Scandinavian Journal of Surgery最新文献

Early implementation of laparoscopic left-sided pancreatectomy in a tertiary low-volume hospital. 腹腔镜左侧胰腺切除术在三级小容量医院的早期实施。

IF 2.5 3区医学

Scandinavian Journal of Surgery Pub Date : 2025-05-26 DOI: 10.1177/14574969251343471

Karin Johansen, Gudjón Birgisson, Kristín H Haraldsdóttir

{"title":"Early implementation of laparoscopic left-sided pancreatectomy in a tertiary low-volume hospital.","authors":"Karin Johansen, Gudjón Birgisson, Kristín H Haraldsdóttir","doi":"10.1177/14574969251343471","DOIUrl":"https://doi.org/10.1177/14574969251343471","url":null,"abstract":"Background and aims: Current international guidelines recommend a center volume of at least 20 minimally invasive pancreatic procedures a year to perform laparoscopic left pancreatectomy. Iceland is a small, isolated country that is unavoidably low volume in terms of pancreatic surgery. To ensure good quality of care, there is a long tradition of surgeons training abroad, but this system has not been formally evaluated. The aim of this study was to evaluate the outcomes of laparoscopic and open left pancreatectomy over the last 20 years in Iceland.Methods: This was a national retrospective cohort study including all patients who underwent left-sided pancreatic resection in Iceland from 2003 to 2022.Results: A total of 244 patients underwent a pancreatic procedure during the study period. Eighty of these underwent left-sided resections, 41 of whom had a laparoscopic left pancreatectomy (LLP). Resection rates increased over the study period, and a significantly larger proportion of patients underwent LLP in the latter half of the study period. The laparoscopy group had statistically significantly lower rates of splenectomy (<0.001) and blood loss (<0.001) compared with open surgery. The morbidity rate of severe complications (Clavien-Dindo grade IIIa or higher) was 23%. The in-hospital and 90-day mortality rates were 1% and 4%, respectively.Conclusions: Overall, the operative and postoperative outcomes of left-sided pancreatic resections in a low-volume setting in Iceland were comparable to current reported studies from other Western countries.Clinical trial registration number: NCT06738914.","PeriodicalId":49566,"journal":{"name":"Scandinavian Journal of Surgery","volume":" ","pages":"14574969251343471"},"PeriodicalIF":2.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144236","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

Corrigendum to "Incidence, treatment, and survival of isolated patients with colorectal cancer lung metastases: A registry-based retrospective cohort study". “结直肠癌肺转移患者的发病率、治疗和生存率：一项基于登记的回顾性队列研究”的勘误表。

IF 2.5 3区医学

Scandinavian Journal of Surgery Pub Date : 2025-05-21 DOI: 10.1177/14574969251346669

引用次数: 0

Translation and validation of the Finnish version of the Fecal Incontinence Quality of Life Scale. 芬兰版大便失禁生活质量量表的翻译与验证。

IF 2.5 3区医学

Scandinavian Journal of Surgery Pub Date : 2025-05-13 DOI: 10.1177/14574969251337855

Helena Komokallio, Tero Rautio, Pasi Ohtonen, Tarja Pinta, Anne Mattila, Antti Turunen, Johanna Mäkelä-Kaikkonen

{"title":"Translation and validation of the Finnish version of the Fecal Incontinence Quality of Life Scale.","authors":"Helena Komokallio, Tero Rautio, Pasi Ohtonen, Tarja Pinta, Anne Mattila, Antti Turunen, Johanna Mäkelä-Kaikkonen","doi":"10.1177/14574969251337855","DOIUrl":"https://doi.org/10.1177/14574969251337855","url":null,"abstract":"Background and aims: The Fecal Incontinence Quality of Life Scale (FIQL) is a health-related questionnaire that measures the quality of life among patients with fecal incontinence. This questionnaire comprises 29 items divided into four subscales: Lifestyle, Coping/Behavior, Depression/Self-Perception, and Embarrassment. The aim of the study was to validate the FIQL questionnaire in the Finnish language.Methods: A multiphase validation method was used consisting of a two-panel translation process followed by a psychometric evaluation process. The validation process was used to ensure the consistency and quality of the questionnaire through the test-retest process. The internal consistency between the four subscales was measured with Cronbach's alpha, and the stability over time was assessed by intra-class correlation coefficient (ICC) analysis. Spearman's correlations were used to examine the construct validity.Results: A total of 82 patients with fecal incontinence and 10 reference participants were included in this study. The results for Finnish FIQL indicated that all four subscales had good internal consistency, except for the embarrassment subscale, which had a slightly lower Cronbach's alpha value for the test (0.68). Between subscales, ICC ranged from 0.83 to 0.90, indicating almost perfect stability over time. Correlations were moderate between the FIQL and the severity of fecal incontinence.Conclusions: The Finnish version of the FIQL has been successfully validated and shown to be feasible. The questionnaire can be used for both research and clinical purposes in Finnish patients with fecal incontinence.","PeriodicalId":49566,"journal":{"name":"Scandinavian Journal of Surgery","volume":" ","pages":"14574969251337855"},"PeriodicalIF":2.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040761","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

Surgery for breast cancer liver and lung metastases: A review. 乳腺癌肝、肺转移的手术治疗综述。

IF 2.5 3区医学

Scandinavian Journal of Surgery Pub Date : 2025-05-07 DOI: 10.1177/14574969251333526

Ellen Hansson, Charlotta Wadsten, Oskar Hemmingsson

{"title":"Surgery for breast cancer liver and lung metastases: A review.","authors":"Ellen Hansson, Charlotta Wadsten, Oskar Hemmingsson","doi":"10.1177/14574969251333526","DOIUrl":"https://doi.org/10.1177/14574969251333526","url":null,"abstract":"Background and objective: Breast cancer liver and lung metastases are common and associated with poor prognosis. Personalized medical treatment of advanced breast cancer, based on established predictive factors, has improved survival during the last decades. In contrast, there is no consensus regarding indications for surgery. The aim of this narrative review is to summarize the current knowledge on the outcome of surgical treatments for breast cancer liver and lung metastases.Method: A narrative review of existing evidence for diagnosis and treatment of breast cancer liver and lung metastases.Results: There are no randomized trials to evaluate surgery as an adjunct to medical treatment. In this review, data are reported from case-control studies and meta-analyses on surgery for liver and lung metastases. Selected patients have an improved survival after surgery compared to those who only received medical treatment. The survival benefit is, however, uncertain when adjusting for prognostic factors, and prospective trials are warranted. Anecdotal cases have long-term survival and surgery is safe.Conclusion: Surgery for breast cancer liver and lung metastases may be considered in selected cases within prospective studies.","PeriodicalId":49566,"journal":{"name":"Scandinavian Journal of Surgery","volume":" ","pages":"14574969251333526"},"PeriodicalIF":2.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051887","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

Type of anastomosis in rectal cancer surgery is not associated with anastomotic leakage and impaired bowel function at long-term follow-up. 经长期随访，直肠癌手术吻合方式与吻合口漏及肠功能损害无关。

IF 2.5 3区医学

Scandinavian Journal of Surgery Pub Date : 2025-05-04 DOI: 10.1177/14574969251335478

Emil Pieniowski, Pernilla Lagergren, Asif Johar, Mirna Abraham-Nordling

{"title":"Type of anastomosis in rectal cancer surgery is not associated with anastomotic leakage and impaired bowel function at long-term follow-up.","authors":"Emil Pieniowski, Pernilla Lagergren, Asif Johar, Mirna Abraham-Nordling","doi":"10.1177/14574969251335478","DOIUrl":"https://doi.org/10.1177/14574969251335478","url":null,"abstract":"Background and objective: The optimal type of anastomosis for preventing anastomotic leakage (AL) and bowel dysfunction after colorectal surgery remains uncertain. The aim of the study was to evaluate anastomotic type after anterior resection (AR) in relation to AL and functional outcome in long-term follow-up.Methods: This was a population-based study using data from the Swedish Colorectal Cancer Registry (SCRCR). The patients were categorized into two groups, based on anastomotic design (\"J-pouch/side-to-end (STE) anastomosis\" or \"end-to-end (ETE) anastomosis\"). AL was established using SCRCR and supplemented with review of medical records. The low anterior resection syndrome (LARS) score questionnaire and Cleveland Clinic Florida Fecal Incontinence score (CCFFIS) were used for the assessment of bowel function. The associations and the predefined confounders were adjusted for using logistic regression/linear mixed-effects models.Results: A total of 710 patients who underwent curative rectal cancer surgery with AR between 2007 and 2013 were included. AL occurred in 87 (15.7%) patients in the STE group and 10 (10.2%) in the ETE group. After adjustment, the type of anastomosis (STE versus ETE) did not affect the odds of AL (odds ratio (OR) 0.80 (95% CI: 0.37-1.76)). There was no association between the anastomotic technique and bowel dysfunction (LARS score: OR 1.14 (95% CI: 0.58-2.27) and CCFFIS: OR -0.08 (95% CI: -1.63 to -1.46)).Conclusions: This is the first study examining anastomotic type and the risk of AL and bowel dysfunction in a long-term perspective beyond 3 years among patients who underwent AR. The anastomosis type did not show any association for AL or bowel dysfunction.","PeriodicalId":49566,"journal":{"name":"Scandinavian Journal of Surgery","volume":" ","pages":"14574969251335478"},"PeriodicalIF":2.5,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054239","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

Comparative analysis of early-onset rectal cancer in patients aged <35 years and 35-49 years A national population-based retrospective cohort study. <35岁和35-49岁早发性直肠癌患者的比较分析一项基于全国人群的回顾性队列研究。

IF 2.5 3区医学

Scandinavian Journal of Surgery Pub Date : 2025-04-29 DOI: 10.1177/14574969251337847

Qiuhan Yao, Wei-Yu Yang

引用次数: 0

Sex differences as a catalyst for the next step in surgeon personality research. 性别差异是外科医生人格研究下一步的催化剂。

IF 2.5 3区医学

Scandinavian Journal of Surgery Pub Date : 2025-04-29 DOI: 10.1177/14574969251336863

Juliette A Sier, Joost R van der Vorst, Vincent Q Sier

引用次数: 0

Letter in response to: Sex differences as a catalyst for the next step in surgeon personality research. 回复：性别差异是外科医生人格研究下一步的催化剂。

IF 2.5 3区医学

Scandinavian Journal of Surgery Pub Date : 2025-04-29 DOI: 10.1177/14574969251336874

My Blohm

引用次数: 0

Assessing the attitudes of next of kin toward living donor liver transplantation for patients with colorectal liver metastases. 评估结直肠肝转移患者近亲属对活体肝移植的态度。

IF 2.5 3区医学

Scandinavian Journal of Surgery Pub Date : 2025-04-24 DOI: 10.1177/14574969251335467

Tor M Smedman, Pål-Dag Line, Svein Dueland

{"title":"Assessing the attitudes of next of kin toward living donor liver transplantation for patients with colorectal liver metastases.","authors":"Tor M Smedman, Pål-Dag Line, Svein Dueland","doi":"10.1177/14574969251335467","DOIUrl":"https://doi.org/10.1177/14574969251335467","url":null,"abstract":"Background: Colorectal cancer (CRC) is a leading cause of cancer mortality in Norway, with liver metastases being the most frequent manifestation. Liver transplantation (LT) has shown promise as a treatment for colorectal liver metastases (CRLM), with recent studies reporting improved 5-year overall survival (OS) rates ranging from 60% to 83%. However, the scarcity of available donor organs poses a significant challenge. Living donor liver transplantation (LDLT) utilizing segments 2+3 grafts by the RAPID technique (Resection and Partial Liver Transplantation with Delayed Hepatectomy) has been explored as a potential solution.Methods: This study aimed to assess the attitudes and considerations of next of kin toward living liver donation for patients with CRC. A survey was administered to three cohorts: next of kin to patients who underwent LT for CRLM, next of kin to patients with metastatic CRC ineligible for LT or liver resection, and healthcare workers with a healthy next of kin. The results showed that all respondents were willing to donate a portion of their liver if it could extend the recipient's survival.Results: A significant majority (78%) expressed willingness to donate if it could extend survival by 6 months to 1 year. Children, siblings, or parents were more likely to find a survival benefit of 1 year or less acceptable compared to spouses or partners. The findings suggest that securing living familial donors for CRLM patients in Norway is feasible.","PeriodicalId":49566,"journal":{"name":"Scandinavian Journal of Surgery","volume":" ","pages":"14574969251335467"},"PeriodicalIF":2.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040754","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

Rib-sparing scalenotomy in thoracic outlet syndrome treatment: A systematic review and meta-analysis. 保留肋骨的斜角切开术治疗胸廓出口综合征：系统回顾和荟萃分析。

IF 2.5 3区医学

Scandinavian Journal of Surgery Pub Date : 2025-04-23 DOI: 10.1177/14574969251332910

Niina Ruopsa, Heidi Vastamäki, Tero Vahlberg, Martti Vastamäki, Leena Ristolainen

{"title":"Rib-sparing scalenotomy in thoracic outlet syndrome treatment: A systematic review and meta-analysis.","authors":"Niina Ruopsa, Heidi Vastamäki, Tero Vahlberg, Martti Vastamäki, Leena Ristolainen","doi":"10.1177/14574969251332910","DOIUrl":"https://doi.org/10.1177/14574969251332910","url":null,"abstract":"Background and aims: The majority of neurogenic thoracic outlet syndrome (NTOS) surgery still involves removal of the first rib. A rib-sparing procedure has also been found to give a good result, but no meta-analysis has been published about this procedure. Also, from a financial point of view, it is important to know what kind of results have been obtained in the treatment of NTOS with rib-sparing surgery. Our opinion is that first-rib resection (FRR) surgeries, which contain more complications and require a longer recovery time, are performed too often these days, if the same result is achieved with rib-sparing surgery.Methods: We accomplished a systematic review and meta-analysis to find out the outcome of rib-sparing NTOS surgery, collecting studies on rib-sparing supraclavicular scalenotomy in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines using appropriate databases.Results: Of 1354 studies, 18 studies met our inclusion criteria. The mean study sample size was 58, and the mean patient age at surgery was 35.8 years. All studies reported long-term outcomes, with the mean follow-up time of 49 months. All reported fewer patient complaints after surgical TOS treatment. In our meta-analysis, improvement to Derkash's excellent/good classifications was achieved in 71% (95% confidence interval (CI) = 64.4% to 76.4%, I2 = 73.0%). The heterogeneity noted in the systematic review showed no significant moderation by gender, age, or follow-up time. The studies included had a low risk of publication bias, with most failing to use validated evaluation methods.Conclusion: According to this analysis, the rib-sparing surgical treatment of NTOS is beneficial to most patients and relatively safe. Still, future studies should accommodate validated thoracic outlet scales.Type of study / level of evidence:Therapeutic IV.","PeriodicalId":49566,"journal":{"name":"Scandinavian Journal of Surgery","volume":" ","pages":"14574969251332910"},"PeriodicalIF":2.5,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019613","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