Journal of Visceral Surgery最新文献_第2页

Favorable 30-day outcomes of initial open inguinal hernia repair with local anesthesia among frail patients 局部麻醉下腹股沟疝修补术治疗体弱患者30天预后良好。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.jviscsurg.2024.12.004

Renxi Li , Jayati Atahar , Ahmed Noureldin , Susan Kartiko

{"title":"Favorable 30-day outcomes of initial open inguinal hernia repair with local anesthesia among frail patients","authors":"Renxi Li , Jayati Atahar , Ahmed Noureldin , Susan Kartiko","doi":"10.1016/j.jviscsurg.2024.12.004","DOIUrl":"10.1016/j.jviscsurg.2024.12.004","url":null,"abstract":"<div><h3>Background</h3><div>Open inguinal hernia repair (OIHR) can be conducted under either general anesthesia (GA) or local anesthesia (LA). Despite a lack of evidence supporting improved perioperative outcomes, GA is the predominant anesthesia type used in OIHR. Frailty is defined as a clinically recognizable state of age-related increased vulnerability. This study aimed to compare the 30-day perioperative outcomes of frail patients undergoing OIHR with either GA or LA.</div></div><div><h3>Methods</h3><div>Patients who underwent initial OIHR were identified in the ACS-NSQIP database from 2005–2021. Patients with a Modified Frailty Index (mFI)≥2 were included. Patients were divided based on GA or LA administered. Multivariable logistic regression was used to compare 30-day perioperative outcomes between frail patients undergoing OIHR under GA or LA.</div></div><div><h3>Results</h3><div>Among 20,129 frail patients who underwent initial OIHR, 13,473 had GA, and 3686 had LA. The 30-day mortality rates for LA and GA were low. However, frail patients who underwent LA had a lower risk of bleeding (aOR 0.282, <em>P</em>  =0.03), and discharge not to home (aOR 0.792, <em>P</em>      <0.01) and a shorter length of stay (0.45±2.30 vs 0.57±2.96 days, <em>P</em>  <!-->0.01).</div></div><div><h3>Conclusion</h3><div>Although GA is the dominant anesthesia use (4:1) in OIHR among frail patients, LA emerges as a safe alternative to GA for these patients, offering potential benefits such as reduced complications and increased day-case surgery volume, which may be associated with decreased healthcare costs.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 3","pages":"Pages 178-184"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967154","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 高危麻醉患者右结肠切除术的自然病史：立即吻合是一种有效的选择。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-06-01 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":"10.1016/j.jviscsurg.2025.01.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Surgeons and patients need to know the expected outcomes of right hemicolectomy for colon cancer in high-risk anesthetic patients.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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; <em>P</em>      =0.0001) after right hemicolectomy.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 3","pages":"Pages 185-190"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","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

Intraoperative pancreatoscopy during left pancreatectomy for intraductal papillary mucinous neoplasia (with video) 导管内乳头状粘液瘤左胰切除术术中胰镜检查（附视频）。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.jviscsurg.2025.01.004

Thomas Baron , Charles De Ponthaud , Sébastien Gaujoux

引用次数: 0

Long stenosis in Crohn's disease: Stricturoplasty according to Finney 克罗恩病的长狭窄：根据Finney的狭窄成形术。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.jviscsurg.2025.02.006

Alexandra Pellegrin , Hugo Defives , Charles Sabbagh

引用次数: 0

Measuring performance in visceral surgery: Interests, tools, and perspectives 测量内脏手术的表现：兴趣、工具和观点。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.jviscsurg.2025.01.008

Frédéric de la Codre

引用次数: 0

Hemocholecyst: A rare indication for cholecystectomy 血性胆囊炎：胆囊切除术的罕见适应症。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.jviscsurg.2024.09.010

Fabien Werey , Hugo Defives , Jean-Marc Regimbeau

引用次数: 0

Medical error: From a legal framework to an approach based on surgical risk management 医疗事故：从法律框架到基于手术风险管理的方法。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.jviscsurg.2025.03.002

Margaux Borie , Jean-François Gravié , Frédéric Borie

引用次数: 0

Press review 新闻评论

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.jviscsurg.2025.04.004

引用次数: 0

Pedicular clamping by the laparoscopic approach 腹腔镜入路椎弓根夹紧。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.jviscsurg.2025.03.010

Alain Valverde

引用次数: 0

Evolution of the methodological requirements for surgery-related publications 外科相关出版物的方法学要求的演变。

IF 2 4区医学

Journal of Visceral Surgery Pub Date : 2025-06-01 DOI: 10.1016/j.jviscsurg.2025.03.001

Karem Slim , Alain Sauvanet , Louise Barbier , Jean-Marc Regimbeau , Arnaud Alves , Marc Pocard

引用次数: 0