urban and rural, respectively. The median number of providers in any given county was 104 (IQR: 44-306), while provider density was 120.1 (IQR: 86.7-172.2) per 100,000 population; median household income was $51,928 (IQR: $45,050-$61,655). Low provider-density counties were more likely to have a greater proportion of residents over 65 years of age (52.7% vs. 49.6%) who were uninsured (17.4% vs. 13.2%) versus higher provider-density counties (p < 0.05). Moreover, all-stage incidence, late-stage incidence, and mortality rates were higher in counties with low provider density. On multivariable analysis, moderate, and high provider density were associated with lower odds of all-stage incidence, late-stage incidence, and mortality.Conclusion: Higher county-level provider density was associated with lower hepatobiliary cancer-related incidence and mortality. Efforts to increase access to healthcare providers may improve healthcare equity as well as long-term cancer outcomes.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989067","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

Enhanced recovery after surgery and intestinal obstruction: A scoping review. 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 : 2024-08-12 DOI: 10.1002/wjs.12310

Marie Sin Ae Buhl, Claudia Jaensch, Anders Husted Madsen

{"title":"Enhanced recovery after surgery and intestinal obstruction: A scoping review.","authors":"Marie Sin Ae Buhl, Claudia Jaensch, Anders Husted Madsen","doi":"10.1002/wjs.12310","DOIUrl":"https://doi.org/10.1002/wjs.12310","url":null,"abstract":"Background: Acute intestinal obstruction is a blockage of the intestine which causes a range of clinical symptoms such as acute and severe abdominal pain, nausea, and obstipation. Intestinal obstruction is a medical emergency and can be life-threatening when left untreated. In cases where treatment involves emergency abdominal surgery, a multimodal perioperative care pathway (enhanced recovery after surgery ERAS) has shown to accelerate patient recovery after surgery, reduce hospital length of stay, and improve overall outcomes. The objective of this scoping review was to identify and synthesize the existing evidence regarding the implementation of ERAS components with a focus on postoperative components in patients undergoing surgery for acute intestinal obstruction.Methods: This scoping review followed the preferred reporting items for systematic reviews and meta-analysis extension for scoping reviews framework. PubMed-Medline and Embase database were searched.Results: The search identified 1860 studies of which 16 were included in the final analysis. All the studies were quantitative. Eleven studies used 10 or more ERAS interventions (range 10-28). The most common interventions were multimodal systemic analgesia, and the least common were the management of blood glucose and screening tools.Conclusion: This scoping review found that 56% (n = 9/16) of the identified studies used 10 or more ERAS interventions out of a possible 35. This review highlighted the need for studies on the ERAS emergency laparotomy guidelines.","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141971991","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