Journal of Visceral Surgery最新文献

{"title":"Correlation between magnetic resonance imaging and definitive histological response in adenocarcinoma of middle and low rectum after neoadjuvant treatment","authors":"Jeanne Vertier ,&nbsp;Rémi Grange ,&nbsp;François Casteillo ,&nbsp;Clément Costanza ,&nbsp;Loïc Campion ,&nbsp;Bertrand Le Roy ,&nbsp;Laura Ornella Perotto","doi":"10.1016/j.jviscsurg.2025.04.006","DOIUrl":"10.1016/j.jviscsurg.2025.04.006","url":null,"abstract":"<div><h3>Background</h3><div>Data Rectal preservation strategies are being developed for small tumors in complete or good response on magnetic resonance imaging (MRI) after neoadjuvant treatment. Therefore, correlation between tumor regression on MRI and definitive histology is not clearly known. The aim of the present study is to show this correlation to see if MRI can be a reliable tool to propose a rectal preservation strategy.</div></div><div><h3>Methods</h3><div>All patients over 18 years of age with non-metastatic adenocarcinoma of the lower or middle rectum who have received neoadjuvant treatment followed by a re-assessment MRI prior to surgery, between 2015 and 2023 were retrospectively included. Tumor regression on MRI was defined using mrTumor Regression Grade (mrTRG) classification. Histological tumor regression grade (pTRG) was defined according to the Mandard classification. The statistical relationship between pTRG and mrTRG was determined by univariate logistic regression, with calculation of the odds ratio.</div></div><div><h3>Results</h3><div>76 patients were included. Most of the patients (57%) received chemoradiotherapy based on CAP50 and 26% received total neoadjuvant treatment. We found 63% concordance between mrTRG and pTRG. Moreover, among the 37% of patients for whom mrTRG and pTRG were not concordant, MRI overestimated the histological response in 71% of cases. MRI has a NPV of 81% (95% CI 73%–90%). Concordance of mrTRG and pTRG is significantly associated with mrT (<em>P</em> <!-->=<!--> <!-->0.026), mrTRG (<em>P</em> <!-->=<!--> <!-->0.002), endoscopic stenosing aspect (<em>P</em> <!-->=<!--> <!-->0.034) and respect of fascia recti on MRI (<em>P</em> <!-->=<!--> <!-->0.021).</div></div><div><h3>Conclusion</h3><div>In conclusion, this analysis reveals 63% concordance between mrTRG and pTRG. Moreover, MRI has a NPV of 81% and therefore MRI is more accurate with poor tumor regression. Thus, mrTRG must be used in association with other clinical or endoscopic outcomes to assess a rectal preservation strategy.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages 266-273"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555527","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":"Peritoneal encapsulation, cause of intestinal occlusion","authors":"Malek Ben Rahal ,&nbsp;Jules Le Pessot ,&nbsp;Marion Demouron","doi":"10.1016/j.jviscsurg.2025.04.008","DOIUrl":"10.1016/j.jviscsurg.2025.04.008","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages 316-318"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790486","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":"What postoperative management to offer after gallbladder drainage for acute calculous cholecystitis?","authors":"Anaelle Guiraud ,&nbsp;Charlotte Maulat ,&nbsp;Jason Shourick ,&nbsp;Charline Zadro ,&nbsp;Emmanuel Cuellar ,&nbsp;Nicolas Carrere ,&nbsp;Bertrand Suc ,&nbsp;Fatima Zohra Mokrane ,&nbsp;Paul Boulard ,&nbsp;Fabrice Muscari","doi":"10.1016/j.jviscsurg.2025.04.001","DOIUrl":"10.1016/j.jviscsurg.2025.04.001","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate our management practices after placement of a gallbladder drain for acute calculous cholecystitis and investigate predictive factors of secondary cholecystectomy.</div></div><div><h3>Patients and methods</h3><div>Single-center, retrospective study including all patients who underwent percutaneous gallbladder drainage for acute calculous cholecystitis between 01/01/2014 and 12/04/2022.</div></div><div><h3>Results</h3><div>A total of 152 patients were included, most of whom had multiple comorbidities (66% with Charlson Comorbidity Index [CCI]<!--> <!-->≥<!--> <!-->5). Drain-related morbidity accounted for 47.4% of patients (including 27% with medical complications). The median duration of hospitalization after drainage was 10 days with 21% of patients requiring rehospitalization. A total of 41.4% of patients underwent secondary cholecystectomy with a 27% conversion rate to laparotomy. There was 34.9% post-operative complication rate including 6% repeat surgery with a mortality rate of 3.5%. Predictors of failure to perform secondary cholecystectomy were represented by age, CCI<!--> <!-->≥<!--> <!-->5, neurological history and use of blood thinners.</div></div><div><h3>Conclusion</h3><div>Patients requiring gallbladder drainage for acute calculous cholecystitis often have numerous comorbidities. Less than half will have access to a secondary cholecystectomy which will be risky. We have proposed an algorithm for gallbladder drain management, taking into account the possibility of performing a secondary cholecystectomy or not, which will need to be validated in future studies.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages 255-265"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795917","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":"Laparoscopic left hepatectomy extended to the caudate lobe, middle hepatic vein and inferior vena cava for colorectal metastases (with video)","authors":"Bastien Le Floc’h,&nbsp;Louis Smits,&nbsp;Stylianos Tzedakis","doi":"10.1016/j.jviscsurg.2025.03.008","DOIUrl":"10.1016/j.jviscsurg.2025.03.008","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages 319-322"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056339","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":"Unplanned re-hospitalization after bariatric surgery","authors":"Claire Blanchard ,&nbsp;Benjamin Menahem","doi":"10.1016/j.jviscsurg.2025.05.001","DOIUrl":"10.1016/j.jviscsurg.2025.05.001","url":null,"abstract":"<div><div><span><span>Bariatric surgery is a standard treatment for obesity and a number of its complications. Although </span>surgical complications<span> are relatively rare, some patients must return to the emergency department<span> or to a facility far removed in place and time from the original surgery. The purpose of this update is to outline the main reasons for short, medium, and long-term emergency department visits and re-hospitalizations in patients who have undergone bariatric surgery. In the short term, patients may experience non-specific (pulmonary embolism, rhabdomyolysis) and specific (hemorrhage, fistula) complications. Their management is based on a multidisciplinary medical, nutritional, and interventional strategy, with an increasingly important role for surgical endoscopy. In the medium and long term, the reasons for emergency consultation and re-hospitalization are relatively non-specific (abdominal pain, vomiting, excessive or inadequate weight loss). In all cases, complete clinical, laboratory and </span></span></span>nutritional assessments<span> are essential. Some long-term postoperative complications are non-specific and require appropriate management: symptomatic gallstones<span><span><span><span><span>, trocar orifice hernia. Other complications are more specific to each type of bariatric surgery. For gastric banding, these are mainly intragastric band migration and tilting; for </span>sleeve gastrectomy, these are severe reflux, stricture, and delayed </span>fistula; finally, for </span>gastric bypass, these are </span>intestinal obstructions<span>, particularly due to mesenteric breaches, strictures, and anastomotic ulcers. The management of these complications also relies on a multidisciplinary strategy. In conclusion, re-hospitalizations after bariatric surgery are not infrequent and may occur for relatively non-specific reasons. Appropriate clinical, laboratory, and morphological assessments allow for an accurate diagnosis and appropriate management.</span></span></span></div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages S23-S33"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610154","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":"Palliative double biliary and gastric diversion surgery for stenosing periampullary tumor","authors":"Arthur Marichez ,&nbsp;Mehdi Boubaddi ,&nbsp;Benjamin Fernandez ,&nbsp;Laurence Chiche","doi":"10.1016/j.jviscsurg.2025.04.005","DOIUrl":"10.1016/j.jviscsurg.2025.04.005","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages 305-313"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790485","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":"Unplanned re-hospitalizations in proctology. An update","authors":"Nadia Fathallah ,&nbsp;Mathilde Aubert ,&nbsp;Diane Mege","doi":"10.1016/j.jviscsurg.2025.07.006","DOIUrl":"10.1016/j.jviscsurg.2025.07.006","url":null,"abstract":"<div><div>Proctological surgery is widely practiced in France, with over 100,000 procedures recorded in 2022. More than half of patients are treated as outpatients. Re-admissions or conversion from outpatient surgery to in-patient status are not uncommon and can occur in up to 18% of cases. The main reasons for early readmission are pain, acute urinary retention, bleeding, constipation, infection, anal fissure or hemorrhoid thrombosis. Later re-admissions can also occur due to anal stenosis, anal incontinence, and delayed healing. Prevention of complications is therefore essential to avoid these readmissions. This is based primarily on preoperative patient education regarding signs that may require emergency consultation, as well as on the identification of those patients at risk of bleeding, acute urinary retention, and infectious complications. Intraoperatively, adherence to the quality criteria of proctological surgery is essential, ranging from the choice of techniques to the control of hemostasis and certain technical details, such as respecting mucosal bridges in patients undergoing tripedicular hemorrhoidectomy, or chemical or surgical sphincterotomy in the case of fissurectomy. Pre- and postoperative therapeutic education is essential, as the systematic preparation of prescriptions preoperatively, and software-based patient support (e.g. text message reminders).</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages S46-S52"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790489","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":"Press review","authors":"","doi":"10.1016/j.jviscsurg.2025.07.002","DOIUrl":"10.1016/j.jviscsurg.2025.07.002","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages 324-332"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144828842","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":"Non-programmed rehospitalizations after cholecystectomy","authors":"Claire Goumard ,&nbsp;Hadrien Tranchart","doi":"10.1016/j.jviscsurg.2025.02.009","DOIUrl":"10.1016/j.jviscsurg.2025.02.009","url":null,"abstract":"<div><div>Cholecystectomy is one the most frequent procedures in digestive surgery. While the operation is generally associated with low rates of morbidity and mortality, frequency of occurrence can vary considerably according to surgical indication, time elapsed between symptom appearance and surgical intervention, anatomical area under treatment, and the experience of the different centers. Rehospitalization after cholecystectomy remains potentially problematic in numerous units, due in part to the ongoing development of day hospital treatment and short-term hospitalization. The objective of this update is to assess not only the rate, causes and risk factors of non-programmed hospitalizations subsequent to cholecystectomy, but also the available ways and means of prevention and management in the patient's best interests.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages S4-S10"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051827","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":"Intussusception after Roux-en-Y gastric bypass in Pregnancy","authors":"Antoine Poirier,&nbsp;Laurent Brunaud,&nbsp;Claire Nominé Criqui","doi":"10.1016/j.jviscsurg.2025.04.007","DOIUrl":"10.1016/j.jviscsurg.2025.04.007","url":null,"abstract":"<div><div>Acute intestinal intussusception<span> after Roux-en-Y gastric bypass is a rare complication during pregnancy. An early surgical procedure, in close collaboration with obstetricians, is an essential means of avoiding small bowel resection and/or fetal complication.</span></div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages 314-315"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058707","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}