World Journal of Surgery最新文献

{"title":"Small Bowel Cancer: Implications of Preoperative Work-Up on Surgical Strategy.","authors":"Erik Kjæstad, Espen Thiis-Evensen, Anita Sveen, Arne Olav Bakka, Johannes Kurt Schultz","doi":"10.1002/wjs.70547","DOIUrl":"10.1002/wjs.70547","url":null,"abstract":"<p><strong>Background: </strong>Small bowel cancers comprise a heterogeneous group of malignancies, making diagnosis and treatment challenging. This study aimed to evaluate the ability of preoperative diagnostic work-up to predict clinical and histopathological findings, facilitate subgroup identification, and support tailored, individualized surgical strategies.</p><p><strong>Methods: </strong>This retrospective single-center analysis included all patients operated 2015-2024 for suspected small bowel cancer at a tertiary referral center. Preoperative assessments-including diagnostic evaluation of tumor type, disease extent, and anatomical localization-were compared to intraoperative findings and final histopathological results.</p><p><strong>Results: </strong>Of 187 operations, 59 (32%) were right colectomies, 50 (27%) robotic/laparoscopic procedures and 36 (19%) emergencies. Preoperative symptoms were present in 156 (83%) patients. CT scans were performed in 184 (98%), somatostatin receptor imaging (SRI) in 120 (64%), endoscopy in 92 (49%), and biopsy in 74 (40%). Small intestinal neuroendocrine tumors (siNET) were found in 108 (58%) patients, carcinomas in 24 (13%), metastatic tumors in 17 (9%), gastrointestinal stromal tumors in 13 (7%), benign lesions in 13 (7%), lymphomas in 8 (4%), and desmoid tumors in 4 (2%). The preoperative tentative tumor entity was correct in 118 (63%). CT sensitivities for mesenteric and peritoneal metastases were 65% and 9%, respectively. SRI was positive in 83/92 siNET and 6/28 non-NET. Mesenteric metastases were found in 99 (95%) siNET patients. SRI failed to identify mesenteric dissemination in 24 (27%) siNET patients. Among patients with siNET, 18 (17%) had liver metastases and 18 (17%) had peritoneal metastases. SiNET multifocality was associated with distant metastatic status (p < 0.001). Pathologists found 313 luminal siNET, 17 tumors were missed by intraoperative palpation, 51 by SRI and 156 by CT. All siNET were in the ileum. Terminal compared to middle/upper ileum siNET were more often solitary (39/42 [93%] vs. 31/60 [52%]; p < 0.001) and had less often advanced mesenteric disease (N2) (9/44 [20%] vs. 31/58 [53%]; p < 0.001).</p><p><strong>Conclusions: </strong>Preoperative work-up of small bowel cancer is often inaccurate, particularly when it comes to identification of bowel tumors and metastases. Intraoperative palpation of the bowel and its mesentery and inspection of the peritoneum remain essential to facilitate an adaptive surgical strategy.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"3008-3019"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888770","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":"Declining to Offer: Autonomy and Moral Responsibility in Surgical Decision-Making.","authors":"Julia Botvinov, Howard M Ross, Bryan C Pilkington","doi":"10.1002/wjs.70534","DOIUrl":"10.1002/wjs.70534","url":null,"abstract":"","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2774-2776"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761981","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":"Hiatal Pouch Migration After Roux-en-Y Gastric Bypass.","authors":"Tomás Comissati Novoa, Federico Suldrup, Felipe Higuera, Fernando Wright, Axel Beskow","doi":"10.1002/wjs.70529","DOIUrl":"10.1002/wjs.70529","url":null,"abstract":"<p><p>Hiatal hernia (HH) is common among patients with obesity and is frequently identified during preoperative evaluation for Roux-en-Y gastric bypass (RYGB). However, postoperative hiatal pouch migration after RYGB remains poorly characterized, with previous reports largely limited to symptomatic patients or small case series. We aimed to describe the frequency and imaging characteristics of postoperative hiatal pouch migration in a large retrospective cohort of patients undergoing RYGB.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2784-2786"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762047","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":"Aligning Open-Access Surgical Education With Need: Curriculum Coverage and Gaps in the United Nations Global Surgery Learning Hub (SURGhub).","authors":"Dáire Goodman, Sara Mohan, Pauline Wake, Dolorence Wakida, Dara Kavanagh, Juan Carlos Puyana, Eric O'Flynn","doi":"10.1002/wjs.70533","DOIUrl":"10.1002/wjs.70533","url":null,"abstract":"<p><strong>Background: </strong>The United Nations Global Surgery Learning Hub (SURGhub) is a community-led, open-access digital platform providing quality-assured surgical education, particularly in low-resource settings. However, growth in course numbers and learner reach does not necessarily ensure balanced coverage of competencies required in early training. We mapped SURGhub content against selected early training curricula to identify priority gaps and establish a baseline for educational improvement.</p><p><strong>Methods: </strong>We conducted a cross-sectional curriculum mapping study of SURGhub courses available in January 2026. Courses classified as Level 1 or 2 were mapped against selected benchmark curricula in surgery, anesthesia, obstetrics and gynecology (OBGYN), and perioperative nursing. Reviewers applied a three-component rubric assessing relevant content quantity, coverage breadth, and early training essentiality. Component scores were summed to produce a total score from 0 to 6, with domains classified as critical, high-, moderate-, or low-priority curriculum gaps.</p><p><strong>Results: </strong>A total of 82 eligible courses were evaluated across 99 curriculum domains. Mean domain scores were highest for surgery at (3.67/6), followed by anesthesia (2.53), OBGYN (0.84), and perioperative nursing (0.83). Coverage was broad but uneven. Practical perioperative topics, trauma, patient safety, and procedural skills were better represented than foundational sciences and several specialty-specific clinical domains. Critical gaps were identified in one of 12 surgical domains, five of 19 anesthesia domains, eight of 12 perioperative nursing domains, and 37 of 56 OBGYN domains.</p><p><strong>Conclusions: </strong>SURGhub demonstrates the potential of open-access, low-bandwidth digital education to expand access to surgical learning globally, but Levels 1 and 2 course coverage was uneven across selected benchmark curricula. Approximately two-thirds of evaluated OBGYN and perioperative nursing domains were classified as critical gaps. This mapping establishes a baseline for curriculum-aligned content commissioning and repeated evaluation. Future research should evaluate course uptake, completion, and learner outcomes following targeted content development while maintaining attention to accessibility, engagement, and equity.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2946-2955"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723697","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":"Incidence, Causes, and Outcomes of Conversion to Open Surgery During Minimally Invasive Left Pancreatectomy: A Prospective Multicenter Study.","authors":"Ismael Gomez, Villodre C, Hernández-Roca B, Rubio-García Jj, Juli Busquets, Luis Secanella, Nuria Peláez, Maialen Alkorta, Itziar De Ariño Hervas, Mᵃ Mar Achalandabaso, Enrique Toledo, Fernando Rotellar, Pablo Martí-Cruchaga, Miguel Ángel Gómez-Bravo, Gonzalo Suárez, Marina Garcés-Albir, Luis Sabater, Gabriel García, Francisco Javier Alcalá, Enrique Asensio, David Pacheco, Esteban Cugat, Francisco Espín, María Galófre, Belinda Sánchez, Julio Santoyo, Jorge Calvo, Carmelo Loinaz, Maribel García, Santiago Sánchez-Cabús, Belén Martín, Gerardo Blanco, Isabel Jaén-Torrejimeno, Carlos Domingo, Carmen Payá, Carmen González, Sandra Ruiz, Rafael López-Andújar, Cristina Ballester, Ana Belén Vico, Natalia Zambudio, Sergio Estévez, Manuel Nogueira-Sixto, José Ignacio Miota, Belén Conde, Miguel Ángel Suárez, Jorge Roldán de la Rúa, Angelica Blanco, Manuel González, Pilar Elena González, Betsabé Reyes, Santiago López Ben, Berta Tió, Javier Mínguez, Inmaculada Lasa, Alberto Miyar, Lorena Solar, Fernando Burdio, Benedetto Ielpo, Alberto Carabias, María Paloma, Alfredo Escartín, Fulthon Vela, Elia Marqués, Adelino Pérez, Gloria Palomares, Antonio Calvo, José Tomás Castell, María Jesús Castro, M Carmen Manzanares, Enrique Artigues, Juan Luis Blas, Luis Díez, Alicia Calero, José E Quiñones, Mario Rodríguez, Mario Serradilla-Martín, Cándido Alcázar, Ramia Jm","doi":"10.1002/wjs.70531","DOIUrl":"10.1002/wjs.70531","url":null,"abstract":"<p><strong>Background: </strong>Minimally invasive left pancreatectomy (MILP) has become the preferred approach to treat lesions of the pancreatic body and tail. However, the procedure may require conversion to open surgery, with reported conversion rates varying widely in the literature. This study aims to evaluate the incidence, causes, and clinical outcomes associated with conversion to open surgery in a prospective multicenter series.</p><p><strong>Methods: </strong>The SPANDISPAN Project is a prospective, multicenter study conducted at 41 Spanish hospitals from February 2022 to January 2023. Patients were divided into conversion and nonconversion groups to identify predictors using univariate and multivariate logistic regression models.</p><p><strong>Results: </strong>Of 313 recorded left pancreatectomies, 217 (69.3%) were MILP procedures. The conversion rate was 10.6%. Reasons for conversion included hemorrhage (60.9%) and intraoperative technical difficulties (39.1%). Multivariable analysis identified intraoperative blood loss (OR 1.65 per 100-mL increment; p < 0.001) and intraoperative transfusion (OR 7.777; p = 0.012) as independent intraoperative correlates of conversion, reflecting the bleeding-related process leading to conversion rather than preoperative predictors available for case selection. Low center volume was associated with a higher conversion rate in univariable analysis (14.5% vs. 6%; p = 0.042) with a nonsignificant protective trend for high-volume centers after multivariable adjustment (OR 0.339; p = 0.075). Although patients who required conversion had longer operative times and hospital stays, there were no significant differences in major complications, postoperative pancreatic fistula, or mortality between the groups.</p><p><strong>Conclusions: </strong>Conversion to open surgery during MILP is primarily driven by intraoperative bleeding-related events rather than by preoperative patient or tumor characteristics. Treatment at a high-volume center was associated with a lower conversion rate, although this trend did not reach significance after multivariable adjustment. Conversion was not associated with a significant increase in major morbidity or mortality in this cohort, supporting its use as a proactive safety measure rather than a surgical failure, although the limited number of conversion events warrants a cautious interpretation of this negative finding.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"3055-3064"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798275","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":"Perioperative Hemoglobin Trajectory and Hemoglobin Decrease in Major Abdominal Surgery.","authors":"Javier Ripollés-Melchor, Ane Abad-Motos, Carlos Jericó, Toby Richards, Ángel Espinosa, Gianluca Pellino, Diana Fernández-García, Rosalía Navarro-Pérez, Rachel Budithi, Kenneth J Macpherson, José A García-Erce","doi":"10.1002/wjs.70560","DOIUrl":"10.1002/wjs.70560","url":null,"abstract":"<p><strong>Background: </strong>Most studies evaluate perioperative hemoglobin at a single time point despite substantial changes across the perioperative period. We examined whether perioperative hemoglobin trajectory and perioperative hemoglobin decrease were associated with postoperative outcomes after major abdominal surgery.</p><p><strong>Methods: </strong>We performed a secondary analysis of the international POSTVenTT cohort, a prospective multicentre observational study of adults undergoing major abdominal surgery. Hemoglobin trajectory was defined according to anemia status preoperatively and at hospital discharge. Perioperative hemoglobin decrease was defined as the difference between preoperative and discharge hemoglobin concentration. Mixed-effects logistic regression models adjusted for predefined clinical covariates and center clustering were used to evaluate associations with postoperative complications, postoperative transfusion, and 30-day readmission.</p><p><strong>Results: </strong>Among 5302 patients, 3735 had both preoperative and discharge hemoglobin measurements and were included in trajectory analyses. Compared with patients without perioperative anemia, persistent anemia was associated with the higher odds of postoperative complications, postoperative transfusion, and 30-day readmission, whereas new postoperative anemia showed similar but smaller associations. Greater perioperative hemoglobin decrease was associated with higher odds of postoperative complications. For each 10 g/L decrease, the odds of any postoperative complication increased by 35% (OR 1.35, 95% CI 1.26-1.45) and major complication by 49% (OR 1.49, 1.35-1.64). Associations persisted after accounting for transfusion exposure and baseline hemoglobin.</p><p><strong>Conclusions: </strong>Perioperative hemoglobin trajectory and perioperative hemoglobin decrease were associated with postoperative complications and 30-day readmission after major abdominal surgery. Greater hemoglobin decrease remained associated with adverse outcomes after accounting for transfusion exposure and baseline hemoglobin.</p><p><strong>Trial registration: </strong>The POSTVenTT study was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12621001517864; 8 November 2021). The trial protocol was approved by the South Metropolitan Health Service (Western Australia) Health Research Ethics Committee (EC00265), the Western Australia Research Governance System (RCG 4477), with local ethics and governance confirmed at each site before patient recruitment.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2838-2847"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881793","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":"Pediatric Surgeons' Expectations of the EUPSA Global Surgery Committee Across World Bank Income Groups: A Two-Round Modified Delphi Study.","authors":"G Brisighelli, G T Tekant, A Gunnarsdóttir, A R Brohi, B M Basnet, C M Burgos, D Di Fabrizio, E Reuling, E Stortelder, F Pederiva, J Lindert, J Stoltz, M Garriboli, M Kakar, Ü Celtik, U Rolle","doi":"10.1002/wjs.70541","DOIUrl":"10.1002/wjs.70541","url":null,"abstract":"<p><strong>Aim: </strong>The European Pediatric Surgeons' Association (EUPSA) recently established a Global Surgery Committee to promote equitable access to pediatric surgical care through international collaboration and capacity building. This study aimed to explore and prioritize pediatric surgeons' expectations regarding the role and activities of the EUPSA Global Surgery Committee across different World Bank income groups, with particular attention to perspectives from low- and middle-income settings.</p><p><strong>Methods: </strong>A two-round modified Delphi study was conducted using online surveys distributed via EUPSA networks, pediatric surgical societies, and professional social media. In Round 1, participants provided up to five free-text expectations; responses underwent inductive thematic analysis. In Round 2, participants ranked six themes, rated 20 subthemes on a 1-10 Likert scale and selected three top priorities. Countries were classified using the 2025 World Bank income groups, and descriptive statistics were used for analysis.</p><p><strong>Results: </strong>A total of 230 participants from 68 countries completed Round 1; 113 (49%) practiced in low- or lower-middle-income settings, 165 (72%) were consultant pediatric surgeons, and 196 (85%) worked in urban environments. Thematic analysis of 218 valid free-text responses identified six themes spanning guidelines, training, research, advocacy, infrastructure, and cross-cutting support. In Round 2, 65 complete responses were analyzed. Training-related support ranked highest across all income groups, followed by guidelines and knowledge resources and by infrastructure and service delivery. Fellowships or observerships and structured mentorship were consistently among the highest-rated subthemes. High-income respondents more often prioritized guidelines and registry or multicenter research support, whereas low- and lower-middle-income respondents placed greater emphasis on equipment, infrastructure, and advocacy.</p><p><strong>Conclusions: </strong>Pediatric surgeons across income settings perceive EUPSA's global surgery role as multidimensional, with a consistent prioritization of capacity building through training, mentorship, guidelines, and systems-oriented support.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2976-2986"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875593","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":"Who Is At Risk of Iatrogenic Hypoparathyroidism-An Invited Commentary.","authors":"Edwina C Moore","doi":"10.1002/wjs.70543","DOIUrl":"10.1002/wjs.70543","url":null,"abstract":"","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"2777-2779"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866961","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":"Vein-Guided Approach for Safe Control of Splenic Vein Tributaries in Robot-Assisted Splenic Vessel-Preserving Distal Pancreatectomy.","authors":"Hiroki Sunagawa, Keigo Hayashi, Tomofumi Orokawa","doi":"10.1002/wjs.70557","DOIUrl":"10.1002/wjs.70557","url":null,"abstract":"<p><p>Splenic vessel-preserving distal pancreatectomy (SVPDP) preserves splenic function while maintaining physiological perfusion and drainage, but remains technically demanding. Standardization has so far centered on the splenic artery, with prior strategies describing whether it is approached from the ventral or dorsal aspect of the pancreas. The venous side has received little systematic attention: small tributaries draining the pancreas into the splenic vein, most consistently the centro-inferior pancreatic vein (CIPV), are a frequent unpredictable source of bleeding during posterior dissection. A vein-guided approach is described that uses the splenic vein and its tributaries as the anatomical roadmap for posterior dissection, maintaining continuous \"vein-on-sight\" visualization to safely control these venous branches as a group rather than relying on any single landmark. Because the splenic artery runs immediately cephalad to the vein on the dorsal pancreatic surface, the venous plane developed by this approach also facilitates subsequent arterial control. Among 24 patients undergoing SVPDP (13 laparoscopic and 11 robot-assisted), the robotic approach showed favorable nonsignificant trends toward lower blood loss, fewer clinically relevant pancreatic fistulas, and higher splenic vein patency. This vein-guided approach complements existing artery-based strategies, extending technical standardization of SVPDP to the venous side.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":"3020-3023"},"PeriodicalIF":2.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148897585","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":"Interpret With Caution the Protective Effect of Delayed Appendectomy Within 24 Hours.","authors":"Yuze Wu, Chengzhi Qiu","doi":"10.1002/wjs.70582","DOIUrl":"https://doi.org/10.1002/wjs.70582","url":null,"abstract":"","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070183","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}