ANZ Journal of Surgery最新文献

{"title":"Cybersecurity Should be a Routine Component of Healthcare Provider Education","authors":"Benjamin Piotrowski, Ishith Seth, Joshua Kovoor, Michael Sorich, Stephen Bacchi","doi":"10.1111/ans.70258","DOIUrl":"10.1111/ans.70258","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 9","pages":"1656-1659"},"PeriodicalIF":1.6,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144625300","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":"Identifying Factors Associated With a Poor Outcome Following External Ventricular Drain Insertion for Spontaneous Intraparenchymal Haemorrhage","authors":"Michael Brooks,&nbsp;Rebecca Nguyen,&nbsp;Alice Su,&nbsp;Ronald Murambi,&nbsp;Mark Sheridan,&nbsp;Ganeshwaran Shivapathasundram","doi":"10.1111/ans.70256","DOIUrl":"10.1111/ans.70256","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>External ventricular drains (EVDs) are used in the management of spontaneous intraparenchymal haemorrhage (ICH) to divert cerebrospinal fluid and reduce intracranial pressure. Despite being a recognised treatment, there remains a lack of data on outcomes after surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data was collected for all EVDs inserted from 2010 to 2022 at a tertiary neurosurgery centre in Sydney. Baseline demographic, clinical and radiological parameters were identified. Multivariate logistical regression analyses were conducted to determine factors significantly associated with higher mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Out of 116 identified patients, 60 (51.7% of the cohort) died during the index admission. Increasing age and pre-operative Glasgow Coma Score (GCS) were independent predictors of mortality and higher modified Rankin Score on discharge, while haematoma volume and presence of Swirl sign were associated with higher modified Rankin Score on discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>EVD insertion has long been performed in the setting of spontaneous ICH, particularly in the presence of intraventricular haemorrhage (IVH) and hydrocephalus. However, we have demonstrated a number of factors which have a high associated mortality risk even with surgical intervention. In particular, older patients with a lower GCS pre-operatively had a high rate of mortality.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 7-8","pages":"1388-1393"},"PeriodicalIF":1.6,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616036","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":"Paraganglioma: An Important Differential for Retroperitoneal Masses.","authors":"Timothy Kenyon-Smith, Kelly Ruecker, Gregory Turner, Catherine Mitchell, Alexander Heriot","doi":"10.1111/ans.70254","DOIUrl":"https://doi.org/10.1111/ans.70254","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607236","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":"Enhanced Recovery After Surgery Programs Safely Accelerate Recovery in Emergency Abdominal Surgery: A Randomized Controlled Trial With Multivariable Risk Profiling.","authors":"Jianing Lu, Yan Zhuang, Zhenglu Wang, Hong Zheng, Xi Ma, Dejun Kong, Jinliang Duan, Shaofeng Chen, Tao Chen","doi":"10.1111/ans.70251","DOIUrl":"https://doi.org/10.1111/ans.70251","url":null,"abstract":"<p><strong>Background: </strong>Emergency abdominal surgery involves complex, diverse conditions with high patient variability, posing recovery challenges. While Enhanced Recovery After Surgery (ERAS) programs benefit elective surgery and show promise in emergencies, current research is disease-specific, limiting broad assessment. This study evaluates ERAS safety/effectiveness across multiple emergency abdominal conditions and identifies recovery risk factors.</p><p><strong>Methods: </strong>This single-blind trial randomized 305 emergency abdominal surgery patients to ERAS (n = 151) or conventional care (n = 154). ERAS patients underwent perioperative enhanced recovery programs, while controls received conventional management. The primary outcome was time to postoperative recovery criteria. Secondary outcomes included first postoperative flatus/semi-liquid diet tolerance time, complication rates, maximum pain scores (days 1-5), 30-day readmissions, and satisfaction. Data were analyzed via t-tests, Mann-Whitney U, Fisher's exact tests, and multivariate regression (p < 0.05 significance).</p><p><strong>Results: </strong>ERAS reduced median recovery time (141 h [IQR: 114-179] vs. 163 h [IQR: 131-204], p < 0.001), accelerated gastrointestinal recovery (first flatus: 1.10 vs. 1.30 days; semi-liquid tolerance: 3.60 vs. 4.10 days, both p < 0.05), and improved satisfaction (95 vs. 91, p < 0.001). No differences in complications (11.9% vs. 15.6%, p = 0.353) or 30-day readmissions (2.0% vs. 2.6%, p > 0.999). Shock index and APACHE II were common risk factors; ERAS-specific risks included SOFA (OR = 1.31, 1.03-1.71, p = 0.034), preoperative hemoglobin (OR = 0.95, 0.89-1.00, p = 0.046), preparation time (OR = 0.33, 0.14-0.68, p = 0.005), and blood transfusion (OR = 0.01, 0.00-0.23, p = 0.003).</p><p><strong>Conclusion: </strong>ERAS enhances postoperative recovery and satisfaction in emergency abdominal surgery without increasing complications/readmissions. Identified risk factors support personalized protocols, advancing ERAS implementation.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607235","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":"Prognostic Value of Albumin-To-Fibrinogen Ratio and Fibrinogen and Albumin Score in Lung Cancer Patients: A Meta-Analysis","authors":"Zongyuan Li,&nbsp;Yueli Shu,&nbsp;Wenying Xu,&nbsp;Jian Zhang","doi":"10.1111/ans.70253","DOIUrl":"10.1111/ans.70253","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>We aim to comprehensively assess the prognostic performance of AFR and FA scores in patients with lung cancer (LC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a comprehensive search of PubMed, Web of Science, and CNKI databases to identify relevant studies. The primary endpoints assessed were overall survival (OS) and progression-free survival (PFS). Integrated hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated through pooling analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 3145 participants from 10 studies were included in the analysis. In LC patients, the pooled results showed that low AFR predicted a worse outcome for OS (HR 1.76, 95% CI 1.51–2.06, <i>p</i> &lt; 0.001) and PFS (HR 1.50, 95% CI 1.29–1.74, <i>p</i> &lt; 0.001), and high FA score was associated with worse OS (HR 2.61, 95% CI 1.75–3.90, <i>p</i> &lt; 0.001) and PFS (HR 2.38, 95% CI 1.60–3.55, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This meta-analysis demonstrated that a low AFR and a high FA score were associated with an increased risk of mortality and disease progression in LC, suggesting their potential as prognostic biomarkers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 7-8","pages":"1412-1420"},"PeriodicalIF":1.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607237","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":"Effect of Body Mass Index on Intraoperative Complications During Hepatic Resection for Malignancy","authors":"Jack Menzie,&nbsp;Thomas Coates,&nbsp;Amos Liew,&nbsp;Vanisha Fernando,&nbsp;Anderson Cheong,&nbsp;Lulu Xiao,&nbsp;Nicholas King,&nbsp;Yigeng Li,&nbsp;Travis Ackermann,&nbsp;Mithra Sritharan,&nbsp;Daniel Croagh,&nbsp;Geraldine Ooi","doi":"10.1111/ans.70250","DOIUrl":"10.1111/ans.70250","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Evidence shows that high body mass index (BMI) contributes to increased postoperative complications in gastrointestinal surgery and suggests that it may contribute to intraoperative adverse events. We primarily aimed to determine if high BMI results in increased intraoperative adverse events in liver resections using the ClassIntra classification.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective audit of liver resections under a single adult Hepatobiliary unit was performed from February 2018 to October 2023. We compared intraoperative adverse events and postoperative complications between BMI groups (‘Normal/low’ BMI &lt; 25, ‘Overweight’ BMI 25–30 and Obese &gt; 30). Resections were divided by complexity into minor, intermediate and major resections by extent of liver resection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One hundred and ninety-nine patients were included in the analyses. Higher BMI was associated with a significantly greater proportion of intraoperative complications using the ClassIntra classification (<i>p</i> = 0.022). At least one intraoperative complication was sustained by 33.3% and 38.2% of overweight and obese patients, respectively, compared to 19.1% in normal/low weight individuals. There were no differences in other intraoperative or postoperative outcomes or complications with a higher BMI, including estimated blood loss, morbidity by Clavien–Dindo classification, 30-day readmission or mortality. Multivariate analysis showed that BMI class and diabetes status were significantly related to higher ClassIntra complication level (<i>p</i> = 0.0086).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Higher BMI is associated with increased rates of intraoperative adverse events during liver resection surgery, by measure of ClassIntra classification. Prospective standardised assessment of intraoperative complications is required to confirm these findings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 7-8","pages":"1462-1469"},"PeriodicalIF":1.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ans.70250","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607234","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":"Myosteatosis Is Associated With Overall Survival in Patients Receiving Pancreatectomy for Pancreatic Neuroendocrine Tumors","authors":"Dan Jia,&nbsp;Xiaoding Shen,&nbsp;Ziyao Wang,&nbsp;Fan Yang,&nbsp;Nengwen Ke","doi":"10.1111/ans.70222","DOIUrl":"10.1111/ans.70222","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>To investigate the association of myosteatosis with survival among patients receiving pancreatectomy for pNETs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>161 patients were enrolled in this retrospective cohort study. Myosteatosis was evaluated using the mean skeletal muscle attenuation with predefined cut-off values. The impact of potential risk factors on overall survival (OS) and disease-free survival (DFS) was assessed using the Kaplan–Meier method and the Cox proportional hazards model. A nomogram was constructed based on preoperative survival predictors, and its predictive performance was evaluated using the Receiver Operating Characteristic curve.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Patients with myosteatosis exhibited significantly worse OS (<i>p</i> = 0.003) than those without myosteatosis. However, there was no statistically significant difference in DFS between patients with myosteatosis and those without myosteatosis (<i>p</i> = 0.663). In univariate and multivariate analysis, after adjusting for clinicopathological factors, myosteatosis remained an independent predictor of OS (hazard ratio: 4.65; 95% confidence interval: 1.35–15.96; <i>p</i> = 0.02). A nomogram model, incorporating age, myosteatosis, tumor grading, and N status, demonstrated strong performance in estimating OS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Myosteatosis independently predicts OS in patients undergoing pancreatectomy for pNETs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 9","pages":"1774-1782"},"PeriodicalIF":1.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599216","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":"Defining an Unresectable Primary Retroperitoneal Sarcoma.","authors":"James Tai, Eyal Mor, Catherine Mitchell, Kwang Chin, Stephen Schlicht, Hayden Snow, David E Gyorki","doi":"10.1111/ans.70249","DOIUrl":"https://doi.org/10.1111/ans.70249","url":null,"abstract":"<p><strong>Background: </strong>Retroperitoneal sarcomas (RPS) comprise a heterogenous group of rare mesenchymal tumours. A complete macroscopic en bloc resection of the tumour with involved adjacent structures is the only curative treatment modality. There remain no consensus criteria regarding the definition of a resectable versus unresectable RPS. This study examined the rate, rationale and outcomes for resectable and unresectable RPS from a single large tertiary referral centre.</p><p><strong>Methods: </strong>All patients with primary non-metastatic RPS referred between January 2017 and March 2023 were identified. Patient and tumour details as well as survival analyses were compared between resectable and unresectable cohorts, and factors for unresectability were analysed.</p><p><strong>Results: </strong>A total of 104 patients were considered for the analysis, of which 91 (87.5%) were resectable and 13 (12.5%) unresectable. Gender, age, tumour size and side were similar in both cohorts. Unresectability was determined on pre-operative imaging in seven patients (53.8%) and intra-operatively in six (46.2%) patients. The most common technical cause for unresectability was the involvement of superior mesenteric vessels (38.5%). At a median follow-up of 18 months, 84.6% of the unresectable cohort and 8.8% of the resectable cohort had died.</p><p><strong>Conclusion: </strong>Approximately 12% of patients with primary RPS were unresectable at presentation, and in most cases, unresectability can be determined pre-operatively. Defining resectable and unresectable disease may improve the prognostication and management for patients with primary RPS.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599215","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":"Investigating the Landscape of General Surgical Care in Rural Aotearoa, New Zealand: A Scoping Review.","authors":"Sarah Cowan, Joseph Bridgeman, Sarah Rennie, Jamie-Lee Rahiri","doi":"10.1111/ans.70230","DOIUrl":"https://doi.org/10.1111/ans.70230","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review explores the provision of general surgical services in rural and regional Aotearoa, New Zealand (Aotearoa NZ). Rural and regional populations, particularly Māori, face significant health inequities exacerbated by a shortage of surgeons, limited resources and geographic isolation. Understanding these challenges is critical to improving equitable surgical care. This article aims to identify key factors affecting surgical service delivery in Aotearoa NZ outside of main urban centres, examine existing models of care and explore workforce challenges to inform strategies for equitable service delivery.</p><p><strong>Methods: </strong>This Scoping review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. Database searches (PubMed, Embase, Scopus and CINAHL) used keywords like 'Aotearoa NZ', 'rural', 'general surgery' and 'access'. Articles addressing rural surgical services in Aotearoa NZ were included, excluding case studies and non-relevant subspecialty topics.</p><p><strong>Results: </strong>Twenty-six articles met the inclusion criteria. Only 14.3% of Aotearoa NZ general surgeons are based in rural regions, despite nearly half of the population residing outside of main centres. Mobile surgical units and outreach services improve access but face challenges in sustainability and scope. Using an adapted framework from the Aotearoa NZ Rural Health Strategy, common barriers to rural general surgical care described include geographic isolation, limited resources and poor workforce retention. Additionally, Māori patients experience disproportionate adverse outcomes, such as longer hospital stays for specific conditions, but there has been little research done in this regard.</p><p><strong>Conclusion: </strong>Rural and regional surgical care in Aotearoa NZ faces significant inequities in workforce distribution, access and patient outcomes. Strengthening rural training pathways, developing sustainable care models and investing in targeted research are essential steps toward achieving equitable surgical services for rural, regional and Māori populations.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582879","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":"Change in Colonoscopy Quality Performance Indicators in Symptomatic Patients Following Introduction of the Bowel Screening Programme in Te Tai Tokerau","authors":"Luke Paterson,&nbsp;Matthew McGuinness,&nbsp;William Xu,&nbsp;Christopher Harmston","doi":"10.1111/ans.70244","DOIUrl":"10.1111/ans.70244","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The introduction of the Bowel Screening Programme (BSP) came with a focus on high-quality endoscopy. This was supported by open reporting and feedback of quality performance indicators (QPIs) to endoscopists. The aim of this study is to describe any changes in QPIs of colonoscopies for non-screening, symptomatic patients following the introduction of the BSP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A 3-year retrospective study was performed of non-screening, symptomatic patients undergoing colonoscopy before (pre-BSP) and after (post-BSP) implementation of the BSP. The primary outcome was the change in the polyp detection rate (PDR).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Totally, 4396 patients were identified; 2238 in the pre-BSP group and 2158 in the post-BSP group. There was no significant difference in demographic factors between groups. The adjusted PDR significantly increased from 45.5% in the pre-BSL group to 51.9% in the post-BSL group (<i>p</i> &lt; 0.001). A significant increase in polypectomy rate and adequate withdrawal times was found in the post-BSP group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study found a significant improvement in QPIs, including PDR, in patients undergoing colonoscopies for symptoms following the introduction of the BSP in Te Tai Tokerau. This suggests an indirect improvement in the quality of all colonoscopies being performed in hospitals that participates in the BSP.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"95 9","pages":"1788-1792"},"PeriodicalIF":1.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ans.70244","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551713","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}