ANZ Journal of Surgery最新文献_第2页

Gastroesophageal reflux disease symptoms after sleeve gastrectomy with anterior hemifundoplication: a pilot study.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-12 DOI: 10.1111/ans.70041

Justin Shaw, Justin Eltenn, Jorgen Ferguson, Helena Obermaier, Reginald V Lord

{"title":"Gastroesophageal reflux disease symptoms after sleeve gastrectomy with anterior hemifundoplication: a pilot study.","authors":"Justin Shaw, Justin Eltenn, Jorgen Ferguson, Helena Obermaier, Reginald V Lord","doi":"10.1111/ans.70041","DOIUrl":"https://doi.org/10.1111/ans.70041","url":null,"abstract":"Background: Gastroesophageal reflux disease (GORD) is a significant problem after laparoscopic sleeve gastrectomy (SG). This study aimed to assess the long-term effect of SG with an anterior fundoplication on GORD symptoms.Methods: A single-centre cohort study of all patients who underwent SG with anterior hemifundoplication (SGAF), with a 2:1 SG only comparison group. GORD symptoms were assessed using a structured symptom questionnaire.Results: SGAF was performed in 36 patients between 2010 and 2015; 26 patients were available for follow-up and 17 of these were followed up for more than 6 years. The comparison group included 53 consecutive contactable patients who underwent SG without fundoplication during the same period. The two patient groups were similar with regard to pre-operative factors, weight loss, and weight regain. After 6 years, 12 (71%) of SGAF patients reported no GORD symptoms compared to 9 (17%) of SG patients. GORD symptoms were no worse in 21 (81%) following SGAF, whereas GORD symptoms worsened (worse or new symptoms) in 22 (58.5%) of patients after SG. PPI use was similar in both groups. Eight of 26 (31%) SGAF patients had some degree of fundoplication dilatation and underwent conversion to SG or RYGB.Conclusions: SGAF provided superior control of symptomatic GORD than SG in this study. Fundoplication dilatation treated by conversion to standard SG was not uncommon and was the reason for suspending this series. Reducing intragastric pressure and reducing fundoplication volume may alleviate this problem, which may also be overestimated in this pilot study.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143603667","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}

引用次数: 0

Optimizing outcomes in acute type a aortic dissection: a call for specialized care.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-10 DOI: 10.1111/ans.70088

George Matalanis

引用次数: 0

Abstracts to articles: Examining the publication of presentations at the New Zealand Association of Plastic Surgeons Annual Scientific Meetings.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-10 DOI: 10.1111/ans.70026

Daniel Wen, Hyok Jun Kwon

{"title":"Abstracts to articles: Examining the publication of presentations at the New Zealand Association of Plastic Surgeons Annual Scientific Meetings.","authors":"Daniel Wen, Hyok Jun Kwon","doi":"10.1111/ans.70026","DOIUrl":"https://doi.org/10.1111/ans.70026","url":null,"abstract":"Background: The New Zealand Association of Plastic Surgeons (NZAPS) hosts an annual scientific meeting (ASM) to bring clinicians and researchers together to discuss the latest advancements in plastic surgery and showcase the results of up-to-date research through podium and poster presentations. However, it is unclear if these presentations ultimately achieve publication into a peer-reviewed journal. This study aimed to identify the proportion of conference abstracts which are successfully converted to formal journal articles and specifically investigating the effect of variables such as the presenter's training level and country of origin, presentation type and topic, and time to publication.Methods: NZAPS ASM conference programmes from 2016 to 2021 were reviewed to identify all research presentations. Desired information was extracted such as presentation type, presenting author, the presentation sub-specialty topic and presenting author country of origin.Results: Out of the 252 abstracts, 24.6% of abstracts had an associated publication with a statistically significant variation depending on the training level of the presenter. Out of the 62 published abstracts, 33.9% were published prior to conference presentation. Accounting for this, the true conversion rate of abstracts to publication after conference presentation was 16.3%.Conclusion: Abstracts presented at the NZAPS ASM have a modest publication and conversion rate after presentation. The multi-ethnic populations in Australia and New Zealand produce studies that may not be directly applicable to overseas populations; however, this underscores the importance of establishing and maintaining regional journals to facilitate the publication of local research.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584467","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}

引用次数: 0

How to perform laparoscopic left hepatectomy with a dorsal approach based on the AHM triangle.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-05 DOI: 10.1111/ans.70057

Yi Zhou, Jinliang Ma, Chuanhai Zhang

引用次数: 0

Robotic multidisciplinary endometriosis surgery with multi-visceral resection: evaluation of short-term feasibility and safety outcomes.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-05 DOI: 10.1111/ans.70058

Joseph Do Woong Choi, Lauren Hofmann, Andrew Craig Lynch, Assad Zahid, Praveen Ravindran, Walid Barto, Yogesh Nikam, Stephen Pillinger

{"title":"Robotic multidisciplinary endometriosis surgery with multi-visceral resection: evaluation of short-term feasibility and safety outcomes.","authors":"Joseph Do Woong Choi, Lauren Hofmann, Andrew Craig Lynch, Assad Zahid, Praveen Ravindran, Walid Barto, Yogesh Nikam, Stephen Pillinger","doi":"10.1111/ans.70058","DOIUrl":"https://doi.org/10.1111/ans.70058","url":null,"abstract":"Background: Despite growing interest in robot-assisted surgery, the literature remains limited on the application of robotic surgery for complex endometriosis surgery requiring multidisciplinary input for multi-visceral resection. The aim of the study was to report the short-term feasibility and safety outcomes of this technique from a high-volume robotic surgery facility.Methods: This was a single centre, retrospective study evaluating prospectively collected data. All women underwent planned multidisciplinary robotic surgery using the da Vinci Xi system between January 2018 and July 2024. Fifty-eight patients were included in the analysis of demographic, operative and 30-day postoperative data.Results: The median age was 40.5 (range 21-55), with 94.82% of women having ASRM grade 3-4 endometriosis. Almost half of the patients had total hysterectomy and bilateral salpingectomy. Concurrent colorectal resections included appendicectomy/stapled caecectomy (41.38%), rectal shaving (36.21%), rectal wedge resection (39.66%), endo-anal discoid resection (1.72%) and rectal segmental resection (15.52%). Partial bladder excision and extensive ureterolysis for ureteral stenosis occurred in 5.17% and 11.54%, respectively. The median console time was 148 min (range 49-480 min), 0% conversions and a median 100mls estimated blood loss. Median length of stay was 3 days (range 1-7). Clavien-Dindo complications ≥2 occurred 5.17% of cases. There were no anastomotic leaks, other infectious complications, postoperative ileus, blood transfusion requirements or mortality within 30 days.Conclusions: The robotic assisted approach is feasible and safe with overall short operative time, acceptable blood loss, no conversions, relatively short length of stay and minimal short term postoperative complications.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555697","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}

引用次数: 0

Challenges of a prehabilitation program for oesophageal cancer patients in the Australian setting.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-05 DOI: 10.1111/ans.70056

Giang Trung Pham, Rohan Miegel, David Ian Watson, Tim Bright

引用次数: 0

Current use of mechanical bowel preparation and oral antibiotics before elective colorectal resection in Australia and New Zealand.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-05 DOI: 10.1111/ans.70052

Claudia Paterson, Andrew Hill, Parry Singh

引用次数: 0

Evaluating the role of AI chatbots in patient education for abdominal aortic aneurysms: a comparison of ChatGPT and conventional resources.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-05 DOI: 10.1111/ans.70053

Harry Collin, Chelsea Tong, Abhishekh Srinivas, Angus Pegler, Philip Allan, Daniel Hagley

{"title":"Evaluating the role of AI chatbots in patient education for abdominal aortic aneurysms: a comparison of ChatGPT and conventional resources.","authors":"Harry Collin, Chelsea Tong, Abhishekh Srinivas, Angus Pegler, Philip Allan, Daniel Hagley","doi":"10.1111/ans.70053","DOIUrl":"https://doi.org/10.1111/ans.70053","url":null,"abstract":"Backgrounds: Abdominal aortic aneurysms (AAA) carry significant risks, yet patient understanding is often limited, with online resources typically low quality. ChatGPT, an artificial intelligence (AI) chatbot, presents a new frontier in patient education, but concerns remain about misinformation. This study evaluates the quality of ChatGPT-generated patient information on AAA.Methods: Eight patient questions on AAA were sourced from a reputable online resource for patient information funded by the Australian Government's Healthdirect Australia (HDA) website and input into ChatGPT's free (ChatGPT-4o mini) and paid (ChatGPT-4) models. A vascular surgeon evaluated response appropriateness. Readability was assessed using the Flesch-Kincaid test. The Patient Education Materials Assessment Tool (PEMAT) measured understandability and actionability, with responses scoring ≥75% for both considered high-quality.Results: All responses were deemed clinically appropriate. Mean response length was longer for ChatGPT than HDA. Readability was at a college level for ChatGPT, while HDA was at a 10th to 12th-grade level. One response was high-quality (generated by paid ChatGPT) with a PEMAT actionability score of ≥75%. Actionability scores were otherwise low across all sources with ChatGPT responses more likely to contain identifiable actions, although these were often not clearly presented. ChatGPT responses were marginally more understandable than HDA.Conclusions: ChatGPT-generated information on AAA was appropriate and understandable, outperforming HDA in both aspects. However, AI responses are at a more advanced reading level and lack actionable instructions. AI chatbots show promise as supplemental tools for AAA patient education, but further refinement is needed to enhance their effectiveness in supporting informed decision-making.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555693","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}

引用次数: 0

Reflections on the implementation of an acute general surgical COVID-19 roster at North Shore Hospital, Auckland - a prospective observational study.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-05 DOI: 10.1111/ans.19402

Jamie-Lee Rahiri, Rebecca Teague, Teresa Holm, Jason Tuhoe, Jonathan Koea

{"title":"Reflections on the implementation of an acute general surgical COVID-19 roster at North Shore Hospital, Auckland - a prospective observational study.","authors":"Jamie-Lee Rahiri, Rebecca Teague, Teresa Holm, Jason Tuhoe, Jonathan Koea","doi":"10.1111/ans.19402","DOIUrl":"https://doi.org/10.1111/ans.19402","url":null,"abstract":"Background: Nearly 5 years after the arrival of coronavirus disease (COVID-19) in New Zealand (NZ), many lessons have been learned. At North Shore Hospital (NSH) in Auckland, NZ, a general surgical COVID-19 Crisis Roster (CCR) was established for the first lockdown in 2020. This study summarizes the prospective monitoring of our CCR and offers a framework for adapting our roster for future pandemics.Methods: A prospective observational review of all acute general surgical admissions (from 30 March 2020 to 26 April 2020) was performed and compared with admissions over the same period in 2019.Results: A total of 443 patients were admitted to NSH during the CCR period compared with 552 patients in 2019 (-19.8%, P = 0.001). The rate of acute cholecystectomies increased (+54.5%, P = 0.002) whilst operations related to carbuncle/cyst excision (-83.3%, P < 0.02), endoscopy (-62.5%, P = 0.04), and surgical interventions for postoperative complications (-72.2%, P = 0.03) decreased. No significant differences in the rate of (re)admissions for postoperative complications or grade of complication were observed (P = 0.66). Within the context of no surgical team members contracting COVID-19, the cancellation of outpatient clinics, and elective operating lists, the CCR was deemed feasible and easy to implement.Conclusion: While patient safety was not compromised during the implementation of our pandemic roster, we advocate that our roster should be adapted and improved to include Māori health expertise, a prospective monitoring data expert committee and our nursing and allied health staff should we seek to use this CCR in future.","PeriodicalId":8158,"journal":{"name":"ANZ Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555696","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}

引用次数: 0

"Scoping" sustainability: rethinking sterile water use in colonoscopies.

IF 1.5 4区医学

ANZ Journal of Surgery Pub Date : 2025-03-05 DOI: 10.1111/ans.70054

Josua A Lotter, Kevin-Ruofan Zhao, Michael Rouse, Ian Faragher, Justin M Yeung

引用次数: 0