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Current Problems in Surgery最新文献

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The impact of a surgical ergonomics educational intervention on resident knowledge. 外科人机工程学教育干预对住院医师知识的影响。
IF 1.9 3区 医学
Current Problems in Surgery Pub Date : 2025-10-01 Epub Date: 2025-07-11 DOI: 10.1016/j.cpsurg.2025.101858
Sruthi Kunamneni, Riya Sutariya, Wei Wei Zhang, Alvand Sehat, Nisha Narula
{"title":"The impact of a surgical ergonomics educational intervention on resident knowledge.","authors":"Sruthi Kunamneni, Riya Sutariya, Wei Wei Zhang, Alvand Sehat, Nisha Narula","doi":"10.1016/j.cpsurg.2025.101858","DOIUrl":"https://doi.org/10.1016/j.cpsurg.2025.101858","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"71 ","pages":"101858"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056148","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
Integrating experimental zoology with laparoscopic simulation training: A randomized controlled trial to enhance surgical skills and ethical awareness 将实验动物学与腹腔镜模拟训练相结合：一项提高手术技能和伦理意识的随机对照试验
IF 1.9 3区 医学
Current Problems in Surgery Pub Date : 2025-09-03 DOI: 10.1016/j.cpsurg.2025.101891
Yishu Liu MS , Liping Cai MS , Jingyu Zhao MD
{"title":"Integrating experimental zoology with laparoscopic simulation training: A randomized controlled trial to enhance surgical skills and ethical awareness","authors":"Yishu Liu MS , Liping Cai MS , Jingyu Zhao MD","doi":"10.1016/j.cpsurg.2025.101891","DOIUrl":"10.1016/j.cpsurg.2025.101891","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"72 ","pages":"Article 101891"},"PeriodicalIF":1.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159201","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
Effects of permissive hypercapnia on anxiety, depression and early cognitive function in elderly patients after laparoscopic hepatectomy. 准许性高碳酸血症对老年腹腔镜肝切除术后患者焦虑、抑郁及早期认知功能的影响。
IF 1.9 3区 医学
Current Problems in Surgery Pub Date : 2025-09-01 Epub Date: 2025-07-13 DOI: 10.1016/j.cpsurg.2025.101860
Wen Wen, Dongxia Li, Liyuan Min
{"title":"Effects of permissive hypercapnia on anxiety, depression and early cognitive function in elderly patients after laparoscopic hepatectomy.","authors":"Wen Wen, Dongxia Li, Liyuan Min","doi":"10.1016/j.cpsurg.2025.101860","DOIUrl":"10.1016/j.cpsurg.2025.101860","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"70 ","pages":"101860"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857093","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
Difficult appendicular stump: Outcomes of surgical management in patients with acute appendicitis in Colombia. 困难的阑尾残端：哥伦比亚急性阑尾炎患者手术治疗的结果。
IF 1.9 3区 医学
Current Problems in Surgery Pub Date : 2025-09-01 Epub Date: 2025-07-13 DOI: 10.1016/j.cpsurg.2025.101862
Santiago Barrantes-Moreno, Sara Patiño-Franco, Camila Arias-González, Johanna Marcela Vanegas-Múnera, Suad Karime Téllez-Soleiman, Víctor Manuel Quintero-Riaza
{"title":"Difficult appendicular stump: Outcomes of surgical management in patients with acute appendicitis in Colombia.","authors":"Santiago Barrantes-Moreno, Sara Patiño-Franco, Camila Arias-González, Johanna Marcela Vanegas-Múnera, Suad Karime Téllez-Soleiman, Víctor Manuel Quintero-Riaza","doi":"10.1016/j.cpsurg.2025.101862","DOIUrl":"10.1016/j.cpsurg.2025.101862","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"70 ","pages":"101862"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857091","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
Effect of closed thoracic drainage on postoperative wound complications in patients with severe pneumonia complicated with pneumothorax. 胸腔闭式引流对重症肺炎合并气胸患者术后伤口并发症的影响。
IF 1.9 3区 医学
Current Problems in Surgery Pub Date : 2025-09-01 Epub Date: 2025-06-25 DOI: 10.1016/j.cpsurg.2025.101835
Donglin Guo, Qian Shi, Yunliang Sun, Yuxiang Ma, Xianhe Jin, Weijun Si, Yurong Mei, Zhong Zeng, Zhi Chen
{"title":"Effect of closed thoracic drainage on postoperative wound complications in patients with severe pneumonia complicated with pneumothorax.","authors":"Donglin Guo, Qian Shi, Yunliang Sun, Yuxiang Ma, Xianhe Jin, Weijun Si, Yurong Mei, Zhong Zeng, Zhi Chen","doi":"10.1016/j.cpsurg.2025.101835","DOIUrl":"10.1016/j.cpsurg.2025.101835","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"70 ","pages":"101835"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857092","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
Comparing wound dehiscence following closure with skin staples versus sutures in elective total knee arthroplasty: A systematic review and meta-analysis. 比较选择性全膝关节置换术中皮肤钉缝合与缝合后伤口裂开：一项系统回顾和荟萃分析。
IF 1.9 3区 医学
Current Problems in Surgery Pub Date : 2025-09-01 Epub Date: 2025-07-05 DOI: 10.1016/j.cpsurg.2025.101853
Hamidreza Sabet, Armin Fereidouni, Mohammadamin Ahmadi, Shaghayegh Ajam, Zahra Maleki, Amirali Alizadeh, Samira Mahmoudi
{"title":"Comparing wound dehiscence following closure with skin staples versus sutures in elective total knee arthroplasty: A systematic review and meta-analysis.","authors":"Hamidreza Sabet, Armin Fereidouni, Mohammadamin Ahmadi, Shaghayegh Ajam, Zahra Maleki, Amirali Alizadeh, Samira Mahmoudi","doi":"10.1016/j.cpsurg.2025.101853","DOIUrl":"10.1016/j.cpsurg.2025.101853","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"70 ","pages":"101853"},"PeriodicalIF":1.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857090","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
Association between low-dose aspirin therapy and major adverse cardiovascular events in ACS patients: A retrospective cohort study from the MIMIC-IV database 低剂量阿司匹林治疗与ACS患者主要不良心血管事件之间的关系：来自MIMIC-IV数据库的回顾性队列研究
IF 1.9 3区 医学
Current Problems in Surgery Pub Date : 2025-08-30 DOI: 10.1016/j.cpsurg.2025.101889
Miaomiao Chen BS , Shuying Xu BS , Xue Yan MSc
{"title":"Association between low-dose aspirin therapy and major adverse cardiovascular events in ACS patients: A retrospective cohort study from the MIMIC-IV database","authors":"Miaomiao Chen BS , Shuying Xu BS , Xue Yan MSc","doi":"10.1016/j.cpsurg.2025.101889","DOIUrl":"10.1016/j.cpsurg.2025.101889","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"72 ","pages":"Article 101889"},"PeriodicalIF":1.9,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159200","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
Incidence and risk factor analysis of postoperative complications after lung cancer surgery based on CT follow-up 基于CT随访的肺癌术后并发症发生率及危险因素分析
IF 1.9 3区 医学
Current Problems in Surgery Pub Date : 2025-08-27 DOI: 10.1016/j.cpsurg.2025.101887
Jing Sun BDS , Shuzhao Ji BDS , Bo Li MD
{"title":"Incidence and risk factor analysis of postoperative complications after lung cancer surgery based on CT follow-up","authors":"Jing Sun BDS , Shuzhao Ji BDS , Bo Li MD","doi":"10.1016/j.cpsurg.2025.101887","DOIUrl":"10.1016/j.cpsurg.2025.101887","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"72 ","pages":"Article 101887"},"PeriodicalIF":1.9,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159202","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
Utilization of wearable technology to assess physiological stress during laparoscopic surgery training 利用可穿戴技术评估腹腔镜手术训练期间的生理应激
IF 1.9 3区 医学
Current Problems in Surgery Pub Date : 2025-08-25 DOI: 10.1016/j.cpsurg.2025.101885
Alejandro Zulbaran-Rojas MD , Iman Ghaderi MD, MSc, MHPE , Areti Tillou MD , Peyman Benharash MD , Natasha Hansraj MD , Derek Erstad MD , Bijan Najafi PhD
{"title":"Utilization of wearable technology to assess physiological stress during laparoscopic surgery training","authors":"Alejandro Zulbaran-Rojas MD ,&nbsp;Iman Ghaderi MD, MSc, MHPE ,&nbsp;Areti Tillou MD ,&nbsp;Peyman Benharash MD ,&nbsp;Natasha Hansraj MD ,&nbsp;Derek Erstad MD ,&nbsp;Bijan Najafi PhD","doi":"10.1016/j.cpsurg.2025.101885","DOIUrl":"10.1016/j.cpsurg.2025.101885","url":null,"abstract":"<div><h3>Background</h3><div>Stress negatively impacts laparoscopic performance in surgical residents. This study evaluated the relationship between physiological stress and performance using wearable technology.</div></div><div><h3>Methods</h3><div>General surgery residents participated in a 2-day laparoscopic training course using live porcine models. Mean heart rate along with heart rate variability (HRV) parameters including standard deviation of R-R intervals (SDNN) and root-mean-square of successive differences of R-R intervals (RMSSD), were measured using a chest-worn ECG sensor. Operative performance was assessed using the Global Operative Assessment of Laparoscopic Skills (GOALS) and the Objective Performance Rating Scale (OPRS). Parameters were measured at rest, baseline, and intraoperatively. Comparison between day-1 and day-2 were performed within groups. Correlations between changes in parameters and operative performance across time were analyzed.</div></div><div><h3>Results</h3><div>Junior (PGY1-2, n=5) and senior (PGY3-5, n=5) residents formed teams, alternating as primary surgeon and assistant. Juniors led basic procedures (cholecystectomy, incisional hernia repair) having seniors assisting. Seniors handled advanced ones (Nissen fundoplication, splenectomy, colon-resection) having juniors assisting. Regardless of role, stress levels were elevated in all participants during each procedure compared to rest, peaking highest during splenectomies and colon resections. Analyses across time revealed that higher mean heart rate correlated with lower performance (r=-0.41, p=0.07), while higher SDNN and RMSSD correlated with higher performance (r=0.56, p=0.008; r=0.63, p&lt;0.001, respectively).</div></div><div><h3>Conclusions</h3><div>Reducing physiological stress can enhance laparoscopic performance. Wearable technology shows promise for improving surgical training.</div></div>","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"72 ","pages":"Article 101885"},"PeriodicalIF":1.9,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097425","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
The effects of concomitant coronary artery bypass grafting during surgical acute type A aortic dissection to outcomes 急性A型主动脉夹层手术中合并冠状动脉搭桥术对预后的影响
IF 1.9 3区 医学
Current Problems in Surgery Pub Date : 2025-08-23 DOI: 10.1016/j.cpsurg.2025.101879
Rui Fan , Wuwei Wang , Wei Qin , Fei Xiang , Xin Chen
{"title":"The effects of concomitant coronary artery bypass grafting during surgical acute type A aortic dissection to outcomes","authors":"Rui Fan ,&nbsp;Wuwei Wang ,&nbsp;Wei Qin ,&nbsp;Fei Xiang ,&nbsp;Xin Chen","doi":"10.1016/j.cpsurg.2025.101879","DOIUrl":"10.1016/j.cpsurg.2025.101879","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"72 ","pages":"Article 101879"},"PeriodicalIF":1.9,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097056","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
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