Surgical Practice最新文献

{"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":"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":"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":"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":"How do the preferences of older Chinese women with operable breast cancer differ from their younger counterparts?","authors":"To-ki Dacita Suen MBChB, MS in Oncoplastic Breast Surgery (UEA), MScHSM (CUHK), MRCSEd, FRACS, FHKAM (Surgery), FCSHK,&nbsp;孫杜琪,&nbsp;Ava Kwong MBBS(Lon), BSc(St Andrews), PhD, FRCS (Edin), FHKAM (Surgery), FCSHK,&nbsp;鄺靄慧","doi":"10.1111/1744-1633.70003","DOIUrl":"https://doi.org/10.1111/1744-1633.70003","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study aims to investigate how the preferences of older women are different from their young counterparts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Female patients with operable breast cancer diagnosed between September 2009 and August 2015 were recruited. Participants were invited to complete a questionnaire to score the importance of a list of items while deciding the surgical option (0 = entirely not important and 5 = extremely important).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>During the study period, 911 female patients with primary operable breast cancer received surgery in our unit. Of these, 837 patients had completed the questionnaire (participation rate 91.9%), among which 112 patients (13.4%) were aged 70 years and above. Concerns about a complete cure from cancer (mean score 4.64, standard deviation 0.62) and recurrence (mean score 4.65, standard deviation 0.66) were the two top-ranked items considered important by patients. Patients in the older age group assigned less importance to physical considerations (<i>P</i> &lt; .001), complete cure from cancer (<i>P</i> = .042), and role of spouse and friends (<i>P</i> &lt; .001) as compared with their young counterparts. By contrast, older patients considered side effects (<i>P</i> = .013) and accessibility of radiation (<i>P</i> = .002) as more important.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Identifying the factors influencing breast cancer treatment decisions helps healthcare professionals provide adequate information and support to older women in their decision-making process.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"146-153"},"PeriodicalIF":0.2,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1744-1633.70003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144914940","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":"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":"Late presenting ileal tubular duplication with neonatal oesophageal duplication","authors":"Ozlem Boybeyi,&nbsp;Orkhan Farzeliyev,&nbsp;Tutku Soyer","doi":"10.1111/1744-1633.70005","DOIUrl":"https://doi.org/10.1111/1744-1633.70005","url":null,"abstract":"<p>Gastrointestinal duplications (GID) are rare congenital anomalies that can occur anywhere along the gastrointestinal tract. Herein, we report an association of oesophageal and ileal duplications to discuss the occurrence of multiple GIDs with different presentations in children. A 9-month-old male patient, who had undergone surgery for an oesophageal duplication cyst (DC) in the neonatal period, was admitted with rectal bleeding. During laparoscopy, a 40 cm length tubular duplication was noted. The duplication was resected along with the neighbouring ileal segment, followed by ileo-ileal anastomosis of the remaining segments. Although almost all GIDs reported in the literature were structurally cystic and diagnosed simultaneously, the association of a neonatal foregut DC with a late-presenting midgut tubular duplication has not been previously reported. In conclusion, multiple GIDs are very rare in children. Depending on their localization in the gastrointestinal tract, they may present with different clinical symptoms and become symptomatic at varying time points throughout life.</p>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"172-174"},"PeriodicalIF":0.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915043","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":"Robotic surgical management of renal tumours with caval thrombosis: A comprehensive analysis and outcomes in a case series using minimally invasive approaches","authors":"Jacopo Durante MD,&nbsp;Francesca Manassero PhD,&nbsp;Michele Santarsieri MD,&nbsp;Girolamo Fiorini MD,&nbsp;Pagni Riccardo MD,&nbsp;Andrea Colli,&nbsp;Piero Lippolis MD,&nbsp;Giorgio Pomara PhD","doi":"10.1111/1744-1633.70000","DOIUrl":"https://doi.org/10.1111/1744-1633.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Since the 1970s, the surgical treatment of renal tumors with caval thrombosis has been a complex challenge. The advent of robot-assisted nephrectomy with tumor thrombectomy has revolutionized this field. This case series aims to report the outcomes of an unselected population of Renal Cell Carcinoma (RCC) with complex caval thrombosis treated robotically at our center.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We established a database for RCC cases with inferior vena cava (IVC) thrombectomy, including five patients treated between October 2022 and October 2023. A notable aspect of our methodology was the incorporation of the AngioVac system for the management of a level IV thrombus facilitating a minimally invasive approach without the need for a thoracic approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All patients underwent successful robotic surgery without conversion to open surgery. There were one pT3a, 3 pT3b and one pT3c tumors, 3 on the right side and 2 on the left, the upper level of the thrombus was II in one patient, III in 3 and IV in one. The average surgery duration was 414 ± 120.95 minutes, and the average blood loss was 400 ± 393, 70 cc. The mean IVC occlusion time was 20.6 ± 6.50 minutes. We did not observe any statistically significant differences between the preoperative hemoglobin values (12.14 ± 1.39) and the postoperative values (9.88 ± 0.96), nor between preoperative creatinine levels (2.00 ± 2.11) and postoperative levels (2.20 ± 2.00). The average length of hospital stay was 7 ± 2 days. We observed only 2 Clavien-Dindo grade 2 events. The follow-up period, updated for the last patient, is 12 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This case series demonstrates the viability and safety of robotic surgery in treating RCC with complex caval thrombosis. While the study is limited by the small number of cases, these results contribute to the growing body of evidence supporting robotic surgery in complex renal tumors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"138-145"},"PeriodicalIF":0.2,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915051","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":"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}

{"title":"Pancreatic endometrioma in a post-menopausal woman: A rare differential diagnosis for cystic lesions of the pancreas","authors":"Sara Koçi MD,&nbsp;Hilmi Anıl Dinçer MD,&nbsp;Alican Arslan MD,&nbsp;Zehranur Kiki MD,&nbsp;Cenk Sökmensüer MD,&nbsp;Ahmet Bülent Doğrul MD","doi":"10.1111/1744-1633.12740","DOIUrl":"https://doi.org/10.1111/1744-1633.12740","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Although endometriosis is a relatively common condition affecting women, pancreatic endometriosis remains rare, with only a few cases reported in the literature. The primary challenges this condition poses today are its inability to be diagnosed radiologically and the difficulty in distinguishing it from other cystic lesions of the pancreas preoperatively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This report presents a case of a 53-year-old female patient with 3 months long left upper quadrant pain and no previous medical history. Imaging revealed an enlarging cyst in the tail of the pancreas, with findings suggestive of a mucinous neoplasm.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The patient underwent a distal pancreatectomy and splenectomy. Histopathological analysis confirmed the presence of endometrial stroma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Considering the possibility of pancreatic endometriosis may help avoid extensive surgery. However, as the definite diagnosis of endometriosis remains histopathological, surgical resection continues to be the treatment of choice if malignancy is suspected.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"169-171"},"PeriodicalIF":0.2,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915145","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}