Journal of Visceral Surgery最新文献

{"title":"The “Tulip” technique to optimize SMART Parastomal Hernia Repair (Stapled Mesh Stoma Reinforcement Technique)","authors":"Guillaume Passot ,&nbsp;Jean Bapstiste Cazauran ,&nbsp;Eddy Cotte","doi":"10.1016/j.jviscsurg.2025.10.009","DOIUrl":"10.1016/j.jviscsurg.2025.10.009","url":null,"abstract":"<div><div>Parastomal hernias (PSH) are a common complication of intestinal or urinary stomas, occurring with a prevalence greater than 30%. There is no repair technique that has proven to be feasible, safe, and associated with a limited risk of recurrence. The technique described herein is a modification of the SMART technique using a slowly resorbable prosthetic mesh (Phasix™) that offers several advantages: feasibility, safety, elective surgery, without stomal transposition, and a reduced risk of stomal injury and long-term complications.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 1","pages":"Pages 47-52"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514525","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 longitudinal gastrectomy for gastric volvulus (with video)","authors":"David Gozalichvili,&nbsp;Adeline Guiraud,&nbsp;Pablo Ortega-Deballon","doi":"10.1016/j.jviscsurg.2025.11.007","DOIUrl":"10.1016/j.jviscsurg.2025.11.007","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 1","pages":"Pages 64-66"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120812","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":"Does the indocyanine green test reduce the risk of anastomotic dehiscence in colorectal surgery?","authors":"Karem Slim ,&nbsp;Charles Sabbagh","doi":"10.1016/j.jviscsurg.2025.10.003","DOIUrl":"10.1016/j.jviscsurg.2025.10.003","url":null,"abstract":"<div><h3>Introduction</h3><div>In colorectal surgery, assessment of the vascularization of the intestinal segments to be anastomosed by injection of indocyanine green (ICG) is one of the intra-operative measures to decrease the risk of anastomotic leak (AL). The aim of this evidence-based review was to evaluate the effectiveness and utility of this measure.</div></div><div><h3>Method</h3><div>We conducted a comprehensive literature review in electronic databases (PubMed, Scopus, Cochrane Library), coupled with a manual search. Only randomized trials and meta-analyses were included. The primary outcome measure was clinical AL (Grade B and C according to the International Study Group of Rectal Cancer)</div></div><div><h3>Results</h3><div>A total of eight randomized trials and three meta-analyses were included. The conclusions of the three meta-analyses consistently showed a reduction in the risk of AL (by one-third in the most recent meta-analyses). However, the conclusions of the eight trials (especially those with the larger sample sizes) were discordant regarding colonic surgery (excluding rectal resection). In subgroup analysis, recent trials showed no difference in AL in favor of ICG for right colectomy, and data on left colonic or rectal surgery, although discordant, suggested that the benefit of ICG, although not statistically significant, was clinically relevant in the majority of studies.</div></div><div><h3>Conclusion</h3><div>According to currently available evidence, the use of ICG does not appear to be useful for right colectomies. However, the usefulness of ICG in left-sided colectomies and rectal resections is probable, although not formally proven.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 1","pages":"Pages 39-46"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318722","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":"Aorto-duodenal fistula: What should we do?","authors":"Emmanuel Delarue ,&nbsp;Dorian Verscheure ,&nbsp;Sébastien Gaujoux","doi":"10.1016/j.jviscsurg.2025.09.004","DOIUrl":"10.1016/j.jviscsurg.2025.09.004","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 1","pages":"Pages 53-54"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179936","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":"Does cholecystectomy in patients with sickle cell disease reduce vaso-occlusive crises? A study conducted in two referral hospitals in Niger","authors":"Adama Saïdou ,&nbsp;Yahouza Boka Tounga ,&nbsp;Kadi Ide ,&nbsp;Abdoulaye Maman Bachir ,&nbsp;Oudou Aliou Zabeirou ,&nbsp;Rachid Sani","doi":"10.1016/j.jviscsurg.2025.11.004","DOIUrl":"10.1016/j.jviscsurg.2025.11.004","url":null,"abstract":"<div><div>The objective of this study was to report on the results of cholecystectomy in patients with sickle cell disease in two hospitals in Niger.</div></div><div><h3>Patients and methods</h3><div>This was a retrospective study conducted over a six-year period in the general referral hospital and the national hospital of Niamey (Niger).</div></div><div><h3>Results</h3><div>We collected data concerning 56 cases of cholecystectomy in patients with sickle cell disease, representing of 10.3% of all cholecystectomies (gall bladder removals) performed. A majority of the patients were female (55.4%), with a mean age of 20.2 years, standard deviation of 8.8, and extreme values at 6 and 47 years. Homozygous SS forms of sickle cell disease predominated (92.9%). Nearly two-thirds of the patients (64.3%) were referred from the national sickle cell disease referral center. The main operative indication (69.6%) was symptomatic gall bladder (vesicular) lithiasis. All of the patients were anemic, with severe anemia in nearly half (44.6%). Exchange transfusion was carried out in 42.9% of the patients, and perioperative blood transfusion in 57.1%. The laparoscopic route was followed in almost all of the patients (94.6%). Mean postoperative stay in an intensive care unit was 23.5<!--> <!-->±<!--> <!-->7.2 (12–48) 48<!--> <!-->hours. The rate of postoperative complications was 23.2%, and the rate of mortality was 1.8%. As regards disease progress at one year, no vaso-occlusive crises were observed in seven eight (87.5) of the patients.</div></div><div><h3>Conclusion</h3><div>Cholecystectomy in sickle cell patients calls for a multidisciplinary strategy, and laparoscopy appears to be the ideal approach, especially insofar as it provides satisfactory postoperative comfort.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 1","pages":"Pages 5-10"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642047","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":"RE: “Unplanned re-hospitalizations in proctology. An update”","authors":"Gayani Gunawardena,&nbsp;Emilie Liot,&nbsp;Guillaume Meurette","doi":"10.1016/j.jviscsurg.2025.10.006","DOIUrl":"10.1016/j.jviscsurg.2025.10.006","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 1","pages":"Pages 67-68"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423363","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":"Effects of establishing a daytime emergency operating theatre in a university hospital","authors":"Ida Nathalie Strømnes Nordvoll ,&nbsp;Vilde Olsen Kjernli ,&nbsp;Lena Ringstad Olsen ,&nbsp;Bjørn Olden Nedrebø ,&nbsp;Guttorm Brattebø ,&nbsp;Reidar Kvåle","doi":"10.1016/j.jviscsurg.2025.10.010","DOIUrl":"10.1016/j.jviscsurg.2025.10.010","url":null,"abstract":"<div><h3>Aim of the study</h3><div>Acute abdominal surgery, constituting a substantial portion of hospital services, is associated with high morbidity and mortality rates. This study aimed to compare two cohorts of emergency laparotomy surgeries: before (Cohort 1) and after (Cohort 2) the establishment of a regular daytime emergency operating theatre at Haukeland University Hospital, Norway.</div></div><div><h3>Patients and methods</h3><div>Data were collected from the hospital's operation planning and registration system and then merged with data from the hospital's electronic patient record system. The British National Emergency Laparotomy Audit (NELA) inclusion and exclusion criteria were used.</div></div><div><h3>Results</h3><div>The study found an increase from Cohort 1 to Cohort 2 in the number of surgeries, and in the proportion of urgent surgeries, both requested and started, within 6<!--> <!-->h. Results also showed a higher proportion of daytime surgeries in the latter cohort. More elderly patients were operated in Cohort 2, but the low 30-day mortality rate remained unchanged. Other key outcomes, such as length of hospital stay and reoperations within seven days, were also unchanged. The number of cancellations of scheduled surgery was significantly lower after a regular daytime emergency surgery room was available.</div></div><div><h3>Conclusion</h3><div>While improvements were found, the study acknowledges potential challenges and costs associated with the increasing availability of surgical theatres. The findings contribute to ongoing discussions on optimizing acute abdominal surgery pathways.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 1","pages":"Pages 11-20"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642024","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":"Transanal total mesorectal excision versus transabdominal laparoscopic Low Hartmann's procedure for rectal cancer: A single-center retrospective analysis of short-term outcomes","authors":"Jacques-Emmanuel Saadoun,&nbsp;Hélène Meillat,&nbsp;Eddy Traversari,&nbsp;Marie Dazza,&nbsp;Cécile de Chaisemartin,&nbsp;Bernard Lelong","doi":"10.1016/j.jviscsurg.2025.11.003","DOIUrl":"10.1016/j.jviscsurg.2025.11.003","url":null,"abstract":"<div><h3>Aim</h3><div>Low Hartmann's (LH) procedure for rectal cancer is indicated for frail patients with a high risk of anastomotic fistulas or poor functional outcomes. While transanal total mesorectal excision (TaTME) offers potential technical advantages over transabdominal laparoscopy, its clinical benefits are lacking. We aimed to evaluate whether TaTME improves short-term outcomes of the LH procedure compared with transabdominal laparoscopy.</div></div><div><h3>Method</h3><div>We retrospectively evaluated all patients who underwent laparoscopic LH procedures for mid or low rectal cancer at our center from 2010 to 2023. The primary endpoint was 90-day morbidity. The secondary endpoints included conversion rate, pelvic abscess rate, length of hospital stay (LHS), and oncological quality of resection.</div></div><div><h3>Results</h3><div>The baseline characteristics of the patients were comparable between the laparoscopic (Lap; <em>n</em> <!-->=<!--> <!-->44) and TaTME (<em>n</em> <!-->=<!--> <!-->31) groups. Severe morbidity was significantly lower in the TaTME group (3.2% vs. 23%; <em>P</em> <!-->=<!--> <!-->0.04), with a lower pelvic abscess rate (9.6% vs. 25%, <em>P</em> <!-->=<!--> <!-->0.04). Operative time was comparable, but conversion rate and blood loss were significantly lower in the TaTME group. LHS was shorter in the TaTME group (12.3 vs. 16.9 days; <em>P</em> <!-->=<!--> <!-->0.03), with a comparable readmission rate. Pathologic outcomes, including resection margins and mesorectal quality, were comparable between the groups. Among patients with 3-year follow-up data, local recurrence occurred in 3 (7.6%) and 2 (7.7%) patients in the Lap and TaTME groups, respectively (<em>P</em> <!-->=<!--> <!-->1).</div></div><div><h3>Conclusion</h3><div>The TaTME approach for the LH procedure can be a valuable option for rectal cancer management, as it reduces severe morbidity and hospital stay, without compromising oncologic outcomes.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 1","pages":"Pages 21-29"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356742","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.2025.09.002","DOIUrl":"10.1016/j.jviscsurg.2025.09.002","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 1","pages":"Pages 69-77"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147545257","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":"History of enterostomy devices: Yesterday, today, and tomorrow?","authors":"Ana Lucia Charlaix ,&nbsp;Charles P. Zeida ,&nbsp;Éric Savier ,&nbsp;Sébastien Gaujoux","doi":"10.1016/j.jviscsurg.2025.10.004","DOIUrl":"10.1016/j.jviscsurg.2025.10.004","url":null,"abstract":"<div><div>Ostomies and their appliances have evolved considerably and are now part of our daily surgical routine. The first ostomies date back to Antiquity, but little progress was made until the 19th century, when surgical technique was perfected. This paved the way for the appearance and development of commercial stomal appliances in the 20th century. In France, the technique for creation of a stoma is currently based on the 2023 recommendations, but it is important to note that many points are based on expert consensus, and some have not led to recommendations. At the same time, enterostomal therapy and therapeutic patient education have become common practices, and a wide range of appliance choices are now offered to the patient. Despite these advances, several challenges persist, particularly in terms of overall accessibility, economic burden, ecological impact, and optimizing the experience of ostomy patients. Innovation must address these challenges to offer increasingly tailored, personalized, and sustainable solutions, with particular attention paid to the patient experience.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 1","pages":"Pages 30-38"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318814","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}