Journal of Visceral Surgery最新文献

Voluminous parieto-cutaneous and peritoneal recurrence of colon cancer - Carcinologic resection is always to be considered.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-26 DOI: 10.1016/j.jviscsurg.2025.02.004

Milena Muzzolini, Hélène Hermand, Diane Goere

引用次数: 0

Contraindication to surgery in primary retroperitoneal sarcoma: Retrospective series on 20years of practice in a high-volume sarcoma center.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-24 DOI: 10.1016/j.jviscsurg.2025.01.009

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":"Introduction: Surgery is the cornerstone treatment for retroperitoneal sarcomas (RPS). However, contraindications for unresectability are not well-documented in the literature.Aim of the study: This study aims to identify contraindications that prevent surgery for primary RPS in a high-volume sarcoma center.Methods: We retrospectively analyzed all consecutive patients treated for primary RPS at our center from 1995 to 2021.Results: 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%.Conclusion: 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.","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}

引用次数: 0

What is the best management of patients after percutaneous transhepatic gallbladder drainage for acute lithiasic cholecystitis? Comparison of two different strategies.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-24 DOI: 10.1016/j.jviscsurg.2025.01.007

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":"Introduction: 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.Material: 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.Results: 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).Conclusion: Drain clamping during hospitalization and removing it during consultation, without systematic cholangiography is a good strategy.","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}

引用次数: 0

Transplantation for hepatic metastases of colorectal cancer: Toward a change of concept and a change of practice.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-20 DOI: 10.1016/j.jviscsurg.2025.02.005

René Adam

引用次数: 0

Will today's (scientific) truth be tomorrow's? 今天的（科学）真理会成为明天的真理吗？

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-18 DOI: 10.1016/j.jviscsurg.2025.01.011

Karem Slim, Arnaud Alves

引用次数: 0

The advent of the 3CVD Congress - A new era for visceral and digestive surgery in France.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-17 DOI: 10.1016/j.jviscsurg.2025.02.001

Laura Beyer-Berjot, Alain Valverde, Jérémie H Lefevre

引用次数: 0

Robotic minimally invasive duodenopancreatectomy with superior mesenteric artery approach (with video).

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-15 DOI: 10.1016/j.jviscsurg.2024.09.007

Farouk Mourthadhoi, Bertrand Le Roy, Pierre-Yves Blanc

引用次数: 0

Rectourethral fistulas after treatment for prostate carcinoma: Update and new management algorithm.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-13 DOI: 10.1016/j.jviscsurg.2025.01.010

Maëlig Poitevin, Matthieu Ferragu, Pierre Bigot, Thibaut Culty, Aurélien Venara

{"title":"Rectourethral fistulas after treatment for prostate carcinoma: Update and new management algorithm.","authors":"Maëlig Poitevin, Matthieu Ferragu, Pierre Bigot, Thibaut Culty, Aurélien Venara","doi":"10.1016/j.jviscsurg.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.01.010","url":null,"abstract":"Rectourethral fistula (RUF) is associated with poor quality of life related to urinary functional symptoms (pneumaturia, fecaluria, urine passing through the rectum) or urinary tract infections (upper or lower, often recurrent). Most are iatrogenic, occurring after surgery such as radical prostatectomy, where their prevalence ranges from 0.03 in various series. RUF can also occur after radiation therapy administered for prostate cancer. Management of RUF is complex and depends on whether the patient has had previous radiation therapy or not. Different surgical techniques have been evaluated, but currently there is no consensus as to the best approach. The York-Mason technique is preferred for simple RUF in patients without prior irradiation, while for more complex cases, with antecedent irradiation, transperineal approaches with muscular flap interposition are often recommended. Evaluation of quality of life is crucial, because management of RUF can have severe consequences on urinary continence and sexual function. Despite successful anatomical repair, patients often continue to suffer from functional sequalae that affect their quality of life. Although progress has been achieved in the treatment of RUF, a coherent and efficient management algorithm is necessary to standardize the practical aspects and improve the outcomes. This update summarizes the different strategies that are available for management of RUF and underscores the importance of an individualized approach.","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426561","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

Natural history of right hemicolectomy for cancer in high-risk anesthetic patients: Immediate anastomosis is a valid option.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-05 DOI: 10.1016/j.jviscsurg.2025.01.003

R Dugas, C Lim, A Leseigneur, M Demouron, F Mauvais, C Sabbagh, J-M Regimbeau

{"title":"Natural history of right hemicolectomy for cancer in high-risk anesthetic patients: Immediate anastomosis is a valid option.","authors":"R Dugas, C Lim, A Leseigneur, M Demouron, F Mauvais, C Sabbagh, J-M Regimbeau","doi":"10.1016/j.jviscsurg.2025.01.003","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.01.003","url":null,"abstract":"Introduction: Surgeons and patients need to know the expected outcomes of right hemicolectomy for colon cancer in high-risk anesthetic patients.Methods: This is a two-center study of high-risk anesthetic patients undergoing right hemicolectomy between 2009 and 2023. High-risk anesthetic patients were defined as those with ASA score≥3. The primary endpoint was to assess the safety of right hemicolectomy evaluated as 90-day mortality and morbidity. Secondary endpoints included the occurrence of anastomotic leak, a textbook outcome and long-term survival. Factors associated with textbook outcome and definitive stoma were also investigated.Results: A total of 220 patients were included (mean age: 76±9 years). Of these, 8.6% of patients had a definitive stoma. Mortality and severe morbidity at 90 days were 7.3% and 14.6%, respectively. Readmission rate within 90 days was 15.9%. The rate of textbook outcome was 68.2%. In multivariable analysis, hemicolectomy without anastomosis was associated with a lower textbook outcome rate (OR=0.4, 95% CI=0.2-1.0; P=0.04) and a higher definitive stoma rate (OR=103, 95% CI=9-1131; P=0.0001) after right hemicolectomy.Conclusions: Right hemicolectomy with immediate anastomosis in high-risk anesthetic patients with colon cancer is safe and effective with acceptable mortality and morbidity. Performing right hemicolectomy without anastomosis was a factor for failing to achieve textbook outcome and a risk factor for definitive stoma.","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366296","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

Measuring performance in visceral surgery: Interests, tools, and perspectives.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-05 DOI: 10.1016/j.jviscsurg.2025.01.008

Frédéric de la Codre

引用次数: 0