Journal of Visceral Surgery最新文献

{"title":"Intersecting perspectives on the organization and disorganization of our operating theaters","authors":"Christelle-Dior Ndjandje , Daniel Eyraud , Sébastien Gaujoux","doi":"10.1016/j.jviscsurg.2025.03.007","DOIUrl":"10.1016/j.jviscsurg.2025.03.007","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages 253-254"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743499","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 after colorectal surgery","authors":"Etienne Buscail ,&nbsp;Emilie Duchalais","doi":"10.1016/j.jviscsurg.2025.06.009","DOIUrl":"10.1016/j.jviscsurg.2025.06.009","url":null,"abstract":"<div><div>From 7 to 11% of patients undergoing colorectal surgery are re-hospitalized and this occurs mostly due to a post-operative complication. The consequences can be severe with a high morbidity and mortality rate compared to the index hospitalization. Early re-hospitalizations (&lt;<!--> <!-->5 days) are mainly due to septic complications and ileus, while late re-hospitalizations are mainly related to septic complications and dehydration caused by high stomal output. Prevention of re-hospitalizations requires a combination of preventive measures, screening for complications prior to discharge, close consultative follow-up or even telemedicine follow-up after discharge, and provision of information to the patient, family, and caregivers about warning signs that warrant medical attention. The challenge in managing re-hospitalizations is to avoid treatment delay for a severe complication at the index center, while protecting patients from avoidable re-hospitalizations if patients present with typical post-operative symptoms or emerging complications that are manageable outside the hospital setting.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages S39-S45"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790488","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: “Pilonidal sinus laser therapy” – How can local complications be limited?","authors":"Benjamin Darnis,&nbsp;Jessica Crozet,&nbsp;Benoit Gignoux","doi":"10.1016/j.jviscsurg.2025.04.003","DOIUrl":"10.1016/j.jviscsurg.2025.04.003","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Page 323"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056423","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 hospital readmission of older adults having undergone digestive surgery","authors":"Pierre Puygrenier ,&nbsp;Bader Al Taweel ,&nbsp;Astrid Herrero ,&nbsp;Martin Gaillard","doi":"10.1016/j.jviscsurg.2025.04.002","DOIUrl":"10.1016/j.jviscsurg.2025.04.002","url":null,"abstract":"<div><div>Decreasing the risk of unplanned hospital readmission in older adults is of major concern in public health. If this risk is heightened in comparison with the general population in those having undergone digestive surgery, it is due not only to more frequent occurrence of postoperative complications, but also to overall frailty, which combines comorbidities, functional disorders and dependency. Moreover, given that any unplanned readmission is a major event in the life of an elderly patient, counteraction to its consequences (immobilization syndrome, malnutrition, cognitive disorders, loss of autonomy…) must be considered by the entire surgical team, in coordination with geriatric specialists, as the priority. Readmission prevention is based on a dedicated, comprehensive geriatric assessment accompanied by an individualized, multidisciplinary prehabilitation program. The intervention of geriatricians before and after surgery is likely to improve perioperative management of the elderly patient, thereby reducing the frequency and impact of hospital readmission.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages S16-S22"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056341","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":"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":"Unplanned re-admissions following appendectomy for simple and complicated acute appendicitis","authors":"Arthur Castagnedoli ,&nbsp;Pénélope Raimbert ,&nbsp;Jérémie Lefèvre ,&nbsp;Laura Beyer-Berjot","doi":"10.1016/j.jviscsurg.2025.06.007","DOIUrl":"10.1016/j.jviscsurg.2025.06.007","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages S34-S38"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790487","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":"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":"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":"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}