Journal of Visceral Surgery最新文献_第2页

Anterior bi-thoracotomy for resuscitation - The Clamshell incision (with video). 用于复苏的前双胸廓切开术 - Clamshell 切口（附视频）。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-01 Epub Date: 2024-08-08 DOI: 10.1016/j.jviscsurg.2024.07.009

Charles De Matteis, Jean Michel Maury, Guillaume Passot

引用次数: 0

Intracolic prosthetic mesh migration. 结肠内假体网片移位。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-01 Epub Date: 2024-07-08 DOI: 10.1016/j.jviscsurg.2024.06.008

Gaultier Gelly, Alexandru Barbalan, Alexandre Cortes

引用次数: 0

Wandering spleen: Diagnosis and treatment. 游走脾：诊断与治疗。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-01 Epub Date: 2024-06-04 DOI: 10.1016/j.jviscsurg.2024.05.005

Antoine Poirier, Mourad Ben Bader, Nicolas Reibel

引用次数: 0

Resuscitative thoracotomy in France: For whom? By whom? 法国的胸廓切开复苏术：为谁？由谁来做？

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-01 Epub Date: 2024-10-24 DOI: 10.1016/j.jviscsurg.2024.10.004

Catherine Arvieux

引用次数: 0

Up-regulated fatty acid-binding protein 4 promoted cardiac injury during open colorectal surgery in elderly patients.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jviscsurg.2024.08.002

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":"Background: 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.Methods: 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.Results: 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.Conclusions: 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.","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}

引用次数: 0

Distal infusion stomal enteroclysis: An effective technique to manage postoperative enterostomal output.

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-11-29 DOI: 10.1016/j.jviscsurg.2024.11.002

Navin Kumar, Summi Karn, Aakansha Giri Goswami, Asish Das, Lena Elizabath David, Dhiraj Mallik, Jyoti Sharma, Sudhir Kumar Singh, Farhanul Huda, Somprakas Basu

{"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":"Background: 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.Objective: To assess the effectiveness and feasibility of DISE in managing postoperative enterostomal output.Methods: 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.Results: 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/m2 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.Conclusion: DISE is a feasible and effective technique for managing high output enterostomies. It can be easily taught and performed with minimal resources at home.","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}

引用次数: 0

Stoma prolapse repair. Will stapling become the standard technique?

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-11-29 DOI: 10.1016/j.jviscsurg.2024.11.004

Karem Slim, Catherine Mattevi

引用次数: 0

A new healthcare paradigm: Integration of the environment in value-based health care. EROMs: Environment-related outcome measures. 新的医疗保健模式：将环境融入以价值为基础的医疗保健。EROMs：与环境相关的结果测量。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-11-18 DOI: 10.1016/j.jviscsurg.2024.11.001

Patrick Pessaux, Zineb Cherkaoui

引用次数: 0

Neuroendocrine tumor arising inside a tailgut cyst. 尾肠囊肿内产生的神经内分泌肿瘤。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-10-25 DOI: 10.1016/j.jviscsurg.2024.10.005

Evelyne Péroux, Brice Malgras, Anne-Cécile Ezanno

引用次数: 0

Risk factors for local recurrence of rectal cancer after curative surgery: A single-center retrospective study. 直肠癌根治术后局部复发的风险因素：单中心回顾性研究

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2024-10-21 DOI: 10.1016/j.jviscsurg.2024.10.001

Floryn Cherbanyk, Marie Burgard, Lucien Widmer, François Pugin, Bernhard Egger

{"title":"Risk factors for local recurrence of rectal cancer after curative surgery: A single-center retrospective study.","authors":"Floryn Cherbanyk, Marie Burgard, Lucien Widmer, François Pugin, Bernhard Egger","doi":"10.1016/j.jviscsurg.2024.10.001","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2024.10.001","url":null,"abstract":"Purpose: Approximately 7% of patients with rectal cancer experience local recurrence within 5 years of curative surgery. A positive circumferential resection margin (CRM) is among the most significant risk factors. Other reported risk factors include histopathologic type, anastomotic leakage, positive distal margins, and more recently, the anterior localization of the tumor. In this retrospective cohort study, we aimed to assess risk factors for local recurrence in our institution, with a focus on tumor localization as an independent negative predictive factor.Patients and methods: From 2007 to 2018, all patients with stage II or III rectal cancer were included in this study. Patients underwent neoadjuvant chemoradiotherapy followed by surgical resection with total mesorectal excision. The tumor's anterior or posterior localization was assessed by preoperative endosonography or magnetic resonance imaging. Risk factors for local recurrence were assessed using univariate and multivariate regression analyses.Results: A total of 128 patients were included. The 3-year and 5-year local recurrence rates were 4.7% and 7%, respectively. In univariate and multivariate analyses, the histologic type of a poorly differentiated tumor (P=0.001) and a positive CRM (P=0.001) were correlated with local recurrence. Tumor localization (anterior or posterior) was not identified as a statistically significant factor associated with local recurrence.Conclusion: Positive CRM and a poorly differentiated tumor histological subtype were found to be independent risk factors for local recurrence. In contrast to previous findings, anterior localization was not identified as an independent risk factor for local recurrence in our patient cohort.","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511385","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