Join BJS Academy
BJS Journal>BJS Open

BJS Open

BJS Open was first published in 2017 and has since established itself as a leading open access journal for surgical research. It includes a similar range of content to BJS, covering all aspects of general surgery. All submitted manuscripts undergo peer review, with the additional opportunity to publish research open access. BJS Open received an impact factor of 4.9 in 2025. Explore BJS Open

Browse issues

Invited Commentary
Article Cover

Beyond breast conservation: is it time to rethink sentinel lymph node biopsy in patients undergoing mastectomy?

Cicero Urban

DOI : 10.1093/bjsopen/zrag132

Published on: 15 September 2026

Breast Surgery

BJS Open

Volume : 10

Issue : 5

Systematic review
Article Cover

Prognostic impact of low versus high inferior mesenteric artery ligation in rectosigmoid cancer: individual patient data meta-analysis of randomized trials

Alberto AiolfiFrancesco CammarataEmanuele RausaGianluca BonittaAntonio BiondiLuigi BonavinaDavide Bona

DOI : 10.1093/bjsopen/zrag120

Published on: 11 September 2026

Lower Gastrointestinal Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Systematic review
Article Cover

Splenic hilum nodal involvement in resected left-sided pancreatic cancer: meta-analysis

Caro L BrunaCharlotte E Baggerman van HouweningeFaridi S JamaludinGuiseppe MalleoMohammad Abu HilalMarc G BesselinkJony van Hilst

DOI : 10.1093/bjsopen/zrag153

Published on: 11 September 2026

Hepato-Pancreato-Biliary Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Systematic Review
Article Cover

Preventing pancreatic fistula following pancreatectomy: meta-analysis of randomized clinical trials

Roberto M MontorsiAlessio MarchettiTessa E HendriksFreek DaamsOlivier R BuschBas Groot KoerkampMatteo De PastenaHjalmar C van SantvoortBert A BonsingSalvatore PaiellaGiuseppe MalleoMarc G BesselinkRoberto Salvia

DOI : 10.1093/bjsopen/zrag088

Published on: 21 September 2026

Hepato-Pancreato-Biliary Surgery General Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Systematic Review
Article Cover

Methodological challenges in surgical randomized trials: systematic review of rectal cancer studies

Daichi KitaguchiMariano GiménezAntonello ForgioneTatsuya OdaJacques Marescaux

DOI : 10.1093/bjsopen/zrag102

Published on: 21 September 2026

General Surgery Lower Gastrointestinal Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Systematic Review
Article Cover

Intrawound vancomycin for prevention of surgical site infection: meta-analysis of randomized clinical trials

Shaan PatelShiva A NischalKush M KaleAngelette MendoncaNelson SofolukeSrinivas K PrasadJames S HarropDaniel Refai

DOI : 10.1093/bjsopen/zrag131

Published on: 21 September 2026

Orthopaedics General Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Systematic Review
Article Cover

Patient-initiated follow-up in surgical specialties: meta-analysis and meta-regression

Renato PitesaStephanie MoodyAndrew G Hill

DOI : 10.1093/bjsopen/zrag147

Published on: 21 September 2026

General Surgery Lower Gastrointestinal Surgery Orthopaedics Plastic Surgery Breast Surgery Urology

BJS Open

Volume : 10

Issue : 5

Abstract
Randomized Clinical Trial
Article Cover

Effect of immunonutrition on postoperative infectious complications and survival after colon cancer surgery: long-term follow up of randomized clinical trial

Jaram LeeHyeung-min ParkSoo Young LeeChang Hyun KimHyeong Rok Kim

DOI : 10.1093/bjsopen/zrag043

Published on: 24 September 2026

Lower Gastrointestinal Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Original Article
Article Cover

Surgical Site Infections in Major Lower Limb Amputation (SIMBA): international multicentre study

Ismay Fabre

DOI : 10.1093/bjsopen/zrag042

Published on: 04 September 2026

Vascular Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Original article
Article Cover

Role of sentinel lymph node biopsy in patients with early breast cancer undergoing mastectomy

Martin HeidingerGiacomo MontagnaFlorian S HalbeisenAnna-Lena EberhardtNadia MaggiMarie Louise FrevertKarol DolltRama KiblawiJulie M LoeschJelena WinklerFabienne D SchwabChristian KurzederTibor A ZwimpferWalter P Weber

DOI : 10.1093/bjsopen/zrag105

Published on: 04 September 2026

Breast Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Original Article
Article Cover

Predicting postoperative acute kidney injury after colorectal cancer surgery: development and internal validation of a clinical prediction model using a nationwide cohort

Mads SkovsgaardPhilip V MunchUffe Heide-JørgensenLene H IversenChristian F Christiansen

DOI : 10.1093/bjsopen/zrag124

Published on: 09 September 2026

Lower Gastrointestinal Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Original Article
Article Cover

Association between preoperative physical exercise and the risk of postoperative venous thromboembolism: nationwide population-based cohort study

Chan-Sik KimBumwoo ParkHyeong-Seok YoonJi-Hoon Sim

DOI : 10.1093/bjsopen/zrag109

Published on: 10 September 2026

General Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Original article
Article Cover

The iBRA-NET localization study: international IDEAL 2a/2b multicentre cohort study comparing the safety and effectiveness of wire- and radar-guided localization for impalpable breast lesions

Rajiv V DaveJenna MorganSimon LowesRobert MilliganRachel FosterEmma BarrettAmtul R CarmichaelSuzanne ElgammalEdward St. JohnChris HolcombeYazan MasannatShelley PotterSuzanne KrizakVidya RaghavanJames HarveyA Pradeep

DOI : 10.1093/bjsopen/zrag108

Published on: 10 September 2026

Breast Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Original Article
Article Cover

Surgical outcomes after robot-assisted versus laparoscopic pancreatoduodenectomy: multicentre propensity-matched comparison from the Italian Group of Minimally Invasive Pancreatic Surgery

Giuseppe QueroRoberta MenghiNiccolò NapoliAllegra RipolliGiovanni FerrariMichele MazzolaElisa BannoneGiovanni ButturiniMassimo Giuseppe ViolaMarco GarattiGiovanni TebalaFabrizio Di BenedettoLuca MoraldiCarlo MolinoSergio AlfieriUmberto BracaleRoberto TroisiRaffaele Dalla ValleMarco VivarelliElio JovineRiccardo MemeoGianluca GarulliLuca OttavianiStefano BertiAndrea CorattiGiorgio ErcolaniRoberto SalviaLuca MorelliRiccardo CasadeiRoberto CoppolaAlberto BroleseVicenzo TondoloAlessandro ZerbiUgo BoggiA Gemini

DOI : 10.1093/bjsopen/zrag152

Published on: 15 September 2026

Hepato-Pancreato-Biliary Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Original Article
Article Cover

Incidental findings on preoperative computed tomography for the planning of robotic arthroplasty: retrospective cohort study

Robin J S JonesJonathan R A PhillipsMatthew J WilsonMichalis Panteli

DOI : 10.1093/bjsopen/zrag044

Published on: 18 September 2026

Orthopaedics

BJS Open

Volume : 10

Issue : 5

Abstract
Original Article
Article Cover

Environmental benefits of reintroducing reusable drapes and gowns in the operating room

Florine I de HaesMeis UijttewaalNicolaas H Sperna WeilandMartijn L M BroerenDorien A Salentijn

DOI : 10.1093/bjsopen/zrag139

Published on: 21 September 2026

Education General Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Original Article
Article Cover

Defining absolute postoperative desmoid risk in familial adenomatous polyposis according to APC genotype and family history: retrospective cohort study

Benjamin ZareMassih BaharSusan ClarkAndrew Latchford

DOI : 10.1093/bjsopen/zrag090

Published on: 21 September 2026

Lower Gastrointestinal Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Original Article
Article Cover

Benchmarking paediatric living donor liver transplantation for establishing standards to expand access and save lives: retrospective global cohort study

Zhihao LiOmid Madadi-SanjaniYuan LiuDimitri A RaptisVasanthakumar GunasekaranAshwin RammohanSeisuke SakamotoHajime UchidaPiotr KalicińskiMarek StefanowiczNicolas GoldaracenaCornelius J van BeekumFelix J KrendlItsuko Chih-Yi ChenBryanna N DomenickAlfred KowKaihang WangYuji SoejimaKatryn N FuruyaGeorge V MazariegosVidyadhar Padmakar MaliStephen C DunnKim M OlthoffElizabeth B RandIan LeipnitzChao-Long ChenDeniz BalciElvan Onur KirimkerSilvio NadalinStefan SchneebergerDebra L SudanMoritz SchmelzleUta HerdenLutz FischerBlayne A SayedVicky L NgGrzegorz KowalewskiMureo KasaharaMohamed RelaDieter C BroeringQiang XiaPierre-Alain Clavien

DOI : 10.1093/bjsopen/zrag154

Published on: 25 September 2026

Transplantation Paediatric Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Research Letter
Article Cover

Outpatient non-operative treatment of uncomplicated acute appendicitis: meta-analysis

Mauro PoddaAdolfo PisanuFausto CatenaMarco Ceresoli

DOI : 10.1093/bjsopen/zrag138

Published on: 10 September 2026

Acute Care Surgery General Surgery Lower Gastrointestinal Surgery

BJS Open

Volume : 10

Issue : 5

Original Article
Article Cover

Predictors of morbidity and oncological benefit after liver resection with vascular reconstruction: international collaborative study from expert centres

Victor Lopez-LopezFrancesca RattiCecilia MainaJuan Gonzalez-FerezSarah DanielsNikhil SureshSafi DokmakElias KaramAugustin SuffisseuYawen DongZhihao LiRory L SmootMuhammad Ahmad NadeemFederico AucejoEmilio VicenteEnrico GringeriEleonora NiedduJordi NavinésLucia HernandezMohammad H Fard-AghaieJens RolingerLeyre SerrabloSanjay GovilWilliam ArchieDionisios VrochidesMartin de SantibañesEduardo de SantibañesFabrizio Di BenedettoSilvio M P BalzanCristina DopazoVicente Borrego EstellaGiuseppe Kito FusaiFernando Rotellar SastreRoberto I TroisiAlejandro SerrabloSilvio NadalinKarl J OldhaferEsteban CugatUmberto CilloAndrea SchlegelPatrick StarlingerMickael LesurtelLuca AldrighettiPierre Alain ClavienDaniel AzoulayPeter LodgeRicardo Robles Campos

DOI : 10.1093/bjsopen/zrag085

Published on: 28 September 2026

Hepato-Pancreato-Biliary Surgery Transplantation

BJS Open

Volume : 10

Issue : 5

Abstract
Review Article
Article Cover

Familial adenomatous polyposis-associated desmoid disease: comprehensive review

Benjamin ZareSusan ClarkPalma DileoDavid LiskaAndrew Latchford

DOI : 10.1093/bjsopen/zrag089

Published on: 29 September 2026

Lower Gastrointestinal Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Original Article
Article Cover

Association of the Flemish Triage Risk Screening Tool with postoperative outcomes in older adults after colorectal cancer surgery: retrospective cohort study

Federico GhignoneGiampaolo UgoliniIsacco MontroniFilippo BanchiniFausto CatenaDavide CavaliereGiorgio ErcolaniGianluca GarulliAndrea LucchiValentina DanesiIlaria MassaParisa SoleimaniWilliam BalziAlice AndalòMartina CavallucciNicola GentiliAndrea RoncadoriG Frascaroli

DOI : 10.1093/bjsopen/zrag096

Published on: 30 September 2026

Lower Gastrointestinal Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Randomized Clinical Trial
Article Cover

The impact of a Personal Outpatient Worksheet and Educational Reference form on patient engagement and communication in the surgical clinic: multicentre randomized clinical trial

Matheesha HerathJesse D EyEllie C TreloarScarlotte KulasJessie MartinHarriett McConvilleMartin BrueningGuy J Maddern

DOI : 10.1093/bjsopen/zrag099

Published on: 30 September 2026

General Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Original Article
Article Cover

Costs and health burden of surgical site infections and anastomotic leakage in major abdominal surgery

Nathan BontekoningHannah GroenenStijn W de JongeMarkus W HollmannMarja A BoermeesterMarcel G W DijkgraafNiels WolfhagenQ J J Boldingh

DOI : 10.1093/bjsopen/zrag111

Published on: 29 September 2026

General Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Original Article
Article Cover

Disparities in pathways for anaemia care and recovery among women after major abdominal surgery: secondary analysis of a prospective cohort study in 29 countries

Sivesh Kathir KamarajahDharani HapangamaDania Badran

DOI : 10.1093/bjsopen/zrag125

Published on: 29 September 2026

General Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Research Letter
Article Cover

Early inflammatory signal in late-diagnosed anastomotic leakage after anterior resection

Martin RutegårdJosefin SegelmanPeter MatthiessenMarie-Louise LydrupJennifer ParkA Gerdin

DOI : 10.1093/bjsopen/zrag127

Published on: 29 September 2026

Lower Gastrointestinal Surgery

BJS Open

Volume : 10

Issue : 5

Original Article
Article Cover

Anterior tumour location as a risk factor for local recurrence after laparoscopic surgery for stage I ultra-low rectal cancers: exploratory analysis of the Ultimate trial

Atsushi KohyamaShinobu OhnumaYuichiro TsukadaMichiaki UnnoJun WatanabeYosuke FukunagaYasumitsu HiranoKazuhiro SakamotoHiroki HamamotoMasanori YoshimitsuHisanaga HorieNobuhisa MatsuhashiYoshiaki KuriuShuntaro NagaiMadoka HamadaShinichi YoshiokaTamuro HayamaKoki OtsukaYusuke InoueKazuki UedaYuji ToiyamaSatoshi MaruyamaShigeki YamaguchiKeitaro TanakaMotoko SuzukiToshihiro MisumiTakeshi NaitohMasahiko WatanabeMasaaki ItoShinobu Ohnuma

DOI : 10.1093/bjsopen/zrag128

Published on: 30 September 2026

Lower Gastrointestinal Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Review Article
Article Cover

Risk factors for idiopathic granulomatous mastitis: scoping review

Rute S S CastelhanoLeah ArgusDaniel AhariGoonj JohriEmma MacInnesShaneel ShahChristopher DarlowVijay SharmaRudresh ShuklaIain LyburnNisha SharmaRoisin BradleyCliona C Kirwan

DOI : 10.1093/bjsopen/zrag137

Published on: 29 September 2026

Breast Surgery

BJS Open

Volume : 10

Issue : 5

Abstract
Research letter
Article Cover

Knowledge, practice, and barriers to opportunistic salpingectomy during non-gynaecological surgery: international survey

Jeremy MeyerManuela UndurragaFrédéric RisThibaud KoesslerIntidhar Labidi-GalyFrancesco Abboretti

DOI : 10.1093/bjsopen/zrag145

Published on: 28 September 2026

General Surgery Urology

BJS Open

Volume : 10

Issue : 5

Randomized clinical trial
Article Cover

Surgery versus observation in patients 65 years or older with primary hyperparathyroidism: randomized clinical trial

Anders O J BergenfelzMark ThierMartin AlmquistJonas P RanstamErik D Nordenström

DOI : 10.1093/bjsopen/zrag151

Published on: 01 October 2026

Endocrine

BJS Open

Volume : 10

Issue : 5

Abstract
Issue cover image

Volume 10, Issue 5

October 2026

Cover image

EISSN 2474-9842

  • Invited Commentary
  • Systematic Reviews
  • Randomized Clinical Trial
  • Original Articles
  • Research Letter