Surgical Practice最新文献

{"title":"Surgical Practice February 2025 CME for Fellows","authors":"","doi":"10.1111/1744-1633.70008","DOIUrl":"https://doi.org/10.1111/1744-1633.70008","url":null,"abstract":"","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 2","pages":"119-120"},"PeriodicalIF":0.3,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309038","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":"Surgical Practice May 2025 CME for Fellows","authors":"","doi":"10.1111/1744-1633.70014","DOIUrl":"https://doi.org/10.1111/1744-1633.70014","url":null,"abstract":"","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 2","pages":"121-122"},"PeriodicalIF":0.3,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309079","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":"Embedding clinical governance in the artificial intelligence era: Ensuring safe, ethical, and high-quality surgical care","authors":"Paul B. S. Lai","doi":"10.1111/1744-1633.70012","DOIUrl":"https://doi.org/10.1111/1744-1633.70012","url":null,"abstract":"","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 2","pages":"66-67"},"PeriodicalIF":0.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309046","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":"Comparison of outcomes of laparoscopic and open pancreaticoduodenectomy: An updated meta-analysis","authors":"Mehreen Ansari,&nbsp;Mishkat Shehzad,&nbsp;Duaa Naveed Choudhry,&nbsp;Sohair Saleem,&nbsp;Muhammad Faizan","doi":"10.1111/1744-1633.70009","DOIUrl":"https://doi.org/10.1111/1744-1633.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Laparoscopic pancreaticoduodenectomy (LPD) is an alternative to the open surgical approach. Several authors have investigated the advantages of LPD over open PD (OPD); this study aims to evaluate the effectiveness of LPD compared with OPD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>This study conducted a meta-analysis following the Cochrane Handbook for Systematic Reviews and adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Multiple databases—including PubMed, the Cochrane Trial Register, and Google Scholar—were searched for relevant literature up to April 20, 2024. Studies comparing OPD with LPD were included.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 4 randomized controlled trials and 41 non-randomized comparative trials were analysed. No significant difference in post-operative mortality was found (<i>P</i> = .42). However, there was a significant reduction in overall post-operative complications in the LPD group (<i>P</i> &lt; .002). The length of hospital stay was also significantly shorter in the LPD group (<i>P</i> &lt; .00001). No significant differences were observed between LPD and OPD regarding post-operative pancreatic fistula (<i>P</i> = .93) and post-pancreatectomy haemorrhage (post-pancreatectomy haemorrhage; <i>P</i> = .19). However, the rate of post-operative bile leaks was higher in the LPD group compared with the OPD group (<i>P</i> = .02).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study concluded that LPD is a safer approach with less post-operative complications, longer operative time, less estimated blood loss, and shorter hospital stays when compared with OPD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 2","pages":"95-110"},"PeriodicalIF":0.3,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309197","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":"Surgical Practice February 2025 CME for Fellows","authors":"","doi":"10.1111/1744-1633.70007","DOIUrl":"https://doi.org/10.1111/1744-1633.70007","url":null,"abstract":"","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 1","pages":"60-61"},"PeriodicalIF":0.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707466","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":"Surgical Practice November 2024 CME for Fellows","authors":"","doi":"10.1111/1744-1633.12741","DOIUrl":"https://doi.org/10.1111/1744-1633.12741","url":null,"abstract":"","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 1","pages":"58-59"},"PeriodicalIF":0.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707472","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":"Artificial intelligence in surgical education: Transforming training for the next generation of surgeons","authors":"Paul B. S. Lai","doi":"10.1111/1744-1633.70006","DOIUrl":"https://doi.org/10.1111/1744-1633.70006","url":null,"abstract":"","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 1","pages":"3-5"},"PeriodicalIF":0.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707468","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":"Acknowledgement of reviewers","authors":"","doi":"10.1111/1744-1633.70001","DOIUrl":"https://doi.org/10.1111/1744-1633.70001","url":null,"abstract":"","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 1","pages":"56-57"},"PeriodicalIF":0.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707471","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":"Advances in clinical brain–computer interfaces for assistive substitution and rehabilitation: A rapid scoping review","authors":"Robert Tsi-Lok Ho,&nbsp;William Xue,&nbsp;Michael Ka-Wing See,&nbsp;David Yuen-Chung Chan,&nbsp;Anderson Chun-On Tsang,&nbsp;Calvin Hoi-Kwan Mak,&nbsp;Sui-To Wong,&nbsp;Michael Wing-Yan Lee","doi":"10.1111/1744-1633.70002","DOIUrl":"https://doi.org/10.1111/1744-1633.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This scoping review explores the rapidly evolving field of brain–computer interface (BCI) technologies, with a particular emphasis on the fundamental concepts, advances made, and prospective applications. Following the 2022 Annual Scientific Meeting of the Hong Kong Neurosurgical Society themed ‘Neuromodulation and Brain-Computer Interface’, this article represents the first comprehensive review of BCI technologies from a Hong Kong perspective, providing a balanced viewpoint that reflects both academic and practical clinical insights for surgeons considering the implementation of these emerging technologies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>A rapid scoping review was conducted to clarify key concepts and trends in current BCI technologies, including signal acquisition methods, effectors, applications, and ethical issues. Key developments, particularly those relevant to Hong Kong, were identified and analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We summarise various modalities for the acquisition of central nervous system signals, introducing the techniques and steps involved in the data processing pipeline. We highlight two major arms of BCI applications and their promises in advancing patient care: assistive communication or substitution and closed-loop rehabilitation or neuromodulation. The exciting frontier also invites a host of ethical questions which must be thoroughly discussed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The growing body of knowledge in BCIs offers new treatment options for patients requiring assistive substitution and rehabilitation. The review hopes to provide a rigorous foundation for future research, invite subsequent discussions and translational studies, and support the incorporation of BCI technologies into local healthcare.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 1","pages":"35-49"},"PeriodicalIF":0.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1744-1633.70002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative outcomes of laparoscopic transcystic duct vs traditional laparoscopic bile duct exploration: A multicentre randomised trial","authors":"Ailian Liu MBBS,&nbsp;Ziyang Pan MBBS,&nbsp;Yuwen Liu MMed,&nbsp;Jianhua Wang MMed,&nbsp;Chengbo Wu MMed","doi":"10.1111/1744-1633.12742","DOIUrl":"https://doi.org/10.1111/1744-1633.12742","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This multicentre randomised controlled trial aimed to compare post-operative complications and recovery outcomes between these two approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients and methods</h3>\u0000 \u0000 <p>Eighty patients with symptomatic choledocholithiasis were randomly assigned to undergo either laparoscopic transcystic (LTCBDE; <i>n</i> = 40) or traditional (LCBDE; <i>n</i> = 40) common bile duct exploration. The primary outcome measures were post-operative complications within 3 months, while the secondary outcomes included operative time, intraoperative blood loss, recurrence of bile duct stones, and time to return to activities of daily living (ADLs). Logistic regression models were used to identify predictors of complications and recurrence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The LTCBDE group had significantly shorter operative times (117.55 vs 136.05 min, <i>P</i> &lt; .001) and reduced intraoperative blood loss (51.25 vs 61.45 mL, <i>P</i> &lt; .001). Both groups had a 20% rate of post-operative complications (<i>P</i> = .614). Septic complications were higher in LCBDE compared with LTCBDE (20% vs 7.5%, <i>P</i> = .105). Time to return to ADL was shorter in the LTCBDE group (33.4 vs 39.75 days, <i>P</i> = .007). Diabetes mellitus independently predicted post-operative complications (adjusted odds ratio 4.397, <i>P</i> = .014) and revision surgery (adjusted odds ratio 22.592, <i>P</i> = .006). Recurrence rates were similar between groups (<i>P</i> = .363).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>LTCBDE is associated with shorter operative times, reduced blood loss, and faster recovery than LCBDE, without an increase in post-operative complications. LTCBDE may be the preferred option for the treatment of choledocholithiasis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 2","pages":"86-94"},"PeriodicalIF":0.3,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144308639","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}