{"title":"Left hepatectomy extended to segments 1, 5 and 8 with reconstruction of the right branch of the hepatic artery for Rennes type X perihilar cholangiocarcinoma.","authors":"Heithem Jeddou, Stylianos Tzedakis, Karim Boudjema","doi":"10.1016/j.jviscsurg.2024.10.003","DOIUrl":"10.1016/j.jviscsurg.2024.10.003","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":"391-398"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511383","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}
Hilaire de Malleray, Henri de Lesquen, Guillaume Boddaert, Mathieu Raux, Valentin Lefrançois, Nathalie Delhaye, Pauline Ponsin, Anaïs Cordorniu, Thierry Floch, Fanny Bounes, Elisabeth Gaertner, Alexia Hardy, Julien Bordes, Éric Meaudre, Michael Cardinale
{"title":"French practice of emergency resuscitative thoracotomy. A study based on the Traumabase Registry.","authors":"Hilaire de Malleray, Henri de Lesquen, Guillaume Boddaert, Mathieu Raux, Valentin Lefrançois, Nathalie Delhaye, Pauline Ponsin, Anaïs Cordorniu, Thierry Floch, Fanny Bounes, Elisabeth Gaertner, Alexia Hardy, Julien Bordes, Éric Meaudre, Michael Cardinale","doi":"10.1016/j.jviscsurg.2024.07.002","DOIUrl":"10.1016/j.jviscsurg.2024.07.002","url":null,"abstract":"<p><strong>Aim of the study: </strong>Emergency resuscitative thoracotomy (ERT) has been described as a potentially life-saving procedure for trauma patients who have been admitted in refractory shock or with recent loss of sign of life (SOL). This nationwide registry analysis aimed to describe the French practice of ERT.</p><p><strong>Patients and methods: </strong>From 2015 to 2021, all severe trauma patients who underwent ERT were extracted from the TraumaBase→ registry. Demographic data, prehospital management and in-hospital outcomes were recorded to evaluate predictors of success-to rescue after ERT at 24-hour and 28-day.</p><p><strong>Results: </strong>Only 10/26 Trauma centers have an effective practice of ERT, three of them perform more than 1 ERT/year. Sixty-six patients (74% male, 49/66) with a median age of 37 y/o [26-51], mostly with blunt trauma (52%, 35/66) were managed with ERT. The median pre-hospital time was 64mins [45-89]. At admission, the median injury severity score was 35 [25-48], and 51% (16/30) of patients have lost SOL. ERT was associated with a massive transfusion protocol including 8 RBCs [6-13], 6 FFPs [4-10], and 0 PCs [0-1] in the first 6h. The overall success-to-rescue after ERT at 24-h and 28-d were 27% and 15%, respectively. In case of refractory shock after penetrating trauma, survival was 64% at 24-hours and 47% at 28-days.</p><p><strong>Conclusions: </strong>ERT integrated into the trauma protocol remains a life-saving procedure that appears to be underutilized in France, despite significant success-to-rescue observed by trained teams for selected patients.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":"356-363"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890675","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}
Charles De Matteis, Jean Michel Maury, Guillaume Passot
{"title":"Anterior bi-thoracotomy for resuscitation - The Clamshell incision (with video).","authors":"Charles De Matteis, Jean Michel Maury, Guillaume Passot","doi":"10.1016/j.jviscsurg.2024.07.009","DOIUrl":"10.1016/j.jviscsurg.2024.07.009","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":"408-410"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914306","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":"Wandering spleen: Diagnosis and treatment.","authors":"Antoine Poirier, Mourad Ben Bader, Nicolas Reibel","doi":"10.1016/j.jviscsurg.2024.05.005","DOIUrl":"10.1016/j.jviscsurg.2024.05.005","url":null,"abstract":"<p><p>Whether congenital or acquired, wandering spleen is a rare entity. In most cases, surgical treatment necessitates splenectomy, or even more rarely, particularly in children, splenopexy.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":"402-403"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263265","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":"Resuscitative thoracotomy in France: For whom? By whom?","authors":"Catherine Arvieux","doi":"10.1016/j.jviscsurg.2024.10.004","DOIUrl":"10.1016/j.jviscsurg.2024.10.004","url":null,"abstract":"<p><p>Resuscitative thoracotomy is preferentially addressed to patients with penetrating thoracic injury and suffering from severe treatment-resistant hemodynamic instability, without pulse or in cardiopulmonary arrest for at most 15minutes. It is practicable in an emergency room, or ideally, in an operating theater. The procedure always begins with left anterolateral thoracotomy and can be prolonged through transversal bi-thoracotomy or, more rarely and according to the presumed origin of the hemorrhage, through median sternotomy. In most cases the procedures to be carried out are relatively simple, and when they are more complex, it is possible to effectuate temporary hemostasis while awaiting the assistance of a second surgeon. We are persuaded that the above procedure should imperatively be learned and become part and parcel of the therapeutic arsenal of the surgeon tasked with management of trauma patients.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":"353-355"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511384","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}
Wenjiao Shi, Siyuan Li, Qiuli Liu, Yun Ji, Xiaojian Weng, Jianer Du
{"title":"Up-regulated fatty acid-binding protein 4 promoted cardiac injury during open colorectal surgery in elderly patients.","authors":"Wenjiao Shi, Siyuan Li, Qiuli Liu, Yun Ji, Xiaojian Weng, Jianer Du","doi":"10.1016/j.jviscsurg.2024.08.002","DOIUrl":"10.1016/j.jviscsurg.2024.08.002","url":null,"abstract":"<p><strong>Background: </strong>Fatty acid binding protein 4 (FABP4) has been shown to increase cardiovascular disease. The FABP4 levels in serum and adipose tissue and the possible regulatory mechanisms during colorectal cancer surgery in elderly patients remain unknown.</p><p><strong>Methods: </strong>Four hundred elderly patients with colorectal cancer were recruited, 200 underwent laparoscopic surgery (LS) and 200 underwent open surgery (OS). Blood samples and mesenteric adipose tissue were collected at T1 (beginning of surgery) and T2 (end of surgery). Immunohistochemistry and biochemical analysis were used to evaluate the FABP4, cardiac troponin T (cTnT), creatine kinase-MB (CK-MB) and myoglobin (MYO) levels. Correlations between FABP4 and cTnT, CK-MB, MYO were further analyzed.</p><p><strong>Results: </strong>The expressions of FABP4 in mesenteric adipose tissue were significantly increased at T2 than T1 in OS group. The serum levels of FABP4, cTnT, CK-MB and MYO were significantly increased at T2 than T1 in OS group, and the OS group induced higher FABP4, cTnT, CK-MB and MYO levels than LS group at T2. Pearson's correlation analysis revealed that serum levels of FABP4 were strongly correlated with cTnT, CK-MB, and MYO.</p><p><strong>Conclusions: </strong>OS induced significantly increased FABP4 expressions in adipose tissue and caused cardiac injury in elderly patients with colorectal cancer. FABP4 is closely associated with cardiac injury, raising the possibility that adipose tissue may be causally involved in the pathogenesis of heart dysfunction during open surgery.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 6","pages":"364-371"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822815","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":"Distal infusion stomal enteroclysis: An effective technique to manage postoperative enterostomal output.","authors":"Navin Kumar, Summi Karn, Aakansha Giri Goswami, Asish Das, Lena Elizabath David, Dhiraj Mallik, Jyoti Sharma, Sudhir Kumar Singh, Farhanul Huda, Somprakas Basu","doi":"10.1016/j.jviscsurg.2024.11.002","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2024.11.002","url":null,"abstract":"<p><strong>Background: </strong>High output enterostomy leads to malnutrition and fluid/electrolyte loss which may be challenging to manage despite dietary modification, anti-motility, anti-secretory drugs, and parenteral nutrition. Distal infusion stomal enteroclysis (DISE) is an alternative to restore nutritional deficit and replace parenteral nutrition in resource-limited settings where treatment cost and availability of trained nurses are limiting factors.</p><p><strong>Objective: </strong>To assess the effectiveness and feasibility of DISE in managing postoperative enterostomal output.</p><p><strong>Methods: </strong>Consecutive patients who met the inclusion criteria and underwent enterostomy in one year were included. Postoperatively, DISE was started after the return of bowel movement. Stomal effluent was collected, filtered, and reinfused through the distal limb using a Foley catheter. The patients and caregivers were trained to perform under supervision. At discharge, they were encouraged to maintain regular contact and advised to report back when necessary.</p><p><strong>Results: </strong>Twenty-five patients received DISE, of which 22 were discharged and successfully continued to manage at home, while 3 expired. The median age was 36 years, the median BMI at admission and discharge was 19 and 17.8kg/m<sup>2</sup> respectively (the difference was statistically significant), and the male: female ratio was 2.5: 1. Thirty-day readmission was done for 2 patients to manage minor complications. The average stomal output was 820mL/day initially and 478mL/day at discharge. The median duration of DISE was 12 days. Thirteen patients (52%) needed parenteral nutritional support due to inadequate oral intake.</p><p><strong>Conclusion: </strong>DISE is a feasible and effective technique for managing high output enterostomies. It can be easily taught and performed with minimal resources at home.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774062","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}