Surgical Practice最新文献

{"title":"The Best Original Paper Award","authors":"","doi":"10.1111/1744-1633.70020","DOIUrl":"https://doi.org/10.1111/1744-1633.70020","url":null,"abstract":"","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":""},"PeriodicalIF":0.2,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915141","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":"10.1111/1744-1633.70018","DOIUrl":"https://doi.org/10.1111/1744-1633.70018","url":null,"abstract":"","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"175-176"},"PeriodicalIF":0.2,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915229","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 August 2025 CME for Fellows","authors":"","doi":"10.1111/1744-1633.70023","DOIUrl":"https://doi.org/10.1111/1744-1633.70023","url":null,"abstract":"","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"177-178"},"PeriodicalIF":0.2,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915230","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":"Steady minds, steady hands: Why surgeons must prioritise their own health to improve patient outcomes","authors":"Paul B. S. Lai","doi":"10.1111/1744-1633.70024","DOIUrl":"https://doi.org/10.1111/1744-1633.70024","url":null,"abstract":"","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"126-127"},"PeriodicalIF":0.2,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144914955","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":"Dynamic changes of serum cytokines and their prognostic values in patients with hepatocellular carcinoma treated by thermal ablation","authors":"Kelvin K. C. Ng MBBS, MS, PhD, FRCSEd (Gen),&nbsp;Charing C. N. Chong MBChB, FRCSEd (Gen),&nbsp;Chun-Kwok Wong BSc (Hons), MPhil, PhD, FRSB (UK),&nbsp;Nathalie Wong BSc. (London), DPhil (Oxon)","doi":"10.1111/1744-1633.70013","DOIUrl":"https://doi.org/10.1111/1744-1633.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Thermal ablation is effective for early-stage hepatocellular carcinoma (HCC). It can induce a host immune response through dynamic changes in serum cytokines. It is unknown whether this host immune response correlates with tumour recurrence. This prospective study aims to investigate the dynamic changes of serum cytokines after thermal ablation of HCC and its clinical significance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sixty patients with HCC treated by thermal ablation were recruited. The dynamic changes of 39 serum cytokines were measured. The primary outcome was 2-year disease-free survival. Univariate and multivariate analyses were performed to identify the prognostic factors for disease-free survival.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six cytokines [interleukin (IL)-1, IL-6, IL-10, epidermal growth factor (EGF), eotaxin, transforming growth factor (TGF)-α] demonstrated significant dynamic changes after thermal ablation. The overall tumour recurrence rate was positively correlated with the dynamic changes in serum IL-6 and IL-10 levels. The 2-year disease-free survival was 49.7%. Serum bilirubin (≥25 μmol/L) and dynamic change of serum IL-10 (≥22 IU/mL) levels were the significant independent prognostic factors for disease-free survival.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There are significant dynamic changes in serum cytokines after thermal ablation. High serum bilirubin and upregulation of serum IL-10 levels are independent poor prognostic factors for tumour recurrence after thermal ablation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"154-162"},"PeriodicalIF":0.2,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1744-1633.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915132","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":"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":"Implementation of the SOMIP risk calculator in New Territories West Cluster: A journey of change management","authors":"Kevin K. F. Wong,&nbsp;Max W. Y. Chung,&nbsp;H. L. Yiu,&nbsp;Carmen Chan","doi":"10.1111/1744-1633.70010","DOIUrl":"https://doi.org/10.1111/1744-1633.70010","url":null,"abstract":"<p>The routine implementation of the SOMIP risk calculator in the Department of Surgery, New Territories West Cluster, is one of the measures aimed at improving SOMIP outcomes. This study sought to investigate the process, efficacy, staff satisfaction, and clinical outcomes associated with this programme. Our experience with using this calculator and the key steps involved are illustrated, including (1) identifying problems and potential solutions, (2) conducting basic research and project planning, (3) implementing changes, and (4) convincing others with evidence. This was the first time the calculator was used routinely in Hong Kong, providing valuable local data and experience for future development. Associated factors, such as increased staff awareness of SOMIP, alignment among different parties, and the provision of a common platform to manage patients through a multidisciplinary team approach, may help improve our service outcomes.</p>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"163-168"},"PeriodicalIF":0.2,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915089","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}