Christelle-Dior Ndjandje, Daniel Eyraud, Sébastien Gaujoux
{"title":"Intersecting perspectives on the organization and disorganization of our operating theaters.","authors":"Christelle-Dior Ndjandje, Daniel Eyraud, Sébastien Gaujoux","doi":"10.1016/j.jviscsurg.2025.03.007","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.03.007","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743499","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":"Medical error: From a legal framework to an approach based on surgical risk management.","authors":"Margaux Borie, Jean-François Gravié, Frédéric Borie","doi":"10.1016/j.jviscsurg.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.03.002","url":null,"abstract":"<p><p>The legal concept of medical error is focused on the liability of professionals and healthcare establishments in the event of patient harm. Encompassing medical hazard and loss of chance, this approach is aimed at determining indemnification for harm following a medical accident occurring in a patient. Risk management associated with an adverse event strives to prevent errors and to minimize their deleterious consequences. Search for medical accident avoidability is the main concept characterizing this approach. Analysis by feedback from operational experience allows professionals to anonymously and non-punitively learn from their mistakes, the key objective being to improve their practices. The objective of the present study was to consider medical or surgical error first in a legal framework and then from a risk management standpoint, thereby enabling the surgeon to better understand the specificities of these approaches with their different purposes and to expressly integrate them in his practice, in such a way as to promote patient and professional safety.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732740","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":"Lymphatic mapping using patent blue dye injection for colon cancer.","authors":"Marc Pocard, Jean-Jacques Tuech","doi":"10.1016/j.jviscsurg.2025.03.003","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.03.003","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665169","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}
Louise Barbier, Matthew Haydock, Kamran Zargar, John McCall
{"title":"Thrombectomy of the inferior vena cava for renal cell carcinoma level 3 thrombus.","authors":"Louise Barbier, Matthew Haydock, Kamran Zargar, John McCall","doi":"10.1016/j.jviscsurg.2025.02.007","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.02.007","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626589","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":"Rehospitalization after digestive surgery: Which indicators to use?","authors":"Arnaud Alves, Karem Slim","doi":"10.1016/j.jviscsurg.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.02.008","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606786","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}
Alexandra Pellegrin, Hugo Defives, Charles Sabbagh
{"title":"Long stenosis in Crohn's disease: Stricturoplasty according to Finney.","authors":"Alexandra Pellegrin, Hugo Defives, Charles Sabbagh","doi":"10.1016/j.jviscsurg.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.02.006","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606412","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":"Voluminous parieto-cutaneous and peritoneal recurrence of colon cancer - Carcinologic resection is always to be considered.","authors":"Milena Muzzolini, Hélène Hermand, Diane Goere","doi":"10.1016/j.jviscsurg.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.02.004","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525091","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}
Belkacem Acidi, Matthieu Faron, Olivier Mir, Antonin Levy, Mohammed Ghallab, Ines Kasraoui, Benjamin Verret, Cecile Le Péchoux, Raslislav Bahleda, Andrea Cavalcanti, Axel Le Cesne, Charles Honoré
{"title":"Contraindication to surgery in primary retroperitoneal sarcoma: Retrospective series on 20years of practice in a high-volume sarcoma center.","authors":"Belkacem Acidi, Matthieu Faron, Olivier Mir, Antonin Levy, Mohammed Ghallab, Ines Kasraoui, Benjamin Verret, Cecile Le Péchoux, Raslislav Bahleda, Andrea Cavalcanti, Axel Le Cesne, Charles Honoré","doi":"10.1016/j.jviscsurg.2025.01.009","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.01.009","url":null,"abstract":"<p><strong>Introduction: </strong>Surgery is the cornerstone treatment for retroperitoneal sarcomas (RPS). However, contraindications for unresectability are not well-documented in the literature.</p><p><strong>Aim of the study: </strong>This study aims to identify contraindications that prevent surgery for primary RPS in a high-volume sarcoma center.</p><p><strong>Methods: </strong>We retrospectively analyzed all consecutive patients treated for primary RPS at our center from 1995 to 2021.</p><p><strong>Results: </strong>Among the 452 patients treated for primary RPS, 92 (20%) were not offered surgery. The reasons for unresectability were categorized as follows: poor general health or severe comorbidities in 39 patients (42%), preoperative detection of distant metastases in 33 patients (36%), and locally advanced disease in 20 patients (22%). Locally advanced disease included vascular involvement in 14 patients (15%) and vertebral invasion in 6 patients (7%). Among the non-operated patients, 66% received chemotherapy, 16% received radiotherapy, and 5% received combined treatments. The median progression-free survival was 7months, and the median overall survival was 18months. The 1-year overall survival rate was 53%.</p><p><strong>Conclusion: </strong>Contraindications for surgery in patients with primary RPS in a high-volume sarcoma center are not uncommon. The next step should be to differentiate absolute from relative (i.e., preoperative modifiable factors) contraindications.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505217","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}
Fanny Sok, François Mauvais, Marion Demouron, Thierry Yzet, Noémie Ammar-Khodja, Jean-Marc Regimbeau
{"title":"What is the best management of patients after percutaneous transhepatic gallbladder drainage for acute lithiasic cholecystitis? Comparison of two different strategies.","authors":"Fanny Sok, François Mauvais, Marion Demouron, Thierry Yzet, Noémie Ammar-Khodja, Jean-Marc Regimbeau","doi":"10.1016/j.jviscsurg.2025.01.007","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.01.007","url":null,"abstract":"<p><strong>Introduction: </strong>After percutaneous transhepatic gallbladder drainage (PTGD) in patients with acute lithiasic cholecystitis (ALC), patients are managed on surgical wards. Our aim was to compare two management strategies for these patients.</p><p><strong>Material: </strong>Consecutive patients (2019-2021) who underwent PTGD were included. In Center A (CHOL- DRAIN+ Clamped): clamping of the drain without systematic cholangiography and discharge with the drain clamped, removal of the drain in consultation; Center B (CHOL+ DRAIN-): cholangiography and removal of the drain during hospitalization. The primary endpoint was the success of PTGD (absence of cholecystectomy or death during hospitalization, absence of readmissions for ALC and/or death from biliary causes within 90days). Secondary endpoints were PTGD complications, length of hospitalization, unscheduled cholecystectomy, or biliary-associated readmission within 90days. Analysis was performed in intention-to-treat and per-protocol.</p><p><strong>Results: </strong>Forty patients were included in Center A (CHOL- DRAIN+ Clamped) and 19 in Center B (CHOL+ DRAIN-). They were comparable. In ITT, the PTGD success rate was comparable between groups (85% vs. 63%, P=0.097). Drainage complications (15% vs. 53%, P=0.007) and re-drainage (0% vs. 15.8%, P=0.03), unscheduled cholecystectomy (2% vs. 26%, P=0.037), and readmission for biliary causes (10% vs. 32%, P=0.039) within 90days were less frequent in Center A. Mortality (7.5% vs. 10.5%, P=0.7) and length of stay (12 vs. 13days, P=0.744) were comparable. Cholangiography enabled a change in strategy for 20.3% of cases. PP management was more frequent in Center A (92.5% vs. 52.6%, P=0.004).</p><p><strong>Conclusion: </strong>Drain clamping during hospitalization and removing it during consultation, without systematic cholangiography is a good strategy.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505218","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}