The British journal of surgery最新文献

{"title":"A paradox in the quality of care in centralization of pancreatic cancer surgery.","authors":"Jana S Hopstaken, Martijn W J Stommel","doi":"10.1093/bjs/znag092","DOIUrl":"10.1093/bjs/znag092","url":null,"abstract":"","PeriodicalId":520792,"journal":{"name":"The British journal of surgery","volume":"113 8","pages":""},"PeriodicalIF":8.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148709430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anastomotic failure: the dance between microbial virulence, structure, and perfusion.","authors":"Mina Sarofim","doi":"10.1093/bjs/znag104","DOIUrl":"10.1093/bjs/znag104","url":null,"abstract":"","PeriodicalId":520792,"journal":{"name":"The British journal of surgery","volume":" ","pages":""},"PeriodicalIF":8.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148682038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"European Society of Endocrine Surgeons (ESES) consensus statement on standardization and research requirements for intraoperative nerve monitoring in endocrine surgery.","authors":"Katrin Brauckhoff, Agata Dukaczewska, Pietro Princi, Rick Schneider, Sam Van Slycke, Selen S Yaliman, Julia I Staubitz-Vernazza, Neil S Tolley, Kyriakos Vamvakidis, Ilias A Zorbas, Thomas J Musholt","doi":"10.1093/bjs/znag090","DOIUrl":"10.1093/bjs/znag090","url":null,"abstract":"<p><strong>Background: </strong>Intraoperative nerve monitoring (IONM) is widely used in endocrine surgery, yet substantial heterogeneity exists in its documentation, interpretation, and reporting. This limits comparability across studies and hampers the evaluation of clinical outcomes.</p><p><strong>Methods: </strong>A consensus process was conducted by the European Society of Endocrine Surgeons (ESES), combining a systematic literature review, analysis of Eurocrine® registry data, a survey among ESES members, and a structured Delphi consensus process.</p><p><strong>Results: </strong>Considerable variability was identified in monitoring techniques, signal interpretation, and outcome reporting. Key areas requiring standardization include the definition of loss of signal, documentation of neuromonitoring parameters, reporting of technical settings, and objective assessment of vocal cord function. Based on these findings, a set of consensus statements was developed to define minimum requirements for IONM research and reporting.</p><p><strong>Conclusion: </strong>This consensus statement provides a structured framework to improve standardization, data quality, and comparability in IONM research. Adoption of the recommendations may facilitate more robust evaluation of clinical outcomes and support future evidence generation in endocrine surgery.</p>","PeriodicalId":520792,"journal":{"name":"The British journal of surgery","volume":"113 8","pages":""},"PeriodicalIF":8.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13446503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148687487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: The science and art of decision-making in surgery.","authors":"","doi":"10.1093/bjs/znag086","DOIUrl":"https://doi.org/10.1093/bjs/znag086","url":null,"abstract":"","PeriodicalId":520792,"journal":{"name":"The British journal of surgery","volume":"113 8","pages":""},"PeriodicalIF":8.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148687492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aortic dissection incidence, management, and outcomes: national population-based study.","authors":"Erin C Saricilar, Christian Smedberg, Rebecka Hultgren, Jacob Budtz-Lilly, Kevin Mani","doi":"10.1093/bjs/znag101","DOIUrl":"10.1093/bjs/znag101","url":null,"abstract":"<p><strong>Background: </strong>Aortic dissection (AD) management requires early medical therapy and surgical intervention in selected patients with type A aortic dissection (TAAD) or complicated type B aortic dissection (TBAD). The aim of this study was to assess incidence trends of AD in Sweden, and sex-based differences in management and outcomes over 25 years.</p><p><strong>Methods: </strong>The Swedish National Patient Register and Cause of Death Register were used to identify new AD between 1999 and 2023. Incidence, management, and survival outcomes were analysed relative to the general population by matching age, sex, and year.</p><p><strong>Results: </strong>Some 15 946 individuals had AD; 12 225 were admitted to hospital alive, and, of these, 6595 (53.9%) were treated medically. Of the 5630 surgically treated individuals, 4141 (73.6%) had TAAD and 1489 (26.4%) presented with TBAD. Incidence increased significantly to 9.32 per 100 000, with an annual percentage change (APC) of 1.4% (95% c.i. 1.2% to 1.6%). Incidence was lower for women (6.25 per 100 000) than men (10.52 per 100 000), but the APC was three-fold higher in women (APC 2.3% (95% c.i. 1.9% to 2.6%)) compared with men (APC 0.8% (95% c.i. 0.5% to 1.0%)). Women presented at an older age than men (mean of 71.9 versus 67.5 years, P < 0.001), were less likely to receive surgical treatment than men (women represented 37.8% of all dissection patients, but only 33.6% of surgically treated TAAD patients and 29.3% of surgically treated TBAD patients, P < 0.001), and had worse 10-year relative survival than men (medical management: women 70.9% and men 84.1%, P = 0.0041; TAAD surgical management: women 86.6% and men 94.9%, P < 0.0001; and TBAD surgical management: women 70.9% and men 87.5% P = 0.027).</p><p><strong>Conclusion: </strong>The incidence of AD is increasing in Sweden, with persisting sex disparities in management and outcomes. These findings underscore the need for targeted interventions to improve the diagnosis, management, and prognostication of AD, especially in women.</p>","PeriodicalId":520792,"journal":{"name":"The British journal of surgery","volume":" ","pages":""},"PeriodicalIF":8.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148650533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The pre-rescue gap: ownership before surgical rescue.","authors":"Jeffrey Shuhaiber","doi":"10.1093/bjs/znag094","DOIUrl":"10.1093/bjs/znag094","url":null,"abstract":"","PeriodicalId":520792,"journal":{"name":"The British journal of surgery","volume":" ","pages":""},"PeriodicalIF":8.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pruritus Ani.","authors":"A Albuquerque","doi":"10.1093/bjs/znag103","DOIUrl":"https://doi.org/10.1093/bjs/znag103","url":null,"abstract":"","PeriodicalId":520792,"journal":{"name":"The British journal of surgery","volume":" ","pages":""},"PeriodicalIF":8.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148650225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complex abdominal wall reconstruction: pushing the boundaries of minimally invasive surgery.","authors":"Anna S Sayers, Ciaran J Walsh, Gregory S Simpson","doi":"10.1093/bjs/znag099","DOIUrl":"https://doi.org/10.1093/bjs/znag099","url":null,"abstract":"<p><p>Robotic platforms have expanded the indications and techniques for abdominal wall reconstruction (AWR). This comprehensive narrative review examines current evidence on the evolution, technical variations, clinical outcomes, and cost implications of robotic AWR (rAWR), taking data from systematic reviews, meta-analyses, randomized clinical trials, and large registry studies. Robotic platforms provide enhanced dexterity and three-dimensional visualisation, facilitating complex repairs such as transversus abdominis release using extraperitoneal, transabdominal, and hybrid approaches. Published data suggest rAWR is associated with comparable or reduced rates of visceral injury and surgical site occurrence compared with open repair, but shorter hospital stay (median 1 day vs. 3-4 days for open), and lower readmission rates. There are similar long-term recurrence rates across open, laparoscopic, and robotic approaches, though the learning curve impacts early outcomes. There is conflicting evidence regarding early postoperative pain. Despite higher upfront expenditure, hybrid approaches appear most cost-effective due to reduced complications and length of stay. rAWR is safe and effective, offering advantages in visualisation, and recovery, with outcomes comparable to or better than open repair. Future priorities include standardised credentialing, rationalization of technique selection, and generating long-term data registries. Finally, rAWR should be delivered within multidisciplinary abdominal wall teams to optimise patient selection and outcomes.</p>","PeriodicalId":520792,"journal":{"name":"The British journal of surgery","volume":" ","pages":""},"PeriodicalIF":8.8,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anal pain - Outpatient management.","authors":"H Rosen, C Sebesta","doi":"10.1093/bjs/znag098","DOIUrl":"https://doi.org/10.1093/bjs/znag098","url":null,"abstract":"","PeriodicalId":520792,"journal":{"name":"The British journal of surgery","volume":" ","pages":""},"PeriodicalIF":8.8,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and molecular heterogeneity of metachronous colorectal cancer.","authors":"Patricia Tejedor, Carlos Pastor, Sandra Tapial-Santos, Yolanda Rodríguez, Daniel Rueda, Jose Perea","doi":"10.1093/bjs/znag078","DOIUrl":"10.1093/bjs/znag078","url":null,"abstract":"","PeriodicalId":520792,"journal":{"name":"The British journal of surgery","volume":" ","pages":""},"PeriodicalIF":8.8,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148261317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}