International journal of surgery最新文献

{"title":"Refining AI's role in colorectal cancer screening education: a reply addressing nuances of bias and comprehensive validation.","authors":"Zheng Zhang, Bo-Wen Jiang, Yan-Dong Miao","doi":"10.1097/JS9.0000000000004766","DOIUrl":"https://doi.org/10.1097/JS9.0000000000004766","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":""},"PeriodicalIF":10.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146052121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel approach to double-bundle posterior cruciate ligament reconstruction: leveraging individualized robotic navigation and multimodal imaging for superior precision and feasibility.","authors":"Yifeng Sun, Hong Du, Jia-Kuo Yu","doi":"10.1097/JS9.0000000000004793","DOIUrl":"https://doi.org/10.1097/JS9.0000000000004793","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":""},"PeriodicalIF":10.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146046662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"The role of thymus preservation in parathyroid gland function and surgical completeness after bilateral central lymph node dissection for papillary thyroid cancer: a randomized controlled study\".","authors":"Shanyan Hong, Yongqiang Chen","doi":"10.1097/JS9.0000000000004757","DOIUrl":"https://doi.org/10.1097/JS9.0000000000004757","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":""},"PeriodicalIF":10.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146052020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpretable multi-modal machine learning model predicts early recurrence after curative resection of pancreatic ductal adenocarcinoma.","authors":"Ning Wang","doi":"10.1097/JS9.0000000000004762","DOIUrl":"https://doi.org/10.1097/JS9.0000000000004762","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":""},"PeriodicalIF":10.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146052023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: insights into \"A comparative analysis of tip-bendable suction ureteral access sheath versus traditional sheath in retrograde intrarenal stone surgery: a systematic review and meta-analysis of comparative studies\".","authors":"Ming-Shan Lin, Wen-Juan Feng, Hui-Min Liu","doi":"10.1097/JS9.0000000000004781","DOIUrl":"https://doi.org/10.1097/JS9.0000000000004781","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":""},"PeriodicalIF":10.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146046608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From protocol to practice: enhancing the translational value of herbal patch studies through standardized assessment, robust blinding, and individualized dosing strategies.","authors":"Fuli Liu, Yuanming Ba","doi":"10.1097/JS9.0000000000004755","DOIUrl":"https://doi.org/10.1097/JS9.0000000000004755","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":""},"PeriodicalIF":10.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146052010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Effect of remimazolam on postoperative delirium in elderly patients undergoing major abdominal surgery: a randomized controlled trial\".","authors":"Shuyu Wang, Youhua Wu","doi":"10.1097/JS9.0000000000004739","DOIUrl":"https://doi.org/10.1097/JS9.0000000000004739","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":""},"PeriodicalIF":10.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146046627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When heterogeneity dominates: interpreting TBS-UAS benefits in RIRS with prediction intervals.","authors":"Zuomin Wang, Qinwei Liu, Wangdong Deng","doi":"10.1097/JS9.0000000000004599","DOIUrl":"https://doi.org/10.1097/JS9.0000000000004599","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":""},"PeriodicalIF":10.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146052143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating practical challenges in the clinical deployment of AI for histopathological growth pattern classification.","authors":"Haoxiang Qin, Zhihang Fan, Xiaoyu Yang, Bin Ma","doi":"10.1097/JS9.0000000000004724","DOIUrl":"https://doi.org/10.1097/JS9.0000000000004724","url":null,"abstract":"","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":""},"PeriodicalIF":10.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146052029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Computed tomography radiomics-derived nomogram for prediciting early renal function decline after partial nephrectomy in renal cell carcinoma: a multicenter development/validation study.","authors":"Shao-Hao Chen, Xiao-Hui Wu, Cheng-Long Zeng, Lu-Na Zhao, Ze-Yu Yi, Qian-Ren-Shun Qiu, Jian Chen, Dun-Hao Huang, Jun-Ming Zhu, Zheng-Sheng Liu, Jun-Yi Chen, Jin Zhou, Hui-Jun Chen, Ying-Jie Xv, Yong Wei, Qing-Shui Zheng, Xue-Yi Xue, Ning Xu","doi":"10.1097/JS9.0000000000004782","DOIUrl":"https://doi.org/10.1097/JS9.0000000000004782","url":null,"abstract":"<p><strong>Background: </strong>To develop and externally validate CT-based radiomics-clinical nomograms integrating dual-region radiomics features and preoperative-intraoperative clinical factors for predicting early renal function decline in patients with localized renal cell carcinoma (RCC) undergoing partial nephrectomy (PN).</p><p><strong>Methods: </strong>This multicenter retrospective study included 1440 patients with localized RCC who underwent PN and preoperative contrast-enhanced CT. Radiomics features were extracted from both the tumor and ipsilateral normal renal parenchyma across corticomedullary, nephrographic, and excretory phases. After reproducibility filtering, high-correlation removal, and least absolute shrinkage and selection operator (LASSO) regression, three radiomics signatures were constructed. Independent clinical predictors identified via multivariate logistic regression were combined with radiomics signatures to develop a preoperative nomogram and a preoperative-intraoperative nomogram. Model performance was assessed using ROC analysis, AUC, calibration curves, Hosmer-Lemeshow tests, decision curve analysis (DCA), and 1000-iteration bootstrap validation. External validation was conducted across 10 independent medical centers and an online public dataset (KITS23).</p><p><strong>Results: </strong>Twelve tumor-derived and 8 kidney-derived radiomics features were selected, and the combined radiomics signature demonstrated superior predictive ability across cohorts. Independent predictors included age, diabetes, preoperative eGFR, RENAL score, ischemia time, and the radiomics signature. The preoperative nomogram showed excellent discrimination (AUC = 0.952, 0.909, 0.931, 0.914, 0.926), robust calibration, and favorable DCA performance. Bootstrap analysis confirmed its internal stability (mean AUC = 0.948; 95% CI: 0.927-0.972).The preoperative-intraoperative nomogram further improved discriminative performance (AUC = 0.962, 0.926, 0.947, 0.947, 0.933), with strong calibration and consistent clinical utility across all cohorts. Bootstrap validation also demonstrated excellent internal robustness (mean AUC = 0.960; 95% CI: 0.947-0.990).</p><p><strong>Conclusions: </strong>Radiomics signatures derived from CT images of both tumor and normal renal tissue, when integrated with clinical parameters, can accurately predict early renal function decline following PN. The proposed nomograms may facilitate individualized risk stratification and optimize surgical decision-making.</p>","PeriodicalId":14401,"journal":{"name":"International journal of surgery","volume":" ","pages":""},"PeriodicalIF":10.1,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146052068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}