SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND外科医生：爱丁堡和爱尔兰皇家外科医学院杂志
SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND(英文缩写 SURG-J R COLL SURG E),ISSN 1479-666X,eISSN 2405-5840,中文译名:外科医生：爱丁堡和爱尔兰皇家外科医学院杂志 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 | 2.632 | Q2 |
| 2022 | 2.500 | Q2 |
| 2023 | 2.300 | Q2 |
| 2024 | 2.500 | Q1 |
| 2025 | 2.700 | Q1 |
SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND 最新收录文献
-
1. The trials of conservative treatment of acute uncomplicated appendicitis in the paediatric population: A pilot study.
1. 儿科人群中急性无并发症阑尾炎保守治疗的试验：一项试点研究PMID:日期:2026-10-01Acute appendicitis is the most common paediatric surgical emergency. Although appendicectomy remains the gold standard, conservative management with antibiotics has gained attention following promising results from recent trials such as CONTRACT. This study reviews outcomes of conservatively managed, ultrasound-confirmed appendicitis in a paediatric cohort. A retrospective review was conducted of paediatric patients (<16 years) admitted with appendicitis between April 2020 and April 2022. Only cases with ultrasound-confirmed appendicitis were included. Patients with radiological evidence of perforation or abscess were excluded. Where the appendix was not directly visualised, inclusion required secondary inflammatory sonographic findings and an overall radiologist impression supporting acute appendicitis. Demographic, haematological and radiological data, treatment outcomes and length of stay were analysed using SPSS. 68 children had ultrasound-confirmed appendicitis; 13 (19%) were managed conservatively and 55 (81%) surgically. The mean age of conservatively managed patients was 11.4 ± 2.6 years, with 54% male. All conservatively managed patients achieved full recovery without recurrence or subsequent appendicectomy during a mean 4-year follow-up. Mean white cell count (WCC) was lower in the conservative group (12.3 ± 3.8 × 10/L) than in the surgical group (13.7 ± 4.1 × 10/L, p = 0.03), while C-reactive protein and neutrophil counts were similar (p > 0.05). WCC and CRP correlated positively (r = 0.41, p < 0.05). Mean length of stay was 2.45 days for conservatively managed and 3.57 days for surgically managed patients (p > 0.05). Whilst the majority of patients presenting to hospital were treated surgically (81%), a substantial amount were treated conservatively (19%), giving a unique opportunity to review the effectiveness of medical treatment of uncomplicated acute appendicitis. Conservative treatment has proved to be effective in 100% of cases, supporting the feasibility of conservative management in appropriate cases.
-
4. Trends in applications to Core Surgical Training in Great Britain across ten application cycles: A decline in commitment to Core Surgical Training.
PMID:日期:2026-10-01Core Surgical Training (CST) is the most common route into Higher Surgical Training (HST) in the UK, yet competition remains high and recruitment processes have changed repeatedly. Rising competition for training programmes has led to alternative routes into HST such as the Certificate of Readiness to Enter HST (CREHST) as well as parallel applications to other training specialties, however the scale of this amongst CST applicants has not been previously described. Freedom of Information requests were submitted to NHS England to obtain annual CST application counts between 2016-2025, the number applying exclusively to CST, and among multi-programme applicants, the specialties to which they applied. Data was requested on HST applications from CST and CREHST backgrounds. CST applications in Great Britain increased from 1511 in 2016 to 5399 in 2025, while the number of posts remained largely unchanged. The proportion applying exclusively to CST declined from 49.1% in 2016 to 17.2% in 2025. Ratio of applicants to total applications peaked at 4.9 in 2024 compared with 1.9 in 2016. The most common parallel applications were general practice and run-through ST1 surgical programmes at 16.9% and 16.2%, respectively. In 2025, HST applications from CREHST backgrounds exceeded those from CST in all specialties except otolaryngology and plastic surgery. CST demand has risen markedly without a similar expansion in posts, accompanied by a substantial reduction in CST only applications and increasing use of alternative routes into HST. These trends suggest applicants are increasingly broadening their applications to maximise progression opportunities.
-
5. The physical, cognitive, and organizational ergonomics in robotic surgery: A systematic review of experimental studies.
PMID:日期:2026-10-01This innovation provides significant ergonomic benefits, along with some new challenges compared to traditional laparoscopic (TLS) and open surgical methods. Therefore, this study analyzes relevant published experimental research to evaluate ergonomics associated with RAS. A systematic search was performed utilizing the MEDLINE/PubMed, Cochrane CENTRAL, and Embase databases to identify relevant literature related to physical, cognitive, and organizational ergonomics in RAS. Subsequently, eligible articles were selected using the Rayyan tool. The quality assessment was done using the Cochrane Collaboration Risk of Bias Tool (ROB-2, version 2). Outcomes were systematically categorized and evaluated manually, and the findings were presented in a structured format, highlighting the key aspects of physical, cognitive, and organizational ergonomics. The analysis included 17 articles, comprising 14 RCTs, 2 clinical trials, and 1 pilot study. Among these, 9 studies evaluated physical ergonomics, 9 addressed cognitive ergonomics, and 8 focused on organizational ergonomics. The findings indicate the RAS significantly enhances physical ergonomics for surgeons by decreasing physical demands, effort, and discomfort while simultaneously improving dexterity and ease of use. Additionally, RAS reduces the ergonomic risks associated with work-related musculoskeletal disorders (MSDs) compared to TLS. RAS has superiority in physical ergonomics compared to traditional methods.
-
6. What is the place of rural attachments in surgical training? A qualitative study of Scottish trainee experiences.
PMID:日期:2026-10-01Rural surgical training attachments are an important means to improve rural-urban workforce equity. Recent evidence from the USA indicates that the educational benefits of rural surgical attachments are much broader than just developing a rural workforce pipeline. In our own context rural attachments have been offered for many years, but the quality and gains from rural training have not been studied previously. Thus, the study aim was to explore UK core surgical trainees' experiences of a remote and rural rotation and the value they placed on this experience in terms of positioning them for their next career surgical steps. This was a qualitative study using semi-structured interviews to gather the views and experiences of core surgical trainees (CSTs) who had undertaken a placement in a Scottish rural hospital. Interview questions were developed from the wider literature. Data were analysed using an inductive, thematic approach. Four themes were identified from interviews with 10 trainees. First, rural surgical training is a unique and valuable learning experience, ideal for early surgical training, offering useful experiences for personal and professional growth. Second, rural training is a positive and personalised experience: a community experience both within and outside the hospital. Third, rural training is an opportunity to gain a broad understanding of healthcare delivery, and the impact of context on healthcare delivery. Fourth, there was a perceived misalignment between rural surgical training and core training requirements, and a view that rural training was not for everyone. Rural surgical attachments in Scotland are high-quality educational experiences which effectively facilitate the development of both technical and non-technical skills and deliver self-learning as well as an understanding of the wider context of surgical care delivery. These placements integrate well into many surgical careers and their uniqueness could be better recognised in the training system.
-
7. Most trauma & orthopaedic surgeons believe their work puts them at risk of noise-induced hearing loss: a cross-sectional survey.
PMID:日期:2026-10-01Trauma and orthopaedic (T&O) surgery involves the use of instruments that generate loud noises. However, the perceptions of T&O surgeons regarding intraoperative noise are unknown. In the United Kingdom (UK), the 2005 Control of Noise at Work Regulations governs occupational noise exposure. This study aimed to investigate how T&O surgeons perceive and respond to intraoperative noise exposure, including their receipt of noise-related safety training and their awareness of relevant occupational health regulations. A 19-item questionnaire was distributed to T&O surgeons via social-media and email lists between 13th November 2024 and 13th February 2025. The questionnaire captured data on demographics and topic-specific issues. A total of 126 responses were analysed. Most respondents were male (91.27%) with a median age of 45 years (IQR 37-53). Over half (54.76%) believed the procedures they were involved in are likely to cause noise-induced hearing loss. Concern was highest among those performing hip arthroplasty (regression coefficient 20.42, 95%CI 1.99-38.85, p = 0.030). Most participants reported not taking precautions to protect their hearing (89.68%). Only 11% were aware of the 2005 Control at Work Noise Regulations, and 99% did not receive formal training on workplace noise exposure. Despite concern about intraoperative noise exposure, most surgeons lacked awareness of the 2005 Control of Noise at Work Regulations and did not receive formal workplace training nor adopt protective measures. These findings highlight the need for improved support from professional bodies and employers to address these gaps and ensure access to training and equipment to mitigate the harms from intraoperative noise exposure.
-
8. Which benign-appearing impassable sigmoid strictures are safe to manage conservatively? Insights from a multicenter cohort.
PMID:日期:2026-10-01Impassable sigmoid strictures with benign endoscopic appearance present a clinical dilemma, balancing the risk of missed malignancy against the morbidity of surgical resection. Historical guidelines have recommended resection by default, but contemporary imaging and multidisciplinary team (MDT) input may allow for more selective, conservative management. To evaluate clinical features and decision-making factors associated with safe non-operative management of benign-appearing impassable sigmoid strictures. A multicentre retrospective analysis was conducted across three NHS hospitals between 2017 and 2023. Patients with benign-appearing sigmoid strictures at index colonoscopy were included. Data were collected on imaging, biopsy, MDT decisions, management strategy, and long-term outcomes. Patients were stratified by operative vs conservative treatment, and a decision-support framework was developed based on MDT experience. Of 108 impassable sigmoid strictures, 51 were benign-appearing. Among these, 37 (72.5%) were managed conservatively and 14 (27.5%) underwent surgery. No cases of colorectal cancer were identified in the conservatively managed group over a minimum follow-up of two years. Malignancy was confirmed in 3 of 14 (21.4%) resected patients. Conservative decisions were supported by reassuring imaging, absence of red-flag symptoms, and benign or unobtainable biopsies. A practical framework was developed to guide MDT case selection. Selected patients with benign-appearing impassable sigmoid strictures can be safely managed without surgery, particularly when supported by modern imaging, clinical judgment, and MDT review. These findings challenge the need for routine resection and support a tailored, risk-adapted approach.
-
9. Can we reduce the residual use of Hartmann's procedure in generalized peritonitis due to perforated colonic diverticulitis ?
PMID:日期:2026-10-01Primary anastomosis (PA) is now recommended for most cases of diverticular peritonitis. However, recent studies have shown that Hartmann's Procedure (HP) is still included in the majority of practice patterns. The aim of this study was to analyze situations wherein HP was carried out and to define its remaining place among current treatment options for generalized peritonitis. We performed a retrospective cohort study of patients who underwent sigmoidectomy for diverticular peritonitis at Rouen University Hospital between 2004 and 2020. Logistic regression was computed to evaluate the predictive factors of treatment attribution. 257 patients were included in this study, of whom 154 patients (59.9%) were managed with HP and 103 (40,1%) were managed with PA. The rate of PA progressively increased and represented the majority from 2018. PA was performed by a fellow surgeon in 28% of cases and during the night shift in 60% of cases. A procedure performed by a colorectal specialist surgeon or by a senior surgeon was significantly associated with PA, with ORs of 3.43 (p = 0.017) and 2.06 (p = 0.041), respectively. Night surgery, a medical history of immunosuppression, an ASA score = 3, and age above 75 years were significantly associated with HP, with ORs of 0.33 (p = 0.002), 0.31 (p = 0.023), 0.25 (p = 0.005), and 0.31 (p = 0.011), respectively. Over time, the use of primary anastomosis progressively increased and became the predominant strategy in our institution. These findings suggest that, in appropriately selected patients and when performed by experienced surgeons, primary anastomosis is a safe and increasingly applicable strategy in generalized diverticular peritonitis.
-
10. Predicting postoperative risk in adult men undergoing ankle fracture surgery: Development of a novel composite frailty score.
PMID:日期:2026-10-01Ankle fractures represent one of the most common orthopedic injuries, with over five million cases annually in the United States. As surgical populations age, comprehensive preoperative risk stratification becomes increasingly critical for optimizing patient outcomes and resource allocation. While individual frailty indices such as the Risk Analysis Index (RAI), Geriatric Nutritional Risk Index (GNRI), and American Society of Anesthesiologists (ASA) classification have demonstrated predictive value for postoperative complications, no composite scoring system has been validated for ankle fracture surgery. This retrospective cohort study analyzed 10,626 adult male patients who underwent surgical treatment for isolated ankle injuries between 2015 and 2021 using the ACS NSQIP database. Patients were stratified using RAI (robust ≤20, normal 21-30, frail 31-40, very frail ≥41), GNRI nutritional risk categories, ASA classification, and a novel Combined ASA-RAI-Preoperative Acute Severe Condition (CARP) score. Primary outcomes included 30-day mortality, major complications, extended length of stay, non-home discharge, unplanned readmission, and reoperation. Model discrimination was assessed using receiver operating characteristic curve analysis with internal validation via bootstrap resampling. The cohort demonstrated low overall mortality (0.16%) but significant morbidity across frailty tiers. CARP demonstrated superior discriminative performance compared to individual indices for major complications (AUC 0.757 vs RAI 0.701, p = 0.025), minor complications (AUC 0.879 vs ASA 0.793, p = 0.002), and extended length of stay (AUC 0.735 vs mFI-5 0.669, p < 0.001). Bootstrap validation confirmed model stability with bias-corrected AUCs maintaining statistical significance. The novel CARP score provides enhanced risk stratification for ankle fracture surgery compared to traditional individual indices, enabling more precise preoperative counseling and perioperative optimization in this high-volume surgical population.