BMC Surgery最新文献

{"title":"Predictive model for recurrence of incisional hernia constructed by CT abdominal wall imaging features.","authors":"Qi He, Yunhua Wu, Gexin Xu, Zhixing Zhang, Dejan Gao, Lingzhi Nie, Qingguo Du","doi":"10.1186/s12893-025-02838-4","DOIUrl":"10.1186/s12893-025-02838-4","url":null,"abstract":"<p><strong>Background: </strong>The recurrence rate after incisional hernia surgery is the most important concern for patients and surgeons, which not only causes pain to the patient but also adds additional medical costs. This study aims to investigate CT imaging features based on abdominal wall mechanics for recurrence after incisional hernia surgery.</p><p><strong>Materials and methods: </strong>We collected data from patients who were diagnosed with incisional hernia and underwent hernia repair from January 2017 to January 2022 in Shanxi Provincial People's Hospital. Based on Laplace's equation, an equation for spherical wall pressure, we further measured the preoperative abdominal wall thickness and abdominal wall radius of the patients by CT and measured the abdominal wall muscle area and visceral fat area at the third lumbar level by using Slice-O-Matic 5.0 software, and the sarcopenia index was further obtained by dividing the muscle area by the square of the height. Then, we analyzed their relationship with the postoperative recurrence of incisional hernia.</p><p><strong>Results: </strong>By univariate and multifactorial analyses, we found that excessive visceral adiposity, high BMI and sarcopenia were independent risk factors for incisional hernia recurrence. In further stratified analysis, we also found that patients with combined sarcopenia had a higher probability of recurrence. Our results found that visceral fat was a higher risk factor for incisional hernia recurrence than BMI.</p><p><strong>Conclusion: </strong>This study was a retrospective study. Based on the Laplace equation, sarcopenia and visceral fat are independent risk factors for recurrence after incisional hernia.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"227"},"PeriodicalIF":1.6,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144014","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":"Hepato-pancreato-biliary surgical capacity in East and South African countries: a regional assessment survey.","authors":"Mohamed Daffalla Awadalla Gismalla, T K Marumo, Nebiat E Mekonnen, Ahmed AbdElrahman-Abdalla Abd Elrahman","doi":"10.1186/s12893-025-02962-1","DOIUrl":"10.1186/s12893-025-02962-1","url":null,"abstract":"<p><strong>Backgrounds: </strong>Hepato-pancreato-biliary (HPB) services are not widely recognized in African countries. This survey seeks to assess the current status of HPB surgery in East and Southern Africa.</p><p><strong>Methods: </strong>The Surgeons Overseas Personnel, Infrastructure, Procedure, Equipment, and Supplies (PIPES) survey assessed HPB capacity in East and South African countries. The PIPES score was calculated for hospitals; a higher score indicates greater capacity.</p><p><strong>Results: </strong>Twenty-five responses from 10 countries completed the survey, yielding a median score of 41 (range 18-57). 80% of hospitals are government-operated. Functioning X-ray machines and pre-tested blood banks are the most commonly available resources in 23 (92%) and 20 (80%) hospitals. The most common procedure is open cholecystectomy, performed in 24 (96%) hospitals, while laparoscopic cholecystectomy, distal pancreatectomy, and non-anatomic hepatic resections were conducted in 22 (92%) hospitals. The Whipple operation and liver resection were carried out in 20 (80%) hospitals. Interventional radiology is available in 5 (20%) centers, and liver transplantation was noted in 3 (12%) hospitals. Electrosurgery is available in 25 hospitals, and energy devices are accessible in 19.</p><p><strong>Conclusion: </strong>This study highlights the HPB surgery services in East and Southern African countries. Despite limited resources, certain HPB services are accessible.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"226"},"PeriodicalIF":1.6,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133093","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 age on outcomes and hospital costs of urgent laparoscopic cholecystectomy for acute cholecystitis: a retrospective cohort study.","authors":"Yu-Ming Kao, Chih-Ying Lu","doi":"10.1186/s12893-025-02963-0","DOIUrl":"https://doi.org/10.1186/s12893-025-02963-0","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to compare the clinical outcomes and hospital costs between younger and older adult with acute cholecystitis patients who received urgent laparoscopic cholecystectomy.</p><p><strong>Methods: </strong>A 3-year retrospective study was conducted. Patients admitted to surgical units for urgent laparoscopic cholecystectomy at Chi-Mei Hospital from January 1, 2019, to December 31, 2021, were included. Patients' baseline data were collected from medical records review. Postoperative complications are defined by the Clavien-Dindo classification as being greater than grade I. Total costs during admission were also collected based on disease-related groups (DRG system).</p><p><strong>Results: </strong>Among 300 patients selected, 68.3% (n = 205) were aged < 60 years, 19.3% (n = 58) were aged between 60 and 69 years, and 12.3% (n = 37) were aged ≥ 70 years. Patients aged ≥ 70 years had higher rates of comorbidities, higher ASA levels, and lower platelet counts than those in patients aged < 60 years. After adjusting for possible confounders in the multivariable models, older age was significantly associated with longer hospital stays (length of stay, or LOS) (β = 0.56 for patients aged 60-69 years and 1.30 for those aged ≥ 70 years) and correspondingly higher hospital costs (β = 219.69 for patients aged 60-69 years and 302.48 for ≥ 70 years) compared to those for patients aged < 60 years. No significant associations were found between older age and the occurrence of postoperative complications.</p><p><strong>Conclusions: </strong>Urgent LC with adequate perioperative care is feasible for treating acute cholecystitis in older adult patients. Older age is independently associated with longer LOS and higher costs but not with short-term postoperative complications.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"228"},"PeriodicalIF":1.6,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143773","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 umbilical hernia incidence and etiology in 753 cases of single-incision laparoscopic surgery: a retrospective analysis.","authors":"Peng Chen, Jingyi Jiao, Huimin Xue, Xiaojun Zhu, Xiaojuan Wang, Peng Wang","doi":"10.1186/s12893-025-02958-x","DOIUrl":"10.1186/s12893-025-02958-x","url":null,"abstract":"<p><strong>Purpose: </strong>The rising popularity of Single Incision Laparoscopic Surgery (SILS) brings concerns regarding a higher incidence of postoperative incisional hernias due to the enlarged umbilical incision compared to conventional laparoscopy. This study aims to explore the occurrence of incisional hernias following single-port laparoscopic surgery and identify associated risk factors.</p><p><strong>Methods: </strong>The patient cohort included individuals who underwent cholecystectomy and inguinal hernia repair procedures using the SILS technique. Follow-up assessments were conducted via written correspondence, telephone interviews, and clinical examinations. Univariate and multivariate analyses were employed to investigate the impact of demographic variables and surgical parameters, including age, gender, BMI, ASA score, operative duration, pre-existing umbilical hernia, and the occurrence of postoperative incisional hernia.</p><p><strong>Results: </strong>A total of 753 patients completed follow-up, with a mean duration of 60.2 months and variance: 51.26. Among them, 342 (45.4%) underwent cholecystectomy, while 411 (54.6%) underwent inguinal hernia repair. The study cohort comprised 405 women (53.8%) and 348 men (46.2%), with a mean age of 40 years (range 10-83 years) at the time of surgery. Only one patient (0.13%) required conversion to conventional laparoscopy for surgical access. Intraoperative complications occurred in 0.1% of cases, while postoperative complications occurred in 1.6%. Incisional hernias developed in 10 patients (1.3%), with a notably higher incidence of 5.9% among obese patients than normoweight patients. Additionally, 23.1% of patients with pre-existing umbilical hernias experienced incisional hernia during the follow-up period. Multivariate analyses revealed that obesity(OR: 18.56, Cl:5.76-86.42, p value:0.003), pre-existing umbilical hernia(OR:16.32,Cl:4.26-61.68, p value:0,002), diabetes(OR:2.42, Cl:1.86-20.42, p value:0.496), and hypertension(OR:1.96, Cl:0.72-12.64,p value:0.924) were significantly associated with incisional hernia incidence. However, gender, age, type of surgery (inguinal hernia repair vs. cholecystectomy), presence of acute inflammation, and duration of surgery did not show statistically significant associations with incisional hernia occurrence.</p><p><strong>Conclusion: </strong>Detecting incisional hernias necessitates an extended follow-up period. In the univariate analysis, obesity and pre-existing umbilical hernias were linked to an elevated risk of this complication. Following meticulous patient selection, Single Incision Laparoscopic Surgery (SILS) presents a secure method for performing cholecystectomy and inguinal hernia repair.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"224"},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129294","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":"Open radical cystectomy and ileal loop diversion under combined spinal-epidural anaesthesia for the elderly and frail.","authors":"Sahin Kilic, Tayfun Sugur, Hayri Fatih Metinyurt, Yigit Demir, Eray Ozturk, Murat Sambel","doi":"10.1186/s12893-025-02947-0","DOIUrl":"10.1186/s12893-025-02947-0","url":null,"abstract":"<p><strong>Background: </strong>The association between prolonged general anaesthesia duration in radical cystectomy (RC) and increased complication rates is well established. This study compared clinical outcomes of open RC performed under combined spinal-epidural anaesthesia (CSEA) versus general anaesthesia in elderly and frail patients.</p><p><strong>Methods: </strong>A retrospective evaluation was conducted on data from patients who underwent open RC at our institution between February 2023 and October 2024. Patients with missing data or previous open abdominal surgery, who underwent additional surgical intervention during RC, or who underwent different urinary diversions from ileal loop diversion were excluded. The study comprised two cohorts, designated as CSEA and general anaesthesia groups. Various demographics, including age, body mass index (BMI), comorbidities, pre-and postoperative blood values, operative times, estimated blood loss, and recovery parameters, were retrospectively analyzed.</p><p><strong>Results: </strong>The CSEA group had a higher mean age than the general anaesthesia group (72.40 ± 9.79 vs. 64.40 ± 10.70 years, p = 0.098), though this difference was not statistically significant. BMI values were similar for both groups (25.50 ± 2.80 and 25.34 ± 4.20 kg/m², p = 0.922). The prevalence of comorbidities was significantly higher in the CSEA group (100% vs. 40%, p = 0.011). The mean preoperative albumin level was lower in the CSEA group (3.23 ± 0.68 vs. 3.97 ± 0.51 mg/dL, p = 0.013). Duration of surgery, estimated blood loss and need for blood transfusion were similar between both groups (p > 0.05). Postoperative oral feeding initiation time was significantly earlier in the CSEA group (1 day and 3 days, p < 0.001). Visual Analog Scale (VAS) scores were significantly lower in the CSEA group (3.0 vs. 4.6, p = 0.004). The number of lymph node removals was significantly higher in the CSEA group (28.80 ± 7.77 vs. 12.90 ± 7.13, p < 0.001). Locally advanced disease rate was more common in the CSEA group (80% vs. 20%, p < 0.010). However, Clavien-Dindo Grade ≥ III complication rates and length of hospitalization were similar between the groups (p > 0.05).</p><p><strong>Conclusions: </strong>Open RC under CSEA is a preferable option for elderly patients and those with comorbidities who are not suitable for general anaesthesia. It offers advantages in postoperative bowel function recovery and pain management compared with general anaesthesia.</p><p><strong>Trial registration: </strong>retrospectively registered.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"222"},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121324","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":"Effectiveness of negative pressure wound therapy in Ludwig's angina: a retrospective study of 18 cases.","authors":"Shu-Jun Chen, Ning Ji, Yu-Xuan Chen, Jian-Rui Xiao, Xiao-Zong Wei, Yan-Kun Liu","doi":"10.1186/s12893-025-02957-y","DOIUrl":"10.1186/s12893-025-02957-y","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effectiveness of negative pressure wound therapy (NPWT) for Ludwig's angina (LA).</p><p><strong>Methods: </strong>We retrospectively reviewed 18 patients with LA admitted to the 82nd Group Army Hospital of PLA between October 2014 and October 2021. All patients underwent surgical drainage and debridement within 6 h after admission. A minimally invasive approach involving bilateral small incisions in the submandibular area was used to perform the procedure. An NPWT device was applied for positive drainage of the involved spaces after debridement. Postoperatively, the patients received the appropriate supportive care and antibiotic therapy. Data collection encompassed sex, age, systemic diseases, dressing change frequency, NPWT duration, wound healing time, and ICU stay length. Follow-up was performed to evaluate recurrence, scarring, and neck mobility. For comparative analysis, control data were obtained from LA patients treated with conventional surgical drainage between January 2008 and September 2014. Descriptive statistics and Student's t-test were employed for statistical analysis.</p><p><strong>Results: </strong>In the NPWT group, all patients had uneventful courses during hospitalization and were discharged upon complete wound healing. Fifteen patients required only a single session of surgical debridement with NPWT, while the remaining three underwent two procedures. Upon NPWT device removal, all infectious cavities exhibited clean wounds with mature granulation tissue formation. Compared to the conventional surgery group, the NPWT group demonstrated a significantly shorter wound healing time (15.33 ± 3.93 vs. 19.50 ± 2.17 days; p = 0.025), reduced ICU stay duration (0.61 ± 0.61 vs. 2.17 ± 0.75 days; p < 0.001) and markedly fewer dressing changes (2.17 ± 0.38 vs. 17.00 ± 3.16; p < 0.001).</p><p><strong>Conclusions: </strong>NPWT demonstrated excellent effectiveness in the management of LA. Compared to conventional surgical debridement and drainage, it offers several distinct clinical advantages, including accelerated wound healing, shortened ICU stays, and reduced dressing change frequency. These benefits are clinically linked to both reduced postoperative pain perception and decreased nursing workload. Additionally, smaller incisions result in less surgical trauma and improved cosmetic outcomes. NPWT should be considered as a viable approach in the management of LA. Future randomized controlled trials are needed to confirm NPWT's superiority in larger cohorts.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"223"},"PeriodicalIF":1.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121391","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":"Minimally invasive laparoscopic and robotic anterior lumbar interbody fusion: a systematic review and future directions.","authors":"Isabella Decker, Mohamad Bakhaidar, Summer Shabana, Meriem Boukhiam, Sabino Zani, Muhammad Abd-El-Barr","doi":"10.1186/s12893-025-02890-0","DOIUrl":"10.1186/s12893-025-02890-0","url":null,"abstract":"<p><strong>Introduction: </strong>Anterior Lumbar Interbody Fusion (ALIF) is a commonly performed spine surgery procedure used to treat lumbar conditions such as degenerative disc disease, spondylolisthesis, and spinal deformities. Traditionally, it has been performed using open and mini-open surgical techniques. Recently, however, laparoscopic and robotic-assisted ALIF have gained attention for their potential benefits, including shorter recovery times, fewer complications, and improved patient outcomes. However, the safety, effectiveness, and long-term outcomes of these newer techniques remain to be fully compared to conventional methods.</p><p><strong>Methods: </strong>The systematic review was conducted in accordance with the PRISMA 2020 guidelines. MEDLINE and Cochrane databases were searched for studies on laparoscopic and robotic approaches to the anterior spine, with a focus on ALIF. Article selection and data extraction were independently conducted by two reviewers. Studies involving animal models, non-ALIF robotic techniques, or non-English publications were excluded.</p><p><strong>Results: </strong>A total of 650 articles were initially identified. After screening, a full-text review was conducted on 80 articles, of which 48 studies met the inclusion criteria: 42 focused on laparoscopic ALIF (L-ALIF) and 6 on robotic-assisted ALIF (R-ALIF). Laparoscopic ALIF achieved similar outcomes to mini-open methods, offering limited consistent benefits while presenting challenges such as a steep learning curve and a higher risk of retrograde ejaculation. Data on robotic-assisted ALIF, though limited, indicated improved precision and a reduced rate of intraoperative complications. However, high costs, logistical challenges, and the lack of substantial long-term outcome data remain significant barriers to the broader adoption of this technique in spine surgery.</p><p><strong>Conclusion: </strong>L-ALIF and R-ALIF present promising minimally invasive alternatives to mini-open ALIF approaches. L-ALIF yields outcomes similar to mini-open techniques, though its technical demands warrant careful consideration. R-ALIF shows potential for improved precision and reduced complications, but logistical and financial constraints limit its wider adoption. Future studies should focus on multicenter prospective trials, alongside efforts to reduce costs and enhance training, to refine the role of these techniques in optimizing patient outcomes.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"219"},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112192","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":"Perioperative comparison of uniportal versus multiportal video-assisted thoracoscopic surgery for complex segmentectomy of the lower lung lobe.","authors":"Xinyu Wang, Yuming Wang, Min Cao, Yujie Fu, Wenbiao Pan, Qing Ye, Xiaojing Zhao, Zhiyong Sun","doi":"10.1186/s12893-025-02944-3","DOIUrl":"10.1186/s12893-025-02944-3","url":null,"abstract":"<p><strong>Background: </strong>Resection of basal segmentectomy through uniportal video-assisted thoracoscopic surgery (U-VATS) is technically challenging for thoracic surgeons. Compared with multiportal VATS (M-VATS), the safety and feasibility of U-VATS for complex segmentectomy of lower lung lobe need further validation. In this study, we aimed to compare the perioperative outcomes of U-VATS with M-VATS in the treatment of complex segmentectomy of lower lung lobe for stage IA lung cancer.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of 168 patients (116 U-VATS and 52 M-VATS) undergoing complex lower lobe segmentectomy for stage IA NSCLC from January 2021 to May 2023. The demographics of the enrolled patients were collected and propensity score matching (PSM) was used to reduce the heterogeneity of baseline characteristics. Perioperative outcomes were compared between the two groups.</p><p><strong>Results: </strong>After matching, 50 cases were yielded in each group. There was no 30-day postoperative mortality and conversion to open in both groups. The U-VATS exhibited shorter postoperative hospital stays (P = 0.034) and a trend toward reduced postoperative drainage (P = 0.081) compared to the M-VATS group. Pain score on postoperative day 2 in the U-VATS group was lower than M-VATS group (P = 0.004). There were no significant differences in resection margins, operation time and postoperative complications between the two groups.</p><p><strong>Conclusions: </strong>U-VATS provides comparable perioperative safety and efficacy to M-VATS for complex lower lobe segmentectomy, with advantages in accelerated recovery and reduced postoperative pain. U-VATS complex segmentectomy of lower lung lobe is a safe and feasible technique for experienced thoracic surgeons, which deserves support and popularity.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"220"},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112319","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":"Development and validation of a nomogram for in-stent restenosis within 2 years in patients after iliac or femoral artery stent placement.","authors":"YunSong Li, JiaTao Li, Yu Huang, Liang Li, PengKai Cao, XianChao Zhang, FengKai Wang, YaQi Wang, XiangDong Liu, YanRong Zhang","doi":"10.1186/s12893-025-02955-0","DOIUrl":"10.1186/s12893-025-02955-0","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to analyze the risk factors for in-stent restenosis (ISR) within 2 years after iliac or femoral artery stent placement.</p><p><strong>Methods: </strong>Clinical data of 237 patients diagnosed with peripheral arterial disease (PAD) and receiving iliac or femoral artery stent placement for the first time in the Third Hospital of Hebei Medical University from January 2015 to December 2022 were analyzed. Patients were randomized into training and validation set (7:3). Logistic regression was used to perform univariate and multivariate analysis on the possible factors of ISR, identify independent risk factors, establish a risk nomogram prediction model, and internally verify the predictability and accuracy of the model.</p><p><strong>Results: </strong>Binary logistic regression analysis showed that diabetes, hyperlipidemia, hyperfibrinogenemia and below-the-knee run-offs were independent risk factors for ISR within 2 years after iliac or femoral artery stent placement in patients with PAD. Based on these factors, the risk prediction model is established. The c index of the model was 0.856. The results showed that the risk prediction model has good accuracy in predicting ISR within 2 years after iliac or femoral artery stent placement.</p><p><strong>Conclusions: </strong>The risk prediction model based on the 4 risk factors of diabetes, hyperlipidemia, hyperfibrinogenemia and below-the-knee run-offs has good predictive performance.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"221"},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121379","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":"Investigation of the effects of laparoscopic sleeve gastrectomy and laparoscopic one anastomosis gastric bypass on metabolic syndrome components.","authors":"Vahit Mutlu, Mahmut Arif Yüksek, Bülent Koca, Gökhan Selçuk Özbalcı","doi":"10.1186/s12893-025-02952-3","DOIUrl":"10.1186/s12893-025-02952-3","url":null,"abstract":"<p><strong>Background: </strong>Obesity and accompanying comorbidities are serious diseases that impair the quality of life and even threaten human life. Today, the most effective method for providing sustainable weight loss in the treatment of obesity is Bariatric and Metabolic Surgery procedures. In our study, we aimed to compare the therapeutic effects of Laparoscopic Sleeve Gastrectomy (LSG) and One Anastomosis Gastric Bypass (OAGB) on metabolic syndrome components. We also planned to investigate the complications after bariatric and metabolic surgery, whether the patients had recurrent weight gain, and the short, medium and long-term effects.</p><p><strong>Methods: </strong>Patients who underwent bariatric and metabolic surgery with the diagnosis of obesity between December 2012-January 2020 were retrospectively analyzed. 561 patients who were followed up at 3, 6 months, 1, 2 and 3 years after the operation were included in the study. The effects of bariatric and metabolic surgery on metabolic syndrome components were evaluated as partial and complete remission according to the status at the last follow-up. Statistical analysis were performed by SPSS 18. Results were reported as mean ± standard deviation. P < 0.05 was accepted as statistical significance.</p><p><strong>Results: </strong>In 516 patients who underwent LSG and 45 patients who underwent OAGB, a decrease in BMI and an increase in EWL(%) values were observed at the 3rd month, 6th month, 1st year and 2nd year controls. In the 3rd year controls of patients who underwent LSG, recurrent weight gain was observed, therefore there was an increase in BMI and a decrease in EWL(%) values compared to the 2nd year. In patients who underwent OAGB, a decrease in BMI continued at the 3rd year, while an increase in EWL(%) values was observed. Thanks to both LSG and OAGB; a remission was achieved at the rates of DM, HT, HL/DL, OSAS, hypothyroidism in the early period. As the follow-up period extended, the rate of patients showing complete recovery decreased for DM(p = 0.0001). No change was observed during the follow-up period for other parameters. CONCLUSıON: Therapeutic effects of LSG and OAGB on metabolic syndrome components have been demonstrated in our study. However, when DM remission and sustainable weight loss are evaluated, OAGB is more effective in the long term.</p>","PeriodicalId":49229,"journal":{"name":"BMC Surgery","volume":"25 1","pages":"217"},"PeriodicalIF":1.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102994","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}