Journal of Visceral Surgery最新文献_第2页

Management of a primary Grynfeltt's hernia 原发性格林费尔特疝的治疗。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jviscsurg.2024.04.001

引用次数: 0

An unexpected twist of the alimentary limb after total gastrectomy for gastric cancer 胃癌全胃切除术后消化道肢体意外扭转。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jviscsurg.2024.02.007

引用次数: 0

Management of patients with high C-reactive protein levels after elective colorectal surgery: Pilot study on a proactive diagnostic and therapeutic approach (GESPACE) 择期结直肠手术后高 C 反应蛋白水平患者的管理：关于前瞻性诊断和治疗方法的试点研究 (GESPACE)。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jviscsurg.2024.06.002

{"title":"Management of patients with high C-reactive protein levels after elective colorectal surgery: Pilot study on a proactive diagnostic and therapeutic approach (GESPACE)","authors":"","doi":"10.1016/j.jviscsurg.2024.06.002","DOIUrl":"10.1016/j.jviscsurg.2024.06.002","url":null,"abstract":"<div><h3>Study objective</h3><p>To evaluate the feasibility and benefit of a diagnostic and therapeutic algorithm for management of patients presenting with a high C-reactive protein (CRP) level after colorectal surgery.</p></div><div><h3>Patients and methods</h3><p>Prospective study including patients with CRP>125mg/L at the 4th postoperative day following elective colorectal surgery. The protocol involved CT-scan of which the results were to orient subsequent management: antibiotics, radiological drainage, endoscopy or surgical redo. Success (primary endpoint) consisted in the proportion of patients with total duration of hospitalization fewer than 15d. Secondary endpoints were: applicability of the protocol in real-life conditions, number of stomas created, duration of hospitalization in an intensive care unit.</p></div><div><h3>Results</h3><p>One hundred and six (106) patients were included: 51 patients (48%) presented with postoperative complications, of which 21 (41%) were severe. No death occurred. Among the included patients, 68% had a hospital stay<15d. Major deviations from the management algorithm occurred in 38% of cases. No patients had an early endoscopy. There was no significant difference with regard to the secondary endpoints according to whether or not the protocol was strictly observed.</p></div><div><h3>Conclusion</h3><p>It is necessary to define a protocol for management of patients presenting with high CRP levels after colorectal surgery, the objective being to reduce the impact of complications and to avoid excessive lengthening of hospital stay. The protocol begins with CT-scan, which is to orient subsequent management.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441023","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

Meckel's diverticulum: A rare cause of acute intestinal occlusion 梅克尔憩室：急性肠梗阻的罕见病因。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jviscsurg.2024.03.006

引用次数: 0

Press review 新闻评论

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jviscsurg.2024.06.005

引用次数: 0

On the use of the masculine gender in French-language surgical literature: Let's strive together for more progressive language! 关于法语外科文献中阳性的使用：让我们一起努力，使用更进步的语言！

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jviscsurg.2024.06.001

引用次数: 0

Artificial intelligence-assisted decision making: Prediction of optimal level of distal mesorectal margin during transanal total mesorectal excision (taTME) using deep neural network modeling 人工智能辅助决策：利用深度神经网络建模预测经肛门全直肠系膜切除术（taTME）中远端直肠系膜边缘的最佳水平。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jviscsurg.2024.06.007

{"title":"Artificial intelligence-assisted decision making: Prediction of optimal level of distal mesorectal margin during transanal total mesorectal excision (taTME) using deep neural network modeling","authors":"","doi":"10.1016/j.jviscsurg.2024.06.007","DOIUrl":"10.1016/j.jviscsurg.2024.06.007","url":null,"abstract":"<div><h3>Background</h3><p>With steep posterior anorectal angulation<span>, transanal total mesorectal excision (taTME) may have a risk of dissection in the wrong plane or starting higher up, resulting in leaving distal mesorectum behind. Although the distal mesorectal margin can be assessed by preoperative MRI, it needs skilled radiologist and high-definition image for accurate evaluation. This study developed a deep neural network (DNN) to predict the optimal level of distal mesorectal margin.</span></p></div><div><h3>Methods</h3><p><span>A total of 182 pelvic MRI<span> images extracted from the cancer image archive (TCIA) database were included. A DNN was developed using gender, the degree of anterior and posterior anorectal angles as input variables while the difference between anterior and posterior mesorectal distances from anal verge was selected as a target. The predictability power was assessed by regression values (</span></span><em>R</em>) which is the correlation between the predicted outputs and actual targets.</p></div><div><h3>Results</h3><p>The anterior angle was an obtuse angle while the posterior angle varied from acute to obtuse with mean angle difference 35.5°±14.6. The mean difference between the anterior and posterior mesorectal end distances was 18.6±6.6mm. The developed DNN had a very close correlation with the target during training, validation, and testing (<em>R</em>  <0.001). The predicted level of distal mesorectal margin was closely correlated with the actual optimal level (<em>R</em>  <0.001).</p></div><div><h3>Conclusions</h3><p>Artificial intelligence can assist in either making or confirming the preoperative decisions. Furthermore, the developed model can alert the surgeons for this potential risk and the necessity of re-positioning the proctectomy<span> incision.</span></p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535714","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

Suprapubic catheterization 耻骨上导管插入术

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jviscsurg.2024.05.007

引用次数: 0

Early bifurcation of the common hepatic artery: A pitfall that should be known and recognized 肝总动脉早期分叉：应了解和认识的陷阱。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jviscsurg.2024.06.004

引用次数: 0

Use of intraluminal indocyanine green to detect anastomotic leak after laparoscopic gastrojejunostomy (with video) 使用腔内吲哚菁绿检测腹腔镜胃空肠吻合术后的吻合口漏（附视频）。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-08-01 DOI: 10.1016/j.jviscsurg.2024.03.002

引用次数: 0