Journal of Visceral Surgery最新文献

Double porto-variceal anastomosis during liver transplantation for portal vein thrombosis (with video). 肝移植中门静脉血栓双门静脉吻合术（附视频）。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-09-30 DOI: 10.1016/j.jviscsurg.2025.09.007

Arthur Marichez, Mehdi Boubaddi, Laurence Chiche

引用次数: 0

Aorto-duodenal fistula: What should we do? 主动脉-十二指肠瘘：我们该怎么办？

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-09-25 DOI: 10.1016/j.jviscsurg.2025.09.004

Emmanuel Delarue, Dorian Verscheure, Sébastien Gaujoux

引用次数: 0

Obstructed colon cancer: Review and perspectives. 梗阻性结肠癌：回顾与展望。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-09-22 DOI: 10.1016/j.jviscsurg.2025.09.001

Antoine Cazelles, Gaetan Pasinato, Mathilde Aubert, Gilles Manceau, Diane Mege, Charles Sabbagh, Mehdi Karoui

{"title":"Obstructed colon cancer: Review and perspectives.","authors":"Antoine Cazelles, Gaetan Pasinato, Mathilde Aubert, Gilles Manceau, Diane Mege, Charles Sabbagh, Mehdi Karoui","doi":"10.1016/j.jviscsurg.2025.09.001","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.09.001","url":null,"abstract":"Obstructed colon cancer (OCC) accounts for approximately 25% of colorectal cancer at the time of diagnosis and represents a surgical emergency creating a dual challenge: (i) the management of an acute mechanical colonic obstruction with potentially life-threatening consequences (fluid and electrolyte disturbances, systemic deterioration, colonic ischemia, stercoral stasis); and (ii) the treatment of an advanced primary or metastatic malignancy, often in elderly or frail patients with significant comorbidities. For right-sided OCC, right hemicolectomy with or without ileocolic anastomosis is the recommended approach, while a primary diverting ileostomy as a bridge to delayed right colectomy may be considered a safe alternative. For left-sided OCC, a diverting colostomy allows for subsequent oncological colectomy following complete disease staging and patient optimization. Hartmann's procedure should be reserved for perforated OCC, whereas (sub)total colectomy is indicated in cases of proximal colonic ischemia. In the setting of ischemia or perforation of a markedly distended proximal colon, a bowel-preserving (or colonic-sparing) strategy consisting of ileocecal resection with ileocolostomy - temporarily leaving the primary tumor in situ - may represent an alternative to (sub)total colectomy. Colonic stenting can be considered as an alternative to diverting colostomy in experienced centers. Given the poor prognosis of OCC and the high morbidity of emergency surgery - which may delay or even preclude adjuvant chemotherapy - novel treatment strategies are warranted. These include the use of neoadjuvant chemotherapy during the interval between creation of a diverting stoma (ileostomy or colostomy) or colonic stent placement and subsequent elective colectomy, regardless of the primary tumor location.","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132461","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}

引用次数: 0

Mental preparation: Tools for optimizing surgical performance and managing perioperative stress. 心理准备：优化手术表现和管理围手术期压力的工具。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-09-15 DOI: 10.1016/j.jviscsurg.2025.08.001

Charles Honoré, Chris R, Maxime Collard

{"title":"Mental preparation: Tools for optimizing surgical performance and managing perioperative stress.","authors":"Charles Honoré, Chris R, Maxime Collard","doi":"10.1016/j.jviscsurg.2025.08.001","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.08.001","url":null,"abstract":"The hospital can be a hostile environment where many stress-producing situations may arise that require professionals to maintain their composure to avoid potentially damaging effects for patients and themselves. Mental preparation includes techniques aimed at optimizing individual and collective performances by improving one's mental capacity and cognitive abilities. Although widely adopted in settings such as high-level sports, the armed forces and aeronautics, these techniques are still infrequently used in surgery. This update describes practical tools for mental preparation that are specifically tailored to the needs of surgeons, enabling them to manage situations of intense stress in a rational manner. Everything starts with recognition of the stress (the surgeon's own and that of the team) and the identification of the causes. We propose a non-exhaustive list of simple and pragmatic techniques to help surgeons to quickly regain lucidity and analytical skills, essential in high-risk situations. The methods presented are organized according to the different peri-operative phases (before, during and after surgery) and are inspired by proven practices in other disciplines where error is not allowed. Although this overview is not meant to replace regular training or practice, it is an attempt to structure this particular aspect of surgical practice, and replies to a growing demand, especially from the younger generations of surgeons.","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076385","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}

引用次数: 0

Diagnosis of a perforated ulcer on an excluded stomach after bypass surgery. 旁路手术后排除胃穿孔性溃疡的诊断。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-09-10 DOI: 10.1016/j.jviscsurg.2025.08.005

Martin Vieban, Anne de Carbonnières, Brice Malgras

引用次数: 0

Ureteral complications during colorectal surgery. 结直肠手术中的输尿管并发症。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-09-03 DOI: 10.1016/j.jviscsurg.2025.08.004

Kamir Ould Ahmed, Marvin Jourdan, Michael Baboudjian, Mathilde Aubert, Diane Mege

{"title":"Ureteral complications during colorectal surgery.","authors":"Kamir Ould Ahmed, Marvin Jourdan, Michael Baboudjian, Mathilde Aubert, Diane Mege","doi":"10.1016/j.jviscsurg.2025.08.004","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.08.004","url":null,"abstract":"Ureteral complications occur rarely during colorectal surgery (0.3 to 1.5%), are mainly diagnosed postoperatively (50-70%), and result in both short- and long-term morbidity. The objective of this update was to report on prevention, diagnosis, and treatment options for ureteral injuries that occur during colorectal surgery. For prevention, it is essential to identify at-risk patients preoperatively. Routine prophylactic insertion of a double-J catheter is not recommended. Intra-operatively, non-invasive techniques to aid in locating the ureters based on intravenous injection of methylene blue or intra-ureteral injection of indocyanine green have been reported. If ureteral injury is diagnosed intra-operatively, direct repair should be performed over a ureteral stent, combined with catheter drainage of the bladder for 5 to 7 days. In case of postoperative diagnosis, urinary diversion can be performed using a double-J catheter, a mono-J catheter, or by insertion of a percutaneous nephrostomy. Ureteral repair will be performed secondarily depending on the location of the injury and the size of the defect. For ureteral injuries in the pelvis, uretero-vesical re-implantation with or without a psoas-bladder hitch procedure may be proposed. For ureteral injuries at the lumbar or iliac levels, segmental resection with uretero-ureteral anastomosis, or possibly with ileal or appendiculoplasty, may be performed. The main complications after ureteral injury repair are anastomotic leakage and ureteral stricture. Uretero-vesical re-implantation techniques appear to be less likely to cause anastomotic leakage than direct uretero-ureteral anastomoses.","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001769","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}

引用次数: 0

Use of florescence imaging in colorectal surgery. 荧光成像在结直肠手术中的应用。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-09-02 DOI: 10.1016/j.jviscsurg.2025.08.006

Perrine Lioret, Zaher Lakkis

引用次数: 0

Re: Laparoscopic ventral rectopexy. 回复：腹腔镜腹直肠固定术。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-09-02 DOI: 10.1016/j.jviscsurg.2025.08.002

Jean-Luc Faucheron, Morgane Barra, Bertrand Trilling

引用次数: 0

Modified surgical procedures that facilitate endoscopic and radiologic management of postoperative complications. 改进手术程序，方便内镜和放射学处理术后并发症。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-08-04 DOI: 10.1016/j.jviscsurg.2025.07.004

Fabien Werey, Gaëtan Pasinato, Hugo Defives, Franck Brazier, Richard Delcenserie, Thierry Yzet, Charles Sabbagh, Jean-Marc Regimbeau

引用次数: 0

Rehospitalization after digestive surgery: Which indicators to use? 消化手术后再住院：使用哪些指标？

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-08-01 DOI: 10.1016/j.jviscsurg.2025.02.008

Arnaud Alves , Karem Slim

引用次数: 0