SURGERY TODAY今日外科
SURGERY TODAY(英文缩写 SURG TODAY),ISSN 0941-1291,eISSN 1436-2813,中文译名:今日外科 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 | 2.540 | Q2 |
| 2022 | 2.500 | Q2 |
| 2023 | 1.700 | Q2 |
| 2024 | 1.600 | Q2 |
| 2025 | 2.300 | Q2 |
SURGERY TODAY 最新收录文献
-
2. Revisiting the lateral-to-medial approach in robotic surgery for left-sided colorectal cancer.
PMID:日期:2026-10-01Robotic surgery has been widely adopted for left-sided colorectal cancer; however, mesenteric mobilization is predominantly performed using the medial-to-lateral approach. This technique can be technically demanding because dissection must be performed within a narrow working space dorsal to the mesenteric vessels, requiring the identification and preservation of the ureter and gonadal vessels. In robotic surgery, arm rigidity and the lack of tactile feedback may increase the risk of inadvertent pressure on the deep retroperitoneal structures. To address these challenges, we describe a lateral-to-medial approach that is optimized for robotic surgery. By utilizing wristed instruments, high-definition three-dimensional visualization, and stable traction, this approach enables mesenteric mobilization in a wider working space. In 19 patients, the mobilization time was comparable to that in the conventional approach, with no unintended deviation of the dissection plane. These findings suggest that the robotic lateral-to-medial approach is technically feasible and may be a useful option for robotic left-sided colorectal resection.
-
3. Comments on the published article: "periodontitis as a potential predisposing factor for gallstone cholecystitis''.
PMID:日期:2026-10-01该文献暂无摘要。
-
4. Preoperative sarcopenia diagnosed based on the asian working group criteria and Short-term outcomes in older patients undergoing resection of early-stage non-small cell lung cancer.
PMID:日期:2026-10-01Sarcopenia is a common comorbidity in older adults. This study aimed to clarify the association between preoperative sarcopenia, based on the Asian Working Group 2025 (AWGS2025) criteria, and postoperative outcomes in older patients with early stage non-small cell lung cancer. This retrospective study included patients aged ≥ 75 years who underwent lung resection for clinical stage I lung cancer. Sarcopenia was diagnosed based on grip strength and bioelectrical impedance-derived muscle mass measured according to the AWGS2025 criteria. The primary outcomes were postoperative pulmonary complications (PPCs), defined as Clavien-Dindo classification Grade ≥ 2 within 30 days, and unplanned readmission within 90 days after surgery. A logistic regression analysis was used to identify the factors associated with postoperative outcomes. Among the 107 patients, 28 (26%) were diagnosed with sarcopenia. The incidence of PPCs (32% [9/28] vs. 8% [6/79], P = 0.003) and unplanned readmission (18% [5/28] vs. 3% [2/79], P = 0.013) was higher in the sarcopenia group. Sarcopenia independently predicted PPCs (odds ratio [OR], 5.00; P = 0.020) and unplanned readmissions (OR, 9.17; P = 0.019). Preoperative sarcopenia, diagnosed using the AWGS2025 criteria, is closely associated with PPCs and unplanned readmissions in older patients. Preoperative screening may facilitate risk stratification and improve perioperative care.
-
5. Validation of a nomogram with inflammation-based markers developed to predict difficult laparoscopic cholecystectomy in patients with acute cholecystitis.
PMID:日期:2026-10-01To identify the predictors of difficult laparoscopic cholecystectomy (LC) in patients with acute cholecystitis (AC) and to develop a corresponding nomogram. In this retrospective study, we divided patients who underwent LC for acute cholecystitis into a training cohort (223 patients) and a validation cohort (88 patients). We defined difficult LC (DLC) as that resulting in blood loss ≥ 50 mL, operative time ≥ 150 min, or conversion to open surgery (DLC group). In the training cohort, the postoperative complication incidence and hospitalization duration were greater in the DLC group than in the non-DLC group (n = 130; 58.3% vs. n = 93; 41.7%, respectively). Multivariate analysis identified male sex, preoperative Glasgow Prognostic Score ≥ 1, neutrophil-to-lymphocyte ratio ≥ 6.75, symptom duration ≥ 72 h, and pericholecystic fat hyperdensity on computed tomography (CT) as independent predictors of DLC. The corresponding nomogram showed good discrimination (area under the curve of 0.806), with 77.55% sensitivity and 72.1% specificity, acceptable calibration, and clinical utility according to decision curve analysis. Our nomogram predicts DLC reliably and could be used for preoperative risk assessment and surgical treatment planning.
-
6. Comparison of the short-term outcomes of robotic colorectal surgery between the hinotori™ surgical robot system and da Vinci Xi surgical system: a retrospective propensity score matching analysis and inverse probability of treatment weighting.
PMID:日期:2026-10-01The hinotori™ surgical robot system (hinotori) is the first Japanese-made surgical robot. We conducted this study to compare the short-term outcomes of robotic surgery for colorectal cancer between the hinotori and da Vinci Xi systems during the same period. This retrospective study included 204 patients who underwent robotic colorectal cancer surgery at our institution between June 2024 and September 2025. Patients were classified into hinotori (n = 78) and da Vinci Xi (n = 126) groups. Propensity score matching (PSM) and inverse probability of treatment weighting (IPTW) were used to adjust for patient and tumor characteristics. After adjustment, the baseline demographics were well-balanced between the groups. No significant intergroup differences were observed in operative time, console time, blood loss, or postoperative hospital stay. Both groups had comparable histopathological outcomes. The incidence of Clavien-Dindo grade ≥ II complications did not differ significantly between the two groups after PSM or IPTW adjustments. This study showed that robotic colorectal surgery using the hinotori system is as safe and feasible as surgery performed using the da Vinci Xi system.
-
7. A learning curve analysis of resident-performed laparoscopic transabdominal preperitoneal inguinal hernia repair and the impact of the operative interval.
PMID:日期:2026-10-01Laparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP) is useful for resident training. However, the association between the operative interval and skill acquisition remains unclear. We evaluated the learning curve of resident-performed TAPP and explored the association between the operative interval and operative time changes. We retrospectively analyzed 67 consecutive TAPP cases performed by a single surgical resident. A cumulative sum (CUSUM) analysis was based on the adjusted operative time, with bilateral cases weighted by 0.6. Breakpoints were estimated using segmented regression, and the relationship between the operative interval and the change in adjusted operative time between consecutive cases (ΔTime) was assessed using exploratory analyses. A CUSUM analysis estimated breakpoints at 16.0 (95% CI, 13.7-18.3) and 38.1 (95% CI, 36.5-39.7) cases. BMI showed a weak negative correlation with operative duration. The adjusted operative time decreased across the learning, proficiency, and competency phases. Exploratory LOESS curves suggested a possible non-linear relationship between operative interval and ΔTime, with 8-14-day intervals showing a tendency toward a greater reduction during early phases. However, the differences among the interval groups were not significant. Resident-performed TAPP exhibited a three-phase learning curve. Case selection and operative interval may be associated with operative time changes, although these findings remain exploratory.
-
8. Anchor-shaped cutaneous flap for volume replacement in oncoplastic breast-conserving surgery for a lower non-ptotic breast.
PMID:日期:2026-10-01Breast-conserving surgery (BCS) is widely accepted as a standard treatment for early breast cancer, providing local control with favorable cosmetic outcomes. However, the resection of tumors in the lower pole of the breast often results in unsatisfactory deformities, particularly in women with small, non-ptotic breasts. We describe a simple oncoplastic technique using an anchor-shaped cutaneous flap that combines volume displacement of breast tissue with volume replacement using adjacent extra-breast tissue as a new oncoplastic breast-conserving surgery (OPBCS) technique. Three Japanese patients with early breast cancer involving the lower breast underwent this procedure. After complete tumor resection with adequate margins, an anchor-shaped cutaneous flap was designed along the inframammary fold. The de-epithelialized flap was elevated, rolled cranially, and sutured to fill the defect while simultaneously recreating the inframammary line. Both patients showed excellent breast symmetry, and there were no postoperative complications. This anchor-shaped flap is a practical option for patients with small, non-ptotic breasts who are not suitable candidates for reduction mammoplasty. It minimizes the volume deficit by removing redundant skin and effectively utilizes both intra- and extra-mammary tissue.
-
9. Clinical significance of lower admission amylase levels as an indicator of medical management in pancreatic trauma with AAST grade I injury.
PMID:日期:2026-10-01We aimed to explore whether the admission serum amylase levels may help inform the selection of medical management in patients with AAST Grade I pancreatic injuries. We retrospectively reviewed the records of 20 patients treated for pancreatic trauma between 2010 and 2024. They were categorized into medical management or intervention groups according to the initial treatment strategy. We used a receiver operating characteristic (ROC) analysis to evaluate the predictive value of the admission serum amylase levels for successful medical management. Eight patients were treated with strict medical management, whereas 12 required additional interventions. All patients in the medical management group had AAST Grade I injuries, and none required conversion to interventional treatment. The admission serum amylase levels were significantly lower in the medical management group (median 106 vs. 350 IU/L; p = 0.0228), whereas there were no significant intergroup differences in inflammatory markers. The ROC analysis yielded an area under the curve of 0.83 (95% CI, 0.59- 1.00). The cutoff value was 158 IU/L, with a sensitivity of 87.5% and a negative predictive value of 90.9%. Lower admission serum amylase levels in patients with AAST Grade I pancreatic injury may be associated with suitability for strict medical management; however, these findings are exploratory and require validation in larger multicenter studies.
-
10. Self-reported harassment during Japanese surgical residency: secondary analysis of a nationwide survey of newly board-certified surgeons.
PMID:日期:2026-10-01To assess the prevalence of self-reported harassment during surgical residency in Japan, identify independent risk factors, and examine its impact on early career intentions among newly board-certified surgeons. We conducted a prespecified secondary analysis of a 2023 nationwide survey of surgeons certified between 2021 and 2022 (N = 1410). Respondents answering "Yes" to the perceived harassment item were assigned to the harassment group, while those answering "No" constituted the control; respondents selecting "Prefer not to answer" were excluded from this prespecified secondary analysis to avoid interpretive ambiguity. Complete‑case multivariable logistic regression produced adjusted odds ratios (aORs) for trainee, program, and workload level correlates. Among the respondents, 304 (41.5%) reported harassment by instructors. In the multivariable model, low instructor teaching ability (adjusted odds ratio [aOR] 2.75; 95% CI] 1.72-4.41) and overtime > 80 h/month (aOR 2.28; 95% CI 1.57-3.30) were the primary factors independently associated with self-reported harassment. Furthermore, experiencing harassment was significantly associated with overall program dissatisfaction, lack of intention to return to the training institution, and a higher likelihood of dropping out (p < 0.001). Self-reported harassment experiences are associated with an excessive workload and unsatisfactory surgical instruction, threatening trainee retention. Duty hour limits, instructor education, and confidential reporting systems should therefore be prioritized.