Journal of Visceral Surgery最新文献

{"title":"Obtaining the critical view of safety during laparoscopic cholecystectomy for symptomatic cholelithiasis.","authors":"Hugo Defives, Karem Slim, Jean-Marc Regimbeau","doi":"10.1016/j.jviscsurg.2026.03.007","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.03.007","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822890","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":"How to manage pelvic-perineal necrotic bacterial dermohypodermitis.","authors":"Alexandra Pellegrin, Charles Sabbagh, Jean-Marc Regimbeau, Octave Charvillat, Rodolphe Chartier, Arnaud Alves","doi":"10.1016/j.jviscsurg.2026.03.006","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.03.006","url":null,"abstract":"<p><p>Pelvic-perineal necrotic bacterial dermohypodermitis, also known as Fournier's gangrene, is a rare infection, at 1.6/100,000, affecting males in more than 95% of cases, frequently overwhelming and with very poor prognosis. It is polymicrobial in more than 80% of cases, spreading rapidly in the subcutaneous perineal tissue due to bacterial enzymes. Recent mortality estimates were between 7.5 and 20%. The main risk factors, related to impairment of immunity and microcirculation, include diabetes, smoking and alcohol abuse, obesity, HIV infection, cardiac, renal and/or hepatic comorbidity, and cancer. Diagnosis is primarily clinical. Presentation typically associates fever, intense pain, scrotal edema, cutaneous erythema and subcutaneous crepitation, with possible rapid progression to septic shock. Prognostic scores have been developed, but their use should never delay implementation of abdominal-pelvic CT and surgery. Debridement needs to be carried out early, within 12hours of symptom onset; mortality is increased 3-fold if the delay exceeds 14hours: 24 versus 69%. Management is sequential and multidisciplinary, associating hemodynamic stabilization, broad-spectrum probabilistic antibiotic therapy, and iterative \"skin-sparing\" debridement, which improves the rate of delayed primary closure (7 vs. 38%; P=0.002) and hospital stay (26 vs. 46 days; P=0.02), and facilitates secondary reconstruction.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822828","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":"Comparative accuracy of Boey score and PULP score for predicting prognosis in patients with perforated peptic ulcer: A systematic review and meta-analysis.","authors":"Abraham Gita Ramanda Christanto, Albertus Ari Adrianto","doi":"10.1016/j.jviscsurg.2026.02.010","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.02.010","url":null,"abstract":"<p><strong>Aim of the study: </strong>Boey and peptic ulcer perforation (PULP) scores are two scoring systems frequently employed to forecast prognosis in patients with perforated peptic ulcer (PPU). Unfortunately, which of these two scoring systems has better performance is still questionable. This study seeks to compare the accuracy of Boey and PULP scores in forecasting mortality and morbidity among patients with PPU.</p><p><strong>Patients and methods: </strong>A thorough search was performed on the Cochrane Library, Scopus, Medline, and Google Scholar databases until April 10th, 2025, employing a combination of pertinent keywords. This review incorporates literature that examines the performance of Boey or PULP scores for PPU. A meta-analysis was conducted to assess the prognostic accuracy of both scoring systems for predicting mortality and morbidity utilizing a bivariate random-effects model.</p><p><strong>Results: </strong>A total of thirty-six studies were incorporated. Our meta-analysis findings suggest that, although not statistically significant, the PULP score demonstrated comparatively higher pooled sensitivity (80% vs. 78%), specificity (85% vs. 78%), and diagnostic odds ratio (20.67 vs. 12.69) than the Boey score for predicting mortality in perforated peptic ulcer (PPU) patients. For morbidity prediction, the PULP score also yielded marginally better sensitivity (62% vs. 54%) and a comparable specificity (85% vs. 86%) relative to the Boey score.</p><p><strong>Conclusions: </strong>This analysis indicates that the PULP and Boey scores show comparable accuracy in predicting both mortality and morbidity in patients with PPU, supporting the use of either tool for clinical risk assessment in this setting.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787271","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":"Comparison of oncological outcomes between the first 28 cases of TaTME and LaTME: A matched case-control study.","authors":"Mikail Yazar, Didier Mutter, Antonio D'Urso","doi":"10.1016/j.jviscsurg.2026.03.005","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.03.005","url":null,"abstract":"<p><strong>Purpose: </strong>To compare early oncological outcomes, particularly the R1 resection rate (defined as positive circumferential resection margin [CRM+] or distal resection margin [DRM+]), between transanal total mesorectal excision (TaTME) and laparoscopic total mesorectal excision (LaTME) for the treatment of rectal cancer.</p><p><strong>Methods: </strong>This was a retrospective single-center case-control study including 58 patients matched for age, sex, and preoperative tumor stage, who underwent surgery between 2010 and 2020. The primary endpoint was the composite R1 resection rate. Secondary endpoints included pathological characteristics, local recurrence rates, progression-free survival, and postoperative complications.</p><p><strong>Results: </strong>The R1 resection rate was 14.3% in the TaTME group and 10.0% in the LaTME group (P=0.70). CRM+ was observed exclusively in the TaTME group (3.6%; P=0.48). There were no statistically significant differences between groups regarding local recurrence rates (11.1% vs. 0%, P=0.24), local progression-free survival (39.8 vs. 33.5 months, P=0.44), or severe postoperative complications (Clavien-Dindo≥III: 25.0% vs. 20.0%, P=0.41). A trend toward improved R1 resection rates with increasing surgical experience in TaTME was noted (30% initially vs. 0% in later cases, P=0.17).</p><p><strong>Conclusion: </strong>In this single-center study, TaTME did not demonstrate clear oncological superiority over LaTME but showed a potential for improvement with increased surgical experience. These findings underscore the importance of structured implementation and ongoing evaluation of the technique in controlled clinical settings.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718611","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, Maxime K Collard, Alexandre Challine, Najim Chafai, Jérémie H Lefevre, Yann Parc","doi":"10.1016/j.jviscsurg.2026.02.006","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.02.006","url":null,"abstract":"<p><p>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 25-35kcal/kg/day with 1.5 to 2.5g/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 (<4months) 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.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-06","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Excision of a thyroglossal duct cyst with resection of the hyoid bone (with video)","authors":"Francois Ansart ,&nbsp;Fabrice Menegaux ,&nbsp;Sébastien Gaujoux","doi":"10.1016/j.jviscsurg.2025.09.008","DOIUrl":"10.1016/j.jviscsurg.2025.09.008","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 2","pages":"Pages 150-153"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253404","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":"Validation of the French SURG-TLX: A reliable and task-sensitive tool for assessing surgical workload","authors":"Georges Pfister ,&nbsp;Emeric Saguin","doi":"10.1016/j.jviscsurg.2025.11.005","DOIUrl":"10.1016/j.jviscsurg.2025.11.005","url":null,"abstract":"<div><h3>Background</h3><div>Assessing intraoperative workload is essential for understanding performance variability, preventing errors, and supporting occupational well-being. The Surgery Task Load Index (SURG-TLX) offers greater contextual relevance for surgery than general tools such as the NASA-TLX, but no validated French version has been available.</div></div><div><h3>Objective</h3><div>To translate the SURG-TLX into French and evaluate its psychometric properties in a real-world operating-room setting.</div></div><div><h3>Methods</h3><div>Twenty operating-room professionals each rated two distinct procedures (Time 1, T1; Time 2, T2), yielding 40 evaluations. After each operation, participants completed the French SURG-TLX, the NASA-TLX, and a 1–10 perceived difficulty rating. Analyses included descriptive statistics, Pearson correlations (convergent/construct validity), paired t-tests, Bland–Altman plots, intraclass correlation coefficient (ICC[3,k]) for test–retest reliability, and linear mixed-effects models with participant as a random intercept.</div></div><div><h3>Results</h3><div>Mean weighted SURG-TLX scores indicated moderate workload (T1: 9.28<!--> <!-->±<!--> <!-->4.27; T2: 8.37<!--> <!-->±<!--> <!-->2.98 on a 0–40 scale). Convergent validity was supported by strong correlations with NASA-TLX (T1: r<!--> <!-->=<!--> <!-->0.67, <em>P</em> <!-->&lt;<!--> <!-->0.001; T2: r<!--> <!-->=<!--> <!-->0.81, <em>P</em> <!-->&lt;<!--> <!-->0.001). Construct validity was confirmed by the association with perceived difficulty across all procedures (r<!--> <!-->=<!--> <!-->0.69, <em>P</em> <!-->&lt;<!--> <!-->0.001). The paired comparison showed no T1–T2 difference (t(19)<!--> <!-->=<!--> <!-->0.94, <em>P</em> <!-->=<!--> <!-->0.36, d<!--> <!-->=<!--> <!-->0.21). Test–retest reliability was moderate (ICC[3,k]<!--> <!-->=<!--> <!-->0.48; 95% CI −0.12–0.76). In mixed-effects models, perceived difficulty predicted SURG-TLX (β=1.20<!--> <!-->±<!--> <!-->0.22, <em>P</em> <!-->&lt;<!--> <!-->0.001), whereas time and demographics were non-significant.</div></div><div><h3>Conclusion</h3><div>The French SURG-TLX shows solid preliminary validity, moderate temporal reliability, and sensitivity to task complexity in real surgical practice.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 2","pages":"Pages 90-96"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795290","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":"Double porto-variceal anastomosis during liver transplantation for portal vein thrombosis (with video)","authors":"Arthur Marichez ,&nbsp;Mehdi Boubaddi ,&nbsp;Laurence Chiche","doi":"10.1016/j.jviscsurg.2025.09.007","DOIUrl":"10.1016/j.jviscsurg.2025.09.007","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 2","pages":"Pages 147-149"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208067","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":"Three-dimensional modeling of the liver to predict the presence of intrahepatic communicating veins in a patient with a tumor infiltrating the right hepatic vein (with video)","authors":"Cristina Ciulli ,&nbsp;Fabrizio Romano ,&nbsp;Mattia Garancini","doi":"10.1016/j.jviscsurg.2025.11.008","DOIUrl":"10.1016/j.jviscsurg.2025.11.008","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 2","pages":"Pages 154-156"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769641","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":"Mental load: An often-overlooked aspect of the surgical profession","authors":"Karem Slim ,&nbsp;Marc Pocard","doi":"10.1016/j.jviscsurg.2026.01.002","DOIUrl":"10.1016/j.jviscsurg.2026.01.002","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 2","pages":"Pages 87-89"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120754","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}