Journal of Visceral Surgery最新文献_第2页

Transplantation for hepatic metastases of colorectal cancer: Toward a change of concept and a change of practice.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-20 DOI: 10.1016/j.jviscsurg.2025.02.005

René Adam

引用次数: 0

Will today's (scientific) truth be tomorrow's? 今天的（科学）真理会成为明天的真理吗？

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-18 DOI: 10.1016/j.jviscsurg.2025.01.011

Karem Slim, Arnaud Alves

引用次数: 0

The advent of the 3CVD Congress - A new era for visceral and digestive surgery in France.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-17 DOI: 10.1016/j.jviscsurg.2025.02.001

Laura Beyer-Berjot, Alain Valverde, Jérémie H Lefevre

引用次数: 0

Robotic minimally invasive duodenopancreatectomy with superior mesenteric artery approach (with video).

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-15 DOI: 10.1016/j.jviscsurg.2024.09.007

Farouk Mourthadhoi, Bertrand Le Roy, Pierre-Yves Blanc

引用次数: 0

Rectourethral fistulas after treatment for prostate carcinoma: Update and new management algorithm.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-13 DOI: 10.1016/j.jviscsurg.2025.01.010

Maëlig Poitevin, Matthieu Ferragu, Pierre Bigot, Thibaut Culty, Aurélien Venara

{"title":"Rectourethral fistulas after treatment for prostate carcinoma: Update and new management algorithm.","authors":"Maëlig Poitevin, Matthieu Ferragu, Pierre Bigot, Thibaut Culty, Aurélien Venara","doi":"10.1016/j.jviscsurg.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.01.010","url":null,"abstract":"<p><p>Rectourethral fistula (RUF) is associated with poor quality of life related to urinary functional symptoms (pneumaturia, fecaluria, urine passing through the rectum) or urinary tract infections (upper or lower, often recurrent). Most are iatrogenic, occurring after surgery such as radical prostatectomy, where their prevalence ranges from 0.03 in various series. RUF can also occur after radiation therapy administered for prostate cancer. Management of RUF is complex and depends on whether the patient has had previous radiation therapy or not. Different surgical techniques have been evaluated, but currently there is no consensus as to the best approach. The York-Mason technique is preferred for simple RUF in patients without prior irradiation, while for more complex cases, with antecedent irradiation, transperineal approaches with muscular flap interposition are often recommended. Evaluation of quality of life is crucial, because management of RUF can have severe consequences on urinary continence and sexual function. Despite successful anatomical repair, patients often continue to suffer from functional sequalae that affect their quality of life. Although progress has been achieved in the treatment of RUF, a coherent and efficient management algorithm is necessary to standardize the practical aspects and improve the outcomes. This update summarizes the different strategies that are available for management of RUF and underscores the importance of an individualized approach.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426561","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

Natural history of right hemicolectomy for cancer in high-risk anesthetic patients: Immediate anastomosis is a valid option.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-05 DOI: 10.1016/j.jviscsurg.2025.01.003

R Dugas, C Lim, A Leseigneur, M Demouron, F Mauvais, C Sabbagh, J-M Regimbeau

{"title":"Natural history of right hemicolectomy for cancer in high-risk anesthetic patients: Immediate anastomosis is a valid option.","authors":"R Dugas, C Lim, A Leseigneur, M Demouron, F Mauvais, C Sabbagh, J-M Regimbeau","doi":"10.1016/j.jviscsurg.2025.01.003","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.01.003","url":null,"abstract":"<p><strong>Introduction: </strong>Surgeons and patients need to know the expected outcomes of right hemicolectomy for colon cancer in high-risk anesthetic patients.</p><p><strong>Methods: </strong>This is a two-center study of high-risk anesthetic patients undergoing right hemicolectomy between 2009 and 2023. High-risk anesthetic patients were defined as those with ASA score≥3. The primary endpoint was to assess the safety of right hemicolectomy evaluated as 90-day mortality and morbidity. Secondary endpoints included the occurrence of anastomotic leak, a textbook outcome and long-term survival. Factors associated with textbook outcome and definitive stoma were also investigated.</p><p><strong>Results: </strong>A total of 220 patients were included (mean age: 76±9 years). Of these, 8.6% of patients had a definitive stoma. Mortality and severe morbidity at 90 days were 7.3% and 14.6%, respectively. Readmission rate within 90 days was 15.9%. The rate of textbook outcome was 68.2%. In multivariable analysis, hemicolectomy without anastomosis was associated with a lower textbook outcome rate (OR=0.4, 95% CI=0.2-1.0; P=0.04) and a higher definitive stoma rate (OR=103, 95% CI=9-1131; P=0.0001) after right hemicolectomy.</p><p><strong>Conclusions: </strong>Right hemicolectomy with immediate anastomosis in high-risk anesthetic patients with colon cancer is safe and effective with acceptable mortality and morbidity. Performing right hemicolectomy without anastomosis was a factor for failing to achieve textbook outcome and a risk factor for definitive stoma.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366296","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

Measuring performance in visceral surgery: Interests, tools, and perspectives.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-05 DOI: 10.1016/j.jviscsurg.2025.01.008

Frédéric de la Codre

引用次数: 0

Ingestion of an unusually high number of foreign bodies in a mentally ill man 一名精神病患者摄入了异常多的异物。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.jviscsurg.2024.06.010

Francisco Gonzalez , Pablo Concheiro-Coello , Juan Brenlla-Gonzalez

引用次数: 0

Nück canal cyst: A differential diagnosis of groin hernia in women 努克管囊肿：女性腹股沟疝气的鉴别诊断。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.jviscsurg.2024.07.004

Sophie Garcia, Brice Malgras, Anne-Cécile Ezanno

引用次数: 0

The benefits and drawbacks of music in the operating room 音乐在手术室的利与弊。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-02-01 DOI: 10.1016/j.jviscsurg.2024.12.001

Karem Slim , Alain Valverde

{"title":"The benefits and drawbacks of music in the operating room","authors":"Karem Slim , Alain Valverde","doi":"10.1016/j.jviscsurg.2024.12.001","DOIUrl":"10.1016/j.jviscsurg.2024.12.001","url":null,"abstract":"<div><h3>Introduction</h3><div>A significant proportion of surgeons listen to music in the operating room (MOR) during a surgical procedure. Over the last twenty years, this practice has been widely studied. The aim of this article is to analyze the effects of MOR on surgical performance, postoperative history and, more generally, on communication in the operating theater.</div></div><div><h3>Method</h3><div>A comprehensive review of the factual literature (randomized trials and systematic reviews) was carried out.</div></div><div><h3>Results</h3><div>Given the heterogeneity of the published studies, it was not possible to achieve results with a high level of evidence. Above and beyond a probably lightened mental load ascribable to MOR, our review did not demonstrate significant benefits of music (a “Mozart effect”) regarding enhanced surgical performance in a clinical setting or a reduced number of perioperative or postoperative adverse events. The major drawbacks of MOR include team communication impediments, surgeon distraction, and frustration felt by team members.</div></div><div><h3>Conclusion</h3><div>MOR implementation should presuppose dialogue and agreement among all members of a caregiving team. Do the advantageous aspects of MOR indeed (finally) consist in lessened mental load and heightened surgeon well-being?</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 1","pages":"Pages 31-35"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014862","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