Journal of Visceral Surgery最新文献

{"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":"https://doi.org/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":""},"PeriodicalIF":2.0,"publicationDate":"2024-08-02","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}

{"title":"An unexpected twist of the alimentary limb after total gastrectomy for gastric cancer","authors":"","doi":"10.1016/j.jviscsurg.2024.02.007","DOIUrl":"10.1016/j.jviscsurg.2024.02.007","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 4","pages":"Pages 267-269"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121198","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":"Management of a primary Grynfeltt's hernia","authors":"","doi":"10.1016/j.jviscsurg.2024.04.001","DOIUrl":"10.1016/j.jviscsurg.2024.04.001","url":null,"abstract":"<div><p>Lumbar hernia is a rare disease<span>, which can be acquired spontaneously or secondarily (post-traumatically, postoperatively…) or congenitally. It results from the existence of areas of weakness between the different muscles forming the posterior abdominal wall: the deep-seated Grynfeltt triangle and the superficial Jean-Louis Petit triangle.</span></p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 4","pages":"Pages 273-274"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140771580","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":"Meckel's diverticulum: A rare cause of acute intestinal occlusion","authors":"","doi":"10.1016/j.jviscsurg.2024.03.006","DOIUrl":"10.1016/j.jviscsurg.2024.03.006","url":null,"abstract":"<div><p><span><span>Meckel's diverticulum<span><span> is the most common congenital anomaly of the </span>gastrointestinal tract (Lequet et al., 2017). It results from incomplete obliteration of the </span></span>vitelline<span> (omphaloenteric) duct. Observed diverticulum<span><span> complications include inflammation and perforation, hemorrhage and obstruction (Kawamoto et al., 2015). We are reporting on a case of Meckel's </span>diverticulum revealed by </span></span></span>acute intestinal obstruction.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 4","pages":"Pages 270-272"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140330264","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":"Management of patients with high C-reactive protein levels after elective colorectal surgery: Pilot study on a proactive diagnostic and therapeutic approach (GESPACE)","authors":"","doi":"10.1016/j.jviscsurg.2024.06.002","DOIUrl":"10.1016/j.jviscsurg.2024.06.002","url":null,"abstract":"<div><h3>Study objective</h3><p>To evaluate the feasibility and benefit of a diagnostic and therapeutic algorithm for management of patients presenting with a high C-reactive protein (CRP) level after colorectal surgery.</p></div><div><h3>Patients and methods</h3><p>Prospective study including patients with CRP<!--> <!-->&gt;<!--> <!-->125<!--> <!-->mg/L at the 4th postoperative day following elective colorectal surgery. The protocol involved CT-scan of which the results were to orient subsequent management: antibiotics, radiological drainage, endoscopy or surgical redo. Success (primary endpoint) consisted in the proportion of patients with total duration of hospitalization fewer than 15<!--> <!-->d. Secondary endpoints were: applicability of the protocol in real-life conditions, number of stomas created, duration of hospitalization in an intensive care unit.</p></div><div><h3>Results</h3><p>One hundred and six (106) patients were included: 51 patients (48%) presented with postoperative complications, of which 21 (41%) were severe. No death occurred. Among the included patients, 68% had a hospital stay<!--> <!-->&lt;<!--> <!-->15<!--> <!-->d. Major deviations from the management algorithm occurred in 38% of cases. No patients had an early endoscopy. There was no significant difference with regard to the secondary endpoints according to whether or not the protocol was strictly observed.</p></div><div><h3>Conclusion</h3><p>It is necessary to define a protocol for management of patients presenting with high CRP levels after colorectal surgery, the objective being to reduce the impact of complications and to avoid excessive lengthening of hospital stay. The protocol begins with CT-scan, which is to orient subsequent management.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 4","pages":"Pages 237-243"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441023","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":"Press review","authors":"","doi":"10.1016/j.jviscsurg.2024.06.005","DOIUrl":"10.1016/j.jviscsurg.2024.06.005","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 4","pages":"Pages 281-290"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141960289","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":"On the use of the masculine gender in French-language surgical literature: Let's strive together for more progressive language!","authors":"","doi":"10.1016/j.jviscsurg.2024.06.001","DOIUrl":"10.1016/j.jviscsurg.2024.06.001","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 4","pages":"Pages 234-236"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437704","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":"Artificial intelligence-assisted decision making: Prediction of optimal level of distal mesorectal margin during transanal total mesorectal excision (taTME) using deep neural network modeling","authors":"","doi":"10.1016/j.jviscsurg.2024.06.007","DOIUrl":"10.1016/j.jviscsurg.2024.06.007","url":null,"abstract":"<div><h3>Background</h3><p>With steep posterior anorectal angulation<span>, transanal total mesorectal excision (taTME) may have a risk of dissection in the wrong plane or starting higher up, resulting in leaving distal mesorectum behind. Although the distal mesorectal margin can be assessed by preoperative MRI, it needs skilled radiologist and high-definition image for accurate evaluation. This study developed a deep neural network (DNN) to predict the optimal level of distal mesorectal margin.</span></p></div><div><h3>Methods</h3><p><span>A total of 182 pelvic MRI<span> images extracted from the cancer image archive (TCIA) database were included. A DNN was developed using gender, the degree of anterior and posterior anorectal angles as input variables while the difference between anterior and posterior mesorectal distances from anal verge was selected as a target. The predictability power was assessed by regression values (</span></span><em>R</em>) which is the correlation between the predicted outputs and actual targets.</p></div><div><h3>Results</h3><p>The anterior angle was an obtuse angle while the posterior angle varied from acute to obtuse with mean angle difference 35.5°<!--> <!-->±<!--> <!-->14.6. The mean difference between the anterior and posterior mesorectal end distances was 18.6<!--> <!-->±<!--> <!-->6.6<!--> <!-->mm. The developed DNN had a very close correlation with the target during training, validation, and testing (<em>R</em> <!-->=<!--> <!-->0.99, 0.81, and 0.89, <em>P</em> <!-->&lt;<!--> <!-->0.001). The predicted level of distal mesorectal margin was closely correlated with the actual optimal level (<em>R</em> <!-->=<!--> <!-->0.91, <em>P</em> <!-->&lt;<!--> <!-->0.001).</p></div><div><h3>Conclusions</h3><p>Artificial intelligence can assist in either making or confirming the preoperative decisions. Furthermore, the developed model can alert the surgeons for this potential risk and the necessity of re-positioning the proctectomy<span> incision.</span></p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 4","pages":"Pages 244-249"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535714","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":"Suprapubic catheterization","authors":"","doi":"10.1016/j.jviscsurg.2024.05.007","DOIUrl":"10.1016/j.jviscsurg.2024.05.007","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 4","pages":"Pages 255-261"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437706","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":"Early bifurcation of the common hepatic artery: A pitfall that should be known and recognized","authors":"","doi":"10.1016/j.jviscsurg.2024.06.004","DOIUrl":"10.1016/j.jviscsurg.2024.06.004","url":null,"abstract":"<div><p>Early bifurcation of the common hepatic artery (EBCHA) is a rare anatomical variation (1%), that is often overlooked but can lead to accidental ligation of the right branch of the hepatic artery with consequent arterial ischemia of the right liver and potentially very serious complications during pancreaticoduodenectomy, partial hepatectomy, or liver harvesting for transplantation. It may be difficult to diagnose EBCHA using transverse imaging sections. However, on standard CT sections with intravenous contrast injection, three warning signs should allow the image reader to suspect it: presence of two hepatic arteries to the right of the celiac trunk, presence of a retro-portal hepatic artery, and absence of a right hepatic artery arising from the superior mesenteric artery. Analysis of the CT with reconstruction then allows for definitive diagnosis and limits the risk of accidental arterial injury or ligation.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 4","pages":"Pages 250-254"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1878788624000869/pdfft?md5=72b9d5f5323f7f7bab4c96b2f3a9b7fd&pid=1-s2.0-S1878788624000869-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}