Surgery (Oxford, Oxfordshire)最新文献_第6页

Innovations in surgical management of frail elderly adults: an overview of current guidance and recent advances 体弱老年人手术管理的创新：当前指导和最新进展的概述

Surgery (Oxford, Oxfordshire) Pub Date : 2025-03-01 DOI: 10.1016/j.mpsur.2025.01.002

George E Richardson, Francesco Magni, Musa China, Danyal Z Khan, Hani J Marcus

引用次数: 0

Clinical entrepreneurship: a driver for digital transformation in surgery 临床创业：外科数字化转型的驱动力

Surgery (Oxford, Oxfordshire) Pub Date : 2025-03-01 DOI: 10.1016/j.mpsur.2025.01.003

Emily C Mills, Grant Nolan, Tony Young

{"title":"Clinical entrepreneurship: a driver for digital transformation in surgery","authors":"Emily C Mills, Grant Nolan, Tony Young","doi":"10.1016/j.mpsur.2025.01.003","DOIUrl":"10.1016/j.mpsur.2025.01.003","url":null,"abstract":"<div><div>Clinical entrepreneurship describes the act of a healthcare professional starting a business with the aim of making a profit. They use their experience to generate sustainable and scalable solutions to healthcare problems. Workforce development programmes, like the NHS Clinical Entrepreneur Programme (NHS CEP), allow innovators to learn the critical business and financial skills required to progress their ideas. Digital transformation is a key area for Clinical Entrepreneurs. Utilizing novel digital technologies, robotics and artificial intelligence, new innovations are set to improve patient outcomes, lower costs, and increase surgical efficiency. This article outlines some of the most exciting areas of digital transformation in surgery. There are numerous challenges facing the adoption of digital innovation in surgery, which include integration with electronic patient record (EPR) systems, legacy infrastructure, variable regulatory, information governance and procurement processes and sometimes conflicting cultural opinions of key decision makers. Clinical entrepreneurship offers a new way to help address these barriers and deliver digital transformation in surgery.</div></div>","PeriodicalId":74889,"journal":{"name":"Surgery (Oxford, Oxfordshire)","volume":"43 3","pages":"Pages 135-139"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642006","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}

引用次数: 0

Artificial intelligence in surgery: what is needed for ongoing innovation 外科手术中的人工智能：持续创新需要什么

Surgery (Oxford, Oxfordshire) Pub Date : 2025-03-01 DOI: 10.1016/j.mpsur.2024.12.005

Vivek Singh, Shubha Vasisht, Daniel A Hashimoto

引用次数: 0

Extended reality in surgery – past, present, and future 外科学的延伸现实——过去、现在和未来

Surgery (Oxford, Oxfordshire) Pub Date : 2025-03-01 DOI: 10.1016/j.mpsur.2024.12.003

Gao Yujia

{"title":"Extended reality in surgery – past, present, and future","authors":"Gao Yujia","doi":"10.1016/j.mpsur.2024.12.003","DOIUrl":"10.1016/j.mpsur.2024.12.003","url":null,"abstract":"<div><div>Extended reality (XR) technology, encompassing virtual reality (VR), augmented reality (AR), and mixed reality (MR), has evolved significantly in its application to surgery. Initially limited by technical constraints, XR has progressed from basic VR applications in the 1990s to more sophisticated MR systems today. Current applications include advanced surgical training, detailed preoperative planning, intraoperative guidance, and remote surgical assistance. XR offers unique advantages in surgical education, allowing trainees to develop muscle memory while interacting with 3D anatomical models. In surgical planning and navigation, it enables surgeons to visualize complex 3D anatomies directly, potentially improving precision and reducing complications. Remote surgical assistance through XR platforms has shown promise in addressing healthcare disparities. However, the integration of XR in surgery faces several challenges. These include hardware limitations like image resolution and device comfort, software complexities, computing power constraints, and wireless communication issues. Data privacy and security concerns are significant, especially when handling sensitive patient information. Clinical validation remains a hurdle, with a need for standardized evaluation metrics and large-scale trials. User acceptance is also critical, as surgeons must adapt to new technologies and overcome potential resistance to change.</div></div>","PeriodicalId":74889,"journal":{"name":"Surgery (Oxford, Oxfordshire)","volume":"43 3","pages":"Pages 140-145"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642010","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}

引用次数: 0

Making the most of clinical fellowships – robotics, data science and artificial intelligence 充分利用临床奖学金——机器人、数据科学和人工智能

Surgery (Oxford, Oxfordshire) Pub Date : 2025-03-01 DOI: 10.1016/j.mpsur.2025.01.004

Luis Ribeiro, Nicholas Raison

{"title":"Making the most of clinical fellowships – robotics, data science and artificial intelligence","authors":"Luis Ribeiro, Nicholas Raison","doi":"10.1016/j.mpsur.2025.01.004","DOIUrl":"10.1016/j.mpsur.2025.01.004","url":null,"abstract":"<div><div>The rapid advancement of surgical technologies, including robotics, data science and artificial intelligence (AI), has created a widening gap between the skills required by modern surgeons and the offerings of traditional training programmes. Historically, this gap led to the development of specialized clinical fellowships, which have now become essential for surgeons seeking to master these emerging technologies. Robotic surgery and AI demand new competencies, yet these are not fully integrated into current surgical curricula. Fellowships in robotic surgery and digital health offer structured, hands-on training, combining theoretical knowledge with practical application. Integration of AI with robotics has shown significant promise in improving intraoperative performance and surgical education. Digital fellowships, such as the Topol Digital Fellowship and NHS Clinical AI Fellowship, focus on developing leadership in digital transformation within healthcare, equipping surgeons with skills in data analysis, machine learning, and AI applications. As surgery becomes increasingly intertwined with data science and AI, these fellowships are not only addressing current educational gaps but also paving the way for a technologically adept surgical workforce, capable of leveraging advanced technologies to enhance patient care.</div></div>","PeriodicalId":74889,"journal":{"name":"Surgery (Oxford, Oxfordshire)","volume":"43 3","pages":"Pages 166-170"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641905","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}

引用次数: 0

Test yourself: MCQ and single best answer 测试自己：MCQ和单一最佳答案

Surgery (Oxford, Oxfordshire) Pub Date : 2025-03-01 DOI: 10.1016/j.mpsur.2025.01.012

Adrian Ben Cresswell

引用次数: 0

The impact of cancer genomics across the surgical pathway 癌症基因组学在整个手术途径中的影响

Surgery (Oxford, Oxfordshire) Pub Date : 2025-03-01 DOI: 10.1016/j.mpsur.2025.02.001

Adam C. Chambers, Frank D. McDermott

{"title":"The impact of cancer genomics across the surgical pathway","authors":"Adam C. Chambers, Frank D. McDermott","doi":"10.1016/j.mpsur.2025.02.001","DOIUrl":"10.1016/j.mpsur.2025.02.001","url":null,"abstract":"<div><div>The human genome is comprised of 3 billion base pairs and understanding genomics is crucial for providing modern surgical care. Variants (mutations) in DNA can predispose to disease. Cancer genomes are heterogeneous, and a tumour is often comprised of multiple different clones of cells (tumour heterogeneity). Genomics has implications for screening, diagnostics, pharmacogenomics, identifying minimal residual disease (MRD) and monitoring disease. Testing in NHS England is performed by seven genomic laboratory hubs that provide testing for rare disease and cancers. Testing includes single gene tests, gene panels, whole exome sequencing (WES – coding genes only) and whole genome sequencing (WGS). Circulating tumour DNA (ctDNA) is being used as a diagnostic tool in non-small cell lung cancer and is being used more widely for other cancer indications including monitoring of disease to personalize chemotherapy choice based on the tumours' molecular profile. Cancer vaccines are a type of immunotherapy that can prime the immune system to identify cancer cells and destroy them. The BNT122-01 colorectal cancer study, for example, uses an mRNA vaccine that is bespoke to a patient's tumour (patients that are ctDNA positive and are receiving adjuvant chemotherapy). Surgical teams need to be educated and up-skilled in the use of these new technologies to personalize care and improve outcomes.</div></div>","PeriodicalId":74889,"journal":{"name":"Surgery (Oxford, Oxfordshire)","volume":"43 3","pages":"Pages 146-152"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642011","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}

引用次数: 0

Test yourself: MCQ and single best answer 测试自己：MCQ和单一最佳答案

Surgery (Oxford, Oxfordshire) Pub Date : 2025-02-01 DOI: 10.1016/j.mpsur.2025.01.001

Adrian Ben Cresswell

引用次数: 0

Dupuytren's disease Dupuytren病

Surgery (Oxford, Oxfordshire) Pub Date : 2025-02-01 DOI: 10.1016/j.mpsur.2024.11.004

Simon Williams, Jonathan Hobby

引用次数: 0

Distal radius fractures, current evidence including DRAFFT trial 桡骨远端骨折，目前的证据包括draft试验

Surgery (Oxford, Oxfordshire) Pub Date : 2025-02-01 DOI: 10.1016/j.mpsur.2024.12.001

Qamar Mustafa, Christopher Wilson, Timothy Crook

引用次数: 0