Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland最新文献

{"title":"Accelerating care for knee injuries: Impact of a novel acute knee injury virtual triage clinic on timely diagnosis and treatment.","authors":"Shady Hermena, Sarah Virani, Ola Jasim, Eilidh Walker, Kyla Michie, Andrew Suttie, Stephen Dalgleish","doi":"10.1016/j.surge.2026.02.001","DOIUrl":"https://doi.org/10.1016/j.surge.2026.02.001","url":null,"abstract":"<p><strong>Introduction: </strong>Knee injuries are a common presentation to Emergency Departments (ED). Initial assessment prioritizes the exclusion of fractures, dislocations and other urgent pathologies. However, subsequent soft-tissue knee injuries referral pathways to orthopedic services remains inconsistent. Variability in orthopedic referral pathways may lead to delays in definitive diagnosis and intervention, potentially compromising recovery and long-term functional outcomes.</p><p><strong>Methods: </strong>This study reviews the first 250 patients referred from ED to an acute knee injury virtual triage clinic. Virtual clinic referrals were reviewed by orthopaedic consultant specialising in soft-tissue knee injuries or knee specialist physiotherapist. Data collected included patient demographics, injury characteristics, imaging and immobilization in the ED, time intervals from ED presentation to virtual review, MRI utilisation, and the need for surgical intervention.</p><p><strong>Results: </strong>Of the 250 patients reviewed, 111 (44.4%) were female and 139 (55.6%) were male, with a mean age of 30.3 years (SD 8.7). Injuries were evenly distributed between right (49.6%) and left (50.4%) knees. Sports accounted for 40.4% of injury mechanisms, with football alone representing 21.2%. ED radiographs were obtained in 82.4% of patients, and a non-hinged splint was applied in 73.6%. The median time from ED attendance to virtual review was within 72 h (mean 2.74 days). Thirty-six patients (14.4%) were discharged after virtual assessment, and 34.8% were referred for MRI. Overall, 19.6% underwent surgery, with a mean time from injury to operation of 51 days (range 4-268, median = 29.5). Sports-related injury was associated with higher MRI use (OR 2.5, 95% CI 1.4-4.4; p = 0.002).</p><p><strong>Conclusion: </strong>An acute knee virtual triage clinic enabled timely specialist review, selective MRI use, and targeted surgical referral, safely avoiding unnecessary face-to-face visits in over one in seven cases. This streamlined pathway appears to improve efficiency and supports early decision-making for clinically stable patients with suspected knee soft injuries following ED assessment.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the ethical and regulatory landscape in surgical research: The Irish surgical research collaborative's guide.","authors":"Czara A Kennedy, Matthew G Davey, Jarlath C Bolger, Helen Mohan, Christina Fleming, Michael R Boland, Anne Marie Byrne","doi":"10.1016/j.surge.2026.02.008","DOIUrl":"https://doi.org/10.1016/j.surge.2026.02.008","url":null,"abstract":"<p><strong>Background: </strong>The ethical and regulatory framework governing surgical research in Ireland is complex and often perceived as a barrier to study initiation. Compliance with ethical standards and data protection legislation is essential to ensure participant safety, research integrity, and public trust.</p><p><strong>Objective: </strong>To provide a structured, evidence-informed overview of the ethical and governance requirements for conducting surgical research in Ireland, with practical guidance for investigators navigating the ethical and regulatory framework.</p><p><strong>Methods: </strong>This article is a narrative educational review intended to describe the current ethical and governance framework for surgical research in Ireland and to provide practical, investigator-focused guidance. It does not seek to evaluate outcomes or endorse specific institutional processes. This review synthesises national and European regulatory frameworks, including guidance from the Health Service Executive (HSE), National Office for Research Ethics Committees (NREC), and the European Union Clinical Trials Regulation (EU No. 536/2014). Practical insights were derived from the operational experience of the Irish Surgical Research Collaborative (ISRC).</p><p><strong>Results: </strong>The review delineates the distinctions between audit, quality improvement, and research, clarifying when REC approval is required. It outlines the procedural steps for REC submission, including mandatory documentation such as research protocols, patient information leaflets, patient consent forms, and Data Protection Impact Assessments (DPIAs). The importance of compliance with the General Data Protection Regulation (GDPR) (EU 2016/679) and International Council for Harmonisation Good Clinical Practice (ICH-GCP) certification is emphasised. Meaningful Patient and Public Involvement (PPI) is identified as a key determinant of study relevance, ethical robustness, and transparency.</p><p><strong>Conclusion: </strong>This ISRC and NSRSC guide provides a practical framework to support investigators in delivering high-quality, compliant, and patient-centred research within the Irish healthcare system.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The importance of mechanism in penetrating spinal injuries - A comparative study between gunshot wounds versus stab wounds to the spine managed at a major trauma centre in South Africa.","authors":"Reuben He, Victor Kong, Cynthia Cheung, Jonathan Ko, Daniel Lee, Joshua Ahn, Shuba Kosna, William Yeung, Hong Lee, Howard Wain, Wanda Bekker, Grant Laing, Damian Clarke","doi":"10.1016/j.surge.2026.02.006","DOIUrl":"https://doi.org/10.1016/j.surge.2026.02.006","url":null,"abstract":"<p><strong>Introduction: </strong>Although both gunshot wounds (GSW) and stab wounds (SW) can cause a penetrating spinal injury, the mechanisms underlying these injuries are distinct. This study compares spinal GSWs and SWs regarding their presenting characteristics, associated injuries, clinical management, and patient outcomes.</p><p><strong>Methods: </strong>Longitudinal data (2012-2022) were collected from the Hybrid Electronic Medical Registry database to identify all patients with spinal GSW and SW over the study period.</p><p><strong>Results: </strong>There were 201 (54%) patients with spinal GSW and 169 (46%) patients with spinal SW. Thoracic level spinal cord injury and American Spinal Injury Association Impairment Scale (AIS) grade D injury were associated with the need for spinal surgery (P < 0.05). In the SW group, three AIS E, two AIS D, two AIS C, and one AIS A patient had spinal surgery. In the GSW cohort, six of the seven patients who underwent spinal surgery had a spinal cord injury, compared to six of the eight patients in the SW group. Significantly more GSW patients underwent surgical intervention for concurrent body injuries compared to SW patients. The most common procedure in both groups was a laparotomy. Patients in the GSW group had significantly higher complication rates than the SW group and higher rates of intensive care unit (ICU) admission. The in-hospital mortality rate was approximately ten times higher in the GSW group.</p><p><strong>Conclusion: </strong>GSWs and SWs of the spine are distinct entities. GSWs are more likely to have severe systemic illness from concurrent organ injuries compared to SWs. In contrast, SWs are more likely to be incomplete cord injuries and carry a much better prognosis for neurological improvement/ambulation. The indications for surgery must be individualised.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation and clinical utility of predictive nomograms for sentinel node positivity in cutaneous malignant melanoma in Ireland.","authors":"N Christodoulides, N Quirke, R Leon, A Ghinis, Q Jeantet, S Potter","doi":"10.1016/j.surge.2026.02.003","DOIUrl":"https://doi.org/10.1016/j.surge.2026.02.003","url":null,"abstract":"<p><strong>Background: </strong>Sentinel lymph node biopsy (SLNB) is an important prognostic tool in cutaneous malignant melanoma. Nomograms such as those from Memorial Sloan Kettering (MSK), the Melanoma Institute of Australia (MIA), and LifeMath aim to predict SLNB positivity. We sought to compare and validate these tools in an Irish cohort.</p><p><strong>Methods: </strong>Clinical and pathological data were extracted from patient records to calculate predicted SLNB positivity using each of the three nomograms. Model performance was assessed for discrimination and calibration. Sensitivity, specificity, negative predictive value (NPV) and potential SLNB reduction were examined at thresholds of 5-15%. Decision curve analysis (DCA) was used to evaluate clinical utility.</p><p><strong>Results: </strong>Among 215 patients, 35 (16%) had a positive SLNB. All three models showed good predictive ability, with the MSK nomogram performing best. At a 5% threshold, DCA demonstrated minimal clinical benefit compared to a treat-all approach. In tumours with a predicted SLNB positivity risk of 10%, all three nomograms demonstrated clear net benefit and the potential to reduce unnecessary biopsies.</p><p><strong>Conclusion: </strong>The MSK, MIA and LifeMath nomograms are well calibrated in an Irish melanoma cohort, with the MSK model showing the strongest performance. While limited at the 5% threshold, these tools may help refine patient selection for SLNB at a 10% threshold, acting as an adjunct to clinical decision-making and potentially reducing unnecessary procedures and associated morbidity.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in incidence, management and survival in medullary thyroid cancer in Ireland - A 25-year population-based study.","authors":"T J Crotty, G P Sexton, E F Cleere, M L Healy, C Grant, R S R Woods, J P O'Neill, J Kinsella, P Lennon, C V Timon, C W R Fitzgerald","doi":"10.1016/j.surge.2026.01.004","DOIUrl":"https://doi.org/10.1016/j.surge.2026.01.004","url":null,"abstract":"<p><strong>Introduction: </strong>Medullary thyroid cancer (MTC) is a potentially aggressive thyroid malignancy arising from parafollicular C-cells. While current evidence demonstrates a rising incidence of differentiated thyroid cancer (DTC) both in Ireland and globally, trends in MTC incidence and prognosis remain less well defined. This study aims to analyse the incidence, management and survival of patients with MTC in the Irish population.</p><p><strong>Methods: </strong>A retrospective analysis of patients diagnosed with MTC between 1994 and 2019 was performed using data from the Irish National Cancer Registry (NCRI). Patients were grouped into two time periods: 1994-2007 and 2008-2019. Kaplan-Meier survival analysis was used to estimate overall survival (OS) and disease-specific survival (DSS). Univariate and multivariate Cox proportional hazard models were applied to identify factors associated with survival outcomes.</p><p><strong>Results: </strong>A total of 152 patients were diagnosed with MTC. The median age at diagnosis was 53 years. The incidence rate was 0.14 cases per 100,000 person-years. Five-year OS and DSS were 67% and 73.2%, respectively. On multivariate analysis, surgical management was independently associated with improved OS and DSS (HR 0.18, p = 0.013), while chemotherapy was associated with significantly poorer survival (HR 4.29, p = 0.014).</p><p><strong>Conclusion: </strong>This study highlights evolving trends in the incidence, management and survival of patients with MTC in Ireland over a 25-year period. A trend towards improved overall survival was observed in patients diagnosed in the later cohort.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rethinking the role of endoscopy for colorectal cancer following diverticulitis: An exploratory model for guiding endoscopic assessment.","authors":"Muhammad Usman, Elon Correa, Wenyuan Chung, Lasitha Samarakoon, Deepak Paul, Sudarshan Rao Kadri","doi":"10.1016/j.surge.2026.01.002","DOIUrl":"https://doi.org/10.1016/j.surge.2026.01.002","url":null,"abstract":"<p><strong>Background: </strong>The association between diverticulitis and colorectal (CRC) remains controversial, with current guidelines differing significantly in terms of post-diverticulitis endoscopic assessment. This study is aimed at developing an exploratory model to identify patients at high risk of CRC following diverticulitis.</p><p><strong>Methods: </strong>This retrospective cohort study analyzed 1546 patients diagnosed with diverticulitis between January 2021 and December 2023 at a UK tertiary care hospital. Ordinal logistic regression was used to identify predictors associated with CRC risk.</p><p><strong>Results: </strong>Of 1546 patients, the mean age was 69.2 years SD ± 12.9, and 51.5 % were female. Increasing age (OR 1.28 per SD, 95 % CI 1.14-1.45, p < 0.001) and male sex (OR 1.75, 95 % CI 1.39-2.21, p < 0.001) were high risk predictors associated with increased risk of CRC. Conversely, abdominal pain (OR 0.60, 95 % CI 0.44-0.80, p = 0.001) and per-rectal bleeding (OR 0.71, 95 % CI 0.56-0.89, p = 0.004), and presence of diverticulosis showed a protective association (OR 0.68, 95 % CI 0.47-0.97, p = 0.033), which could be due to confounding. CT findings did not achieve statistical significance as independent predictors in the multivariable model.</p><p><strong>Conclusions: </strong>This exploratory model identifies patient characteristics that stratify CRC risk following diverticulitis. These findings may help personalize decisions regarding post-diverticulitis colonoscopy, optimizing resource allocation while maintaining appropriate cancer surveillance. However, this model would require external validation before use in clinical practice.</p>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transmetatarsal amputation versus multiple toes amputations for non-ischemic diabetic foot infection management","authors":"Moustafa Mabrouk ,&nbsp;Ahmed Fouda ,&nbsp;Mohammed ElKassaby","doi":"10.1016/j.surge.2025.08.005","DOIUrl":"10.1016/j.surge.2025.08.005","url":null,"abstract":"<div><h3>Background</h3><div>The management of diabetic foot infections (DFIs) is a complex multidisciplinary process and often necessitates surgical interventions. Unfortunately, amputations such as single or multiple toes amputations (MTA) or full transmetatarsal amputation (TMA) are often the unavoidable solution. This study aimed to compare the clinical outcomes of TMA versus MTA in managing non-ischemic diabetic foot infections.</div></div><div><h3>Methods</h3><div>This was a retrospective study on non-ischemic diabetic foot infection patients comparing the results of TMA and MTA in terms of healing, ulcer recurrence and overall complications, including further formal amputations.</div></div><div><h3>Results</h3><div>The healing rate was substantially higher in TMA group (89.3 % vs. 74.5 %, p=0.004). TMA group exhibited a significantly lower incidence of further proximal amputation (8.7 % vs. 21.3 %, p=0.002) and ulcer recurrence (11.3 % vs. 25.3 %, p=0.002). Tissue necrosis occurred less frequently in TMA group (4.5 % vs. 12.8 %, p&lt;0.05). No significant differences were found between the groups regarding infection, hematoma, or residual edema.</div></div><div><h3>Conclusions</h3><div>Transmetatarsal amputation for diabetic foot infection demonstrated superior healing rates, lower ulcer recurrence, and reduced need for proximal amputation compared to multiple toe amputations for managing non-ischemic diabetic foot infections.</div></div><div><h3>Level of evidence</h3><div>level 3 retrospective study</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"24 1","pages":"Pages 39-42"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do hospital and surgeon volumes impact the outcomes of patients undergoing cholecystectomy in Ireland? A national registry based study","authors":"E. Linehan ,&nbsp;J.D. Kehoe ,&nbsp;T. Gall ,&nbsp;G. McEntee ,&nbsp;J. Conneely ,&nbsp;R.M. O'Connell","doi":"10.1016/j.surge.2025.08.008","DOIUrl":"10.1016/j.surge.2025.08.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Biliary pathology can have an enormous burden on both the patient and the health service with acute cholecystitis being diagnosed in 10 % of patients that present with acute abdominal pain. Emergency or elective laparoscopic cholecystectomy is the recommended treatment option for these patients. It has been shown previously that surgical and hospital volume affect outcomes from emergency abdominal surgery in Ireland, but no such investigation has been done specifically for cholecystectomies.</div></div><div><h3>Aim</h3><div>To determine if there is a link between the hospital and surgeon volume of cholecystectomies performed and their associated outcomes in Irish hospitals.</div></div><div><h3>Methods</h3><div>This was a retrospective registry study using National Quality Assurance &amp; Improvement System (NQAIS). All patients who underwent cholecystectomy in Irish public hospitals from January 2017 until December 2023 were identified. Hospitals and surgeons were divided into groups of high, medium and low volume based on the number of cholecystectomies performed per year during the study period. Data including the demographics, admission details and outcomes of patients who underwent cholecystectomy were extracted from the database for analysis.</div></div><div><h3>Results</h3><div>A total of 28,835 patients in 35 hospitals were included. Adverse outcomes were reported in 1952 patients who underwent a cholecystectomy. An association was found between adverse outcomes including bile duct injury (0.10 % vs 0.03 %, p &lt; 0.001) and critical care admission (2.7 % vs 1.97 %, p &lt; 0.022) and patients who had surgery in low volume hospitals compared to high volume centres. No statistically significant difference in adverse outcome was reported for the low surgical volume patients. Risk factors associated with adverse outcome following cholecystectomy were age &gt;65, high pre-operative morbidity, emergency surgery and low hospital volume (p &lt; 0.001).</div></div><div><h3>Discussion</h3><div>Patients undergoing cholecystectomy in low volume hospitals have a higher risk of adverse events. Surgeons who perform low volumes of cholecystectomies appear to perform a higher percentage of emergency cholecystectomies without a statistically significant difference in their outcomes.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"24 1","pages":"Pages 18-23"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One-year comparative outcomes of robotic vs. laparoscopic colorectal cancer resections in a UK district hospital","authors":"Mathew Cherian Moolamannil ,&nbsp;Abigail Mwendauya ,&nbsp;Yüksel Gerçek ,&nbsp;Katharine Bevan ,&nbsp;Kanapathi Rajaratnam ,&nbsp;Fanourios Georgiades","doi":"10.1016/j.surge.2025.11.004","DOIUrl":"10.1016/j.surge.2025.11.004","url":null,"abstract":"<div><h3>Aim</h3><div>We aim to describe our centre's one-year experience after establishing our robotic programme for colorectal surgery.</div></div><div><h3>Method</h3><div>Demographic, peri-operative, and follow-up data from a prospectively maintained database were collected for all laparoscopic and robotic-assisted colorectal procedures carried out at our centre. All robotic colorectal resections were completed with the DaVinci Xi (Intuitive Surgical, USA) robotic platform.</div></div><div><h3>Results</h3><div>Fifty-eight robotic colorectal resections were compared to 58 from the laparoscopic cohort, all indicated for malignancy. No statistical difference was observed between the demographics of the two cohorts regarding sex, age, body mass index (BMI), and American Society of Anesthesiologists (ASA) grade. 33/58 (56.9 %) robotic resections were left-sided compared to 36/58 (62.1 %) laparoscopic resections. One robotic case was converted to open (1.7 %), with four (6.9 %) in the laparoscopic group converted to open. Laparoscopic procedures were shorter (median operative time 282 min compared to 384 min, p &lt; 0.001, Wilcoxon rank-sum). Subgroup analysis for patients with ASA grades 1&amp;2 showed shorter operative times in the laparoscopic cohort compared to the robotic cohort (p = 0.003, Wilcoxon rank-sum). The median length of stay was five days for both cohorts. Significant postoperative complications (Clavien-Dindo ≥3) occurred in 3.45 % (n = 2/58) vs. 10.3 % (n = 6/58), which was not significantly different statistically. No mortalities were recorded within 90 days of the procedures in both cohorts, but at one-year follow-up, we observed one mortality in each cohort.</div></div><div><h3>Conclusions</h3><div>Other than longer operative times for ASA grades 1/2 patients, robotic colorectal resection outcomes in a small district hospital setting are comparable to laparoscopic resections.</div></div>","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"24 1","pages":"Pages 24-30"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mentorship may benefit medical student learning in theatre as well as career aspirations in surgery","authors":"Joseph E. McKay,&nbsp;Lachlan Dick","doi":"10.1016/j.surge.2025.11.007","DOIUrl":"10.1016/j.surge.2025.11.007","url":null,"abstract":"","PeriodicalId":49463,"journal":{"name":"Surgeon-Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland","volume":"24 1","pages":"Page 70"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}