Annali Italiani di Chirurgia意大利外科学年鉴
Annali Italiani di Chirurgia(英文缩写 ANN ITAL CHIR),ISSN 0003-469X,eISSN 2239-253X,中文译名:意大利外科学年鉴 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：2025-09-28 至 2026-09-28，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 | 0.730 | Q4 |
| 2022 | 0.800 | Q4 |
| 2023 | 0.900 | Q3 |
| 2024 | 0.500 | Q4 |
| 2025 | 0.800 | Q4 |
Annali Italiani di Chirurgia 最新收录文献
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3. Pulmonary Sequestration Masquerading as Bronchiectasis in an Adult: A Case of Diagnostic Dilemma and Literature Review.
PMID:日期:2026-09-15Pulmonary sequestration is a rare congenital anomaly of the lung characterized by nonfunctioning pulmonary tissue that lacks normal communication with the tracheobronchial tree and receives blood supply from the systemic rather than the pulmonary circulation. Many patients remain asymptomatic for years, resulting in delayed diagnosis until adulthood. We report a case of adult intralobar sequestration (ILS) in which early diagnosis was obscured by bronchiectasis. This case aims to increase clinical awareness and provide insights into clinical strategies to reduce missed diagnoses. A 45-year-old woman initially presented with fever, cough, and right-sided chest pain. Chest computed tomography (CT) showed bronchiectatic changes with infection in the right lower lobe, and her symptoms improved after anti-infective treatment. However, recurrent hemoptysis developed 10 days later. Thoracic aortic computed tomography angiography (CTA) with three-dimensional reconstruction identified an aberrant systemic artery supplying the right lower lobe, confirming the diagnosis of intralobar pulmonary sequestration. The patient subsequently underwent a right lower lobectomy via video-assisted thoracoscopic surgery (VATS). During the operation, an aberrant artery originating from the aorta was successfully identified and secured with double ligation. Postoperative pathological examination confirmed pulmonary sequestration, revealing marked thickening of the alveolar walls and chronic inflammation. At the 3-month follow-up, the patient had recovered well, with no recurrence of symptoms. Pulmonary sequestration should be considered in patients with recurrent localized bronchiectatic lesions, particularly when hemoptysis occurs or response to treatment is incomplete. CTA with vascular reconstruction is useful for diagnosis and preoperative evaluation.
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4. Enteric NK/T Cell Lymphoma-induced Recurrent Perforation in the Intestine: A Case Report.
PMID:日期:2026-09-15To report a rare case of recurrent intestinal perforation caused by primary intestinal extranodal NK/T-cell lymphoma (ENKTL), analyze the diagnostic challenges of this rare and aggressive malignancy, and raise clinical awareness for its early identification and optimal management in patients with unexplained gastrointestinal perforation. A 31-year-old female presented with 3 days of persistent hypogastric abdominal pain and a 1-day history of high fever up to 39 ℃. She had undergone emergency surgery for jejunal perforation 20 months prior, with a postoperative pathological diagnosis of Epstein-Barr virus (EBV)-associated T- and NK-cell lymphoproliferative disorders. Multiple follow-up colonoscopies and bone marrow aspiration examinations failed to confirm the diagnosis of ENKTL, due to negative immunohistochemical staining of cluster of differentiation (CD)56 and EBV-encoded small RNA (EBER) in biopsy specimens. Abdominal contrast-enhanced computed tomography on this admission confirmed intestinal perforation, and emergency partial ileectomy was performed. Histopathological examination of the resected specimen showed diffuse full-thickness intestinal infiltration of atypical lymphoid cells, with positive immunohistochemical staining for CD2, CD3, CD56, T‑cell intracellular antigen‑1 (TIA-1) and EBER, and a Ki-67 proliferation index of approximately 70%. The final diagnosis of ENKTL (Ann Arbor stage IVA) was confirmed, and the patient received systemic chemotherapy with a regimen of methotrexate, etoposide, dexamethasone and pegaspargase after surgery. The patient's general condition improved significantly after combined surgical intervention and systemic chemotherapy. During the 26-month continuous follow-up, the patient remained in good general condition, with no recurrence of abdominal pain, intestinal perforation, disease progression, or severe treatment-related adverse events. Primary intestinal ENKTL is a rare and highly aggressive subtype of non-Hodgkin lymphoma, whose non-specific clinical and imaging manifestations pose major challenges for early diagnosis, which may lead to delayed treatment and unfavorable prognosis. This disease should be included in the core differential diagnosis for young patients, especially Asian populations, presenting with unexplained gastrointestinal perforation. Repeated deep tissue biopsy, EBER detection combined with comprehensive imaging evaluation are essential for early definitive diagnosis, and timely surgical intervention combined with standardized systemic chemotherapy can effectively improve the clinical outcomes of affected patients.
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5. Blood Loss in Pancreatic Resections: Definitions, Risk Factors and Strategies for Intra- and Postoperative Bleeding Prevention - A Narrative Review.
PMID:日期:2026-09-15Pancreatic resections are among the most complex procedures in general surgery and are associated with high morbidity. Intraoperative blood loss and post-pancreatectomy hemorrhage (PPH) are clinically relevant yet inconsistently defined and reported, limiting comparability across studies. This narrative review integrates current evidence on definitions, risk factors, and preventive approaches for bleeding in pancreatic surgery. A selective PubMed literature review was conducted without restrictions on publication date or study design, limited to full-length English-language articles. Multiple targeted searches addressed definitions of blood loss, PPH, patient- and procedure-related risk factors, patient blood management, tranexamic acid, surgical techniques, and perioperative outcomes. Blood loss estimation is highly heterogeneous across studies. Key risk factors for increased blood loss and/or PPH include obesity, antithrombotic therapy, preoperative anemia, vascular resection, and prolonged operative time. Higher intraoperative blood loss correlates with higher reoperation rates, prolonged intensive care unit (ICU) stay, and increased 90-day mortality. While perioperative transfusions are associated with shorter long-term survival in observational studies, causal interpretation remains limited by confounding, suggesting that blood loss and preoperative anemia rather than transfusion itself drive adverse outcomes. Effective preventative approaches include Patient Blood Management (PBM) programs, preoperative intravenous iron supplementation, the artery-first approach, and minimally invasive surgical techniques, which may reduce blood loss and/or transfusion requirements; prophylactic falciform ligament wrapping may reduce the risk of PPH. Systematic preoperative risk assessment, structured PBM protocols, and tailored surgical strategies are necessary to minimize hemorrhagic complications in pancreatic surgery.
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6. Progress of Digital Technologies in the Perioperative Management of Postoperative Delirium Among Older Adults.
PMID:日期:2026-09-15Postoperative delirium (POD) is one of the most common and severe complications among older adults, and is closely associated with poor outcomes, increased healthcare costs, and long-term cognitive decline. With the rapid growth of the global aging population and the continuous emergence of new geriatric surgical procedures, the prevention and management of POD have become a major challenge. Traditional risk assessment tools have inherent limitations in clinical practice and are insufficient to meet the growing demands of precision medicine. In recent years, digital technologies have shown tremendous potential in perioperative management; innovations such as machine learning-based predictive models, wearable sensors, electroencephalogram (EEG) monitoring, and large language models are increasingly being adopted for POD risk identification. This review comprehensively summarizes research advances in digital technology for POD risk identification and their role in clinical decision support for older adults, with the aim of providing evidence-based insights and implementation guidance for clinical practice.
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7. Effects of Animated Video Instruction Combined With Practical Demonstration Video on Postoperative Functional Exercise Compliance and Rehabilitation Outcomes in Patients Undergoing Arthroscopic Shoulder Surgery.
7. 动画视频指导联合实操演示视频对肩关节镜手术患者术后功能锻炼依从性及康复效果的影响PMID:日期:2026-09-15Patients undergoing shoulder arthroscopy often exhibit poor rehabilitation compliance due to kinesiophobia and inadequate understanding of postoperative rehabilitation. This study aimed to investigate the impact of animated video instruction combined with practical demonstration videos on postoperative compliance with functional exercises, correct brace use, and recovery of shoulder function in patients undergoing arthroscopic shoulder surgery, thereby providing evidence to optimize rehabilitation protocols. This prospective randomized controlled trial enrolled 140 patients between January 2024 and January 2025, who were randomly assigned to an experimental group (n = 70, combined video-based intervention with weekly application (APP)-based remote rehabilitation guidance) or a control group (n = 70, conventional care). Outcome measures included exercise compliance (6 weeks, 3 months, and 6 months), brace usage accuracy (1 week, 6 weeks, and 3 months), Constant-Murley Score (CMS), complication rate, and nursing satisfaction. The experimental group demonstrated significantly higher exercise compliance rates at 6 weeks, 3 months, and 6 months (90.00%, 78.57%, 71.43%, respectively) than the control group (71.43%, 57.14%, 41.43%, respectively; all < 0.05). Correct brace usage rates at 1 week and 6 weeks were also significantly higher in the experimental group (75.71% and 88.57%, respectively) compared with the control group (41.43% and 58.57%, respectively; both < 0.001). At 1 week, 6 weeks, and 3 months postoperatively, the experimental group achieved significantly higher total CMS scores and subscores, including pain, range of motion, muscle strength, and activities of daily living, than the control group (all < 0.05). Additionally, the experimental group showed a lower overall complication rate (8.57% vs. 24.29%, = 0.012) and a higher proportion of "very satisfied" nursing evaluations (85.71% vs. 54.29%, < 0.001). The combined video-based rehabilitation intervention significantly improves postoperative exercise compliance, correct brace use, and early recovery of shoulder function. This approach may serve as a standardized rehabilitation nursing strategy for broader clinical application. ISRCTN registry (ISRCTN13541497).
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8. Dynamic Changes and Influencing Factors of Acute Pain After Elastic Band Ligation of Internal Hemorrhoids in Patients With Mixed Hemorrhoids.
PMID:日期:2026-09-15To investigate the dynamic trajectory of acute pain after elastic band ligation of internal hemorrhoids in patients with mixed hemorrhoids and to analyze the independent factors influencing the pain trajectory. This single-center retrospective study included 173 patients with mixed hemorrhoids (grade III or IV) who underwent elastic band ligation of internal hemorrhoids at the Department of Proctology, The People's Hospital of Tinghu District, between April 2022 and April 2025. Baseline data, preoperative Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Social Support Rating Scale (SSRS) scores, and visual analog scale (VAS) pain scores on postoperative days 1, 3, 7, and 14 were collected. A growing mixture model (GMM) was used to identify pain progression trajectories. Univariate and multivariate logistic regression analyses were used to identify independent factors influencing trajectory categories, and receiver operating characteristic (ROC) curves were used to assess the discriminative power of risk factors. GMM analysis identified two pain progression trajectories: a rapid relief group (82 cases, 47.4%) and a poor relief group (91 cases, 52.6%). There were statistically significant differences in VAS scores at each postoperative time point and in intra-group time changes between the two groups ( < 0.001). Multivariate logistic regression analysis showed that age (odds ratio [OR] = 0.90, 95% confidence interval [CI]: 0.85-0.96, = 0.002), SAS score (OR = 1.05, 95% CI: 1.01-1.10, = 0.018), SDS score (OR = 1.05, 95% CI: 1.01-1.09, = 0.009), SSRS total score (OR = 0.72, 95% CI: 0.65-0.81, < 0.001), and number of ligations (OR = 4.96, 95% CI: 1.25-19.77, = 0.023) were independent factors influencing the pain trajectory. ROC curve analysis showed that the area under the curve for the combination of these factors was 0.94 (95% CI: 0.91-0.97), the optimal cutoff value was 0.635, the sensitivity was 0.82, and the specificity was 0.96. Postoperative pain following elastic band ligation for mixed hemorrhoids exhibits heterogeneous trajectories. Younger age, higher preoperative anxiety and depression levels, lower levels of social support, and a greater number of ligations increase the risk of patients falling into an unfavorable relief trajectory. These factors may help identify patients at risk of unfavorable postoperative pain trajectories and inform individualized postoperative pain management.
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9. The Impact of Enteral Nutritional Support on Surgical Complications and Clinical Efficacy in Children With Neuroblastoma With Moderate or High Nutritional Risk.
PMID:日期:2026-09-15This study aims to investigate the association between enteral nutritional support, surgical complication rates, and the nutritional improvement effect in pediatric neuroblastoma (NB) patients. This retrospective cohort study enrolled 94 neuroblastoma patients (≤14 years old) with moderate or high nutritional risk who underwent treatment at Hunan Children's Hospital between August 2019 and October 2021. Patients were assigned to a control group (n = 45), who received routine dietary guidance, and an experimental group (n = 49), who received enteral nutritional support along with routine dietary guidance. Group assignment indicated clinical decision-making by the treating clinicians, taking into account various parameters such as the children's tolerance to oral intake, the severity of digestive tract symptoms, the Nutrition Screening Tool for Childhood Cancer (SCAN) score, and caregivers' preferences. These clinical considerations were combined with input from caregivers when determining the nutritional protocol. The nutritional status, daily energy intake, and incidence of complications after surgery and chemotherapy were compared between groups. Before treatment, no statistically meaningful variations in all indicators were observed between groups ( > 0.05). After surgery and chemotherapy, the experimental group showed substantially higher levels of physical indicators (mid-upper arm circumference [MUAC], triceps skinfold thickness [TSFT] and biochemical indicators (hemoglobin [Hb] and prealbumin [Pre-Alb]) than the control group ( < 0.05)). After surgery and chemotherapy, the experimental group exhibited substantially higher average daily energy and protein intake levels compared with the control group ( < 0.05). Additionally, the experimental group had significantly lower rates of postoperative complications (4.1% versus 24.4%, risk ratio [RR] = 0.168, 95% confidence interval [CI]: 0.041-0.690) and post-chemotherapy complications (2.0% versus 15.6%, RR = 0.128, 95% CI: 0.017-0.967) than the control group ( < 0.05). No adverse events related to enteral nutritional support occurred in the experimental group during the intervention period. Enteral nutritional support can substantially improve the nutritional status and daily energy intake in neuroblastoma patients with moderate or high nutritional risk. This intervention can further decrease the likelihood of complications after surgery and chemotherapy.
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10. To Explore the Effects of Multidisciplinary Collaborative Nursing on Clinical Outcomes in Patients Undergoing Skull Defect Repair.
PMID:日期:2026-09-15To explore the effects of the multidisciplinary collaborative nursing model on neurological function, cognitive function, depressive symptoms, and quality of life in patients with cranioplasty (i.e., surgical repair of skull defects). This is a single-center retrospective study. A total of 101 patients who underwent skull defect repair at The First People's Hospital of Jiashan from June 2022 to November 2025 were selected as the study population. Patients were divided into two groups based on sequential temporal cohorts: those treated before the implementation of the multidisciplinary collaborative nursing protocol (June 2022 to October 2023) were designated as the control group (n = 54), whereas those treated after its hospital-wide implementation (November 2023 to November 2025) served as the observation group (n = 47). The control group received routine nursing, while the observation group received multidisciplinary collaborative nursing, including multidisciplinary team formation, preoperative psychological counseling and rehabilitation guidance, postoperative rehabilitation training, dynamic assessment of psychological status, and continuous nursing guidance after discharge. Neurological function, cognitive function, anxiety/depression, and self-care ability were assessed using the National Institutes of Health Stroke Scale (NIHSS), Mini-Mental State Examination (MMSE), Hospital Anxiety and Depression Scale (HADS), and Activities of Daily Living (ADL), respectively. Quality of life was measured with the General Quality of Life Inventory-74 (GQOLI-74), and postoperative complications were documented. Before the intervention, no significant differences were observed between the two groups in any of the measured indices ( > 0.05). After the intervention, both groups demonstrated improvement in neurological and cognitive function, as well as reductions in anxiety and depression scores; however, the observation group showed significantly greater improvements compared with the control group. The observation group showed significantly lower NIHSS scores than the control group ( = 0.02), along with significantly higher MMSE scores ( < 0.01). Both HADS-A ( < 0.01) and HADS-D scores ( < 0.05) were significantly reduced in the observation group compared with the control group. The ADL score of the observation group was also significantly higher than that of the control group ( = 0.01). Regarding quality of life, the observation group demonstrated significantly higher scores in the psychological ( < 0.01), social ( = 0.03), and physical dimensions ( < 0.01), while no significant difference was found in the material dimension ( = 0.30). Furthermore, the overall complication rate was significantly lower in the observation group ( = 0.04). Multidisciplinary collaborative nursing markedly improves neurological and cognitive function in patients undergoing skull defect repair, effectively alleviates anxiety and depression, enhances daily living self-care ability and quality of life, and reduces the incidence of postoperative complications.