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Current Problems in Surgery最新文献

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Comparing wound dehiscence following closure with skin staples versus sutures in elective total knee arthroplasty: A systematic review and meta-analysis. 比较选择性全膝关节置换术中皮肤钉缝合与缝合后伤口裂开：一项系统回顾和荟萃分析。
IF 1.9 3区 医学 Q2 SURGERY
Current Problems in Surgery
Pub Date : 2025-09-01 Epub Date: 2025-07-05 DOI: 10.1016/j.cpsurg.2025.101853
Hamidreza Sabet, Armin Fereidouni, Mohammadamin Ahmadi, Shaghayegh Ajam, Zahra Maleki, Amirali Alizadeh, Samira Mahmoudi
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引用次数: 0
Association between low-dose aspirin therapy and major adverse cardiovascular events in ACS patients: A retrospective cohort study from the MIMIC-IV database 低剂量阿司匹林治疗与ACS患者主要不良心血管事件之间的关系：来自MIMIC-IV数据库的回顾性队列研究
IF 1.9 3区 医学 Q2 SURGERY
Current Problems in Surgery
Pub Date : 2025-08-30 DOI: 10.1016/j.cpsurg.2025.101889
Miaomiao Chen BS , Shuying Xu BS , Xue Yan MSc
{"title":"Association between low-dose aspirin therapy and major adverse cardiovascular events in ACS patients: A retrospective cohort study from the MIMIC-IV database","authors":"Miaomiao Chen BS , Shuying Xu BS , Xue Yan MSc","doi":"10.1016/j.cpsurg.2025.101889","DOIUrl":"10.1016/j.cpsurg.2025.101889","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"72 ","pages":"Article 101889"},"PeriodicalIF":1.9,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Incidence and risk factor analysis of postoperative complications after lung cancer surgery based on CT follow-up 基于CT随访的肺癌术后并发症发生率及危险因素分析
IF 1.9 3区 医学 Q2 SURGERY
Current Problems in Surgery
Pub Date : 2025-08-27 DOI: 10.1016/j.cpsurg.2025.101887
Jing Sun BDS , Shuzhao Ji BDS , Bo Li MD
{"title":"Incidence and risk factor analysis of postoperative complications after lung cancer surgery based on CT follow-up","authors":"Jing Sun BDS , Shuzhao Ji BDS , Bo Li MD","doi":"10.1016/j.cpsurg.2025.101887","DOIUrl":"10.1016/j.cpsurg.2025.101887","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"72 ","pages":"Article 101887"},"PeriodicalIF":1.9,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Narrow common bile duct angle as a risk factor for recurrent common bile duct stone following laparoscopic common bile duct exploration 胆总管角狭窄是腹腔镜胆总管探查术后胆总管结石复发的危险因素
IF 1.9 3区 医学 Q2 SURGERY
Current Problems in Surgery
Pub Date : 2025-08-27 DOI: 10.1016/j.cpsurg.2025.101888
Young Jun Park MD, PhD, Kwang Yeol Paik MD, PhD
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引用次数: 0
Utilization of wearable technology to assess physiological stress during laparoscopic surgery training 利用可穿戴技术评估腹腔镜手术训练期间的生理应激
IF 1.9 3区 医学 Q2 SURGERY
Current Problems in Surgery
Pub Date : 2025-08-25 DOI: 10.1016/j.cpsurg.2025.101885
Alejandro Zulbaran-Rojas MD , Iman Ghaderi MD, MSc, MHPE , Areti Tillou MD , Peyman Benharash MD , Natasha Hansraj MD , Derek Erstad MD , Bijan Najafi PhD

Background

Stress negatively impacts laparoscopic performance in surgical residents. This study evaluated the relationship between physiological stress and performance using wearable technology.

Methods

General surgery residents participated in a 2-day laparoscopic training course using live porcine models. Mean heart rate along with heart rate variability (HRV) parameters including standard deviation of R-R intervals (SDNN) and root-mean-square of successive differences of R-R intervals (RMSSD), were measured using a chest-worn ECG sensor. Operative performance was assessed using the Global Operative Assessment of Laparoscopic Skills (GOALS) and the Objective Performance Rating Scale (OPRS). Parameters were measured at rest, baseline, and intraoperatively. Comparison between day-1 and day-2 were performed within groups. Correlations between changes in parameters and operative performance across time were analyzed.

Results

Junior (PGY1-2, n=5) and senior (PGY3-5, n=5) residents formed teams, alternating as primary surgeon and assistant. Juniors led basic procedures (cholecystectomy, incisional hernia repair) having seniors assisting. Seniors handled advanced ones (Nissen fundoplication, splenectomy, colon-resection) having juniors assisting. Regardless of role, stress levels were elevated in all participants during each procedure compared to rest, peaking highest during splenectomies and colon resections. Analyses across time revealed that higher mean heart rate correlated with lower performance (r=-0.41, p=0.07), while higher SDNN and RMSSD correlated with higher performance (r=0.56, p=0.008; r=0.63, p<0.001, respectively).

Conclusions

Reducing physiological stress can enhance laparoscopic performance. Wearable technology shows promise for improving surgical training.
应激对外科住院医师的腹腔镜检查有负面影响。本研究利用可穿戴技术评估生理应激与运动表现之间的关系。方法普外科住院医师采用猪模型参加为期2天的腹腔镜培训课程。使用佩戴在胸前的心电传感器测量平均心率和心率变异性（HRV）参数，包括R-R区间的标准差（SDNN）和R-R区间连续差异的均方根（RMSSD）。采用全球腹腔镜手术技能评估（goal）和客观表现评定量表（OPRS）评估手术表现。静息、基线和术中测量参数。第1天和第2天组内比较。分析了参数变化与手术性能随时间变化的相关性。结果初级住院医师（PGY1-2, n=5）和高级住院医师（PGY3-5, n=5）组成小组，轮流担任主刀和助理医师。初级医师主导基本手术（胆囊切除术、切口疝修补），有资深医师协助。高年级学生处理高级手术（尼森基底切除术、脾切除术、结肠切除术），高年级学生协助。无论角色如何，与休息相比，所有参与者在每次手术期间的压力水平都有所提高，在脾切除术和结肠切除术期间达到最高水平。跨时间分析显示，较高的平均心率与较低的表现相关（r=-0.41, p=0.07），而较高的SDNN和RMSSD与较高的表现相关（r=0.56, p=0.008; r=0.63, p<0.001）。结论减少生理应激可提高腹腔镜手术效果。可穿戴技术有望改善外科手术培训。
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引用次数: 0
The effect of ultrasound-guided bilateral superior laryngeal nerve block on the prognosis of cervical fracture surgery 超声引导双侧喉上神经阻滞对颈椎骨折手术预后的影响
IF 1.9 3区 医学 Q2 SURGERY
Current Problems in Surgery
Pub Date : 2025-08-25 DOI: 10.1016/j.cpsurg.2025.101886
Yuandong Qiu, Zhaolin Zhu, Siqi Luo, Zhongwen Li
{"title":"The effect of ultrasound-guided bilateral superior laryngeal nerve block on the prognosis of cervical fracture surgery","authors":"Yuandong Qiu,&nbsp;Zhaolin Zhu,&nbsp;Siqi Luo,&nbsp;Zhongwen Li","doi":"10.1016/j.cpsurg.2025.101886","DOIUrl":"10.1016/j.cpsurg.2025.101886","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"72 ","pages":"Article 101886"},"PeriodicalIF":1.9,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145268480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
The effects of concomitant coronary artery bypass grafting during surgical acute type A aortic dissection to outcomes 急性A型主动脉夹层手术中合并冠状动脉搭桥术对预后的影响
IF 1.9 3区 医学 Q2 SURGERY
Current Problems in Surgery
Pub Date : 2025-08-23 DOI: 10.1016/j.cpsurg.2025.101879
Rui Fan , Wuwei Wang , Wei Qin , Fei Xiang , Xin Chen
{"title":"The effects of concomitant coronary artery bypass grafting during surgical acute type A aortic dissection to outcomes","authors":"Rui Fan ,&nbsp;Wuwei Wang ,&nbsp;Wei Qin ,&nbsp;Fei Xiang ,&nbsp;Xin Chen","doi":"10.1016/j.cpsurg.2025.101879","DOIUrl":"10.1016/j.cpsurg.2025.101879","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"72 ","pages":"Article 101879"},"PeriodicalIF":1.9,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
The clinical application of closed triple procedure in corneal leukoma with cataract: A comparative study 三联手术治疗角膜白斑合并白内障的临床应用比较
IF 1.9 3区 医学 Q2 SURGERY
Current Problems in Surgery
Pub Date : 2025-08-23 DOI: 10.1016/j.cpsurg.2025.101877
Jing Yuan , Zhun Zhang , Xiangxiang Zhu , Zhuoqun Rao , Yingshu He , Biyue Tu , Zhen Zhao , Yanxia Tong , Xiaojie Ou
{"title":"The clinical application of closed triple procedure in corneal leukoma with cataract: A comparative study","authors":"Jing Yuan ,&nbsp;Zhun Zhang ,&nbsp;Xiangxiang Zhu ,&nbsp;Zhuoqun Rao ,&nbsp;Yingshu He ,&nbsp;Biyue Tu ,&nbsp;Zhen Zhao ,&nbsp;Yanxia Tong ,&nbsp;Xiaojie Ou","doi":"10.1016/j.cpsurg.2025.101877","DOIUrl":"10.1016/j.cpsurg.2025.101877","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"72 ","pages":"Article 101877"},"PeriodicalIF":1.9,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
An old-new problem: The impact of intraoperative tissue desiccation on the regeneration of vascular anastomoses 一个老问题：术中组织干燥对血管吻合口再生的影响
IF 1.9 3区 医学 Q2 SURGERY
Current Problems in Surgery
Pub Date : 2025-08-22 DOI: 10.1016/j.cpsurg.2025.101883
László Ádám Fazekas MD , Dániel Handari MD , Tran Linh Dan Le , Ádám Varga MSc , Ádám Attila Mátrai MSc , Csaba Fillér MSc , Mohammad Walid Al-Smadi MD, PhD , Murtadha Qais Al-Khafaji MD , Anna Tóth BSc , Tamás Juhász MSc, PhD , Norbert Németh MD, PhD, DSc
{"title":"An old-new problem: The impact of intraoperative tissue desiccation on the regeneration of vascular anastomoses","authors":"László Ádám Fazekas MD ,&nbsp;Dániel Handari MD ,&nbsp;Tran Linh Dan Le ,&nbsp;Ádám Varga MSc ,&nbsp;Ádám Attila Mátrai MSc ,&nbsp;Csaba Fillér MSc ,&nbsp;Mohammad Walid Al-Smadi MD, PhD ,&nbsp;Murtadha Qais Al-Khafaji MD ,&nbsp;Anna Tóth BSc ,&nbsp;Tamás Juhász MSc, PhD ,&nbsp;Norbert Németh MD, PhD, DSc","doi":"10.1016/j.cpsurg.2025.101883","DOIUrl":"10.1016/j.cpsurg.2025.101883","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"72 ","pages":"Article 101883"},"PeriodicalIF":1.9,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Age-related mortality risk assessment and prognostic factors in postsurgical traumatic brain injury patients: A retrospective cohort study based on the mimic database 创伤性脑损伤患者术后年龄相关死亡风险评估及预后因素：基于模拟数据库的回顾性队列研究
IF 1.9 3区 医学 Q2 SURGERY
Current Problems in Surgery
Pub Date : 2025-08-22 DOI: 10.1016/j.cpsurg.2025.101882
Xiaoyan Zhang MD, Yixin Fu MD
{"title":"Age-related mortality risk assessment and prognostic factors in postsurgical traumatic brain injury patients: A retrospective cohort study based on the mimic database","authors":"Xiaoyan Zhang MD,&nbsp;Yixin Fu MD","doi":"10.1016/j.cpsurg.2025.101882","DOIUrl":"10.1016/j.cpsurg.2025.101882","url":null,"abstract":"","PeriodicalId":55192,"journal":{"name":"Current Problems in Surgery","volume":"72 ","pages":"Article 101882"},"PeriodicalIF":1.9,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
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