European Surgical Research (EUR SURG RES)

Publisher: European Society for Surgical Research, Karger

Journal description

European Surgical Researchí features original clinical and experimental papers and short technical notes serving the information needs of investigators in various fields of operative medicine. Coverage includes surgery, surgical pathophysiology, drug usage, and new surgical techniques. Special consideration is given to information on the use of physiological and biological methods as well as biophysical measuring and recording systems. The journal is of particular value for workers interested in pathophysiologic concepts, new techniques and in how these can be introduced into clinical work or applied when critical decisions are made concerning the use of new procedures or drugs.

Current impact factor: 2.47

Impact Factor Rankings

2016 Impact Factor Available summer 2017
2014 / 2015 Impact Factor 2.474
2013 Impact Factor 1.431
2012 Impact Factor 0.75
2011 Impact Factor 0.932
2010 Impact Factor 1.214
2009 Impact Factor 1.5
2008 Impact Factor 1.327
2007 Impact Factor 0.92
2006 Impact Factor 0.684
2005 Impact Factor 0.755
2004 Impact Factor 0.75
2003 Impact Factor 0.706
2002 Impact Factor 0.903
2001 Impact Factor 0.759
2000 Impact Factor 0.754
1999 Impact Factor 0.939
1998 Impact Factor 0.709
1997 Impact Factor 0.602
1996 Impact Factor 0.87
1995 Impact Factor 0.782
1994 Impact Factor 0.795
1993 Impact Factor 0.641
1992 Impact Factor 0.692

Impact factor over time

Impact factor

Additional details

5-year impact 1.53
Cited half-life 7.30
Immediacy index 0.11
Eigenfactor 0.00
Article influence 0.44
Website European Surgical Research website
Other titles European surgical research, ESR
ISSN 0014-312X
OCLC 55890244
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details


  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • On author's server or institutional server
    • Server must be non-commercial
    • Publisher's version/PDF cannot be used
    • Publisher copyright and source must be acknowledged
    • Must link to publisher version
  • Classification

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Introduction: Tantalum is used in orthopaedic surgery because it readily osseointegrates with host bone and allows immediate weight bearing. It also has the potential to provide a scaffold for fibrous ingrowth and soft tissue re-attachment. It is therefore commonly used in revision arthroplasty and tumour surgery, to augment bone loss and to facilitate re-attachment of tendons and ligaments. However, clinical results are variable and the aim of this study was to review the literature in order to gain an overall understanding of the basic science of soft tissue attachment to tantalum Methods: A systematic review of the literature was performed and eligible studies were critically appraised and relevant data extracted. Results: Tantalum has beneficial cellular effects; it stimulates human osteoblasts and upregulates leukocyte activity. However, it is shown to have an inhibitory effect on fibroblasts, which may be one explanation for variable levels of soft tissue integration in clinical series. Conclusion: Tantalum has previously been considered to be biologically inert. However recent evidence demonstrates that it does influence cellular activity but exactly how is not well studied nor clearly understood. Given that clinical results are mixed this is clearly an area that warrants further study as manipulation of the biomaterial properties may offer a potential avenue for improving clinical outcomes
    No preview · Article · Jun 2015 · European Surgical Research
  • [Show abstract] [Hide abstract]
    ABSTRACT: Introduction: Porous metal is used in orthopaedic surgery because it is considered to readily osseointegrate with host bone and also to provide a scaffold for fibrous ingrowth and soft tissue attachment. The most popular applications are in revision arthroplasty and tumour surgery where tantalum is used to augment bone loss and to facilitate soft tissue re-attachment potentially restoring function and stability. However, the role of tantalum for tendon re-attachment is not clearly understood. The aim of this study was to systematically review the literature reporting clinical outcomes of soft tissue re-attachment using tantalum in order to determine key areas for further research. Methods: A systematic review of the literature was performed. Eligible studies were critically appraised and data extracted for analysis. Fifteen human studies using tantalum for soft tissue attachment were included. Results: No controlled studies were identified. Reporting of results from clinical series was of variable quality. Outcomes were also mixed and did not reflect excellent results seen in animal studies. Conclusion: The effectiveness of porous metal as a platform for soft tissue reattachment is not fully understood but it appears that the presence of bone stock is one of the most important factors for long term success. The disparity between animal studies and clinical outcomes highlights the importance of understanding the weaknesses of the animal models used when designing future studies.
    No preview · Article · Jun 2015 · European Surgical Research
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    ABSTRACT: Peritoneal lavage after cancer surgery is performed to reduce microscopic residual tumors in the peritoneum. This study evaluated the effects and mechanism of dialysate lavage in reducing the peritoneal implantation of gastric cancer cells. Gastric cancer cells (MKN45 or AGS) were cultured with 1.5% peritoneal dialysate (PD) or normal saline (NS) for 30 min. The in vitro cell susceptibility to dialysate, including cell proliferation, cell death, cleaved PARP expression, and mitochondrial membrane potential, was evaluated. A murine model for gastric cancer cell peritoneal seeding was established to test the effects of PD and NS lavage on animal survival and tumor growth. A significant decrease in cell proliferation in PD and NS (75.2 ± 0.1 vs. 12.4 ± 0.2% in MKN45, p = 0.009; 58.2 ± 0.01 vs. 28.0 ± 0.01% in AGS, p = 0.008), an increase in mitochondrial permeability transition (93.0 ± 2.6 vs. 18.0 ± 2.9% in MKN45, p = 0.021; 86.8 ± 4.6 vs. 47.7 ± 10.2% in AGS, p < 0.001), and an increase in the expression of cleaved PARP and increased death (25.6 ± 9.4 vs. 16.9 ± 5.3% in MKN45, p = 0.031; 39.5 ± 5.1 vs. 20.9 ± 3.9% in AGS, p = 0.008) were recorded for gastric cancer cells separately exposed to PD and NS. Twenty-four days after inoculating MKN45 cells (5 × 10(6)/0.1 ml) in the peritoneal cavity, the average number of seeded tumors was 67.3 ± 10.8, 92.3 ± 6.0, and 29.2 ± 16.7 (p = 0.032), and the total weight of tumors was 0.98 ± 0.21, 0.58 ± 0.12, and 0.31 ± 0.17 g (p = 0.008), respectively, for mice receiving sham operation, NS lavage, and PD lavage. The 45-day survival rate for the PD lavage group was 22% compared to 0% for the sham injection and NS lavage groups (p = 0.034). PD induced significant cytotoxicity in gastric cancer cells that was related to mitochondrial perturbation. The use of PD lavage was effective in reducing the peritoneal implantation of gastric cancers in a murine model. © 2015 S. Karger AG, Basel.
    No preview · Article · Mar 2015 · European Surgical Research
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    ABSTRACT: Gastric gastrointestinal stromal tumors (GISTs) have a highly variable clinical course, and recurrent disease sometimes develops despite curative surgery. This study was undertaken to investigate the surgical role in treating gastric GISTs and evaluate the clinicopathological features of a large series of patients who underwent curative resection for gastric GISTs to clarify which features were independent prognostic factors. The clinicopathological data of 406 patients with gastric GISTs who underwent curative resection at 4 university hospitals in Daegu, South Korea, from March 1998 to March 2012 were reviewed. All cases were confirmed as gastric GISTs by immunohistochemical staining, in which CD117 or CD34 was positive. Clinical follow-up was performed periodically, and disease-free survival rates were retrospectively investigated using the medical records. The mean follow-up period was 42.9 months (range: 2-166). There were 11 recurrent patients (2.7%). Due to the small number of recurrences, age, sex and location were controlled using propensity score matching before performing any statistical analysis. Tumor size, mitotic count, NIH classification, and cellularity were judged to be independent prognostic factors for recurrence by univariate analysis. In a multivariate analysis, tumor size and mitotic count were significantly and independently related to recurrence, and tumor size was determined to be the most important prognostic factor for recurrence after curative resection (hazard ratio: 1.204; p < 0.01). The results of this multicenter study demonstrate that disease-free survival rates are good. Tumor size was disclosed as the most important factor for recurrence in gastric GIST patients who underwent radical resection. © 2015 S. Karger AG, Basel.
    No preview · Article · Feb 2015 · European Surgical Research

  • No preview · Article · Jan 2015 · European Surgical Research
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    ABSTRACT: Background: The incidence of diabetes has been steadily increasing. The only curative option for diabetes is pancreas transplantation (PTx). Porcine models are valuable because of their anatomical and physiological similarities to human beings. Our aim is to introduce a simplified technique of PTx in a porcine model. Methods: In Landrace pigs (n = 32), after median laparotomy, the pancreas was mobilized, and the portal and splenic veins were divided. The proper hepatic and splenic arteries and the bile duct were also prepared, and the duodenal bulb was prepared and stapled. The third portion of the duodenum was freed up to the ligament of Treitz and stapled, and the renal arteries were ligated. After systemic heparinization, the pancreas was perfused through the abdominal aorta with histidine-tryptophan-ketoglutarate solution. The portal and splenic veins were cut for evaluating the sufficiency of perfusion. Whole pancreaticoduodenal graft was procured along with an aortic jump graft containing mesenteric and celiac trunks. In recipients, after total pancreatectomy, the suprarenal inferior vena cava and infrarenal aorta were prepared for vascular anastomosis in an end-to-side manner. After pancreas reperfusion, duodenoduodenostomy was performed in an end-to-side manner. Results: Median cold and warm ischemia times were 10 h (range, 9-14 h) and 50 min (range, 35-80 min), respectively. The hemodynamic status was stable throughout the operation. The median follow-up period was 7 days (range, 4-10). There were no major intra- and postoperative complications. Conclusion: By using an aortic jump graft, there was no need to perform additional arterial reconstruction resulting in a short warm ischemic and operation time. End-to-side portocaval and duodenoduodenal anastomoses make this model of PTx a very feasible method for experimental evaluations.
    No preview · Article · Oct 2014 · European Surgical Research
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    ABSTRACT: Background: During the last few years, the gastric cancer nodal staging has been extensively revised. Lately, a new system emerged in this field with the purpose of implementing the prognostic stratification: the lymph-node ratio (LNR). The aim of this study was to investigate the prognostic value of the LNR in relation to cancer survivors undergoing resection for gastric adenocarcinoma. Methods: Off 227 patients undergoing surgical resection for gastric cancer at our Department, 129 curative gastric resections with more than 15 nodes harvested were selected. The LNR was calculated and patients were stratified into 6 subgroups based on the ratio values. The subgroups were compared for data analysis. Survivals were calculated by the Kaplan-Meier method, and the mean follow-up period was 40 months. ROC curves were calculated in order to analyze the performance of the LNR system. Results: LNR stratification correlated with the stage of the disease, with the rate of patients undergoing chemotherapy and patients presenting with a relapse of disease at follow-up. Moreover, an increased ratio correlated with a worse overall, a disease-free and a disease-specific survival of the patients. The ROC curves documented a significant performance of the stratification system with the endpoints of disease-free and disease-specific survivals. Conclusion: LNR stratification correlated with cancer-related survivals in our case series. It is a reliable system that might improve current nodal staging and thereby the identification of patients with a higher risk of recurrence or cancer-related mortality.
    No preview · Article · May 2014 · European Surgical Research

  • No preview · Article · Jan 2013 · European Surgical Research
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    ABSTRACT: Introduction: Carotid-femoral pulse wave velocity (cfPWV) is the gold standard measure of arterial stiffness and it is increasingly recognised as an independent risk factor for cardiovascular disease. Arterial stiffness is increased in patients with peripheral arterial disease (PAD) and could be associated with the increased cardiovascular morbidity and mortality in this group of patients. Objectives: To investigate the relationship between arterial stiffness as assessed by cfPWV with intermittent claudication walking distance (ICWD) and estimated glomerular filtration rate (eGFR) in patients with symptomatic PAD. Materiel/Patients and Methods: We studied 31 patients (23 males, mean age 65 ± 7.4) with a confirmed diagnosis of PAD of the lower limbs (Ankle Brachial Pressure Index (ABPI) < 0.90 in at least one leg). All patients underwent ABPI measurement pre and post-exercise, assessment of cfPWV using the Vicorder device and eGFR testing. ICWD was determined by a standard treadmill exercise test (10 degree incline, 1.6 mph speed) for a maximum of 10 minutes. Results: Patients had a (mean ± SD) pre-exercise ABPI (r-ABPI) of 0.62 ± 0.19 and a post-exercise ABPI (t-ABPI) of 0.39 ± 0.23. Mean cfPWV was 10 ± 2 ms–1 and mean ICWD was 90 ± 58 m. Mean eGFR was 77.3 ± 12.9 mlm–11.73m–2. In a univariate analysis which included age, systolic BP (SBP), diastolic BP (DBP), pulse pressure (PP), r-ABPI, t-ABPI, ICWD, eGFR, cfPWV was associated with SBP, PP, eGFR and ICWD (Pearson’s correlation coefficient r = 0.52, p = 0.005; r = 0.53, p = 0.002; r = –0.45, p = 0.01 and r = –0.43, p = 0.01; respectively). In a multivariate linear regression analysis, cfPWV was associated with ICWD and eGFR (standardised beta coefficient = –0.44, p = 0.005 and –0.37, p = 0.02, respectively) independent of gender, SBP and PP. ICWD explained 18% of the variance in cfPWV while eGFR explained 9% of the variance in the model. Conclusion: cfPWV, a measure of arterial stiffness, is independently associated with walking ability in patients with symptomatic PAD of the lower limbs and is independently associated with eGFR in this group of patients. Arterial stiffness might serve as an indicator of the severity of atherosclerosis in this group of patients.
    No preview · Article · Jan 2013 · European Surgical Research
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    ABSTRACT: Introduction: The bilateral adduction paralysis of the vocal chords produce a mechanical respiratory obstruction of the upper respiratory tract by reduction of glottic space and consequently increase in breathing resistance. We wanted to detect the effectiveness of a new system of CO2 laser treatment for this disease and the results at a distance by considering the development of complications. Materials and Methods: 8 patients were selected - 5 females (62.5%) and 3 males (37.5%) with a mean age of 43.9 years, with adduction vocal chords paralysis treated with aritenoidectomy using a CO2 laser, to last generation, used in “superpulse” modality at low power (3.5-4 Watt). Patients were evaluated by means of fibrolaryngoscopy, FEV 1, FEV max, Multi Speech 3500 (Kay) spectrography, aerodynamic study with Aerophon II, for three years after the treatment, every 3 months during the first year and then every 6 months. Results: The results showed that the variation technique induce a low rate of complications due to the poor production of fibrin in the operative field and a slight charring of tissue, with a more rapid functional restore in breathing and in making vocal use. Discussion: Endoscopic surgery using a CO2 laser is an excellent choise to traditional surgery because of his advantages and reduced traumatism. Conclusion: The bilateral adduction paralysis of the vocal chords have to be treated with aritenoidectomy using CO2 laser used in “superpulse” modality at low power (3.5–4 Watt).
    No preview · Article · Oct 2010 · European Surgical Research
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    ABSTRACT: Introduction: The Obstructive Sleep Apnea Syndrome (OSAS) is defined as a breathing disorder characterized by prolonged partial (hypopnea) and/or intermittent complete (apnea) upper airway obstruction that disrupts normal ventilation during sleep and normal sleep patterns. This study was designed to assessthe usefulness of polysomnography (PSG) in the evaluation and management of pediatric patients with mild to severe OSAS, before and after adenotonsillectomy (AT) Materials and Methods: This is a retrospective investigation. A total of 38 consecutive patients (21 male, 17 female), age range 4-10 years, all presenting with clinical manifestations of OSAS. 16 of all patients had PSG-defined OSAS; 12 symptomatic patients with negative polysomnogram; 10 children were studied as controls and, therefore, submitted to watchful-waiting. The post-operative results were evaluated 3, 6, 12, and 18 months after surgery by a clinical-instrumental reevaluation in all the subjects and via PSG in selected patients with severe OSAS. The results obtained were statistically analysed by χ 2 test: a “p” value of <0,05 was considered statistically significant. Results: Our findings support the efficacy of AT in the treatment of all clinical manifestations of OSAS in both the groups with or without PSG-defined OSAS. Conclusion: On the basis of these results, we consider that in all the children with OSAS a polysomnography must be always interpreted with the entire clinical picture in mind, and, therefore, the recommendation for surgery must be individualized, based on both polysomnography and clinical assessments
    No preview · Article · Oct 2010 · European Surgical Research

  • No preview · Article · Oct 2010 · European Surgical Research

  • No preview · Article · Sep 2009 · European Surgical Research