ANZ Journal of Surgery最新文献

{"title":"Looking Good From the End of Bed: Surgical Clinical Intuition","authors":"Katarina Foley,&nbsp;Nikki Pennifold,&nbsp;Ellie Treloar,&nbsp;Eden Smith,&nbsp;Suzanne Edwards,&nbsp;End of Bed Assessment Group,&nbsp;Matthew Watson,&nbsp;Guy Maddern,&nbsp;Matthias Wichmann","doi":"10.1111/ans.70743","DOIUrl":"10.1111/ans.70743","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study sought to assess clinician ability to correctly identify unwell surgical patients from the ‘end-of-bed’ to determine the validity of this commonly utilised clinical tool, and whether accurate assessment increases with experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This prospective observational study recruited patients at the time of surgical admission. Patients were filmed responding to three standard questions concerning their presentation. Each patient video was then viewed by five participants from various groups: surgical consultants, registrars, interns, medical students and orderlies (control group). Five ‘Yes/No’ questions were answered for each video, regarding how unwell patients appeared and their likely clinical trajectory. Assessor answers were compared with ‘correct’ answers as determined by the investigators, utilising patient clinical data. For each group, the percentage of questions answered correctly was calculated across 99 patients. The mean and standard deviation for the percentage correct was calculated as well as Cohen's Kappa Score when comparing the score for each assessor group with the ‘correct’ answer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The percentage of correctly answered questions was highest in the registrar group (82.21%), closely followed by consultants (82.04%), interns (80.47%), medical students (79.74%) and orderlies (79.44%) (<i>p</i> values &lt; 0.001, except students' <i>p</i> value 0.0729). The order of Cohen's Kappa for correctly answered questions found consultants to have the highest agreement (0.26–fair agreement), followed by registrars (0.25–fair agreement) and lastly medical students (0.14–slight agreement) (<i>p</i> values &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The ‘end-of-bed’ assessment is a potential initial tool for assessing disease severity and clinical trajectory of surgical patients and improves with clinician experience.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"96 7-8","pages":"1941-1948"},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147947272","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":"Respecting Patient Autonomy When Patients Refuse Treatment for Surgical Complications","authors":"Daniel Sergio Garcia,&nbsp;Nicholas Johnson,&nbsp;Charlie Corke","doi":"10.1111/ans.70802","DOIUrl":"10.1111/ans.70802","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"96 7-8","pages":"1812-1814"},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148263037","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":"Emergency Laparotomy in Regional New Zealand: Outcomes and Benchmarking Against NELA Standards","authors":"Li Ning Yong,&nbsp;Edmund Leung","doi":"10.1111/ans.70783","DOIUrl":"10.1111/ans.70783","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Emergency laparotomy is associated with substantial morbidity and mortality. While national audits such as ANZELA-QI have driven quality improvement across Australia and New Zealand, data from regional New Zealand centres remain limited. This study audited emergency laparotomy outcomes and processes of care at a regional New Zealand hospital and compared them with ANZELA-QI benchmarks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective audit was conducted of all adult patients undergoing emergency laparotomy or laparoscopy at Taranaki Base Hospital between September 2023 and September 2025. Inclusion and exclusion criteria mirrored those of ANZELA-QI. Data collected included demographics, operative details, consultant involvement, radiology, timeliness to theatre, postoperative outcomes, and 30-day mortality. Outcomes were compared descriptively with ANZELA-QI benchmarks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 126 patients were included (median age 67 years; 50.8% female). Preoperative CT scanning was performed in 96% of cases, with 95.2% reported by a consultant radiologist. Surgery occurred within the assigned urgency timeframe in 86.3% of cases. Consultant surgeons were present in 88.9% of operations and consultant anaesthetists in 100%. Preoperative risk assessment was documented in only 4% of patients. Postoperatively, 42.9% were admitted to critical care and 7.1% returned to theatre. Overall 30-day mortality was 10.3%. Of those alive at discharge, 92.9% returned to their prehospital residence. Only 17.1% of patients aged ≥ 65 years received geriatric assessment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Emergency laparotomy outcomes at this regional New Zealand hospital were comparable to national and international benchmarks, with strong performance in radiology access, consultant involvement, and timeliness to theatre. Key areas for improvement include routine documentation of preoperative risk assessment and increased geriatric involvement for older patients. Regional-specific audits remain essential to inform equitable, high-quality surgical care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"96 7-8","pages":"1920-1926"},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148209670","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":"Prioritising Psychological Prehabilitation Interventions for Cancer Surgery: An International Delphi Study.","authors":"Nicholas Hirst, Jesse Gates, Haryana M Dhillon, Ilona Juraskova, Kate Alexander, Jack Reeves, Zirong Bai, Michael J Solomon, Kate McBride, Leani Souza Máximo Pereira, Ana Paula Drummond Lage, Daniel Steffens","doi":"10.1111/ans.70933","DOIUrl":"https://doi.org/10.1111/ans.70933","url":null,"abstract":"<p><strong>Background: </strong>Preoperative mental wellbeing is an important determinant of postoperative recovery, yet psychological care is frequently overlooked within multidisciplinary prehabilitation programmes. When included, psychological interventions are fragmented and inconsistently delivered. This study aimed to establish international multidisciplinary consensus on preferred psychological prehabilitation interventions for patients undergoing urogenital, thoracic or gastrointestinal cancer surgery, and to describe current practice.</p><p><strong>Methods: </strong>A three-round Delphi was conducted between February and September 2025. An international multidisciplinary expert panel rated the perceived effectiveness of each intervention for urogenital, thoracic and gastrointestinal cancer surgery using a 5-point Likert scale. Predefined criteria classified interventions as effective, ineffective, contested or indeterminate. Round 1 also captured current models of psychological prehabilitation delivery.</p><p><strong>Results: </strong>In total, 439 participants completed Round 1, with 191 and 234 completing Rounds 2 and 3, respectively. Nine interventions reached consensus as endorsed across all tumour types, with supportive counselling, personalised coping strategies, cognitive behavioural therapy and mindfulness-based techniques reaching the strongest agreement. Sexual health counselling was endorsed only for urogenital cancers. No interventions reached consensus as ineffective; however, hypnotherapy and eye movement desensitisation and reprocessing were contested in specific cancer groups, whilst metacognitive therapy remained indeterminate. International practice was heterogeneous, with limited routine screening, variable access to psychological services and funding/resource constraints as common barriers.</p><p><strong>Conclusion: </strong>This international Delphi study identified a core set of consensus-based psychological prehabilitation interventions for cancer surgery, providing a foundation for clinical implementation. Future research should prioritise hybrid effectiveness-implementation designs, generating data on optimal providers, delivery formats and patient characteristics.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148879037","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":"Innervated Local Flap Reconstruction for Digital Soft Tissue Defects: A Systematic Review","authors":"Ines Prasidha,&nbsp;Joshua Xu,&nbsp;Owen Ou Yang,&nbsp;Brahman Shankar Sivakumar","doi":"10.1111/ans.70622","DOIUrl":"10.1111/ans.70622","url":null,"abstract":"<div>\u0000 \u0000 <p>Restoration of tactile sensation in fingertip reconstruction is essential for hand function. This systematic review aimed to evaluate differences in the outcomes of innervated (IF) and noninnervated local flap (NIF) reconstruction for digital soft tissue defects. PubMed, MEDLINE, Cochrane, and EMBASE databases were systematically searched. English-language articles reporting sensibility outcomes were included. Eleven studies, published between 1983 and 2023, with a total of 591 flaps were included in the analysis. The sensibility outcome of the reconstructed fingers in IF is significantly better than that of NIF. Neurorrhaphy should be performed in local flap fingertip reconstruction to improve the sensory outcome.</p>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"96 7-8","pages":"1839-1846"},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147479599","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":"Basal Cell Carcinoma and Syringocystoadenoma Papilliferum Arising in Naevus Sebaceous—A Narrative Review","authors":"Yajat Dua,&nbsp;Chris Miller,&nbsp;Anand Ramakrishnan","doi":"10.1111/ans.70646","DOIUrl":"10.1111/ans.70646","url":null,"abstract":"<p>Naevus sebaceous (NS) is a congenital cutaneous hamartoma characterised by epidermal, follicular, sebaceous and apocrine components, with a rare but significant potential for malignant transformation, most commonly into basal cell carcinoma (BCC). Syringocystoadenoma papilliferum (SCAP), a rare adnexal tumour, occasionally arises within NS lesions and may progress to malignancy. This study presents a comprehensive narrative review and a rare case of SCAP arising within NS and subsequently transforming into BCC, highlighting the interplay between these lesions. A systematic review adhering to PRISMA guidelines was conducted using databases including PubMed, OVID Medline and Cochrane, yielding 34 relevant articles after rigorous selection. While NS is present at birth, SCAP can emerge later in life, with hormonal and environmental factors contributing to its development. Both lesions exhibit overlapping genetic alterations, particularly involving PTCH and p16, which are also implicated in the pathogenesis of BCC. This genetic convergence suggests potential mechanisms linking NS and SCAP to malignant transformation, although further research is needed to appreciate their interrelationship fully. This review highlights the need for vigilant monitoring of NS lesions, particularly in the presence of multiple risk factors such as sun exposure and a family history of skin cancer. Early detection and management are critical to mitigate the risk of malignant progression.</p>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"96 7-8","pages":"1847-1852"},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ans.70646","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589556","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":"Risks and Benefits of Artificial Intelligence as an Adjunct in Colorectal Multidisciplinary Decision Making","authors":"Sathyan Balaji,&nbsp;Alexander Heriot,&nbsp;Matthew Read,&nbsp;Corina Behrenbruch","doi":"10.1111/ans.70813","DOIUrl":"10.1111/ans.70813","url":null,"abstract":"","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"96 7-8","pages":"1822-1824"},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315315","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":"Associated Factors for Adhesions Post Surgery: A Case Control Study","authors":"Hsairi Mariem,&nbsp;Siala Rakia,&nbsp;Mseddi Mohamed Ali,&nbsp;Yaakoubi Chaima,&nbsp;Hssin Hajer,&nbsp;Krifa Nesrine,&nbsp;Trifa Fatma,&nbsp;Boubaker Radhia,&nbsp;Mghirbi Abdelwaheb,&nbsp;Bhira Amal,&nbsp;Yosra Yahia,&nbsp;Mestiri Souhir,&nbsp;Guizeni Rami,&nbsp;Ghariani Brahim,&nbsp;Sassi Karim,&nbsp;Maghraoui Hamida,&nbsp;Kchir Hela,&nbsp;Ben Slima Mohamed","doi":"10.1111/ans.70634","DOIUrl":"10.1111/ans.70634","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Managing patients with adhesive small bowel obstruction (ASBO) requiring surgery is challenging, particularly in performing adhesiolysis safely while minimizing iatrogenic complications. Identifying at-risk patients is important, as it may facilitate earlier diagnosis and strengthen prophylactic measures. We conducted this study to report factors associated with ASBO.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A case–control study was conducted in the general surgery “B” department of Rabta Hospital, including patients operated on for ASBO between 2004 and 2020. Patients were asked to report ASBO occurrence following index surgery. Logistic regression analysis was used to determine associated factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two hundred patients were included, with 100 patients in each group. Radiological ischemic features were observed in 14.5% of cases. Surgery was performed in 35 patients, with laparoscopy attempted in 8.6% but converted in two cases. Postoperative complications occurred in 31.4% (<i>n</i> = 11), with two deaths (5.7%). Logistic regression revealed three independent factors associated with ASBO: male sex (adjusted OR = 7.489, 95% CI: 2.726–20.578; <i>p</i> &lt; 0.0001), diabetes (adjusted OR = 15.465, 95% CI: 3.698–64.683; <i>p</i> = 0.0002), and Pfannenstiel incision (adjusted OR = 5.704, 95% CI: 1.456–22.351; <i>p</i> = 0.0125).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlights male sex, diabetes, and Pfannenstiel incision as associated factors for ASBO. Recognizing these risks may improve postoperative management and outcomes. Larger prospective multicenter studies are needed to validate these findings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"96 7-8","pages":"1934-1940"},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589575","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":"Patient Reported Outcomes After Total Pancreatectomy With Islet Autotransplantation: A Narrative Review","authors":"Javed Latif,&nbsp;Cristina Pollard,&nbsp;Pratik Choudhary,&nbsp;Giuseppe Garcea,&nbsp;Ashley Dennison","doi":"10.1111/ans.70638","DOIUrl":"10.1111/ans.70638","url":null,"abstract":"<div>\u0000 \u0000 <p>Chronic pancreatitis and recurrent acute pancreatitis are progressive disorders associated with severe pain, functional limitation and major impairment in health-related quality of life. For selected patients with disease refractory to medical, endoscopic or limited surgical therapy, total pancreatectomy with islet autotransplantation (TPIAT) offers definitive pain control whilst preserving endogenous insulin production. Whilst metabolic outcomes such as insulin independence have traditionally guided evaluation of this procedure, patient-reported outcomes provide a broader assessment of its clinical impact and are increasingly relevant to surgical decision-making. This narrative review synthesises the available evidence on health-related quality of life, psychological well-being and occupational outcomes following TPIAT in adult patients. Across published cohorts, TPIAT is consistently associated with clinically meaningful improvements in global quality of life, particularly in pain, physical functioning and emotional well-being, with benefits observed even amongst patients who remain insulin dependent. Psychological health generally improves following surgery, although detailed characterisation is limited by infrequent use of validated psychiatric instruments. In contrast, occupational recovery is more variable, often constrained by long-standing pre-operative disability, prolonged opioid exposure and socioeconomic factors rather than surgical outcomes alone. Interpretation of existing data is challenged by small sample sizes, heterogeneous outcome measures and limited long-term follow-up. Overall, current evidence supports TPIAT as a procedure that confers substantial patient-centred benefits for appropriately selected adults with refractory pancreatitis. These findings highlight the importance of timely referral, comprehensive pre-operative assessment, and structured multi-disciplinary post-operative support, and underscore the need for standardised, prospective evaluation of patient-reported outcomes to better inform surgical counselling and optimise long-term recovery.</p>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"96 7-8","pages":"1890-1900"},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147571907","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":"Intraoperative Variations of Cystic Artery and Duct in Laparoscopic Cholecystectomy: A Systematic Review With Meta-Analysis","authors":"George Triantafyllou,&nbsp;Daniel Gondorf,&nbsp;Dimitrios K. Manatakis,&nbsp;Orestis Lyros,&nbsp;Panagis M. Lykoudis,&nbsp;Spyridon Christodoulou,&nbsp;Nikolaos Arkadopoulos,&nbsp;Maria Piagkou","doi":"10.1111/ans.70651","DOIUrl":"10.1111/ans.70651","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Laparoscopic cholecystectomy (LC) is the gold-standard treatment for benign gallbladder disease but carries a higher risk of bile duct injury than the open approach, largely due to misidentification of critical hepatobiliary structures. This systematic review and meta-analysis synthesizes intraoperative evidence on the prevalence and surgical relevance of anatomical variations and evaluates their implications for safe LC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following Evidence-based Anatomy and PRISMA 2020 guidelines, four databases were investigated. Random-effects meta-analyses estimated pooled prevalences and small-study effects were assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-seven studies (<i>n</i> = 9618) were included. Conventional cystic artery and duct (CA and CD) anatomy was observed in 86.15% and 89.02% of cases, respectively. Among arterial variants, duplicate CA (7.18%) and caterpillar hump of the right hepatic artery (6.26%) were the most common “third elements” entering the hepatocystic triangle. CA positional deviations included courses posterior (14.95%), anterior (10.75%), and inferior (6.23%) to the CD. Aberrant right hepatic duct entering the hepatocystic triangle was recorded in 1.03%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Most CA and CD variations relevant to LC occur within the hepatocystic triangle, where they can interfere with identification of the vascular–biliary pedicle and increase the risk of vasculo-biliary injury. Integrating these findings into the cognitive framework of the Critical View of Safety (CVS) highlights the importance of anticipating “third elements” and heterotopic courses when dissecting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":"96 7-8","pages":"1880-1889"},"PeriodicalIF":1.5,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ans.70651","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147580230","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}