Surgery in practice and science最新文献

英文中文

IF 0.8 Q4 SURGERY

Surgery in practice and science

Pub Date : 2026-01-01

引用次数: 0

IF 0.8 Q4 SURGERY

Surgery in practice and science

Pub Date : 2026-01-01

引用次数: 0

IF 0.8 Q4 SURGERY

Surgery in practice and science

Pub Date : 2026-01-01

引用次数: 0

IF 0.8 Q4 SURGERY

Surgery in practice and science

Pub Date : 2026-01-01

引用次数: 0

IF 0.8 Q4 SURGERY

Surgery in practice and science

Pub Date : 2026-01-01

引用次数: 0

IF 0.8 Q4 SURGERY

Surgery in practice and science

Pub Date : 2026-01-01

引用次数: 0

Radioguided occult lesion localisation for wide local excision, excision biopsies and in combination with radioisotope sentinel lymph node localisation (SNOLL) – 10 year experience of a single centre 放射引导下广泛局部切除、切除活检和联合放射性同位素前哨淋巴结定位（SNOLL）的隐匿性病变定位-单一中心10年经验

IF 0.8 Q4 SURGERY

Surgery in practice and science

Pub Date : 2025-12-22 DOI: 10.1016/j.sipas.2025.100326

Bahar Mirshekar-Syahkal, Haifa Alotaibi, Sendhil Rajan, Mathew Gray, David Newman, Maged Hussien

Background

Various techniques are used to localise non-palpable breast cancer and identify sentinel lymph nodes (SLN). Seed-based localisations can be expensive, may dislodge and require special intraoperative equipment. We report our experience of using radioguided occult lesion localisation (ROLL) alone and with SLN (SNOLL)

Methods

This is a retrospective review of all patients undergoing breast excision procedures using ROLL between January 2008 and 2018. On the morning of surgery or the day before, patients had 10 MBq Technetium 99 m colloid injected into the centre of the breast lesion under ultrasound guidance with a further 10 MBq injected into the periareolar skin if SLN was planned. Surgery was performed with the aid of a gamma probe to detect the radioisotope signal in the breast and axilla and specimen X-rays of the breast excision specimen were performed with cavity shaves considered if appropriate.

Results

1073 ROLL-guided excisions were performed in 1050 patients: 1043 of these were wide local excisions (WLE), which included 11 level two oncoplastic procedures, with the remaining being excision biopsies. 957 of the WLEs were SNOLL procedures. ROLL was successful in 1065 (99.3 %) procedures. Of the eight ROLL failures, three were due to incorrect lesion localisation and two were due to diffuse ROLL signal. SLN biopsy was successful in 955 (99.8 %) of cases.

Conclusions

SNOLL/ROLL is a reliable, cheap and easy localisation technique where the marker cannot be dislodged during the procedure. Both localisations are performed on the day of surgery using the same equipment for signal detection in the breast and axilla.

背景：各种技术用于定位不可触及的乳腺癌和识别前哨淋巴结（SLN）。基于种子的定位可能很昂贵，可能会脱臼，并且需要特殊的术中设备。我们报告了我们单独使用放射引导隐匿病灶定位（ROLL）和SLN （SNOLL）方法的经验。这是一项回顾性研究，涉及2008年1月至2018年期间使用ROLL进行乳房切除术的所有患者。在手术当天早晨或前一天，患者在超声引导下在乳腺病变中心注射10 MBq锝99 m胶体，如果计划进行SLN，则在乳晕周围皮肤注射10 MBq。手术在伽玛探针的帮助下进行，以检测乳房和腋窝中的放射性同位素信号，乳房切除标本的x射线标本在适当的情况下被认为是腔剃。结果1050例患者共进行了1073例roll引导切除，其中1043例为广域局部切除（WLE），其中11例为二级肿瘤成形性手术，其余为切除活检。957例wle为SNOLL程序。ROLL在1065例（99.3%）手术中成功。在8例ROLL失败中，3例是由于病灶定位不正确，2例是由于弥漫性ROLL信号。955例（99.8%）SLN活检成功。结论snoll /ROLL是一种可靠、廉价、简便的定位技术，标记物在手术过程中不会移位。这两种定位都是在手术当天进行的，使用相同的设备来检测乳房和腋窝的信号。

{"title":"Radioguided occult lesion localisation for wide local excision, excision biopsies and in combination with radioisotope sentinel lymph node localisation (SNOLL) – 10 year experience of a single centre","authors":"Bahar Mirshekar-Syahkal, Haifa Alotaibi, Sendhil Rajan, Mathew Gray, David Newman, Maged Hussien","doi":"10.1016/j.sipas.2025.100326","DOIUrl":"10.1016/j.sipas.2025.100326","url":null,"abstract":"<div><h3>Background</h3><div>Various techniques are used to localise non-palpable breast cancer and identify sentinel lymph nodes (SLN). Seed-based localisations can be expensive, may dislodge and require special intraoperative equipment. We report our experience of using radioguided occult lesion localisation (ROLL) alone and with SLN (SNOLL)</div></div><div><h3>Methods</h3><div>This is a retrospective review of all patients undergoing breast excision procedures using ROLL between January 2008 and 2018. On the morning of surgery or the day before, patients had 10 MBq Technetium 99 m colloid injected into the centre of the breast lesion under ultrasound guidance with a further 10 MBq injected into the periareolar skin if SLN was planned. Surgery was performed with the aid of a gamma probe to detect the radioisotope signal in the breast and axilla and specimen X-rays of the breast excision specimen were performed with cavity shaves considered if appropriate.</div></div><div><h3>Results</h3><div>1073 ROLL-guided excisions were performed in 1050 patients: 1043 of these were wide local excisions (WLE), which included 11 level two oncoplastic procedures, with the remaining being excision biopsies. 957 of the WLEs were SNOLL procedures. ROLL was successful in 1065 (99.3 %) procedures. Of the eight ROLL failures, three were due to incorrect lesion localisation and two were due to diffuse ROLL signal. SLN biopsy was successful in 955 (99.8 %) of cases.</div></div><div><h3>Conclusions</h3><div>SNOLL/ROLL is a reliable, cheap and easy localisation technique where the marker cannot be dislodged during the procedure. Both localisations are performed on the day of surgery using the same equipment for signal detection in the breast and axilla.</div></div>","PeriodicalId":74890,"journal":{"name":"Surgery in practice and science","volume":"24 ","pages":"Article 100326"},"PeriodicalIF":0.8,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145927087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on “Improving consenting practice in trauma and orthopaedics: A single centre original mixed methods study” 对“改进创伤骨科的同意实践：单中心原创混合方法研究”的评论

IF 0.8 Q4 SURGERY

Surgery in practice and science

Pub Date : 2025-12-20 DOI: 10.1016/j.sipas.2025.100325

Ankit Batra , Prashant Kokiwar , Priyanka Aher , Indu Singh

引用次数: 0

From prediction to action—Making emergency laparotomy risk scores clinically usable 从预测到行动——使急诊剖腹手术风险评分具有临床应用价值

IF 0.8 Q4 SURGERY

Surgery in practice and science

Pub Date : 2025-12-19 DOI: 10.1016/j.sipas.2025.100324

Shashikanth Vijayaraghavalu

引用次数: 0

Predictors of post-operative complications following thyroid surgeries at a tertiary hospital in Tanzania 坦桑尼亚一家三级医院甲状腺手术后并发症的预测因素

IF 0.8 Q4 SURGERY

Surgery in practice and science

Pub Date : 2025-12-08 DOI: 10.1016/j.sipas.2025.100323

Albert Lazaro , Mungeni Misidai , Daniel Kitua , Abdulrahaman Amin , Charles Komba , Ally Mwanga , Larry Akoko , Nashivai Kivuyo

Background

Thyroid disorders pose a substantial burden in low- and middle-income countries (LMICs), where late presentation and limited access to specialized care often result in advanced disease at surgery. Despite thyroidectomy being the definitive treatment for many thyroid conditions, data on surgical outcomes and complication rates from sub-Saharan Africa remain scarce. This study aimed to describe the clinical characteristics, surgical approaches, and in-hospital postoperative outcomes of patients undergoing thyroidectomy at a tertiary hospital in Tanzania, and to identify factors associated with postoperative complications.

Materials and Methods

This was a hospital-based retrospective cohort study involving patients who underwent thyroid surgery between January 2018 and December 2023. Data were retrieved from case notes and surgical records in the hospital’s medical records department. Sociodemographic and clinical characteristics were analyzed as predictor variables, while postoperative in-hospital complications were the primary outcomes. Multivariable logistic regression was performed to identify independent predictors of complications.

Results

A total of 405 patients underwent thyroidectomy during the study period, with a female predominance (89.6%) and a mean age of 48 ± 13 years. The majority presented with anterior neck swelling (98.5%), and 24% had retrosternal extension. Benign pathology accounted for 77% of cases. The overall complication rate was 15.3%, with hypocalcemia (4%) and superior laryngeal nerve injury (3%) being the most common. The mortality rate was 0.5%. Independent predictors of in-hospital complications included total thyroidectomy (aOR: 3.12; 95% CI: 1.08–9.02) and symptom duration exceeding 10 years (aOR: 4.12; 95% CI: 1.60–10.58).

Conclusion

Postoperative morbidity following thyroidectomy in this setting was primarily driven by delayed presentation and the extent of surgery. Targeted interventions to promote early diagnosis and optimize perioperative care are essential to improve patient outcomes.

在低收入和中等收入国家（LMICs），甲状腺疾病是一个沉重的负担，在这些国家，姗姗来迟和获得专业护理的机会有限往往导致手术时疾病进展。尽管甲状腺切除术是许多甲状腺疾病的最终治疗方法，但撒哈拉以南非洲地区关于手术结果和并发症发生率的数据仍然很少。本研究旨在描述坦桑尼亚一家三级医院甲状腺切除术患者的临床特征、手术方式和住院术后结果，并确定与术后并发症相关的因素。材料和方法这是一项基于医院的回顾性队列研究，涉及2018年1月至2023年12月期间接受甲状腺手术的患者。数据从医院病历部门的病例记录和手术记录中检索。社会人口学和临床特征作为预测变量进行分析，而术后院内并发症是主要结局。采用多变量逻辑回归来确定并发症的独立预测因素。结果研究期间共行甲状腺切除术405例，女性占89.6%，平均年龄48±13岁。大多数患者表现为颈前肿胀（98.5%），24%为胸骨后伸展。良性病理占77%。总并发症发生率为15.3%，其中以低钙血症（4%）和喉上神经损伤（3%）最为常见。死亡率为0.5%。院内并发症的独立预测因子包括全甲状腺切除术（aOR: 3.12; 95% CI: 1.08-9.02）和症状持续时间超过10年（aOR: 4.12; 95% CI: 1.60-10.58）。结论本组甲状腺切除术后的术后发病率主要由延迟出现和手术范围引起。有针对性的干预措施促进早期诊断和优化围手术期护理对改善患者预后至关重要。

{"title":"Predictors of post-operative complications following thyroid surgeries at a tertiary hospital in Tanzania","authors":"Albert Lazaro , Mungeni Misidai , Daniel Kitua , Abdulrahaman Amin , Charles Komba , Ally Mwanga , Larry Akoko , Nashivai Kivuyo","doi":"10.1016/j.sipas.2025.100323","DOIUrl":"10.1016/j.sipas.2025.100323","url":null,"abstract":"<div><h3>Background</h3><div>Thyroid disorders pose a substantial burden in low- and middle-income countries (LMICs), where late presentation and limited access to specialized care often result in advanced disease at surgery. Despite thyroidectomy being the definitive treatment for many thyroid conditions, data on surgical outcomes and complication rates from sub-Saharan Africa remain scarce. This study aimed to describe the clinical characteristics, surgical approaches, and in-hospital postoperative outcomes of patients undergoing thyroidectomy at a tertiary hospital in Tanzania, and to identify factors associated with postoperative complications.</div></div><div><h3>Materials and Methods</h3><div>This was a hospital-based retrospective cohort study involving patients who underwent thyroid surgery between January 2018 and December 2023. Data were retrieved from case notes and surgical records in the hospital’s medical records department. Sociodemographic and clinical characteristics were analyzed as predictor variables, while postoperative in-hospital complications were the primary outcomes. Multivariable logistic regression was performed to identify independent predictors of complications.</div></div><div><h3>Results</h3><div>A total of 405 patients underwent thyroidectomy during the study period, with a female predominance (89.6%) and a mean age of 48 ± 13 years. The majority presented with anterior neck swelling (98.5%), and 24% had retrosternal extension. Benign pathology accounted for 77% of cases. The overall complication rate was 15.3%, with hypocalcemia (4%) and superior laryngeal nerve injury (3%) being the most common. The mortality rate was 0.5%. Independent predictors of in-hospital complications included total thyroidectomy (aOR: 3.12; 95% CI: 1.08–9.02) and symptom duration exceeding 10 years (aOR: 4.12; 95% CI: 1.60–10.58).</div></div><div><h3>Conclusion</h3><div>Postoperative morbidity following thyroidectomy in this setting was primarily driven by delayed presentation and the extent of surgery. Targeted interventions to promote early diagnosis and optimize perioperative care are essential to improve patient outcomes.</div></div>","PeriodicalId":74890,"journal":{"name":"Surgery in practice and science","volume":"24 ","pages":"Article 100323"},"PeriodicalIF":0.8,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145754224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Surgery in practice and science

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀