Annali italiani di chirurgia最新文献

{"title":"Late Conversion of a Distally Migrated Abdominal Aortic Endograft in a Symptomatic Patient.","authors":"Raffaella Berchiolli, Vittorio Malquori, Valerio Artini, Giulia Bertagna, Daniele Adami, Nicola Troisi","doi":"10.62713/aic.3976","DOIUrl":"https://doi.org/10.62713/aic.3976","url":null,"abstract":"<p><p>Graft migration is still an issue during the follow-up of patients undergoing Endo Vascular Aneurysm Repair (EVAR) for Abdominal Aortic Aneurysm (AAA). Open surgical conversion still represents the treatment of choice in patients fit for open surgery. We herein describe the case of a 73-year-old man with abdominal pain, pararenal AAA, and complete migration of an Anaconda stent-graft previously implanted 10 years earlier. The patient was urgently treated with open surgical conversion. Postoperative course was uneventful.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 7","pages":"859-862"},"PeriodicalIF":0.9,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641566","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":"Role of Early Enteral Nutrition on Postoperative Recovery of Older Patients Undergoing Intestinal Obstruction Surgery.","authors":"Juanjuan Ni, Juan Liu, Chao Chen","doi":"10.62713/aic.4038","DOIUrl":"https://doi.org/10.62713/aic.4038","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore the effect of early enteral nutrition on the postoperative recovery of elderly patients undergoing surgery for intestinal obstruction.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on medical records of elderly patients (n = 100) who underwent surgery for intestinal obstruction between January 2021 and January 2024. Based on the nutritional support, patients were categorized into the enteral nutrition group (n = 43) and the control group (n = 57). The two groups were compared in terms of baseline characteristics, pain scores, nutritional status, recovery parameters, and postoperative complications.</p><p><strong>Results: </strong>Visual analogue score (VAS) pain scores were significantly lower at all postoperative time points in the enteral nutrition group compared to the control group (<i>p</i> < 0.01). By postoperative day 8, levels of total protein, albumin, prealbumin, and transferrin had remarkably increased in both groups (<i>p</i> < 0.001), with more pronounced improvements observed in the enteral nutrition group (<i>p</i> < 0.001). The time to first flatus, time of first defecation, time of gastrointestinal function recovery and length of hospital stay were all significantly shorter in the enteral nutrition group (<i>p</i> < 0.001). No significant differences were observed in the overall incidence of postoperative complications between the two groups (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>Early enteral nutrition support is associated with enhanced postoperative nutritional status, reduced pain, and accelerated recovery in elderly patients following surgery for intestinal obstruction without increasing the risk of complications.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 7","pages":"916-923"},"PeriodicalIF":0.9,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641611","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":"Comparison of Short-Term Radiographic Outcomes Between Femoral Varus Osteotomy and Salter Osteotomy in the Management of Legg-Calvé-Perthes Disease.","authors":"Han Yang, You Zhou, Xinhao Chen, Zidan Tang, Na Ma, Rui Xie, Yong Hang, Ran Zhang, Xiaopeng Kang","doi":"10.62713/aic.4028","DOIUrl":"https://doi.org/10.62713/aic.4028","url":null,"abstract":"<p><strong>Aim: </strong>To compare short-term radiographic outcomes of femoral varus osteotomy (FVO) and Salter innominate osteotomy (SIO) in treating Legg-Calvé-Perthes disease (LCPD) and to identify prognostic factors through multivariate analysis.</p><p><strong>Methods: </strong>This retrospective study included 33 pediatric LCPD patients (mean age: 6.80 ± 1.82 years) treated between January 2016 and January 2021, with a mean follow-up of 21.09 ± 10.63 months. Patients were categorized into FVO (n = 20) and SIO (n = 13) groups. Radiographic parameters, including center-edge angle, acetabular index (AI), acetabular head index (AHI), and Sharp angle, were evaluated preoperatively and postoperatively. Hip morphology was assessed using the modified Stulberg classification. Multivariate ordered logistic regression was used to identify predictors of radiographic outcome.</p><p><strong>Results: </strong>Postoperative AI and AHI differed significantly between the two groups (<i>p</i> < 0.001). Stulberg classification outcomes showed a higher proportion of excellent results in the SIO group (53.84%) compared to the FVO group (40.00%), although the difference was not statistically significant (<i>p</i> = 0.091). Multivariate analysis identified older age and advanced Catterall stage as independent predictors of poorer outcomes (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Both surgical approaches demonstrate clinical efficacy in the management of LCPD. However, SIO offers enhanced acetabular remodeling potential. Key prognostic factors include skeletal maturity and the degree of epiphyseal involvement (Catterall stage III/IV), suggesting that early surgical intervention may yield improved outcomes.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 7","pages":"941-949"},"PeriodicalIF":0.9,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641564","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":"The Impact of Minimally Invasive Video-Assisted Thyroidectomy in Thyroid Cancer Patients: Retrospective Analysis of Safety Profile and Postoperative Pain.","authors":"Jun Zhao, Xinzhe Zhai, Jian Wang, Jianli Han","doi":"10.62713/aic.4074","DOIUrl":"https://doi.org/10.62713/aic.4074","url":null,"abstract":"<p><strong>Aim: </strong>This study investigates the safety profile and postoperative pain in thyroid cancer (TC) patients who underwent conventional open thyroidectomy (COT) and minimally invasive video-assisted thyroidectomy (MIVAT).</p><p><strong>Methods: </strong>This retrospective analysis included 119 TC patients treated in our hospital between December 2018 and January 2022. Of these patients, 59 cases received COT (control group) and 60 underwent MIVAT (research group). Various surgical indices (e.g., incision length, intraoperative blood loss, stitch removal time, and hospitalization time), postoperative adverse events (hypocalcemia, secondary bleeding, incision infection, and transient postoperative swallowing discomfort based on subjective complaints), postoperative pain relief time, and degree of surgical trauma were comparatively analyzed. Furthermore, preoperative mortality and morbidity risk assessment were performed using a modified Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM), while postoperative pain severity was determined using the Visual Analogue Scale (VAS).</p><p><strong>Results: </strong>The research group demonstrated significantly smaller incision length (<i>p</i> < 0.001), reduced intraoperative bleeding (<i>p</i> < 0.001), shorter stitch removal time (<i>p</i> < 0.001), shorter hospitalization time (<i>p</i> < 0.001), minimal postoperative adverse event rate (<i>p</i> < 0.05), and lower modified POSSUM scores (all <i>p</i> < 0.001). However, the Glasgow Coma Scale (GCS) score showed no significant difference between the groups. Additionally, the research group exhibited lower postoperative VAS scores (<i>p</i> < 0.001) and shorter pain relief time (<i>p</i> < 0.001) than the control group.</p><p><strong>Conclusions: </strong>Using MIVAT in TC patients contributes to favorable surgical outcomes and safety, with minimal surgical trauma and adequate postoperative pain relief, highlighting its potential for broader clinical implementation.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 7","pages":"933-940"},"PeriodicalIF":0.9,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641612","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":"A Simple Approach for Guiding the Direction of Bone Drill During Intramedullary Reaming in Indirect Fibular Groove Deepening: A Technical Tip.","authors":"Bin Wang, Bin Zhang","doi":"10.62713/aic.4079","DOIUrl":"https://doi.org/10.62713/aic.4079","url":null,"abstract":"<p><p>Various techniques have been developed to treat peroneal tendon subluxation or dislocation, including superior peroneal retinaculum (SPR) reinforcement and repair, tendon rerouting, tissue transfer, bone blocking, groove deepening, and indirect groove deepening. Indirect fibular groove deepening is typically performed by accessing the intramedullary cavity through the distal fibula. Precise control of drilling direction and depth during intramedullary reaming is critical. In this paper, we introduce a novel technique to guide the direction of the bone drill during indirect fibular groove deepening. This method improves upon the existing indirect fibular groove deepening technique, offering an economical, simple, and equipment-independent solution.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 7","pages":"863-868"},"PeriodicalIF":0.9,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641607","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":"An Extremely Rare Case of Pneumatosis Intestinalis Likely Induced by Afatinib Treatment for EGFR-mutated Stage IV Non-small Cell Lung Cancer.","authors":"Lavinia Amato, Roberto Cirocchi, Serena Ungania, Luca Ballelli, Valentina Stamponi, Giacomo Sacchetti, Angelo Pio Damiani, Saverio Valiani, Daniele Brunelli, Alessandro Contine","doi":"10.62713/aic.3879","DOIUrl":"10.62713/aic.3879","url":null,"abstract":"<p><p>Pneumatosis intestinalis (PI) is a rare radiological finding given by the presence of gas within the bowel wall, mainly caused by endoscopic procedures, infections and other gastrointestinal diseases. To date, cytotoxic chemotherapeutic agents, immunotherapy drugs and monoclonal antibodies used for molecular targeted therapy in oncological patients have been reported as a possible cause of PI, but their role remains unclear. We hereby report the case of a 61-year-old patient with stage IV lung adenocarcinoma in treatment with afatinib-a tyrosine kinase inhibitor (TKI), since the diagnosis, who presented to the emergency department with abdominal pain secondary to left-colonic PI. A conservative treatment with drug suspension was successfully attempted. To the best of our knowledge, even though many monoclonal antibodies are associated with this condition, this is the first case report of PI likely induced by afatinib. Although PI is extremely rare, clinicians should be aware of the risk of PI in patients undergoing afatinb therapy and the present case represents a significant warning to differentiate the associated conditions of PI and evaluate whether or not emergency surgery is actually necessary. Therefore, abdominal symptoms in patients receiving oncological treatments should not be overlooked, and clinicians should not hesitate to request targeted radiological investigations to facilitate early diagnosis and management of PI. Timely event detection is imperative to optimal management and to prevent further deterioration, recurrent PI, or even perforation, especially in oncological patients.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 7","pages":"869-877"},"PeriodicalIF":0.9,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641608","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":"A Novel Ensemble Approach for Rib Fracture Detection and Visualization using CNNs and Grad-CAM.","authors":"Ling Wu, Hongyu Chen, Puxu Li, Kai Yang","doi":"10.62713/aic.3666","DOIUrl":"10.62713/aic.3666","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to develop a reliable and efficient system for predicting and locating rib fractures in medical images using an ensemble of convolutional neural networks (CNNs).</p><p><strong>Methods: </strong>We employed five CNN architectures-Visual Geometry Group Network 16 (VGG16), Densely Connected Convolutional Network 169 (DenseNet169), Inception Version 4 (Inception V4), Efficient Network B7 (EfficientNet-B7), and Residual Network Next 50 layers (ResNeXt-50)-trained on a dataset of 840 grayscale computed tomography (CT) scan images in .jpg format collected from 42 patients at a local hospital. The images were categorized into two groups representing healed and fresh fractures. The ensemble model was designed to improve predictive accuracy and robustness, utilizing techniques like gradient-weighted class activation mapping (Grad-CAM) for visualization of fracture locations.</p><p><strong>Results: </strong>The ensemble model achieved an accuracy of 0.96, area under the curve (AUC) of 0.97, recall of 0.97, and F1 score of 0.96. Grad-CAM visualizations could effectively locate rib fractures, providing crucial assistance in diagnostics.</p><p><strong>Conclusions: </strong>The ensemble model demonstrates high accuracy and robustness in fracture detection, underscoring its potential for enhancing diagnostic processes in clinical settings. Despite limitations such as the small dataset size and lack of diverse demographic representation, the results are promising for future clinical application.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 1","pages":"86-97"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999011","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":"Incidence and Outcomes of Low Anterior Resection Syndrome in Patients Undergoing Preventive Ostomy for Laparoscopic Rectal Cancer Surgery.","authors":"Guizhi Luo, Jinhong Lu, Youzhuan Yang, Hongchao Ma","doi":"10.62713/aic.3773","DOIUrl":"10.62713/aic.3773","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore the incidence and risk factors of low anterior resection syndrome (LARS) in patients undergoing preventive colostomy following laparoscopic rectal cancer surgery. Additionally, the outcomes of LARS were analyzed to provide evidence for effective prevention and treatment strategies.</p><p><strong>Methods: </strong>The medical records of 143 patients with laparoscopic rectal cancer who underwent preventive ostomy at the Zhujiang Hospital of Southern Medical University between January 2020 and October 2022 were retrospectively reviewed. All patients underwent ostomy reversal within 2 to 6 months post-surgery. The LARS score scale was used to evaluate the occurrence of LARS at 3, 6, and 12months post-surgery. Based on LARS scores, patients were divided into LARS and non-LARS groups. Clinical characteristics, including gender, TNM stage, and other related data, were compared between the two groups. Multivariate logistic regression analysis was conducted to identify risk factors for LARS, and the predictive performance of the regression model was evaluated using the receiver operating characteristic (ROC) curve.</p><p><strong>Results: </strong>The LARS score demonstrated a significant decrease over time after surgery (p < 0.05). LARS was identified in 80 patients (55.94%) at 3 months post-surgery, with no new cases reported after this period. Statistically significant differences between the LARS and non-LARS groups were observed in body mass index (BMI), tumor distance from the anal margin, postoperative anastomotic fistula, and the timing of ostomy reversal (p < 0.05). The ROC curve analysis revealed that the logistic regression model predicting LARS had an area under the curve (AUC) of 0.809 (95% CI: 0.735-0.870), with a sensitivity of 76.25% and a specificity of 79.37%. Among the LARS patients 3 months post-surgery, 73.75% (59/80) showed improvement by 12 months. The improvement rate in patients with mild LARS (87.93%) was significantly higher than in those with severe LARS (36.36%) (p < 0.05).</p><p><strong>Conclusions: </strong>The incidence of LARS is relatively high in patients undergoing preventive ostomy after laparoscopic rectal cancer surgery. Key factors associated with LARS include BMI, tumor distance from the anal margin, postoperative anastomotic fistula, and the timing of ostomy reversal. Over time, the incidence of LARS decreases, and outcomes improve, especially in patients with mild LARS.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 2","pages":"152-159"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432361","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":"Effects of Interactive Health Education Combined With Evidence-based Pain Management Nursing on Disease Cognition, Postoperative Pain and Post-traumatic Growth in Patients Undergoing Laparoscopic Salpingectomy.","authors":"Ye Cheng, Weiwei Shao, Lixia Li, Yewei Ding, Xueping Zou","doi":"10.62713/aic.3945","DOIUrl":"https://doi.org/10.62713/aic.3945","url":null,"abstract":"<p><strong>Aim: </strong>Laparoscopic salpingectomy has been widely used in the clinical treatment of benign tubal lesions. This study aims to explore the effects of interactive health education combined with evidence-based pain management nursing on disease cognition, postoperative pain and post-traumatic growth in patients undergoing laparoscopic salpingectomy, in order to provide new insights into clinical nursing for these patients.</p><p><strong>Methods: </strong>In this retrospective study, 360 patients who underwent laparoscopic salpingectomy in our hospital from January 2022 to December 2023 were included. Patients receiving routine care were included in the control group (n = 213) and patients receiving interactive health education combined with evidence-based pain care were classified under the study group (n = 147). General data, disease cognition, postoperative pain and post-traumatic growth of the two groups were collected and compared.</p><p><strong>Results: </strong>The awareness rate regarding pathogenesis, cardinal symptom, surgical and postoperative precautions, prevention of complications, medication management, diet management, sleep management, and review time and project in the study group were all significantly higher than those in the control group (p < 0.05). The numerical rating scale (NRS) scores of the study group were lower than those of the control group at 6 h, 12 h, 24 h and 48 h post-surgery (p < 0.001). Before discharge, all dimensions of the post-traumatic growth inventory (PTGI) scores like relating to others, new possibilities, personal strength, spiritual change, and appreciation of life of the study group patients were significantly higher than those of the control group (p < 0.05). The time to get out of bed, exhaust time, and hospitalization stay of the study group patients were significantly shorter than those of the control group (p < 0.05). The total incidence of complications in the study group was significantly lower than that in the control group (p < 0.05).</p><p><strong>Conclusions: </strong>Interactive health education combined with evidence-based pain management nursing is conducive to improving disease cognition, reducing postoperative pain, enhancing post-traumatic growth, and promoting postoperative recovery in patients undergoing laparoscopic salpingectomy.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 5","pages":"664-672"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075364","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 Clinical Significance of 3D Single-hole Thoracoscopy Surgery for Mediastinal Tumor Resection With Artificial Pneumothorax.","authors":"Qingpeng Li, Bo Peng, Jiajun Pan, Yongyuan Li, Weimin Qian","doi":"10.62713/aic.3897","DOIUrl":"https://doi.org/10.62713/aic.3897","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to analyze and compare the clinical efficacy and safety between single-hole approach and two-hole video-assisted thoracoscopic surgery (VATS) for mediastinal tumor resection.</p><p><strong>Methods: </strong>This study included 62 patients who received VATS mediastinal tumor resection in the Thoracic Department of the Affiliated Hospital of Xuzhou Medical University, between March 2020 and March 2022. Patients were divided into a single-hole VATS group (27 cases) and a two-hole VATS group (35 cases). The two groups were compared for their clinical characteristics (such as age, gender, tumor size, body mass index (BMI), comorbidities, and pathological findings), postoperative outcomes (such as operation time, intraoperative bleeding, transfer to open surgery, drainage volume, extubating time, and hospital stay), postoperative complications, and pain score.</p><p><strong>Results: </strong>There were no significant differences in operation time, introperative bleeding volume, and postoperative complication rates between the two groups (p > 0.05). However, extubating time and hospital stay were significantly shorter in the single-hole VATS group than the two-hole VATS group (p < 0.05). Moreover, drainage volume was decreased in the single-hole VATS group compared to the two-hole VATS group (p < 0.05). The pain score was significantly lower on days 1 and 3 post-surgery in the single-hole VATS group than in the two-hole VATS group (p < 0.05).</p><p><strong>Conclusions: </strong>In conclusion, 3D single-hole VATS mediastinal tumor resection is a safe and feasible option for treating mediastinal tumors compared to the traditional approach. Furthermore, it significantly reduces postoperative pain, lowers drainage duration and volume, as well as extubating time, promotes faster recovery, and reduces hospital stays.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 5","pages":"626-633"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075383","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}