Surgery open science最新文献

{"title":"Outcomes of simultaneous resection for colorectal liver metastases: A nationwide cohort study (2005–2022)","authors":"J.H. Angelsen ,&nbsp;S. Yaqub ,&nbsp;T.A. Hegvik ,&nbsp;L.S. Nymo ,&nbsp;T. Veen ,&nbsp;V.J. Dagenborg ,&nbsp;E.A. Bringeland","doi":"10.1016/j.sopen.2025.07.008","DOIUrl":"10.1016/j.sopen.2025.07.008","url":null,"abstract":"<div><h3>Introduction</h3><div>The optimal treatment strategy for synchronous colorectal liver metastases (CRLM) has been a topic for ongoing debate. We present a national cohort containing simultaneous resections of the primary tumour and CRLM, with emphasis on postoperative complications, and survival.</div></div><div><h3>Method</h3><div>This population-based national cohort study included consecutive patients who underwent simultaneous resections in Norway between 2005 and 2022. Postoperative complications (Accordion Severity Grading System – ASGS) and overall survival (OS) were analysed in relation to the extent of liver resection and location of the primary tumour.</div></div><div><h3>Results</h3><div>A total of 193 patients underwent simultaneous resection of the primary tumour and liver metastases. Postoperative complications graded as ASGS ≥3 occurred in 48 (24.9 %) while 23 (11.9 %) patients developed ASGS ≥4 complications. Anastomotic leakage was observed in 9 (4.7 %) patients. Among 18 (9.3 %) patients undergoing major liver resections, 10 (55.6 %) and seven (38.9 %) patients experienced ASGS ≥3 and ASGS ≥4 complications, respectively. Major liver resection was an independent predictor for ASGS ≥3, (RR: 2.40; p = 0.002). The 30- and 90-day mortality rates were 0.5 % (n = 1) and 2.1 % (n = 4), respectively. Median, 5- and 10-year OS were 4.8 years, 46.7 % and 35.6 %, respectively. In a multivariable analysis both an increasing number of liver metastases and ASGS ≥4 complications were independently associated with inferior OS.</div></div><div><h3>Conclusions</h3><div>Simultaneous resection for synchronous CRLM was a safe option, particularly in minor liver resections. Major liver resections were associated with increased risk of severe complications and inferior OS.</div></div>","PeriodicalId":74892,"journal":{"name":"Surgery open science","volume":"27 ","pages":"Pages 113-119"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879228","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":"Exploring diversity and inclusion in surgery: Insights from the 2025 Dutch Surgical Society Symposium","authors":"Begüm Pekbay MD ,&nbsp;Hajar Rotbi MSc ,&nbsp;Michael El Boghdady MBChB, MD, MCh, MRCS, MHPE, MFSTEd, PFCAPHE, FHEA ,&nbsp;Joanna W.A.M. Bosmans MD, PhD ,&nbsp;Joris J. Blok MD, PhD, FEBVS","doi":"10.1016/j.sopen.2025.08.002","DOIUrl":"10.1016/j.sopen.2025.08.002","url":null,"abstract":"<div><div>Diversity and inclusion are increasingly recognized as critical components of effective surgical practice and team dynamics. Despite growing awareness, structural barriers continue to limit the entry and advancement of individuals from underrepresented groups in surgery. At the annual meeting of the Dutch Surgical Society in 2025, a dedicated symposium on diversity and inclusion was organized to explore the relevance, urgency, and potential impact of these topics in surgery. Drawing from lived experience, research evidence, and a multidisciplinary panel discussion, this event underscored the necessity of shifting from performative diversity toward meaningful inclusion. Key insights from the symposium and actionable strategies to foster sustainable change within surgical education and practice are discussed in this paper. Future directions would include concrete policy development by the Dutch Surgical Society to achieve sustainable change, incorporating these topics in national education programs and development of structured mentorship networks and facilitating a continuous open dialogue.</div></div>","PeriodicalId":74892,"journal":{"name":"Surgery open science","volume":"27 ","pages":"Pages 133-135"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931679","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":"Chronic inflammation following hernia repair and cancer risk: A nationwide study","authors":"Malene Broholm MD, PhD ,&nbsp;Ismail Gögenur MD, DMSc ,&nbsp;Lau Caspar Thygesen Cand.Scient.san.publ, PhD ,&nbsp;Frederik Helgstrand MD, PhD","doi":"10.1016/j.sopen.2025.06.004","DOIUrl":"10.1016/j.sopen.2025.06.004","url":null,"abstract":"<div><h3>Purpose</h3><div>Implantation of mesh in patients undergoing hernia surgery or prolonged inflammation due to postoperative complication may be associated with increased risk of cancer.</div><div>We aim to test whether implementation of mesh or complicated postoperative course with readmittance was associated with increased risk of cancer.</div></div><div><h3>Methods</h3><div>This register-based nationwide observational cohort study included 48,392 and 127,756 patients undergoing ventral and inguinal hernia surgery, respectively, during 1996–2004, with follow-up until Dec. 2014. In total, 16,909 patients undergoing ventral hernia repair with mesh, and 31,483 undergoing sutured repair, as well as 106,342 patients undergoing inguinal hernia repair with mesh and 21,414 undergoing sutured repair were included. Patients were matched with a reference cohort from the general Danish population and were followed in the Danish Cancer Registry.</div></div><div><h3>Results</h3><div>For ventral hernia surgery, there was a significant association between mesh repair and risk of cancers, [(vs general population), HR 1.09 (95%CI, 1.00–1.18)]. Thirty-day readmission after mesh and sutured repair was associated with developing cancer [HR 1.15 (0.99–1.34) and 1.14 (1.00–1.31), respectively]. However, the association for suture repair (HR 1.14) did not reach statistical significance (<em>p</em> = 0.055). For inguinal hernia surgery, mesh repair was not associated with increased risk of cancer [(vs. general population), HR 1.00 (95%CI, 0.97–1.02)]. For both mesh and sutured repair, there was an increased risk for developing cancer after 30-day readmission, [HR 1.21 (1.12–1.31) and 1.24 (1.07–1.43), respectively].</div></div><div><h3>Conclusion</h3><div>Patients undergoing ventral hernia repair with mesh and patients readmitted after inguinal or ventral hernia repair may have higher risk of developing cancer than the general population.</div><div>These exploratory findings do not establish causality, but the association warrants further investigations in other populations.</div></div>","PeriodicalId":74892,"journal":{"name":"Surgery open science","volume":"27 ","pages":"Pages 88-93"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653539","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":"Dall-E in hand surgery: Exploring the utility of ChatGPT image generation: Correspondence","authors":"Hinpetch Daungsupawong ,&nbsp;Viroj Wiwanitkit","doi":"10.1016/j.sopen.2025.06.010","DOIUrl":"10.1016/j.sopen.2025.06.010","url":null,"abstract":"","PeriodicalId":74892,"journal":{"name":"Surgery open science","volume":"27 ","pages":"Page 185"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145094742","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":"Feasibility of intraluminal oxygen delivery after minimally invasive esophagus resection","authors":"Douwe van der Steen MSc ,&nbsp;Anne M. Leferink PhD ,&nbsp;Frederieke A. Dijkstra MD ,&nbsp;Boudewijn van Etten MD, PhD ,&nbsp;Eric Keus MD, PhD ,&nbsp;Rutger J. Spruit MD ,&nbsp;Roy J.J. Verhage MD, PhD ,&nbsp;Jeroen J. Kolkman MD ,&nbsp;Jan Willem Haveman MD, PhD","doi":"10.1016/j.sopen.2025.07.004","DOIUrl":"10.1016/j.sopen.2025.07.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Anastomotic leakage (AL) is a severe complication after esophagectomy. Intraluminal oxygen delivery at the anastomosis site might improve the viability of the tissue and thereby reduce the incidence of AL. We present a feasibility study of intraluminal oxygen delivery after esophagectomy.</div></div><div><h3>Methods</h3><div>Eighteen patients scheduled for robot-assisted minimally invasive esophagectomy with an intrathoracic anastomosis were selected to receive an additional manometry catheter for intraluminal oxygen delivery at the anastomosis site. The primary endpoint was the feasibility of placing the catheter in the correct position and staying in situ for five days postoperatively. Intraluminal pressure was monitored during oxygen delivery at flow rates of 0 (control group), 1, 2, or 4 ml/min. Patients were questioned on the comfort of the catheter.</div></div><div><h3>Results</h3><div>In two patients, intraoperative placement of the catheter was unsuccessful. Two others replaced these patients according to the study protocol. 16 patients were analyzed. In five patients, the catheter was accidentally removed before the end of the study. The primary endpoint was successful in 11/16 patients (69 %). Intraluminal pressure in the 1 ml/min group did not differ from the control group. Intraluminal pressure in the 2 ml/min group increased substantially compared to the control group. Patients reported comfort rates that decreased over time.</div></div><div><h3>Conclusion</h3><div>This study shows that it is feasible to administer intraluminal oxygen in the first five days after esophagectomy and that a flow rate of 1 ml/min is not associated with increased intraluminal pressure. Future studies are required to study the effectiveness of intraluminal oxygen delivery in preventing AL.</div></div>","PeriodicalId":74892,"journal":{"name":"Surgery open science","volume":"27 ","pages":"Pages 126-132"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144917873","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":"Call for participation in a multicenter study: Intraoperative blood loss – Towards a standardized and objective recording method","authors":"Emelie Nébel,&nbsp;Lätitia Dennin,&nbsp;Johannes Klose,&nbsp;Ulrich Ronellenfitsch,&nbsp;Jörg Kleeff,&nbsp;Artur Rebelo","doi":"10.1016/j.sopen.2025.07.007","DOIUrl":"10.1016/j.sopen.2025.07.007","url":null,"abstract":"","PeriodicalId":74892,"journal":{"name":"Surgery open science","volume":"27 ","pages":"Pages 110-112"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144842008","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":"Counterclockwise colonic transposition after left extended colectomy: an efficient and reproducible alternative to the Deloyers procedure","authors":"Margot Potor ,&nbsp;Marie-Céline Schraepen ,&nbsp;Julien Lemaire","doi":"10.1016/j.sopen.2025.09.002","DOIUrl":"10.1016/j.sopen.2025.09.002","url":null,"abstract":"<div><div>Reconstruction of the digestive tract after extended left colectomy is a common challenge for colorectal surgeons. The main difficulty lies in lowering the colon into the pelvis to achieve a tension-free and well-vascularized anastomosis. We report our 10-year retrospective experience, in which a counterclockwise colonic transposition according to Lillehei and Wangensteen was performed in more than half of the cases. This technique differs from the more widely known Deloyers procedure solely by its axis of rotation. It offers the advantage of being more anatomical, easily reproducible, and functionally equivalent.</div></div>","PeriodicalId":74892,"journal":{"name":"Surgery open science","volume":"27 ","pages":"Pages 179-183"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145059974","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":"Consideration of tumor genomics in the management of synchronous colorectal liver metastases.","authors":"Deshka S Foster, Michael I D'Angelica","doi":"10.1016/j.sopen.2025.07.009","DOIUrl":"10.1016/j.sopen.2025.07.009","url":null,"abstract":"<p><p>Colorectal cancer with synchronous metastatic disease to the liver represents a particular challenge in multidisciplinary cancer care. Optimal management involves a combination of surgical resection, systemic, regional and/or targeted therapies; however, the order of and timing of specific therapies requires a nuanced understanding of the disease biology including tumor genomics. In the following article, we conducted a narrative review of the literature to critically examine existing data on the impact of tumor genomics in synchronous colorectal liver metastasis management. We provide a qualitative synthesis of the available literature and identify areas of particular interest for investigation moving forward.</p>","PeriodicalId":74892,"journal":{"name":"Surgery open science","volume":"27 ","pages":"106-109"},"PeriodicalIF":1.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877133","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":"Robotic Ivor-Lewis esophagectomy - How-we-do-it.","authors":"Henrik Nienhüser, Nicolas Jorek, Ali Majlesara, Frank Pianka, Arianeb Mehrabi, Christoph W Michalski","doi":"10.1016/j.sopen.2025.07.006","DOIUrl":"10.1016/j.sopen.2025.07.006","url":null,"abstract":"","PeriodicalId":74892,"journal":{"name":"Surgery open science","volume":"27 ","pages":"104-105"},"PeriodicalIF":1.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877134","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":"Development of an interview practice course for improving overall confidence in specialty training national selection in vascular and general surgery","authors":"Melvin Joy ,&nbsp;Wen Ling Choong ,&nbsp;ChangShi Tang ,&nbsp;Marta Madurska ,&nbsp;Benjie Tang ,&nbsp;Brian Ip","doi":"10.1016/j.sopen.2025.04.004","DOIUrl":"10.1016/j.sopen.2025.04.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the effectiveness of a training course to improve surgical trainees' confidence in specialty training national selection (STNS) for higher surgical training in surgery. It was also the aim to identify weak areas in the current two-year core surgical training programme in the United Kingdom.</div></div><div><h3>Methods</h3><div>A prospective observational study was conducted. Delegates were asked to complete evaluation forms to track their perceived confidence levels of success in STNS at different timeframes, measured by a visual analogue scale.</div></div><div><h3>Setting</h3><div>The 2-day interview preparation course was designed with a maximum delegate number of ten per course in Surgical Skills Centre, Ninewells Hospital, University of Dundee, UK.</div></div><div><h3>Participants</h3><div>Twenty-seven delegates provided feedback of their perceived confidence levels of success at STNS higher surgical training in general and vascular surgery.</div></div><div><h3>Results</h3><div>Delegate self-reported confidence increased significantly for all domains except Patient Communication (6.12 ± (1.75) vs 7.10 ± (1.69), P = 0.063). A lower confidence was reported by UK graduates and first-time applicants in the technical and teaching domain (6.03 ± 2.04 vs 7.24 ± 1.92, p = 0.007). 23 (85 %) of the participants were successful in the STNS post course.</div></div><div><h3>Conclusions</h3><div>Peer-delivered teaching, practice and feedback as a structured interview practice course can significantly improve applicants' overall confidence levels in preparing for STNS and a high success rate at STNS. Patient communication skills training and education should be enhanced in the training programme. A lower confidence was reported by UK graduates and first-time applicants in the technical and teaching domain.</div></div>","PeriodicalId":74892,"journal":{"name":"Surgery open science","volume":"26 ","pages":"Pages 6-11"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855203","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}