Journal of Visceral Surgery最新文献_第10页

Posterior paracoccygeal approach for tailgut cyst (with video) 尾肠囊肿的后尾骨旁入路（附视频）。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jviscsurg.2024.03.004

引用次数: 0

Can artificial intelligence help a digestive surgeon in management of rectal cancer? 人工智能能否帮助消化外科医生治疗直肠癌？

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jviscsurg.2024.05.008

引用次数: 0

Traumatic diaphragmatic wound repair 创伤性膈肌伤口修复。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jviscsurg.2024.06.006

引用次数: 0

Indications, modalities, and outcomes of surgery for ulcerative colitis in 2024 2024 年溃疡性结肠炎手术的适应症、方式和结果

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.jviscsurg.2024.05.004

Océane Lelièvre , Stéphane Benoist , Antoine Brouquet

{"title":"Indications, modalities, and outcomes of surgery for ulcerative colitis in 2024","authors":"Océane Lelièvre , Stéphane Benoist , Antoine Brouquet","doi":"10.1016/j.jviscsurg.2024.05.004","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2024.05.004","url":null,"abstract":"<div><p>Treatment of ulcerative colitis (UC) has been revolutionized by the arrival of biotherapies and technical progress in interventional endoscopy and surgery. (Sub)total emergency colectomy is required in the event of complicated severe acute colitis: colectasis, perforation, hemorrhage, organ failure. Corticosteroid therapy is the reference treatment for uncomplicated severe acute colitis, while infliximab and ciclosporin are 2nd-line treatments. At each step, before and after each line of treatment failure, surgery should be considered as an option. In cases refractory to medical treatment, the choice between surgery and change in medication must weigh the chronic symptoms associated with the disease against the risks of postoperative complications and functional sequelae inherent to surgery. Detection of dysplastic lesions necessitates chromoendoscopic imaging with multiple biopsies and anatomopathological verification. Endoscopic treatment of these lesions remains reserved for selected patients. These different indications call for multidisciplinary medical-surgical discussion. Total coloproctectomy with ileo-anal anastomosis (TCP-IAA) is the standard surgery, and it holds out hope for healing. Modalities depend on patient characteristics, previous emergency colectomy, and presence of dysplasia. It may be carried out in one, in two modified, or in three phases. The main complications are anastomotic fistula, short-term pouch-related fistula, ileo-anal pouch syndrome, pouchitis and long-term digestive and sexual disorders. For selected cases, an alternative can consist in total colectomy with ileo-rectal anastomosis or permanent terminal ileostomy. The objective of this update is to clarify the indications, modalities, and results of surgical treatment of ulcerative colitis in accordance with the most recent data in the literature.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 3","pages":"Pages 182-193"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141423754","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

Extended hepatectomy with biliary reconstruction over two separate segmental bile ducts for a Bismuth type IV or Rennes type X hilar cholangiocarcinoma (with video) 针对 Bismuth IV 型或 Rennes X 型肝门部胆管癌的扩大肝切除术，并在两个独立的胆管节段上进行胆道重建（附视频）。

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.jviscsurg.2024.03.001

Marie Livin , Stylianos Tzedakis , Heithem Jeddou

引用次数: 0

SiLaT: A paradigm shift in the treatment of pilonidal disease? SiLaT：朝天鼻病治疗模式的转变？

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.jviscsurg.2024.03.007

Mélanie Draullette , Vincent de Parades , Amine Antonin Alam , Nadia Fathallah , Anne-Laure Rentien , Paul Benfredj , Manuel Aubert , Élise Pommaret , Hélène Beaussier , Audrey Fels , Lucas Spindler

{"title":"SiLaT: A paradigm shift in the treatment of pilonidal disease?","authors":"Mélanie Draullette , Vincent de Parades , Amine Antonin Alam , Nadia Fathallah , Anne-Laure Rentien , Paul Benfredj , Manuel Aubert , Élise Pommaret , Hélène Beaussier , Audrey Fels , Lucas Spindler","doi":"10.1016/j.jviscsurg.2024.03.007","DOIUrl":"10.1016/j.jviscsurg.2024.03.007","url":null,"abstract":"<div><h3>Background</h3><p>Pilonidal disease (PD) is a common condition for which the global incidence is increasing. Surgery is the currently preferred approach to treatment but there is a growing interest in new minimally invasive techniques, such as sinus laser therapy (SiLaT).</p></div><div><h3>Aim</h3><p>Our primary objective was to assess the efficacy of SiLaT for the treatment of pilonidal disease. The secondary objectives were to evaluate morbidity and patient satisfaction and identify predictive factors of success.</p></div><div><h3>Methods</h3><p>All adult patients, who underwent SiLaT in our department for a primary or recurrent pilonidal sinus from June 1, 2018, to December 31, 2020, were included in the study. Healing was defined as the closure of cutaneous orifices and the absence of seepage or abscesses.</p></div><div><h3>Results</h3><p>In total, 111 consecutive patients, for whom the male/female sex ratio was 2.1 and the mean age 28.8 (± 9.4) years, were included in this study. Eighteen (16.2%) patients had already undergone prior surgery for PD. The mean follow-up was 339.2 (± 221.4) days. A healing rate of 78.4% was observed, with a median time to healing of 20.0 days (15.0–30.0). The median time to return to usual activities was three days (1–7). The only postoperative complication was bleeding, which occurred for two patients (1.8%). Eighty-two patients (88.2%) reported being “very satisfied” with the treatment. Multivariate analysis showed no predictive factors for healing among the studied variables.</p></div><div><h3>Conclusion</h3><p>SiLaT is an efficient and safe procedure for the treatment of PD, with a high level of patient satisfaction. It will now be necessary to position it within the therapeutic algorithm.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 3","pages":"Pages 167-172"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288860","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

Press review 新闻评论

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.jviscsurg.2024.05.001

引用次数: 0

Management after local excision of small rectal cancers. Indications for completion total mesorectal excision and possible alternatives 小直肠癌局部切除术后的处理。全直肠系膜切除术的适应症和可能的替代方案。

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.jviscsurg.2024.02.003

Camélia Labiad , Hadrien Alric , Maximilien Barret , Antoine Cazelles , Gabriel Rahmi , Mehdi Karoui , Gilles Manceau

{"title":"Management after local excision of small rectal cancers. Indications for completion total mesorectal excision and possible alternatives","authors":"Camélia Labiad , Hadrien Alric , Maximilien Barret , Antoine Cazelles , Gabriel Rahmi , Mehdi Karoui , Gilles Manceau","doi":"10.1016/j.jviscsurg.2024.02.003","DOIUrl":"10.1016/j.jviscsurg.2024.02.003","url":null,"abstract":"<div><p>The treatment of superficial rectal cancers (local excision, or proctectomy with total mesorectal excision (TME) remains controversial. Endoscopy and endorectal ultrasonography are essential for the precise initial definition of these small cancers. During endoscopy, the depth of the lesion can be estimated using virtual chromoendoscopy with magnification, thereby aiding the assessment of the possibilities of local excision. Current international recommendations indicate completion proctectomy after wide local excision for cases where the pathologic examination reveals poorly-differentiated lesions, lymphovascular invasion, grade 2 or 3 tumor budding, and incomplete resection. But debate persists regarding whether the depth of submucosal invasion can accurately predict the risk of lymph node spread. Recent data from the literature suggest that the depth of submucosal invasion should no longer, by itself, be an indication for additional oncological surgery. Adjuvant radio-chemotherapy could be an alternative to completion proctectomy in patients with pT1 rectal cancer and unfavorable histopathological criteria. A Dutch randomized controlled trial is underway to validate this strategy.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 3","pages":"Pages 173-181"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878788624000195/pdfft?md5=894c6b5a4a1ce93b812695028ea5eda9&pid=1-s2.0-S1878788624000195-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050732","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}

引用次数: 0

Treatment of low colorectal anastomotic leaks with transanal negative pressure 经肛负压治疗低位结直肠吻合口瘘。

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.jviscsurg.2019.09.002

P.-A. Tokoto, N.C. Buchs, D. Massalou

引用次数: 0

Hemorrhoidal disease: Epidemiological study and analysis of predictive factors for surgical management 痔疮疾病：流行病学研究和手术治疗预测因素分析

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.jviscsurg.2024.03.005

Nadia Fathallah, Amine Alam, Anne L. Rentien, Giorgio La Greca, Joshua Co, Elise Pommaret, Amélie Barré, Stéphane Kegne, Hélène Beaussier, Lucas Spindler, Vincent de Parades

{"title":"Hemorrhoidal disease: Epidemiological study and analysis of predictive factors for surgical management","authors":"Nadia Fathallah, Amine Alam, Anne L. Rentien, Giorgio La Greca, Joshua Co, Elise Pommaret, Amélie Barré, Stéphane Kegne, Hélène Beaussier, Lucas Spindler, Vincent de Parades","doi":"10.1016/j.jviscsurg.2024.03.005","DOIUrl":"10.1016/j.jviscsurg.2024.03.005","url":null,"abstract":"<div><h3>Introduction</h3><p>There are very few French studies on hemorrhoidal disease and its management.</p></div><div><h3>Patients and methods</h3><p>Prospective single-center study from July to December 2021 including 472 patients.</p></div><div><h3>Results</h3><p>Bleeding, prolapse and pain were the main reasons for consultation. Treatment modalities were medical (44%),±instrumental (72%), and surgical (17%). After treatment, the bleeding score and prolapse score decreased significantly (<em>P</em>  ≤0.0001, respectively), but improvement was more marked in the surgery group with a better rate of “very good satisfaction” (73% vs. 54%, <em>P</em>           <!-->2), severe impact on quality of life, smoking and reading during bowel movements. We have developed an online application, which aims to assess the risk of requiring hemorrhoidal surgery.</p></div><div><h3>Conclusion</h3><p>Less than 20% of patients who present with hemorrhoidal disease require surgical treatment, but it is associated with better effectiveness despite more complex postoperative consequences that sometimes motivate patient refusal. We have highlighted factors associated with surgical management, which can guide the practitioner in their therapeutic choices.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 3","pages":"Pages 161-166"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878788624000304/pdfft?md5=cf214765814f96ac41f8e80435239c54&pid=1-s2.0-S1878788624000304-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140579907","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}

引用次数: 0