AMERICAN JOURNAL OF SURGERY美国外科杂志
AMERICAN JOURNAL OF SURGERY(英文缩写 AM J SURG),ISSN 0002-9610,eISSN 1879-1883,中文译名:美国外科杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-27 至 2026-09-27，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 3.125 | Q2 |
| 2022 | 3.000 | Q2 |
| 2023 | 2.700 | Q1 |
| 2024 | 2.700 | Q1 |
| 2025 | 2.300 | Q2 |
AMERICAN JOURNAL OF SURGERY 最新收录文献
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2. Attrition in surgery: A scoping review of contributing factors and demographic disparities.
PMID:日期:2026-11-01Attrition threatens the sustainability of the surgical workforce, with limited data existing regarding practicing surgeons. This scoping review aims to map the existing literature on attrition in this cohort and identify associated factors to inform retention efforts. This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review (PRIMSA-ScR) guidelines. PubMed, Embase, Cochrane Central, and Web of Science were searched for English-language studies since 2000 examining attrition among practicing surgeons in the United States. Studies of surgical trainees, burnout alone, commentaries, and non-U.S. populations were excluded. Of 5737 abstracts screened, four studies met inclusion criteria. Reported attrition varied by specialty and design. Gender differences were observed across all studies, with mixed findings. Two studies reported lower attrition among racial and ethnic minority surgeons. Associations with practice setting and other factors were inconsistent. Evidence on attrition among practicing surgeons is sparse. Further investigation is needed to clarify drivers of attrition.
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3. The path to surgical residency as an international medical graduate.
PMID:日期:2026-11-01该文献暂无摘要。
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4. Feasibility of combined near infrared autofluorescence and indocyanine green fluorescence imaging in the management of parathyroid glands.
PMID:日期:2026-11-01Autofluorescence (AF) imaging helps identify parathyroid glands (PGs), while indocyanine green (ICG) imaging demonstrates perfusion. No device has historically provided both types of imaging interchangeably. Aim of this study is to assess the efficacy of a new device that provides both functions. This prospective study evaluated efficacy of a new fluorescence device that provides AF and ICG imaging in a combined fashion. 16 patients with 44 PGs were assessed. AF imaging after ICG injection was feasible in 98% of the time. While a satisfactory angiogragm was obtained in 78% of the time with ICG injection, a visual recognition of increase in fluorescence by the surgeon was challenging due to the grayscale imaging involved. Concurrent AF and ICG fluorescence imaging is possible with advances in optical engineering. However, perfusion assessment using the device based on human eye perception was challenging, suggesting the need for quantification.
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5. Long-term outcomes of non-operative compared to operative management of acute uncomplicated appendicitis - a systematic review and meta-analysis.
PMID:日期:2026-11-01We evaluated long-term outcomes of non-operative management (NOM) versus surgical management of acute uncomplicated appendicitis. Systematic review of studies comparing NOM versus surgery with ≥2 years follow-up. Primary outcome was long-term failure rate. 9/1635 studies were included (3 RCTs; 6 non-RCT studies), involving 3883 patients; 5 were in pediatric populations. Median follow-up was 33.6 (range 24-312) months. NOM pooled long-term failure rate was 38.9% (95% CI: 31.1%-46.7%), increasing to 44.4% (95% CI: 41.4%-47.4%) in RCTs. Pooled appendectomy rate after NOM was 36.3% (95% CI: 28.9%-43.7%). Incidence of appendiceal neoplasms was approximately 0.3%. Non-operative management had cost savings of €1535 (95% CI: -€1892 to -€1178) versus surgery. NOM of acute uncomplicated appendicitis was associated with high long-term failure rates and significant risk of subsequent appendectomy.
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6. Enhancing preoperative planning for colorectal liver metastases: the role of open source 3D reconstruction across different levels of surgical expertise.
PMID:日期:2026-11-01This prospective study evaluated open-source 3D reconstruction's impact on the preoperative assessment of colorectal liver metastases (CRLM) compared to standard 2D computed tomography (CT), focusing on its role as an "educational equalizer." Thirty physicians, stratified by expertise, evaluated 10 cases of varying complexity. Performance was measured via a standardized scoring system (0-8), execution time, and satisfaction surveys. 3D modeling significantly improved diagnostic accuracy, with median scores increasing from 3.0 to 6.0 (p < 0.001). Mean evaluation time was reduced from 268.5 to 147.5 s (p < 0.001). Notably, Juniors using 3D reached accuracy levels comparable to Specialists using 2D-CT. User satisfaction was significantly higher for 3D reconstruction (p < 0.001). 3D reconstruction reinforces 2D-CT for CRLM planning, enhancing anatomical understanding and reducing cognitive workload. By supporting varying expertise levels, it acts as a useful educational tool for surgical training.
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7. The rise of coaching in surgery: Promise, limits, and the need for systemic change.
PMID:日期:2026-11-01该文献暂无摘要。
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8. Beyond the bench: Sociotechnical barriers to ergonomic change among interventional cardiology clinicians.
PMID:日期:2026-11-01In high-volume image-guided procedural suites, clinicians work in constrained spaces requiring frequent twisting, reaching, and bending, contributing to fatigue and long-term musculoskeletal strain. Within a broader evaluation of an over-the-patient worktable designed to improve procedural posture and reduce physical strain, this qualitative study examined how interventional cardiologists understand physical discomfort as part of their work and professional identity. Semi-structured interviews were conducted with nine clinicians (1 female) at a quaternary care hospital in the U.S. Midwest, representing early (n = 2), mid- (n = 3), and late-career (n = 4) stages. Sixty hours of ethnographic observation of TAVR procedures and related clinical activities provided contextual insight into workflow, interactions, and ergonomic practices. Drawing on structuration theory, we found that physical strain becomes embedded within routines and reinforced through team dynamics, institutional practices, and cultural expectations. Ergonomic improvement requires attention not only to technical design but also to the social organization of procedural work.
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9. Increased pulmonary morbidity and mortality with early video-assisted thoracic surgery for retained hemothorax.
PMID:日期:2026-11-01Video-assisted thoracic surgery (VATS) is recommended for approximately 30% of hemothoraces that become retained, yet the optimal timing for VATS remains debated. We sought to compare the relationship between VATS timing and associated outcomes. The pulmonary morbidity and mortality of early (≤4d), intermediate (5-10d) and late (≥10d) VATS in adults were compared in the 2017-2021 Trauma Quality Improvement Program. Of the 9784 VATS identified, pulmonary morbidity (57%) and mortality (4.5%) were higher in the early group relative to the intermediate (41, 3.0%) and late groups (48, 2.9%, p < 0.01) with higher rates of reintervention including secondary thoracotomy (4.5 vs. 3.1 vs. 3.2% p = 0.04) and tube thoracostomy (51 vs. 24 vs. 24%, p < 0.01). Risk-adjusted rates of both outcomes were inversely proportional to VATS days (p < 0.01). This study adds to ongoing debate regarding the optimal timing of VATS for retained hemothorax, supporting the need for prospective study.
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10. Parathyroid cryopreservation: A scoping review.
PMID:日期:2026-11-01There is a lack of consensus regarding the clinical utility of parathyroid cryopreservation (PC) and delayed autotransplantation (DA). This scoping review aimed to assess literature reporting on their frequency of use and functionality. A comprehensive search across MEDLINE, Embase, and CINAHL was completed to review the characteristics and outcomes of patients receiving PC and/or DA. Of 501 studies yielded from initial literature search, 31 studies were included. Study populations ranged from 1 to 29 patients and utilization rates of DA were 1-19%, except for one study. Many studies focused on MEN1 or secondary hyperparathyroidism patients. In all studies focused on secondary hyperparathyroidism, patients had fully functional transplants. PC and DA are not utilized frequently in routine practice of parathyroid operations. However, they do represent an option for patients with MEN1 and secondary hyperparathyroidism, who are at higher risk of postoperative hypoparathyroidism.