To-ki Dacita Suen MBChB, MS in Oncoplastic Breast Surgery (UEA), MScHSM (CUHK), MRCSEd, FRACS, FHKAM (Surgery), FCSHK, 孫杜琪, Ava Kwong MBBS(Lon), BSc(St Andrews), PhD, FRCS (Edin), FHKAM (Surgery), FCSHK, 鄺靄慧
Introduction
This study aims to investigate how the preferences of older women are different from their young counterparts.
Methods
Female patients with operable breast cancer diagnosed between September 2009 and August 2015 were recruited. Participants were invited to complete a questionnaire to score the importance of a list of items while deciding the surgical option (0 = entirely not important and 5 = extremely important).
Results
During the study period, 911 female patients with primary operable breast cancer received surgery in our unit. Of these, 837 patients had completed the questionnaire (participation rate 91.9%), among which 112 patients (13.4%) were aged 70 years and above. Concerns about a complete cure from cancer (mean score 4.64, standard deviation 0.62) and recurrence (mean score 4.65, standard deviation 0.66) were the two top-ranked items considered important by patients. Patients in the older age group assigned less importance to physical considerations (P < .001), complete cure from cancer (P = .042), and role of spouse and friends (P < .001) as compared with their young counterparts. By contrast, older patients considered side effects (P = .013) and accessibility of radiation (P = .002) as more important.
Conclusion
Identifying the factors influencing breast cancer treatment decisions helps healthcare professionals provide adequate information and support to older women in their decision-making process.
{"title":"How do the preferences of older Chinese women with operable breast cancer differ from their younger counterparts?","authors":"To-ki Dacita Suen MBChB, MS in Oncoplastic Breast Surgery (UEA), MScHSM (CUHK), MRCSEd, FRACS, FHKAM (Surgery), FCSHK, 孫杜琪, Ava Kwong MBBS(Lon), BSc(St Andrews), PhD, FRCS (Edin), FHKAM (Surgery), FCSHK, 鄺靄慧","doi":"10.1111/1744-1633.70003","DOIUrl":"https://doi.org/10.1111/1744-1633.70003","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study aims to investigate how the preferences of older women are different from their young counterparts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Female patients with operable breast cancer diagnosed between September 2009 and August 2015 were recruited. Participants were invited to complete a questionnaire to score the importance of a list of items while deciding the surgical option (0 = entirely not important and 5 = extremely important).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>During the study period, 911 female patients with primary operable breast cancer received surgery in our unit. Of these, 837 patients had completed the questionnaire (participation rate 91.9%), among which 112 patients (13.4%) were aged 70 years and above. Concerns about a complete cure from cancer (mean score 4.64, standard deviation 0.62) and recurrence (mean score 4.65, standard deviation 0.66) were the two top-ranked items considered important by patients. Patients in the older age group assigned less importance to physical considerations (<i>P</i> < .001), complete cure from cancer (<i>P</i> = .042), and role of spouse and friends (<i>P</i> < .001) as compared with their young counterparts. By contrast, older patients considered side effects (<i>P</i> = .013) and accessibility of radiation (<i>P</i> = .002) as more important.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Identifying the factors influencing breast cancer treatment decisions helps healthcare professionals provide adequate information and support to older women in their decision-making process.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"146-153"},"PeriodicalIF":0.2,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1744-1633.70003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144914940","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}
Robert Tsi-Lok Ho, William Xue, Michael Ka-Wing See, David Yuen-Chung Chan, Anderson Chun-On Tsang, Calvin Hoi-Kwan Mak, Sui-To Wong, Michael Wing-Yan Lee
Objective
This scoping review explores the rapidly evolving field of brain–computer interface (BCI) technologies, with a particular emphasis on the fundamental concepts, advances made, and prospective applications. Following the 2022 Annual Scientific Meeting of the Hong Kong Neurosurgical Society themed ‘Neuromodulation and Brain-Computer Interface’, this article represents the first comprehensive review of BCI technologies from a Hong Kong perspective, providing a balanced viewpoint that reflects both academic and practical clinical insights for surgeons considering the implementation of these emerging technologies.
Methodology
A rapid scoping review was conducted to clarify key concepts and trends in current BCI technologies, including signal acquisition methods, effectors, applications, and ethical issues. Key developments, particularly those relevant to Hong Kong, were identified and analysed.
Results
We summarise various modalities for the acquisition of central nervous system signals, introducing the techniques and steps involved in the data processing pipeline. We highlight two major arms of BCI applications and their promises in advancing patient care: assistive communication or substitution and closed-loop rehabilitation or neuromodulation. The exciting frontier also invites a host of ethical questions which must be thoroughly discussed.
Conclusions
The growing body of knowledge in BCIs offers new treatment options for patients requiring assistive substitution and rehabilitation. The review hopes to provide a rigorous foundation for future research, invite subsequent discussions and translational studies, and support the incorporation of BCI technologies into local healthcare.
{"title":"Advances in clinical brain–computer interfaces for assistive substitution and rehabilitation: A rapid scoping review","authors":"Robert Tsi-Lok Ho, William Xue, Michael Ka-Wing See, David Yuen-Chung Chan, Anderson Chun-On Tsang, Calvin Hoi-Kwan Mak, Sui-To Wong, Michael Wing-Yan Lee","doi":"10.1111/1744-1633.70002","DOIUrl":"https://doi.org/10.1111/1744-1633.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This scoping review explores the rapidly evolving field of brain–computer interface (BCI) technologies, with a particular emphasis on the fundamental concepts, advances made, and prospective applications. Following the 2022 Annual Scientific Meeting of the Hong Kong Neurosurgical Society themed ‘Neuromodulation and Brain-Computer Interface’, this article represents the first comprehensive review of BCI technologies from a Hong Kong perspective, providing a balanced viewpoint that reflects both academic and practical clinical insights for surgeons considering the implementation of these emerging technologies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>A rapid scoping review was conducted to clarify key concepts and trends in current BCI technologies, including signal acquisition methods, effectors, applications, and ethical issues. Key developments, particularly those relevant to Hong Kong, were identified and analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We summarise various modalities for the acquisition of central nervous system signals, introducing the techniques and steps involved in the data processing pipeline. We highlight two major arms of BCI applications and their promises in advancing patient care: assistive communication or substitution and closed-loop rehabilitation or neuromodulation. The exciting frontier also invites a host of ethical questions which must be thoroughly discussed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The growing body of knowledge in BCIs offers new treatment options for patients requiring assistive substitution and rehabilitation. The review hopes to provide a rigorous foundation for future research, invite subsequent discussions and translational studies, and support the incorporation of BCI technologies into local healthcare.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 1","pages":"35-49"},"PeriodicalIF":0.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1744-1633.70002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707417","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}
Gastrointestinal duplications (GID) are rare congenital anomalies that can occur anywhere along the gastrointestinal tract. Herein, we report an association of oesophageal and ileal duplications to discuss the occurrence of multiple GIDs with different presentations in children. A 9-month-old male patient, who had undergone surgery for an oesophageal duplication cyst (DC) in the neonatal period, was admitted with rectal bleeding. During laparoscopy, a 40 cm length tubular duplication was noted. The duplication was resected along with the neighbouring ileal segment, followed by ileo-ileal anastomosis of the remaining segments. Although almost all GIDs reported in the literature were structurally cystic and diagnosed simultaneously, the association of a neonatal foregut DC with a late-presenting midgut tubular duplication has not been previously reported. In conclusion, multiple GIDs are very rare in children. Depending on their localization in the gastrointestinal tract, they may present with different clinical symptoms and become symptomatic at varying time points throughout life.
{"title":"Late presenting ileal tubular duplication with neonatal oesophageal duplication","authors":"Ozlem Boybeyi, Orkhan Farzeliyev, Tutku Soyer","doi":"10.1111/1744-1633.70005","DOIUrl":"https://doi.org/10.1111/1744-1633.70005","url":null,"abstract":"<p>Gastrointestinal duplications (GID) are rare congenital anomalies that can occur anywhere along the gastrointestinal tract. Herein, we report an association of oesophageal and ileal duplications to discuss the occurrence of multiple GIDs with different presentations in children. A 9-month-old male patient, who had undergone surgery for an oesophageal duplication cyst (DC) in the neonatal period, was admitted with rectal bleeding. During laparoscopy, a 40 cm length tubular duplication was noted. The duplication was resected along with the neighbouring ileal segment, followed by ileo-ileal anastomosis of the remaining segments. Although almost all GIDs reported in the literature were structurally cystic and diagnosed simultaneously, the association of a neonatal foregut DC with a late-presenting midgut tubular duplication has not been previously reported. In conclusion, multiple GIDs are very rare in children. Depending on their localization in the gastrointestinal tract, they may present with different clinical symptoms and become symptomatic at varying time points throughout life.</p>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"172-174"},"PeriodicalIF":0.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915043","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}
Jacopo Durante MD, Francesca Manassero PhD, Michele Santarsieri MD, Girolamo Fiorini MD, Pagni Riccardo MD, Andrea Colli, Piero Lippolis MD, Giorgio Pomara PhD
Introduction
Since the 1970s, the surgical treatment of renal tumors with caval thrombosis has been a complex challenge. The advent of robot-assisted nephrectomy with tumor thrombectomy has revolutionized this field. This case series aims to report the outcomes of an unselected population of Renal Cell Carcinoma (RCC) with complex caval thrombosis treated robotically at our center.
Methods
We established a database for RCC cases with inferior vena cava (IVC) thrombectomy, including five patients treated between October 2022 and October 2023. A notable aspect of our methodology was the incorporation of the AngioVac system for the management of a level IV thrombus facilitating a minimally invasive approach without the need for a thoracic approach.
Results
All patients underwent successful robotic surgery without conversion to open surgery. There were one pT3a, 3 pT3b and one pT3c tumors, 3 on the right side and 2 on the left, the upper level of the thrombus was II in one patient, III in 3 and IV in one. The average surgery duration was 414 ± 120.95 minutes, and the average blood loss was 400 ± 393, 70 cc. The mean IVC occlusion time was 20.6 ± 6.50 minutes. We did not observe any statistically significant differences between the preoperative hemoglobin values (12.14 ± 1.39) and the postoperative values (9.88 ± 0.96), nor between preoperative creatinine levels (2.00 ± 2.11) and postoperative levels (2.20 ± 2.00). The average length of hospital stay was 7 ± 2 days. We observed only 2 Clavien-Dindo grade 2 events. The follow-up period, updated for the last patient, is 12 months.
Conclusions
This case series demonstrates the viability and safety of robotic surgery in treating RCC with complex caval thrombosis. While the study is limited by the small number of cases, these results contribute to the growing body of evidence supporting robotic surgery in complex renal tumors.
{"title":"Robotic surgical management of renal tumours with caval thrombosis: A comprehensive analysis and outcomes in a case series using minimally invasive approaches","authors":"Jacopo Durante MD, Francesca Manassero PhD, Michele Santarsieri MD, Girolamo Fiorini MD, Pagni Riccardo MD, Andrea Colli, Piero Lippolis MD, Giorgio Pomara PhD","doi":"10.1111/1744-1633.70000","DOIUrl":"https://doi.org/10.1111/1744-1633.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Since the 1970s, the surgical treatment of renal tumors with caval thrombosis has been a complex challenge. The advent of robot-assisted nephrectomy with tumor thrombectomy has revolutionized this field. This case series aims to report the outcomes of an unselected population of Renal Cell Carcinoma (RCC) with complex caval thrombosis treated robotically at our center.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We established a database for RCC cases with inferior vena cava (IVC) thrombectomy, including five patients treated between October 2022 and October 2023. A notable aspect of our methodology was the incorporation of the AngioVac system for the management of a level IV thrombus facilitating a minimally invasive approach without the need for a thoracic approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All patients underwent successful robotic surgery without conversion to open surgery. There were one pT3a, 3 pT3b and one pT3c tumors, 3 on the right side and 2 on the left, the upper level of the thrombus was II in one patient, III in 3 and IV in one. The average surgery duration was 414 ± 120.95 minutes, and the average blood loss was 400 ± 393, 70 cc. The mean IVC occlusion time was 20.6 ± 6.50 minutes. We did not observe any statistically significant differences between the preoperative hemoglobin values (12.14 ± 1.39) and the postoperative values (9.88 ± 0.96), nor between preoperative creatinine levels (2.00 ± 2.11) and postoperative levels (2.20 ± 2.00). The average length of hospital stay was 7 ± 2 days. We observed only 2 Clavien-Dindo grade 2 events. The follow-up period, updated for the last patient, is 12 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This case series demonstrates the viability and safety of robotic surgery in treating RCC with complex caval thrombosis. While the study is limited by the small number of cases, these results contribute to the growing body of evidence supporting robotic surgery in complex renal tumors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"138-145"},"PeriodicalIF":0.2,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915051","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}
Ailian Liu MBBS, Ziyang Pan MBBS, Yuwen Liu MMed, Jianhua Wang MMed, Chengbo Wu MMed
Aim
This multicentre randomised controlled trial aimed to compare post-operative complications and recovery outcomes between these two approaches.
Patients and methods
Eighty patients with symptomatic choledocholithiasis were randomly assigned to undergo either laparoscopic transcystic (LTCBDE; n = 40) or traditional (LCBDE; n = 40) common bile duct exploration. The primary outcome measures were post-operative complications within 3 months, while the secondary outcomes included operative time, intraoperative blood loss, recurrence of bile duct stones, and time to return to activities of daily living (ADLs). Logistic regression models were used to identify predictors of complications and recurrence.
Results
The LTCBDE group had significantly shorter operative times (117.55 vs 136.05 min, P < .001) and reduced intraoperative blood loss (51.25 vs 61.45 mL, P < .001). Both groups had a 20% rate of post-operative complications (P = .614). Septic complications were higher in LCBDE compared with LTCBDE (20% vs 7.5%, P = .105). Time to return to ADL was shorter in the LTCBDE group (33.4 vs 39.75 days, P = .007). Diabetes mellitus independently predicted post-operative complications (adjusted odds ratio 4.397, P = .014) and revision surgery (adjusted odds ratio 22.592, P = .006). Recurrence rates were similar between groups (P = .363).
Conclusion
LTCBDE is associated with shorter operative times, reduced blood loss, and faster recovery than LCBDE, without an increase in post-operative complications. LTCBDE may be the preferred option for the treatment of choledocholithiasis.
目的：本多中心随机对照试验旨在比较两种入路的术后并发症和恢复结果。患者与方法80例有症状的胆总管结石患者随机分为两组，一组接受腹腔镜经囊治疗(LTCBDE；n = 40)或传统(LCBDE；N = 40)胆总管探查。主要观察指标为术后3个月内的并发症，次要观察指标为手术时间、术中出血量、胆管结石复发、恢复日常生活活动时间（adl）。Logistic回归模型用于确定并发症和复发的预测因素。结果LTCBDE组手术时间明显缩短（117.55 min vs 136.05 min, P < 001），术中出血量明显减少（51.25 mL vs 61.45 mL, P < 001）。两组术后并发症发生率均为20% （P = .614）。LCBDE组脓毒性并发症发生率高于LTCBDE组（20% vs 7.5%, P = .105）。LTCBDE组恢复ADL的时间更短（33.4天vs 39.75天，P = 0.007）。糖尿病独立预测术后并发症（调整优势比4.397,P = 0.014）和翻修手术（调整优势比22.592,P = 0.006）。两组复发率相似（P = .363）。结论与LCBDE相比，LTCBDE手术时间短，出血量少，恢复快，术后并发症无增加。LTCBDE可能是治疗胆总管结石的首选方案。
{"title":"Comparative outcomes of laparoscopic transcystic duct vs traditional laparoscopic bile duct exploration: A multicentre randomised trial","authors":"Ailian Liu MBBS, Ziyang Pan MBBS, Yuwen Liu MMed, Jianhua Wang MMed, Chengbo Wu MMed","doi":"10.1111/1744-1633.12742","DOIUrl":"https://doi.org/10.1111/1744-1633.12742","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This multicentre randomised controlled trial aimed to compare post-operative complications and recovery outcomes between these two approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients and methods</h3>\u0000 \u0000 <p>Eighty patients with symptomatic choledocholithiasis were randomly assigned to undergo either laparoscopic transcystic (LTCBDE; <i>n</i> = 40) or traditional (LCBDE; <i>n</i> = 40) common bile duct exploration. The primary outcome measures were post-operative complications within 3 months, while the secondary outcomes included operative time, intraoperative blood loss, recurrence of bile duct stones, and time to return to activities of daily living (ADLs). Logistic regression models were used to identify predictors of complications and recurrence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The LTCBDE group had significantly shorter operative times (117.55 vs 136.05 min, <i>P</i> < .001) and reduced intraoperative blood loss (51.25 vs 61.45 mL, <i>P</i> < .001). Both groups had a 20% rate of post-operative complications (<i>P</i> = .614). Septic complications were higher in LCBDE compared with LTCBDE (20% vs 7.5%, <i>P</i> = .105). Time to return to ADL was shorter in the LTCBDE group (33.4 vs 39.75 days, <i>P</i> = .007). Diabetes mellitus independently predicted post-operative complications (adjusted odds ratio 4.397, <i>P</i> = .014) and revision surgery (adjusted odds ratio 22.592, <i>P</i> = .006). Recurrence rates were similar between groups (<i>P</i> = .363).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>LTCBDE is associated with shorter operative times, reduced blood loss, and faster recovery than LCBDE, without an increase in post-operative complications. LTCBDE may be the preferred option for the treatment of choledocholithiasis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 2","pages":"86-94"},"PeriodicalIF":0.3,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144308639","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}
Sara Koçi MD, Hilmi Anıl Dinçer MD, Alican Arslan MD, Zehranur Kiki MD, Cenk Sökmensüer MD, Ahmet Bülent Doğrul MD
Background
Although endometriosis is a relatively common condition affecting women, pancreatic endometriosis remains rare, with only a few cases reported in the literature. The primary challenges this condition poses today are its inability to be diagnosed radiologically and the difficulty in distinguishing it from other cystic lesions of the pancreas preoperatively.
Methods
This report presents a case of a 53-year-old female patient with 3 months long left upper quadrant pain and no previous medical history. Imaging revealed an enlarging cyst in the tail of the pancreas, with findings suggestive of a mucinous neoplasm.
Results
The patient underwent a distal pancreatectomy and splenectomy. Histopathological analysis confirmed the presence of endometrial stroma.
Conclusions
Considering the possibility of pancreatic endometriosis may help avoid extensive surgery. However, as the definite diagnosis of endometriosis remains histopathological, surgical resection continues to be the treatment of choice if malignancy is suspected.
{"title":"Pancreatic endometrioma in a post-menopausal woman: A rare differential diagnosis for cystic lesions of the pancreas","authors":"Sara Koçi MD, Hilmi Anıl Dinçer MD, Alican Arslan MD, Zehranur Kiki MD, Cenk Sökmensüer MD, Ahmet Bülent Doğrul MD","doi":"10.1111/1744-1633.12740","DOIUrl":"https://doi.org/10.1111/1744-1633.12740","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Although endometriosis is a relatively common condition affecting women, pancreatic endometriosis remains rare, with only a few cases reported in the literature. The primary challenges this condition poses today are its inability to be diagnosed radiologically and the difficulty in distinguishing it from other cystic lesions of the pancreas preoperatively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This report presents a case of a 53-year-old female patient with 3 months long left upper quadrant pain and no previous medical history. Imaging revealed an enlarging cyst in the tail of the pancreas, with findings suggestive of a mucinous neoplasm.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The patient underwent a distal pancreatectomy and splenectomy. Histopathological analysis confirmed the presence of endometrial stroma.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Considering the possibility of pancreatic endometriosis may help avoid extensive surgery. However, as the definite diagnosis of endometriosis remains histopathological, surgical resection continues to be the treatment of choice if malignancy is suspected.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"169-171"},"PeriodicalIF":0.2,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915145","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}
Ka Siu Fan MSSB, BSc, PgCert(ClinEd), Tsz Ki Ko MBChB, BSc, Hiu Tat Kwok MBChB, Seung Min Han MBBS
Objective
Conference abstracts and peer-reviewed publications form the basis for research dissemination. We evaluated the abstract publication rates following their presentation at the Association of Upper Gastrointestinal Surgery of Great Britain and Ireland (AUGIS) meetings between 2013 and 2019.
Methodology
A systematic search and analysis was conducted in 2021 and 2023. Using abstract titles, keywords, and first and senior authors, AUGIS abstracts were queried on PubMed, Science Direct, Google Scholar, and Google. Abstract, authors, journal, and time of publication were extracted and analysed.
Results
A total of 1220 abstracts were presented over 6 years of conferences, 388 of which were subsequently published. The overall publication rate was 32%, with 47% of oral publications and 29% of posters being published. Oral presentations were significantly more likely than posters to be published (P <.001). Publications spanned 134 journals, with mean and median publication times of 14 and 15 months, respectively.
Conclusions
The publication of AUGIS meeting abstracts was comparable to other surgical scientific meetings. These can serve as judging standards for projects worthy of presentations as conferences remain a crucial forum for learning and collaboration. Regardless, authors and review panels should continue to strive for high-quality abstracts to increase the impact of their work and scientific conferences.
{"title":"The publication rate and performance of the Association of Upper Gastrointestinal Surgery of Great Britain and Ireland (AUGIS) surgical conference abstracts","authors":"Ka Siu Fan MSSB, BSc, PgCert(ClinEd), Tsz Ki Ko MBChB, BSc, Hiu Tat Kwok MBChB, Seung Min Han MBBS","doi":"10.1111/1744-1633.12738","DOIUrl":"https://doi.org/10.1111/1744-1633.12738","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Conference abstracts and peer-reviewed publications form the basis for research dissemination. We evaluated the abstract publication rates following their presentation at the Association of Upper Gastrointestinal Surgery of Great Britain and Ireland (AUGIS) meetings between 2013 and 2019.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>A systematic search and analysis was conducted in 2021 and 2023. Using abstract titles, keywords, and first and senior authors, AUGIS abstracts were queried on PubMed, Science Direct, Google Scholar, and Google. Abstract, authors, journal, and time of publication were extracted and analysed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1220 abstracts were presented over 6 years of conferences, 388 of which were subsequently published. The overall publication rate was 32%, with 47% of oral publications and 29% of posters being published. Oral presentations were significantly more likely than posters to be published (<i>P</i> <.001). Publications spanned 134 journals, with mean and median publication times of 14 and 15 months, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The publication of AUGIS meeting abstracts was comparable to other surgical scientific meetings. These can serve as judging standards for projects worthy of presentations as conferences remain a crucial forum for learning and collaboration. Regardless, authors and review panels should continue to strive for high-quality abstracts to increase the impact of their work and scientific conferences.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 3","pages":"129-137"},"PeriodicalIF":0.2,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1744-1633.12738","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915197","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}
Stoma education is an essential part of perioperative management in colorectal surgery. Recently, three-dimensional (3D) printed stoma models have been developed as useful adjuncts to conventional stoma teaching. This study aims to evaluate the impact of the introduction of a 3D stoma model education programme on patients undergoing elective robotic total mesorectal excision (TME).
Methodology
Between April 2021 and October 2021, 12 patients who underwent elective robotic TME in Queen Elizabeth Hospital were recruited into the 3D stoma model education programme. They were compared with 30 patients who had robotic TME before the introduction of the programme from January 2020 to December 2020. Their demographics, length of stay, self-stoma care skills, and feedback regarding the programme were reviewed.
Results
There was a reduction of 2.7 days in the mean length of stay before (10.8 days) and after (8.1 days) the introduction of the 3D stoma model education programme. A statistically significant difference was observed (P = .0236). The programme was well received among participants. All patients agreed that it relieved their anxiety, increased their understanding and confidence in self-stoma care, and enhanced their self-stoma care ability. This was supported by their excellent performance in the first post-operative stoma care session, where their stoma care skills were assessed by a stoma nurse specialist.
Conclusions
Preliminary results from our 3D stoma model education programme for patients undergoing elective robotic TME are promising. The use of 3D stoma models may contribute to a shorter length of hospital stay and self-stoma care proficiency, and are well accepted by patients.
{"title":"Three-dimensional stoma model education programme for robotic total mesorectal excision: A single-centre experience","authors":"Sze Yuet Joyce Kwong, Pak Tat Chan, Yuk Kam Pang","doi":"10.1111/1744-1633.12739","DOIUrl":"https://doi.org/10.1111/1744-1633.12739","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Stoma education is an essential part of perioperative management in colorectal surgery. Recently, three-dimensional (3D) printed stoma models have been developed as useful adjuncts to conventional stoma teaching. This study aims to evaluate the impact of the introduction of a 3D stoma model education programme on patients undergoing elective robotic total mesorectal excision (TME).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>Between April 2021 and October 2021, 12 patients who underwent elective robotic TME in Queen Elizabeth Hospital were recruited into the 3D stoma model education programme. They were compared with 30 patients who had robotic TME before the introduction of the programme from January 2020 to December 2020. Their demographics, length of stay, self-stoma care skills, and feedback regarding the programme were reviewed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was a reduction of 2.7 days in the mean length of stay before (10.8 days) and after (8.1 days) the introduction of the 3D stoma model education programme. A statistically significant difference was observed (<i>P</i> = .0236). The programme was well received among participants. All patients agreed that it relieved their anxiety, increased their understanding and confidence in self-stoma care, and enhanced their self-stoma care ability. This was supported by their excellent performance in the first post-operative stoma care session, where their stoma care skills were assessed by a stoma nurse specialist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Preliminary results from our 3D stoma model education programme for patients undergoing elective robotic TME are promising. The use of 3D stoma models may contribute to a shorter length of hospital stay and self-stoma care proficiency, and are well accepted by patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 2","pages":"73-78"},"PeriodicalIF":0.3,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309176","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":"Clinical effectiveness and research: A cornerstone of surgical excellence","authors":"Paul B. S. Lai","doi":"10.1111/1744-1633.12737","DOIUrl":"https://doi.org/10.1111/1744-1633.12737","url":null,"abstract":"","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"28 4","pages":"179-180"},"PeriodicalIF":0.3,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143116622","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":"Surgical Practice November 2024 CME for Fellows","authors":"","doi":"10.1111/1744-1633.12736","DOIUrl":"https://doi.org/10.1111/1744-1633.12736","url":null,"abstract":"","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"28 4","pages":"246-247"},"PeriodicalIF":0.3,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143116081","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}
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