机器学习建模UNOS数据库提示肺移植离体时间延长风险存在供体类型特异性
研究者基于UNOS数据库2012–2024年28,120例成年肺移植受者，用Light Gradient Boosting Machine模型结合SHAP量化供体类型、机器灌注与离体（OOB）时间对移植后一年死亡率的影响。
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PubMed · Journal of Thoracic and Cardiovascular Surgery
PubMed · Anesthesiology 外科与麻醉：Individualized mean arterial pressure during cardiac surgery The OPTIPAM Randomized Clinical Trial.
原文摘录：BACKGROUND: Whether targeting an individualized mean arterial pressure (MAP) during cardiac surgery improves outcomes remains uncertain. The balance between improved perfusion and vasopressor-driven blood pressure augmentation is unclear. … Future studies should further investigate this safety signal when evaluating individualized blood pressure targets
PubMed · Medicine 系统综述与Meta分析：无阿片及节约阿片麻醉降低成年手术患者术后谵妄风险
一项纳入41项随机对照试验、共7852例成年手术患者的系统综述与Meta分析评估无阿片麻醉和节约阿片麻醉（基于氯胺酮、艾司氯胺酮或右美托咪定）对术后谵妄（POD）的影响。
PubMed · Angewandte Chemie International Edition 外科与麻醉：Rare-Earth Terbium Frustrates Deep Reconstruction of Cobalt Sulfide for Long‑Lived Anion Exchange Membrane Water Electrolysis.
原文摘录：The practical application of metal sulfides in anion-exchange membrane water electrolysis (AEMWE) is fundamentally hindered by the uncontrolled deep reconstruction under anodic conditions, which leads to rapid catalyst deactivation.
PubMed · Urology 可膨胀阴茎假体手术感染预防标准化围手术期方案的初步单外科医生回顾性经验
一项回顾性分析2017年1月至2025年12月两家医院单外科医生487例可膨胀阴茎假体（IPP）手术（406例初次植入、58例取出重置、23例部件翻修）的前瞻性维护数据库，采用标准化多模式围手术期感染预防方案，包括MRSA去定植、氯己定洗浴、改良无接触技术、抗生素冲洗和23小时住院观察。
PubMed · Surgical Endoscopy 对照实验评估机器人胆囊切除术中19名外科医生的自动化偏倚与AI提示接受率
一项两阶段对照实验纳入19名外科医生（住院医师10名、专科培训医师2名、主诊医师7名），在机器人胆囊切除术视频静态帧上先无引导、后带模拟AI叠加标记绘制切口线，未使用真实AI模型。
PubMed · European Urology 多中心回顾系列报告下腹前入路单孔机器人腹膜后肾输尿管切除术（LAA-SP RNU）治疗上尿路尿路上皮癌的手术技术、围手术期与早期肿瘤学结果
五家转诊中心对47例上尿路尿路上皮癌患者行下腹前入路单孔机器人肾输尿管切除术（LAA-SP RNU）的回顾性系列（2024年5月至2025年7月）显示，经单个4 cm腹膜外切口完成切除、膀胱袖状切除及选择性淋巴结清扫。
PubMed · The Annals of Thoracic Surgery精选 外科与麻醉：The Society of Thoracic Surgeons 2026 Long-term Risk Models for Lung Cancer Resection.
原文摘录：BACKGROUND: The Society of Thoracic Surgeons (STS) has designed and validated risk models to predict long-term survival in patients undergoing lung cancer resection.
关注理由：这条外科与麻醉内容涉及相关临床或研究问题，建议查看原文中的方法与适用范围。
PubMed · World Journal of Surgery 胃电刺激预防腹部大手术后肠麻痹（STIMULATE）：单中心随机盲法可行性研究
丹麦奥胡斯大学医院开展单中心随机盲法可行性研究，评估腹膜细胞减灭术联合腹腔热灌注化疗患者术中胃部直接电刺激预防术后肠麻痹（POI）的安全性与可行性。20例随机分组，19例纳入分析，干预组完成率8/10、对照组9/10，治疗耐受良好，最常见不良事件为腹肌痉挛；结果支持开展进一步临床研究。试验注册号NCT05752071。
PubMed · The Annals of Thoracic Surgery精选 外科与麻醉：Pharmacological Prevention of Cardiac Surgery-Associated Acute Kidney Injury: Why Trials Failed and a Reimagined Endpoint Framework.
原文摘录：BACKGROUND: Cardiac surgery-associated acute kidney injury affects approximately one in four adults and is independently associated with perioperative mortality and progression to chronic kidney disease. … Platform designs with biomarker-enriched enrollment could convert the next generation of trials into interpretable tests of kidney protection
关注理由：这条外科与麻醉内容涉及随机对照研究，值得重点看研究分组、主要终点和实际结果。
PubMed · Biochemical Pharmacology 外科与麻醉：Acute nociceptive stimulation induces long-lasting constitutive activity of spinal μ-opioid receptors that masks pain sensitization.
原文摘录：Acute nociceptive stimuli evoke transient pain sensitization that normally resolves after the stimulus has ceased. However, whether this apparent recovery reflects restoration of the nociceptive system to its basal state or active suppression of persisten … Our findings reveal a previously unrecognized homeostatic mechanism underlying pain resolution after acute nociceptive stimulation, and the C-fiber-mediated mechanisms for inducing MOR constitutive activity may provide a clue to develop a therapeutic strategy for sustained analgesia
PubMed · Anesthesiology精选 外科与麻醉：Frequency of Adherence to Obstetric Anesthesia Best Practices for Cesarean Delivery: A Multicenter Retrospective Cohort Analysis.
原文摘录：BACKGROUND: Increasingly, protocols have been developed to optimize obstetric anesthesia care. However, there is a paucity of data on adherence to these guidelines.
关注理由：这篇外科与麻醉队列研究资料适合了解长期变化，研究对象、随访方式和结局指标建议一起查看。
PubMed · American Journal of Transplantation 单孔机器人腹膜外供肾切除术（SP-REDN）：技术描述与13例活体供者初步病例系列（da Vinci SP系统）
研究者报告使用da Vinci SP系统经单个5 cm切口行单孔机器人腹膜外供肾切除术（SP-REDN）的技术与初步病例系列，2025年9月至2026年3月共13例活体供者，其中5例（38.5%）有腹部手术史。
PubMed · Pain 外科与麻醉：Under pressure: lessons from and beyond entrapment neuropathies.
原文摘录：Entrapment neuropathies are the most prevalent focal neuropathic pain conditions globally and impose a substantial individual and socioeconomic burden.
PubMed · Optics Express 外科与麻醉：Monolithic carrier-beam steering with milliradian precision and single-voltage control.
原文摘录：We describe what we believe to be a new class of monolithic beam steering systems. The device operates in the conventional 1550 nm communication band and can continuously steer over a 65.2° range with milliradian precision. … 5 × 10 -5 , and full-wave confirmation of the voltage transfer function at multiple bias points
PubMed · Chemical Reviews 外科与麻醉：Mapping Local Environments in Single-Atom Catalysts.
原文摘录：Single-atom catalysts (SACs) offer exceptional structural resolution for investigating how local environments govern catalytic behavior and, ultimately, for controlling these effects through catalyst design. … By integrating aspects that are often considered separately and highlighting those that remain insufficiently addressed, we provide a roadmap toward the predictive, environment-driven design of SACs and a deeper understanding of catalytic phenomena
medRxiv · 独立预印本精选 外科与麻醉：Educational expectations and needs of individuals scheduled for breast surgery within the Primary Nursing Model: a qualitative study
原文摘录：BackgroundA diagnosis of breast cancer may represent a potentially destabilizing event, with significant physical, psychological, and social implications. … The transcripts will be analyzed using thematic analysis according to Braun and Clarke, with a ph
关注理由：这条外科与麻醉内容涉及相关临床或研究问题，建议查看原文中的方法与适用范围。
PubMed · Analytica Chimica Acta 外科与麻醉：Oxygen vacancies promote electron transfer in PRT@MnO2-x with boosting oxidase-mimicking activity for dual-mode detection of β-galactosidase.
原文摘录：Vacancy engineering has been widely applied to modulate the enzyme-like activity of nanomaterials by adjusting their surface/electronic structures and creating additional active sites. … The dual-mode signal sensor is expected to provide more accurate and robust detection of β-Gal than the single-mode probe, and has a wider application prospect
PubMed · Annals of Surgery 外科与麻醉：Pan-European Training Program for Robotic Pancreatoduodenectomy (LEARNBOT): Prospective Multicenter Study on Feasibility and Outcome.
原文摘录：OBJECTIVE: To assess the feasibility of and clinical outcomes after a pan-European training program for robotic pancreatoduodenectomy (RPD).
Europe PMC · 撤稿与关系监测 外科与麻醉：Withdrawn as duplicate: Pulmonary Blood Volumes on CT Predict Residual Pulmonary Hypertension Post-Pulmonary Endarterectomy.
原文摘录：Pulmonary blood volumes (PBV), currently not assessed by computed tomography pulmonary angiography (CTPA), could provide additional information to routine investigations performed for chronic thromboembolic pulmonary hypertension (CTEPH). … Utilizing CTPA-derived PBV post-PEA to identify patients without residual PH can potentially reduce the need for routine postoperative right heart catheterization
PubMed · Spine精选 外科与麻醉：Perioperative Aspirin Continuation is Not Associated With Increased Surgical Morbidity Following Minimally Invasive Anterior-to-Psoas Lumbar Fusion: A Propensity-Matched Analysis.
原文摘录：STUDY DESIGN: Retrospective cohort study with propensity score matching. OBJECTIVE: To evaluate the impact of perioperative aspirin continuation on surgical and postoperative outcomes following minimally invasive anterior-to-psoas (MIS-ATP) lumbar fusion. … CONCLUSION
关注理由：这篇外科与麻醉队列研究资料适合了解长期变化，研究对象、随访方式和结局指标建议一起查看。
PubMed · Spine 外科与麻醉：Comparison of the Sagittal Age-Adjusted Score and the T4-L1PA Mismatch in Discriminating Proximal Junctional Kyphosis and Failure in Adult Spinal Deformity Surgery.
原文摘录：STUDY DESIGN: Retrospective single-center study. OBJECTIVE: To compare the discriminative ability of the sagittal age-adjusted score (SAAS) and the T4-L1PA mismatch for proximal junctional kyphosis (PJK) and proximal junctional failure (PJF) after adult s … Correcting the lumbar
PubMed · Water Research 外科与麻醉：Making waves: Rethinking membrane technologies for water remediation from a full-chain application perspective.
原文摘录：Membrane technology has become a critical platform for advancing water pollution control from standard-compliant discharge toward high-quality water reclamation, owing to its high separation selectivity, modular configuration, compact footprint, and compa