BJS Open

Video-based assessment tool for workflow analysis in minimally invasive colorectal surgery: expert consensus-based development and multicentre validation of ColoWorkflow ➡️doi.org/10.1093/bjsope… ColoWorkflow, the first video-based assessment tool for workflow analysis across minimally invasive colorectal procedures, was based on a modified Delphi process involving over 40 experts from 11 countries. Validation on a multicentre data set demonstrated moderate-to-strong inter-rater reliability and broad applicability across five major colorectal procedures. ColoWorkflow provides a standardized framework for benchmarking surgical workflows, improving training, and developing artificial intelligence-driven workflow recognition in colorectal surgery. 👏👏👏Pooja P Jain , Pietro Mascagni , Giuseppe Massimiani , Nabani Banik , Marta Goglia , Lorenzo Arboit , Britty Baby , Andrea Balla , Ludovica Baldari , Gianfranco Silecchia , Claudio Fiorillo , The CompSurg Colorectal Experts Group , Sergio Alfieri , @smoralesconde , Deborah S Keller , Luigi Boni , Nicolas Padoy #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #colorectalsurgery #colorectalcancer @FightCRC #StepUp4CRC @dice_europe

@robhinchliffe1 @asgbi #asgbi2026

👏 Next up for BJS LIVE @evanscolorectal, joint Editor-in-Chief @BJSurgery @asgbi #asgbi2026

Clinical and molecular landscape of surgically resected early onset pancreatic cancer ➡️ doi.org/10.1093/bjs/zn… EOPC is associated with a shorter time to recurrence and more aggressive, adverse molecular pathology. Work by Stephan B Dreyer , Adam Bryce , Fieke Froeling , Shannon Jackson Australian Pancreatic Cancer Genome Initiative , Leonor Santana , Euan J Dickson , Maria Coats , Colin McKay , David Holroyd , Andrew V Biankin , Nigel B Jamieson , David K Chang #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery

📢 Calling trainee organisations, student bodies and organisations that are not a BJS Foundation partner! Interested in applying for funding to support education? 🌍 Explore available opportunities here: ➡️buff.ly/wFId3b8 Application deadline: 1 June! ⏳ #FundingOpportunity #EducationSupport #LeadingSurgicalEducation @BJSurgery @BjsOpen @Young_BJS

In 1985, Erich Mühe performed the first laparoscopic cholecystectomy—and was reprimanded for it. Today, the problem isn’t rejecting innovation. It’s the opposite. A new review shows: ▪️ Median 5-year delay from first procedure to publication ▪️ Only 11% prospectively registered ▪️ 98% high risk of bias We now have the IDEAL framework—but we’re not using it. This article asks a difficult question: Have we learned anything about evaluating surgical innovation? Read it here 👉 buff.ly/TqJseH1 #LeadingSurgicalEducation #SurgicalInnovation #MedEd #Research

Effectiveness of interventions delivered within inpatient perioperative care in adults undergoing surgery: scoping review of systematic reviews ➡️doi.org/10.1093/bjsope… This study provides a contemporary overview of the effectiveness of interventions delivered within inpatient perioperative care to adults undergoing surgery. The scoping review provides much needed clarity in a complex and diverse field, and can valuably inform research priorities to allocate often limited resources and help focus on intervention strategies that are likely to provide the most benefit and have the greatest impact on patients after surgery. 👏👏👏Charlotte Davies , Isobel Read , Penny Sucharitkul , Ronelle Mouton , @robhinchliffe1 #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery

Quality metrics for perioperative red blood cell transfusion in gastrointestinal cancer surgery: international Delphi consensus ➡️doi.org/10.1093/bjsope… A consensus on quality metrics to assess and monitor the use of perioperative red blood cell transfusion (RBCT) in gastrointestinal cancer surgery was generated through a four-round modified Delphi process with 37 international experts. Consensus was reached on 18 quality metrics across structures, processes, and outcomes of care, reflecting both clinical importance and feasibility. These expert-endorsed metrics can support institutions and health systems in monitoring RBCT practices, with a view to reducing unwarranted variation in RBCT use and improving patient outcomes and blood resource stewardship in gastrointestinal cancer surgery. 👏👏👏@HalletJulie, @jesse_zuckerman , Frances C Wright , Jeannie Callum , Alyson L Mahar , Alexis F Turgeon , Asim Alam , Jessica Armah , @Gio_Marchegiani , David Cavallucci , Guillaume Martel on behalf of , the RBCT Quality Metrics Group #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery

❓What makes a BJS Award winner?❓ ➡️bjsacademy.com/page/bjs-award… 2023's winner, Professor Henrik Kehlet, described as a “colossus” in the field of research into perioperative care, was selected by a panel of experts from around the global surgical community, in a process similar to that of the selection for Nobel laureates, for his profound impact on patient care. Be sure to check out the citation by Derek Alderson, Professor's Kehlet's moving acceptance speech and more while you consider who you'll be nominating this year! Nomination deadline: 26 June #2027BJSAward #ShapingSurgicalScience #LeadingSurgicalEducation #SoMe4Surgery @BJSurgery @BjsOpen #surgery #surgeon #medical #medicine #2027BJSAward #ShapingSurgicalScience #LeadingSurgicalEducation #SoMe4Surgery @BJSurgery @BjsOpen @asgbi @IfsoSecretariat @ACPGBI @BAETS_UK @Augishealth @OPSORE @amcgmx @spcir @CerrahiTurk @VSGBI @ALRSGBIAcademy @BritishHernia @STARSurgUK @ASiTofficial @roux_group @spigc2018 @_WACS_Surgeons @cosecsa @NIHR_GSU @websurg

Clinical Outcomes Associated with Prior GLP-1 Exposure in Burned Patients ➡️doi.org/10.1093/bjs/zn… 💉 GLP-1 receptor agonists may offer benefits beyond glycaemic control in burn patients, with potential anti-inflammatory and immunomodulatory effects. 📊 In a large matched cohort (n=8,307 per group), prior GLP-1 use was associated with 54% lower mortality (OR 0.46; p<0.001). 🏥 Significant reductions were seen in ICU admission (−35%) and intubation (−62%), indicating lower critical care needs. 🦠 Infectious complications were also reduced, including sepsis (−32%), pneumonia (−24%), and MRSA (−27%), with less antibiotic use. ⚠️ A signal toward increased hypertrophic scarring (+27%) was observed at longer follow-up. 🎯 Prior GLP-1 exposure may improve burn outcomes, supporting further prospective studies to guide perioperative strategies. Work by Adam Boukind, MSE , Aviral C Sharma, BS , Marco J Henriquez, MD , Saif Badran, MD, PhD #Burns #CriticalCare #GLP1 #SurgicalOutcomes #Inflammation #PerioperativeCare #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #SoMe4Trauma #emgensurg @WSESurgery @NELANews

Differences in recovery time between trapeziectomy and carpometacarpal joint replacement: meta-analysis ➡️ doi.org/10.1093/bjsope… This study aimed to define and compare patient-reported recovery trajectories following trapeziectomy and carpometacarpal (CMC) joint replacement for thumb-base osteoarthritis. This study provides level II evidence that CMC joint replacement results in faster recovery than trapeziectomy over the first 3 months after surgery, with newer dual-mobility implants associated with quicker recovery in DASH and key pinch strength than single-mobility implants. These findings can be used to counsel patients in their recovery and to aid in future study designs. 👏 👏 👏 Lauren Y Chong , Olivia J Hartrick , Chetan Khatri , Ciaran Sandhu , Sumedh Bele , Jeremy Rodrigues , Conrad Harrison #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy  @BJSurgery #handsurgery

🎓 Funding available for educational activities in your organisation! ➡️buff.ly/wFId3b8 Apply now for a #BJSLecture to invite top speakers by supporting travel & accommodation costs. Deadline: 1 June ⏳ 🌍 Check out an example BJS Lecture here: buff.ly/i5lAwCr #FundingOpportunity #EducationSupport #LeadingSurgicalEducation @BJSurgery @BjsOpen

🎓 Funding available to support educational activities within your organisation! ➡️buff.ly/wFId3b8 Apply now to host a #BJSPrize at your annual meeting and award a monetary prize for the best paper🏆 Deadline: 1 June ⏳ A great way to recognise academic excellence!🌍 #FundingOpportunity #EducationSupport #LeadingSurgicalEducation @BJSurgery @BjsOpen @young_bjs

Surgeon wellbeing isn’t optional — it’s essential. Missed our first Virtual Journal Club? Catch the discussion on: → Second victim syndrome → Resilience in surgery With trainee insights + expert debate. Watch the full session 👉 bjsacademy.com/bjs-academy/co… @BJSurgery @BjsOpen @young_bjs @TejedorPat @JJEarnshaw @robhinchliffe1 @GitaLingam @PVaughanShaw #surgery #journalclub

Survival after breast-conserving surgery and radiotherapy versusmastectomy: propensity score analyses within a randomized anaesthesiology trial ➡️ doi.org/10.1093/bjs/zn… Breast-conserving surgery plus radiotherapy provides equivalent breast cancer–specific survival to mastectomy, with differences in overall survival likely reflecting patient selection rather than treatment effect. Work by Charlotta Wadsten , Anders Berglund , Emma Söderberg , Greger Nilsson , Leif Bergkvist , Mats Enlund , Fredrik Wärnberg #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #BreastCancerAwareness #BreastSurgery

Sleeve gastrectomy versus Roux-en-Y-gastric bypass in patients with body mass index over 50 kg/m2: international multicentre cohort ➡️doi.org/10.1093/bjsope… This retrospective multicentre cohort study included 3978 patients after sleeve gastrectomy and Roux-en-Y-gastric bypass (RYGB) with initial body mass index > 50 kg/m2. The early and mid-term results (1 and 5 years) showed superiority for the RYGB regarding weight loss and sustainability. Diabetes remission rates did not differ. 👏👏👏Lars Kollmann , Ilan Rosenblum , Adisa Poljo , Pascal Probst , Markus K Muller , Piotr Kalinowski , Muhammed S Dalkılıç , Abdullah Şişik , Johanna Betzler , Mirko Otto , Stephanie Taha-Mehlitz , Beat P Müller , Daniel M Frey , Bassey Enodien , Emanuel Burri , Reinhard Stoll , Otto Kollmar , Robert Rosenberg , Florian Ponholzer , Johan Friso Lock , Sven Flemming , Erik Stenberg , Johan Ottosson , Ellen Andersson , Torsten Olbers , Ralph Peterli , Florian Seyfried , Anas Taha #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #endocrine @IfsoSecretariat @YoungIFSO #bariatricsurgery #weightloss

Locoregional and systemic control after total neoadjuvant therapywith short-course radiotherapy for locally advanced rectal cancer: long-term outcomes from the LARCT-US study ➡️ doi.org/10.1093/bjs/zn… TNT with short-course radiotherapy followed by CAPOX/FOLFOX achieved excellent long-term local and distant control in high-risk rectal cancer, with particularly favourable outcomes in patients achieving complete response Work by Israa Imam , Per J Nilsson , Tanweera Khan , Eva Angenete , Bengt Glimelius #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto

Scheduled intravenous acetaminophen versus thoracic epidural analgesia for postoperative pain control after minimally invasive gastrectomy: multicentre randomized non-inferiority trial ➡️doi.org/10.1093/bjsope… Thoracic epidural analgesia (TEA) is commonly used after abdominal surgery, but its necessity in minimally invasive gastrectomy remains uncertain. In this pragmatic multicentre randomized non-inferiority trial, scheduled intravenous acetaminophen combined with wound infiltration achieved non-inferior postoperative pain control compared with TEA, with comparable pain trajectories and recovery, and no increase in adverse events. These findings suggest scheduled intravenous acetaminophen is a safe, effective, and opioid-sparing alternative to TEA, supporting simplified analgesic strategies aligned with enhanced recovery after minimally invasive gastrectomy. 👏👏👏Jun Kinoshita , Saki Hayashi , Toshikatsu Tsuji , Hideki Moriyama , Yuki Yamazaki , Yuto Kitano , Tomoya Tsukada , Masahide Kaji , Takahisa Yamaguchi , Shinichi Kadoya , Yasumichi Yagi , Masanari Shimada , Shingo Soga , Sachio Fushida , Takumi Taniguchi , Noriyuki Inaki on behalf of the Gastrointestinal Cancer Conference Study Group #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #some4UGI #uppergi #gastriccancer

Postpancreatectomy diarrhoea: prospective, single-centre longitudinal analysis of incidence, risk factors, management, and impact on quality of life ➡️doi.org/10.1093/bjsope… Postpancreatectomy diarrhoea affects over one-third of patients despite appropriate enzyme replacement, significantly impairing quality of life. This prospective study identified key risk factors for moderate-to-severe diarrhoea, including vascular resection, arterial divestment, and pancreatic ductal adenocarcinoma aetiology. The study findings highlight the need for personalized postoperative management to mitigate the clinical and therapeutic impact of postpancreatectomy diarrhoea. 👏👏👏@Giampaolo_Perri , @LiviaZornetta , Riccardo Pellegrini , Pietro Rigo , Nicola Canitano , Domenico Bassi , Patrizia Burra , @prof_cillo , @Gio_Marchegiani #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @BJSurgery #some4hpb #some4tpl #PancreaticCancer #PancreaticSurgery #PancreasClub2023 @PancreasClub @YouppiePancreas @German_PancClub @DPCG_official @pancreatitis_nl @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe

Day case and inpatient elective thyroid lobectomy across England: observational study of variation in practice and safety ➡️ doi.org/10.1093/bjs/zn… 🏥 Day-case thyroid surgery remains underused, with only 9.9% of 41,518 procedures performed as day cases across England and wide variation between centres (0–74.6% 🔍 Day-case surgery was associated with a lower 30-day readmission rate (OR 0.73; P=0.021), with no signal of worse outcomes ⚠️ There was no increase in complications, including haemorrhage, in day-case patients 📊 Centres with higher day-case rates (>30%) did not demonstrate worse outcomes compared with low-use centres 🎯 In appropriately selected patients, day-case thyroid lobectomy appears safe and should be considered for wider adoption. Work by Michael Monaghan , William K Gray , Mark Cheetham , Paul Dent , Tim W R Briggs , Mark Lansdown #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide @CirEnd_AEC @BalibreaJose