Journal of Visceral Surgery最新文献

{"title":"Patient-specific 3D vascular reconstructions improve preoperative planning for right colectomy with complete mesocolic excision: A crossover study.","authors":"Emma Diallo, Antoine Cazelles, Mélinda Bajul, Aurélien Saltel-Fulero, Lionel Rebibo, Léila M'Harzi, Lucien Maraux, Gianluca Pagano, Pauline Thibodot, Rami Harb, Remy Amory, Sarah Nerriec, Thibault Sigwalt, Mehdi Karoui, Gilles Manceau","doi":"10.1016/j.jviscsurg.2026.10.001","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.10.001","url":null,"abstract":"<p><strong>Introduction: </strong>Complete mesocolic excision (CME) for right-sided colon cancer is technically demanding due to substantial variability in mesenteric vascular anatomy. Patient-specific three-dimensional (3D) vascular reconstructions may improve preoperative planning by enhancing the accuracy and efficiency of anatomical analysis. This study assessed the impact of 3D reconstructions on anatomical accuracy and interpretation time compared with conventional CT.</p><p><strong>Materials and methods: </strong>This retrospective, single-centre comparative study used a cross-over design. Portal-venous phase CT scans were analysed using either conventional CT interpretation or patient-specific 3D vascular reconstructions (Visible Patient®, Strasbourg, France). Readers with different levels of experience assessed right colonic arterial and venous anatomy. Anatomical accuracy and interpretation time were compared using mixed-effects models accounting for reader- and patient-related effects.</p><p><strong>Results: </strong>Thirty patients and fourteen readers (seven junior and seven senior) were included, yielding 840 imaging assessments. Anatomical accuracy was significantly higher with 3D reconstructions (adjusted OR 2.05, 95% CI 1.76-2.40; P<0.001), independently of reader experience and reading sequence. Median interpretation time was significantly shorter with 3D reconstructions compared with conventional CT (150 s [110-232] vs. 335 s [203-500], P<0.0001). In multivariable analysis, 3D reconstructions remained independently associated with reduced interpretation time, with a stronger effect in junior (-60%) than senior readers (-35%).</p><p><strong>Conclusion: </strong>Patient-specific 3D vascular reconstructions improve both the accuracy and efficiency of preoperative anatomical assessment for right-sided colon surgery compared with conventional CT interpretation. These findings support their integration into preoperative planning for CME, with potential benefits for surgical standardisation and training.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cecal volvulus: A rare but classic cause of occlusion.","authors":"Gaétan Pasinato, Jean-Marc Regimbeau, Charles Sabbagh","doi":"10.1016/j.jviscsurg.2026.09.005","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.09.005","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delayed pseudocontinent perineal colostomy after abdominoperineal resection (with video).","authors":"Edouard Roussel, Julien Coget, Jean-Jacques Tuech","doi":"10.1016/j.jviscsurg.2026.09.002","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.09.002","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical complications following pancreaticoduodenectomy in pancreatic neuroendocrine tumors: A systematic review","authors":"Donavan S. O’Brien,&nbsp;Henyah W. Dardir,&nbsp;Ahmed Adham R. Elsayed,&nbsp;Marc D. Basson","doi":"10.1016/j.jviscsurg.2025.12.002","DOIUrl":"10.1016/j.jviscsurg.2025.12.002","url":null,"abstract":"<div><h3>Background</h3><div>The management of pancreatic tumors varies depending on the tissue origin, as the tissue type results in numerous differences in the tumor's behavior. Pancreatic neuroendocrine tumors (pNETs) arise from pancreatic islet cells, distinguishing them from pancreatic adenocarcinomas that arise from glandular tissue. Pancreatic neuroendocrine tumors are frequently resected by pancreaticoduodenectomy. This review examines complications of pancreaticoduodenectomy in patients with pancreatic neuroendocrine tumors.</div></div><div><h3>Methods</h3><div>PubMed, Cochrane, Virtual Health Library, and Web of Science databases were searched for studies reporting intraoperative and postoperative complications following the resection of pNETs via pancreaticoduodenectomy. Studies that met the inclusion criteria underwent quality assessment via STROBE and CARE guidelines for observational studies and case reports, respectively.</div></div><div><h3>Results</h3><div>Our search yielded 42 articles with a total relevant population of 2925. The main intraoperative complication (6.43%) was blood loss requiring blood transfusions (5.61%). Postoperative complications (55.38%) included pancreatic fistula (POPF) (21.23%), postoperative bleeding (0.31%), pancreatic hemorrhage (1.16%), delayed gastric emptying (3.90%), surgical site infection (2.02%), organ/space infection (6.36%) abdominal abscess (3.08%), bile fistula (0.72%), biliary stricture (0.068%), chyle leak (0.21), pancreatitis (0.034%) and other/unspecified complications (15%).</div></div><div><h3>Conclusion</h3><div>The postoperative complication rate for pancreaticoduodenectomy is 55.38%, with POPF being the most common. Patients with pNETs are significantly more likely to experience POPF than any other pancreatic pathology, including pancreatic adenocarcinoma. Patients with pancreatic neuroendocrine tumors are at higher risk for pancreatic fistulas due to the tumor's origin in soft pancreatic tissue and a small Wirsung duct. Pancreaticoduodenectomy is preferred for tumors larger than 2<!--> <!-->cm or close to the duct.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 5","pages":"Pages 338-350"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enterocutaneous fistula: Update in 2026","authors":"Clément Pastier,&nbsp;Maxime K. Collard,&nbsp;Alexandre Challine,&nbsp;Najim Chafai,&nbsp;Jérémie H. Lefevre,&nbsp;Yann Parc","doi":"10.1016/j.jviscsurg.2026.02.006","DOIUrl":"10.1016/j.jviscsurg.2026.02.006","url":null,"abstract":"<div><div>Enterocutaneous fistulas (ECF) represent a complex condition. Management strategy is based on a combination of treatment of sepsis, correction of fluid and electrolyte imbalances, nutritional optimization, anatomical assessment, and management planning. The approach is necessarily multidisciplinary (nutritionists, enterostomal therapists, interventional radiologists, anesthesiologists, intensive care specialists, and surgeons). Fitting of skin prostheses remains a challenge and requires specialized enterostomal nursing expertise. Current nutritional recommendations are for 25–35<!--> <!-->kcal/kg/day with 1.5 to 2.5<!--> <!-->g/kg/day of protein, depending on the severity of muscle wasting. Parenteral nutrition plays a central role in the initial period. Re-instillation of chyme, when feasible (proximal and distal individualized fistula orifices), provides downstream intestinal stimulation, an ileal brake effect, improved liver function, and preparation for restoration of intestinal continuity. Enteral nutrition can be gradually increased as tolerated, and oral nutrition can even be considered in certain cases when the fistula is well controlled. This has real psychological benefits for the patient. Surgical management is most often delayed, but a recent study shows that early curative surgery (&lt;<!--> <!-->4<!--> <!-->months) is possible in certain selected patients. Main principles of curative surgery include complete viscerolysis, measurement of residual lengths, resection of the fistulated area, and most often, re-anastomosis. Parietal closure is sometimes difficult, requiring reconstructive techniques ranging from simple sutures to component separation or complex flaps. When the patient is eligible for curative surgery, the overall success rate for postoperative ECF is around 80%, with a recurrence rate of approximately 17% and a permanent stoma rate of nearly 10%. Success is highly dependent on the etiology. Current data suggest that center expertise, preoperative patient optimization, and careful patient selection are the determining factors for success. The economic and psychological impact of this condition should not be overlooked. An ECF doubles the cost of hospitalization on average. Clear and honest communication with the patient from the outset is essential.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 5","pages":"Pages 351-364"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to stain a resected specimen following a duodenopancreatectomy.","authors":"Lazare Sommier, Florence Jeune, Sébastien Gaujoux","doi":"10.1016/j.jviscsurg.2026.09.001","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.09.001","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of common bile duct stones (choledocholithiasis) and its complications (part 2)","authors":"Nicolas Golse,&nbsp;Lucia Paiano,&nbsp;Claire Goumard,&nbsp;Michel Rayar,&nbsp;Antoine Martin,&nbsp;Sophie Chopinet,&nbsp;Charlotte Maulat","doi":"10.1016/j.jviscsurg.2026.04.005","DOIUrl":"10.1016/j.jviscsurg.2026.04.005","url":null,"abstract":"<div><div>Common bile duct stones (CBDS) is a complication of gallbladder lithiasis that may or may not be symptomatic. Once discovered in preoperative imaging, management depends on the context. Three options exist: observation (due to possible spontaneous evacuation of the small CBDS), extraction by endoscopic sphincterotomy (potentially risky, particularly in an asymptomatic patient), or surgical treatment (cholecystectomy, with CBD exploration or simple transcystic biliary drainage). In cases of intraoperative discovery (by cholangiography), strategy depends mainly on CBD diameter. With a small CBD, conservative treatment with transcystic drainage is possible, followed six weeks later by an evaluation by cholangiography. With a large CBD, surgical extraction or combined endoscopic treatment can be considered as options during the same operation. For symptomatic CBDS, there are two strategies, neither of which has shown superiority to the other: <em>one-st</em><em>age</em>: combined surgical-endoscopic or exclusively surgical treatment; <em>two-</em><em>stages</em>: extraction by endoscopic sphincterotomy followed by cholecystectomy, requiring two separate anesthetic procedures. In the event of CBDS discovered after cholecystectomy, ERCP is the reference treatment. The main complications of CBDS are: <em>cholangitis</em>, a medical emergency necessitating treatment (in accordance with the Tokyo guidelines) including early antibiotherapy and rapid biliary drainage in the moderate and severe forms, ideally by endoscopic sphincterotomy; <em>acute biliary (lithiasic) pancreatitis</em>, for which endoscopic sphincterotomy is indicated only in the event of associated cholangitis or persistent biliary obstruction; surgery is limited to complicated forms, particularly in cases of infected pancreatic necrosis after failed endoscopic and/or radiological drainage. Early cholecystectomy during the same hospitalization is recommended for mild forms.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 5","pages":"Pages 365-375"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic total gastrectomy for cancer with D1,5 lymph node dissection (with video)","authors":"Ivan Tsimailo,&nbsp;Guillaume Levenson,&nbsp;Tigran Poghosyan","doi":"10.1016/j.jviscsurg.2026.07.003","DOIUrl":"10.1016/j.jviscsurg.2026.07.003","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 5","pages":"Pages 396-397"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a 3D-printed device in the therapeutic education of patients requiring ileostomy","authors":"Emeric Abet,&nbsp;Fabrice Denimal,&nbsp;Jérôme Dimet,&nbsp;Louën Ropers,&nbsp;Séverine Dandeu,&nbsp;Marc-Henri Jean","doi":"10.1016/j.jviscsurg.2026.03.004","DOIUrl":"10.1016/j.jviscsurg.2026.03.004","url":null,"abstract":"<div><h3>Objective</h3><div>Stomas alter the body image. The present study assessed postoperative quality of life on Stoma-QoL score 2 months after admission in patients receiving temporary ileostomy after using a preoperative 3D-printed simulation device on the future ileostomy site.</div></div><div><h3>Patients and methods</h3><div>Patients scheduled for temporary ileostomy were included. They received therapeutic education by stomatherapists, during which either a simple pen mark was made on their abdomen (PM group) or a 3D-printed device was also applied on the marked site (3D group). They filled out a quality-of-life (QoL) questionnaire at 1 and 2 months of hospital stay.</div></div><div><h3>Results</h3><div>Fifty patients were included. QoL scores at 2 months were 60<!--> <!-->±<!--> <!-->9 in PM and 61<!--> <!-->±<!--> <!-->11 in 3D (<em>P</em> <!-->=<!--> <!-->0.88). Six 3D patients (24%) experienced adverse effects related to the device, compared to 5 in the PM group. During the first month, patients experiencing complications (Clavien-Dindo grade<!--> <!-->≥<!--> <!-->3) consulted the stomatherapists more often: 4.8<!--> <!-->±<!--> <!-->4.5 consultations, versus 0.2<!--> <!-->±<!--> <!-->1.9 for those with no or only minor (grade<!--> <!-->&lt;<!--> <!-->3) complications (<em>P</em> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusion</h3><div>The device did not improve postoperative quality of life. Patients with major postoperative complications required closer follow-up by stomatherapists.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 5","pages":"Pages 332-337"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: “Aorto-duodenal fistula: what should we do?”","authors":"Vincent Dubuisson","doi":"10.1016/j.jviscsurg.2026.06.002","DOIUrl":"10.1016/j.jviscsurg.2026.06.002","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 5","pages":"Page 398"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}