Article
Multidisciplinary Sciences
Shangyuan Ye, Daniel Li, Tingting Yu, Daniel A. Caroff, Jeffrey Guy, Russell E. Poland, Kenneth E. Sands, Edward J. Septimus, Susan S. Huang, Richard Platt, Rui Wang
Summary: The Centers for Medicare and Medicaid Services require hospitals to report on quality metrics and financially penalize those in the lowest performance quartile. Surgical site infections (SSIs) are a critical component of these metrics, but accurate profiling is hindered by small surgical volumes. The exclusion of hospitals with less than one expected SSI from rankings is currently used, but its effectiveness is uncertain. Therefore, reliable evaluation criteria based on surgical volumes and predicted events are needed.
SCIENTIFIC REPORTS
(2023)
Article
Surgery
Sander Ubels, Moniek Verstegen, Bastiaan Klarenbeek, Stefan Bouwense, Mark van Berge Henegouwen, Freek Daams, Marc J. van Det, Ewen A. Griffiths, Jan W. Haveman, Joos Heisterkamp, Renol Koshy, Grard Nieuwenhuijzen, Fatih Polat, Peter D. Siersema, Pritam Singh, Bas Wijnhoven, Gerjon Hannink, Frans van Workum, Camiel Rosman
Summary: The Severity of oEsophageal Anastomotic Leak (SEAL) score was developed using data from the TENTACLE-Esophagus study, an international, multicentre retrospective cohort study including 1509 patients with anastomotic leak after oesophagectomy. The SEAL score was developed to determine anastomotic leak severity at diagnosis, and combines 12 leak-related parameters at diagnosis. The score may be useful in clinical practice and could improve future research.
BRITISH JOURNAL OF SURGERY
(2022)
Article
Oncology
Michelle R. Ju, James-Michael Blackwell, Herbert J. Zeh, Adam C. Yopp, Sam C. Wang, Matthew R. Porembka
Summary: Higher annual hospital gastrectomy volume is associated with improved surgical outcomes, with 17 cases/year identified as a clinically meaningful distinction between high-volume (HV) and low-volume (LV) centers. Treatment at a high-volume gastrectomy center leads to increased likelihood of adequate nodal examination, R0 resection, and decreased 30- and 90-day postoperative mortality.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Review
Surgery
Fei-Long Ning, Wan-Jie Gu, Zhe-Ming Zhao, Wan-Ying Du, Min Sun, Shi-Yi Cao, Yong-Ji Zeng, Masanobu Abe, Chun-Dong Zhang
Summary: This study found that the risk of postoperative mortality after gastric cancer surgery is influenced by the hospital surgical case volume. Hospitals with higher surgical case volumes have lower postgastrectomy mortality rates. The postgastrectomy mortality rate remains stable or decreases after the hospital volume reaches a plateau of 100 gastrectomy cases per year.
INTERNATIONAL JOURNAL OF SURGERY
(2023)
Article
Surgery
Krashna Patel, Alan Askari, Omar Abbassi, Naga Venkatesh Jayanthi, Oliver Claydon, James Laycock, Aravindh Ramalingam, Bhaskar Kumar, Joshua Wong, Mohamed Aly, Periyathambi Jambulingam
Summary: Comparison of completely minimally invasive oesophagectomy (CMIO) and hybrid oesophagectomy (HO) in the treatment of resectable oesophageal and gastro-oesophageal junctional cancer reveals that CMIO has better postoperative outcomes and equivalent oncological feasibility compared to HO.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Sander Ubels, Moniek H. P. Verstegen, Bastiaan R. Klarenbeek, Stefan Bouwense, Mark I. van Berge Henegouwen, Freek Daams, Marc J. van Det, Ewen A. Griffiths, Jan Willem Haveman, Joos Heisterkamp, Grard Nieuwenhuijzen, Fatih Polat, Jeroen Schouten, Peter D. Siersema, Pritam Singh, Bas Wijnhoven, Gerjon Hannink, Frans van Workum, Camiel Rosman
Summary: This retrospective cohort study aimed to assess the effectiveness of different treatment strategies for anastomotic leak after oesophagectomy. The study found that less invasive primary treatment resulted in fewer complications. Therefore, less invasive primary treatment may lead to better clinical outcomes, but further studies are needed to confirm these findings.
BRITISH JOURNAL OF SURGERY
(2023)
Article
Oncology
Krishna Moorthy, Laura Halliday
Summary: ERAS protocols are commonly used in oesophageal cancer surgery to reduce length of stay and post-operative complications. However, there is significant heterogeneity in protocol content, making implementation challenging.
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Critical Care Medicine
Yan Chen, Xu-dong Ma, Xiao-hui Kang, Si-fa Gao, Jin-min Peng, Shan Li, Da-wei Liu, Xiang Zhou, Li Weng, Bin Du
Summary: This study analyzed the relationship between septic shock case volume and hospital mortality in intensive care units in China in 2020. The findings suggest that higher case volumes are associated with lower hospital mortality in septic shock cases.
Article
Oncology
Camille C. Baumrucker, Samantha R. Spring, Brianna L. Cohen, Janelle-Cheri Millen, Francis I. Macedo, Dido Franceschi
Summary: There is a direct association between hospital volume and outcomes of patients with occult breast cancer (OBC). Patients with OBC treated at academic centers (AC) were more likely to undergo breast-conserving approaches and had better survival outcomes than those treated at community centers (CC).
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Surgery
Richard Hunger, Rene Mantke
Summary: This study examined the relationship between hospital volume and in-hospital mortality rates in pancreatic surgery in Germany. The findings suggest that hospitals with lower procedure volume can still achieve high-quality care with mortality rates comparable to high-volume hospitals. Therefore, volume alone may not be an adequate measure for assessing individual hospital quality, and more sophisticated certification systems should be preferred.
Article
Surgery
P. Hollertz, M. Lindblad, P. Sandstrom, I Halldestam, D. Edholm
Summary: The study found that R1 resection is associated with poorer 5-year survival rate. Independent risk factors for death within 5 years of resection include male sex, older age, normal BMI, R1 resection, tumor stage, and lymph node metastasis.
Article
Psychology, Multidisciplinary
Wen Li, Xue Zhang, Mengmeng Yuan, Jinxiu Hu, Shuwen Li
Summary: This study examines the status and influencing factors of self-compassion in oesophageal cancer patients. The findings indicate a moderate level of self-compassion among these patients, with various responses coexisting and the highest scores in the domain of common humanity. Internal factors such as education level, monthly household income, self-efficacy, resilience, and anastomosis site, as well as external factors such as family support, tumour site, combined chronic diseases, anastomosis site, and friend support significantly impact self-compassion.
CURRENT PSYCHOLOGY
(2023)
Review
Surgery
Suheelan Kulasegaran, Yijiao Wang, Braden Woodhouse, Andrew MacCormick, Sanket Srinivasa, Jonathan Koea
Summary: This systematic review provides an overview of pre-existing quality performance indicators for the surgical management of oesophageal cancer, serving as a basis for a quality improvement project in OC resections.
WORLD JOURNAL OF SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Binhao Huang, Yangqing Deng, Zhichao Liu, Xiuzhi Zhu, Yuceng Su, Dantong Gu, Zhigang Li, Wentao Fang, Arjun Pennathur, James D. Luketich, Jiaqing Xiang, Hezhong Chen, Qingquan Wu, Wei Xu, Jie Zhang
Summary: This study aimed to explore the effect of interval between noncurative endoscopic resection (ER) and subsequent oesophagectomy on pathologic stage and prognosis in oesophageal cancer patients. The results showed that a longer interval was associated with worse disease-free survival (DFS), suggesting that oesophagectomy should be performed within 1 month after ER. Older age, T1b stage, lymphovascular invasion, and interval over 30 days were identified as significant risk factors for pathologic upstage and worse outcome.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Yunpeng Zhao, Lei Shan, Chuanliang Peng, Bo Cong, Xiaogang Zhao
Summary: This study retrospectively reviewed 214 consecutive patients who underwent minimally invasive oesophagectomy, showing that the operation time, bleeding volume, and postoperative mortality decreased significantly after 20 patients, and the rise point for node dissection was observed at patient 57. In the short term, patients who underwent mature thoracoscopic-laparoscopic oesophagectomy had better outcomes compared to those who underwent an open procedure.
JOURNAL OF CARDIOTHORACIC SURGERY
(2021)
Review
Surgery
Allison Hirst, Yiannis Philippou, Jane Blazeby, Bruce Campbell, Marion Campbell, Joshua Feinberg, Maroeska Rovers, Natalie Blencowe, Christopher Pennell, Tom Quinn, Wendy Rogers, Jonathan Cook, Angelos G. Kolias, Riaz Agha, Philipp Dahm, Art Sedrakyan, Peter McCulloch
Article
Engineering, Industrial
Matthew Woodward, Nicholas De Pennington, Carly Grandidge, Peter McCulloch, Lauren Morgan
Review
Clinical Neurology
Helen C. U. Ota, Brandon G. Smith, Alexander Alamri, Faith C. Robertson, Hani Marcus, Allison Hirst, Marike Broekman, Peter Hutchinson, Peter McCulloch, Angelos Kolias
ACTA NEUROCHIRURGICA
(2020)
Review
Surgery
Nicole A. Bilbro, Allison Hirst, Arsenio Paez, Baptiste Vasey, Maria Pufulete, Art Sedrakyan, Peter McCulloch
Summary: This study aimed to define reporting standards for IDEAL format studies, and developed draft checklists for stages 1, 2a, 2b, and 4 through surveys and consensus processes. Participants familiar with IDEAL called for new reporting guidelines for most IDEAL stages except stage 3.
Letter
Medicine, General & Internal
Peter McCulloch
BMJ-BRITISH MEDICAL JOURNAL
(2020)
Article
Engineering, Industrial
M. Sujan, N. Bilbro, A. Ross, L. Earl, M. Ibrahim, G. Bond-Smith, A. Ghaferi, L. Pickup, P. McCulloch
Summary: This study examined the response to deteriorating patients following emergency abdominal surgery using the FRAM method, highlighting the importance of improving team communication, organizational learning, and relationships to enhance system resilience. The study suggested that the potential value of FRAM in analyzing surgical work systems should be further explored through empirical evaluation for systems improvement.
APPLIED ERGONOMICS
(2022)
Article
Engineering, Industrial
Matthew Woodward, Rounaq Nayak, Peter McCulloch
Summary: This study applied a systems human factors/ergonomics approach in an NHS trust to develop interventions to reduce irradiation errors. The interventions at micro, unit and organisation levels resulted in decreased interruptions in control rooms, decreased patient identification incidents, and increased near miss reporting. The study demonstrates the effectiveness of a multi-level systems approach in reducing risk.
Article
Medicine, General & Internal
Baptiste Vasey, Myura Nagendran, Bruce Campbell, David A. Clifton, Gary S. Collins, Spiros Denaxas, Alastair K. Denniston, Livia Faes, Bart Geerts, Mudathir Ibrahim, Xiaoxuan Liu, Bilal A. Mateen, Piyush Mathur, Melissa D. McCradden, Lauren Morgan, Johan Ordish, Campbell Rogers, Suchi Saria, Daniel S. W. Ting, Peter Watkinson, Wim Weber, Peter Wheatstone, Peter McCulloch
BMJ-BRITISH MEDICAL JOURNAL
(2022)
Editorial Material
Surgery
Peter McCulloch
Editorial Material
Urology & Nephrology
Peter McCulloch
Review
Radiology, Nuclear Medicine & Medical Imaging
B. Vasey, A. Novak, S. Ather, M. Ibrahim, P. McCulloch
Summary: DECIDE-AI is a new reporting guideline specifically designed for the early and live evaluation of decision-support systems based on AI. It addresses the need for more attention to human factors impacting AI performance in clinical settings and more transparent reporting of clinical studies in this field. With the rapid expansion of AI systems and the concentration of related studies in radiology, these standards are expected to be widely adopted in the near future.
CLINICAL RADIOLOGY
(2023)
Letter
Biochemistry & Molecular Biology
Giovanni E. Cacciamani, Timothy N. Chu, Daniel I. Sanford, Andre Abreu, Vinay Duddalwar, Assad Oberai, C. -C. Jay Kuo, Xiaoxuan Liu, Alastair K. Denniston, Baptiste Vasey, Peter McCulloch, Robert F. Wolff, Sue Mallett, John Mongan, Charles E. Kahn, Viknesh Sounderajah, Ara Darzi, Philipp Dahm, Karel G. M. Moons, Eric Topol, Gary S. Collins, David Moher, Inderbir S. Gill, Andrew J. Hung
Article
Surgery
Takeaki Ishizawa, Peter McCulloch, Laurents Stassen, Jacqueline van den Bos, Jean-Marc Regimbeau, Jeanne Dembinski, Sylke Schneider-Koriath, Luigi Boni, Takeshi Aoki, Hiroto Nishino, Kiyoshi Hasegawa, Yasuo Sekine, Toyofumi Chen-Yoshikawa, Trevor Yeung, Eren Berber, Bora Kahramangil, Michael Bouvet, Michele Diana, Norihiro Kokudo, Fernando Dip, Kevin White, Raul J. Rosenthal
Summary: Intraoperative fluorescence imaging is a valuable technique for enhancing the identification of anatomical structures during surgery. It has been shown to improve short-term and long-term postoperative outcomes in various surgical fields. The use of the IDEAL framework helps in evaluating the current research evidence and guiding further studies in developing fluorescence imaging techniques into an essential intraoperative navigation tool.
BMJ SURGERY INTERVENTIONS & HEALTH TECHNOLOGIES
(2022)
Article
Surgery
P. A. Tully, B. Ng, D. McGagh, N. Meehan, A. Khachane, J. Higgs, M. Newman, L. Morgan, E. David, P. McCulloch
Summary: Using a workload-based approach, the study identified the optimal timing for WHO checklist sign-out as during final wound closure, leading to improved active participation among team members through iterative modifications of the sign-out process.
Article
Surgery
Takeaki Ishizawa, Peter Mcculloch, Derek Muehrcke, Thomas Carus, Ory Wiesel, Giovanni Dapri, Sylke Schneider-Koriath, Steven D. Wexner, Mahmoud Abu-Gazala, Luigi Boni, Elisa Cassinotti, Charles Sabbagh, Ronan Cahill, Frederic Ris, Michele Carvello, Antonino Spinelli, Eric Vibert, Muga Terasawa, Mikiya Takao, Kiyoshi Hasegawa, Rutger M. Schols, Tim Pruimboom, Yasuo Murai, Fumihiro Matano, Michael Bouvet, Michele Diana, Norihiro Kokudo, Fernando Dip, Kevin White, Raul J. Rosenthal
Summary: Intraoperative fluorescence imaging is used in various surgical fields for assessing tissue perfusion, identifying cancer, mapping lymphatic systems, and visualizing anatomy. Research evidence on fluorescence imaging for perfusion assessments is currently at different stages in different surgical specialties, with potential benefits for surgical decision making. However, more studies are needed to demonstrate its efficacy in improving postoperative outcomes across disciplines.
BMJ SURGERY INTERVENTIONS & HEALTH TECHNOLOGIES
(2021)
Article
Oncology
Yuchao Liu, Zijia Liu, Liangyan Zhang, Yuelun Zhang, Ningchen Zhang, Yue Han, Le Shen
Summary: This study found an association between preoperative 6-min walk distance and postoperative complications in patients undergoing laparoscopic gastrointestinal cancer surgery.
Review
Oncology
Matteo Pavone, Rosa Autorino, Nicolo Bizzarri, Giuditta Chilorio, Vincenzo Valentini, Giacomo Corrado, Gabriella Ferrandina, Gabriella Macchia, Maria Antonietta Gambacorta, Giovanni Scambia, Denis Querleu
Summary: Ovarian transposition is an established method for protecting the ovaries from radiation, while surgical procedures for protecting the uterus are still under investigation. This study conducted a systematic review of uterine displacement techniques and performed dose simulation to assess the radiation dose received by the uterus. The results showed that the transposition approach was the most protective.
Article
Oncology
Silvia Ministrini, Maria Bencivenga, Federica Filippini, Gianni Mura, Carlo Milandri, Maria Antonietta Mazzei, Giulio Bagnacci, Mattia Berselli, Manlio Monti, Paolo Morgagni, Leonardo Solaini, Daniele Marrelli, Stefania Piccioni, Stefano De Pascale, Luigina Graziosi, Rossella Reddavid, Fausto Rosa, Claudio Belluco, Guido Tiberio
Summary: The Italian Research Group for Gastric Cancer developed a prospective database to evaluate the impact of a pragmatic attitude on the management of stage IV gastric cancer patients. The study found that different metastatic sites did not affect survival rates, but multiple metastatic sites were associated with worse survival. Patients who could undergo curative resection had better survival rates. A more accurate diagnostic workup and staging had a favorable impact on survival.
Article
Oncology
Luca Lambertini, Fabrizio Di Maida, Anna Cadenar, Samuele Nardoni, Antonio Andrea Grosso, Francesca Valastro, Pietro Spinelli, Riccardo Fantechi, Agostino Tuccio, Gianni Vittori, Andrea Mari, Lorenzo Masieri, Andrea Minervini
Summary: The aim of this study was to evaluate the functional outcomes of Florence intracorporeal neobladder (FloRIN) configuration technique performed with a stentless procedure. The results showed that the stentless procedure was associated with shorter console time and lower estimated blood loss compared to the stent group. There were no significant differences in terms of perioperative features and mid-term functional outcomes between the two groups.
Article
Oncology
Geun-Jeon Kim, Jooin Bang, Hyun-Il Shin, Sang-Yeon Kim, Dong -Il Sun
Summary: This study evaluated the outcome of tonsillar cancer managed with neoadjuvant chemotherapy followed by surgery. The results showed that neoadjuvant chemotherapy reduced tumor volume and pathological adverse features, significantly decreasing the need for adjuvant therapy. A greater reduction in tumor volume predicted a complete pathologic response. There was no significant difference in survival rates between the groups.
Article
Oncology
Alexandra Nassar, Stylianos Tzedakis, Ugo Marchese, Gaanan Naveendran, Remy Sindayigaya, Martin Gaillard, Francois Cauchy, Mickael Lesurtel, Brice Gayet, Olivier Soubrane, David Fuks
Summary: This study identified recurrence between the two stages and a larger tumor size in the future liver remnant as critical factors contributing to the failure of two-stage hepatectomy for bilobar colorectal liver metastases. These findings have important clinical implications for the selection and evaluation of TSH surgery.
Letter
Oncology
Michele Fiore, Gian Marco Petrianni, Gabriele D'Ercole, Pasquale Trecca, Sara Ramella
Review
Oncology
Harry Farrow, Oliver J. Pickering, James A. Gossage, Philip H. Pucher
Summary: The inclusion or exclusion of the thoracic duct in radical esophagectomy for esophageal cancer is a controversial issue. While removing the thoracic duct may increase lymph node yield, it may also lead to higher morbidity without any survival benefit.
Article
Oncology
Xiaokun Li, Siyuan Luan, Chi Zhang, Weili Kong, Xin Xiao, Haowen Zhang, Jianfeng Zhou, Yushang Yang, Yang Xu, Yong Qiang, Pinhao Fang, Yi Shen, Yong Yuan
Summary: This study proposes a new staging system based on ypTNM stage and cN status for early stage ESCC patients after nCRT. The new ypTNM-cN staging system demonstrates superior predictive ability and classification efficacy compared to the AJCC 8th ypTNM staging system. It provides new insights for accurately stratifying ypI stage ESCC patients.
