Journal of Visceral Surgery最新文献

{"title":"What parathyroid imaging is required for hyperparathyroidism?","authors":"Benjamin Chevalier, Cécile Ghander, Miriam Ladsous, Sébastien Gaujoux, David Taieb, Camille Buffet, Delphine Drui, Jean-Christophe Lifante, Luigi Maione, Charlotte Lussey-Lepoutre, Françoise Borson-Chazot","doi":"10.1016/j.jviscsurg.2026.07.018","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.07.018","url":null,"abstract":"<p><p>In over 80% of cases, primary hyperparathyroidism results from hypersecretion of PTH by a single parathyroid adenoma. Multi-glandular involvement, combining adenoma and/or hyperplasia in varying proportions, is also possible, although less frequent. When the diagnosis of hyperparathyroidism is certain and surgery is envisaged, imaging is useful for locating the hyperfunctioning gland or glands. First-line exploration is based on a parathyroid ultrasound and a nuclear medicine examination, which may be parathyroid scintigraphy, preferably double isotope I/^12399m Tc-sestamibi, with planar and tomoscintigraphic acquisitions, or a PET-CT scan with ¹⁸F-choline. In the event of negative results, it is advisable to perform a choline PET scan if the initial examination was scintigraphy. In difficult situations, additional investigations using 4D parathyroid CT or parathyroid MRI, fine-needle aspiration cytology and determination of PTH in the flushing fluid are possible after multidisciplinary discussion in an expert center.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800468","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":"The impact of near-infrared autofluorescence and indocyanine green fluorescence on surgical management of primary hyperparathyroidism.","authors":"Nathanaël Saison, Frédéric Triponez, Gianluca Donatini, Samuel Frey, Claire Nomine-Criqui, Eric Mirallié, Christophe Trésallet, Paulina Kuczma","doi":"10.1016/j.jviscsurg.2026.07.021","DOIUrl":"10.1016/j.jviscsurg.2026.07.021","url":null,"abstract":"<p><p>Surgery constitutes the only curative treatment of primary hyperparathyroidism (PHPT). The difficulty in localizing all hyperfunctioning parathyroid glands can lead to the persistence of the disease and require a surgical reintervention. Complementary intraoperative tools for the localization of hyperfunctioning parathyroid glands remain, however, limited. The objective of this review is to evaluate the role of near-infrared autofluorescence (NIRAF) and fluorescence with indocyanine green (ICG) injection in the surgery of PHPT. NIRAF allows real-time visualization of the parathyroid glands without dye injection and has shown promising results for improving intraoperative detection of the parathyroids. Parathyroid adenomas appear to present specific autofluorescence characteristics. The impact of NIRAF on the cure rate, complication rate, and reduction of operative time in PHPT surgery remains currently uncertain. As the use of NIRAF in PHPT is still in its early stages, only a few studies have analyzed its impact on surgical outcomes. ICG shows promising results for the identification of parathyroid glands and could allow rapid detection of parathyroid adenomas, although this still needs to be validated in larger series. Its most established and relevant use currently remains the evaluation of vascularization and viability of the parathyroid remnant during a subtotal parathyroidectomy. Prospective studies evaluating the use of ICG in PHPT surgery still need to be conducted. The limitations of NIRAF and ICG techniques are the lack of standardized protocols and the additional cost. In conclusion, fluorescence imaging can facilitate the identification of normal and pathological parathyroid glands, increase the surgeon's confidence, and reduce the need for frozen section pathological examination, with a probably greater benefit for less experienced surgeons. Due to the recent emergence of fluorescence in PHPT and therefore an early stage of use, its main current limitations include the absence of standardized protocols and limited evidence regarding its impact on surgical performance and outcomes.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727405","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":"Introduction to special issue - Primary hyperparathyroidism.","authors":"Eric Mirallie, Marie-Christine Vantyghem, Elif Hindie, Peter Kamenicky, Laurent Brunaud","doi":"10.1016/j.jviscsurg.2026.07.011","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.07.011","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714441","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":"Impact of parathyroidectomy on cardiometabolic events associated with primary hyperparathyroidism.","authors":"Samuel Frey, Charles de Ponthaud, Martin Gaillard, Matthieu Faron, Claire Nomine-Criqui, Nicolas Bouviez, Haythem Najah, Eric Mirallie","doi":"10.1016/j.jviscsurg.2026.07.013","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.07.013","url":null,"abstract":"<p><p>Primary hyperparathyroidism (PHPT) is associated with numerous established clinical manifestations as well as subclinical impairments, including cardiometabolic complications (cardiovascular mortality, hypertension, prediabetes, diabetes, dyslipidemia, vascular abnormalities). These alterations appear to be linked to elevated parathyroid hormone and/or calcium levels, and could play a direct or indirect role in increasing cardiovascular risk in patients with PHPT. In the absence of robust data and given sometimes heterogeneous results, current French and international guidelines do not recognize cardiometabolic complications as an indication for parathyroidectomy in PHPT. Nevertheless, some data suggest a beneficial effect of surgery on these parameters, notably an improvement in blood pressure, lipid profile, or insulin sensitivity after parathyroidectomy. However, results remain variable depending on the studies, methodologies used, and evaluation criteria retained. This review aims to provide an overview of current knowledge on the impact of parathyroidectomy in PHPT regarding cardiovascular and metabolic risk, and to identify open questions to guide future research.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714467","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 aggressive forms of primary HPT: Parathyroid carcinoma and atypical parathyroid tumor.","authors":"Christine Do Cao, Niki Christou, Julien Hadoux, Désirée Deandreis","doi":"10.1016/j.jviscsurg.2026.07.016","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.07.016","url":null,"abstract":"<p><p>Parathyroid carcinoma is extremely rare, affecting 1% of cases of primary hyperparathyroidism. For this reason, management is poorly codified and requires expertise in specialized center. PC is genetically determined in a quarter to a third of cases, notably involving the CDC73 gene coding for parafibromin. Since 2004, malignancy has been diagnosed on both macroscopic and microscopic invasion criteria, as set out in the WHO 2022 histopathological classification. Surgery is an essential part of treatment. Resection must be oncological, after prior medical treatment for hypercalcemia that are often severe, and be supported by imaging studies to guide the surgical procedure. After incomplete resection with no possibility of reoperation, adjuvant external radiotherapy should be discussed, given the high risk of local recurrence, even if its value is debated. The recurrence rate for PC is 30-67%. Overall 5-year survival ranges from 60 to 95%. In cases of localized or oligometastatic recurrence, locoregional treatments are preferred. There is no standard treatment for metastatic disease, but the literature review suggests possible benefit from targeted antiangiogenic therapy. Extensive tumor genotyping is recommended to screen for targetable alterations in driver genes. All parathyroid carcinoma cases should be reviewed in a specialized tumor board. Patients operated on for atypical parathyroid tumors or parathyroid tumors with loss of immunohistochemical expression of parafibromin also require long-term monitoring.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714436","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":"Robotic-assisted transabdominal preperitoneal (r-TAPP) repair for ventral hernia with mesh (with video).","authors":"Francois Ansart, Alya Bellemin, David Moszkowicz","doi":"10.1016/j.jviscsurg.2026.07.010","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.07.010","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714465","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":"Should robotic cholecystectomy not be recommended?","authors":"Karem Slim, Jean-Marc Regimbeau","doi":"10.1016/j.jviscsurg.2026.07.004","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.07.004","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680611","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":"Finding predictive factors that may affect rectal stump blowout after Hartmann's procedure. Why are rectal tubes still in routine practice?","authors":"Salvatore Marchese, Hosniya Habibi, Bilge Rol, Elizabeth Mainwaring, Bradley Joseph Ross, Mohamed Shams","doi":"10.1016/j.jviscsurg.2026.07.005","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.07.005","url":null,"abstract":"<p><strong>Background: </strong>Among the complications associated with Hartmann's procedure, rectal stump blowout appears to be underrecognised. Despite the widespread practice of leaving a catheter in the rectal remnant, there is limited scientific evidence supporting this approach. Other risk factors have been infrequently and inconsistently reported. We analysed our five-year experience to identify predictors of stump blowout following Hartmann's, and to determine whether the use of rectal tubes is of any clinical benefit.</p><p><strong>Methods: </strong>This retrospective study included all patients who underwent emergency Hartmann's procedure between 2020 and 2025. Primary and secondary outcomes were rectal stump blowout and its latency in days from the surgery. Univariate analysis was conducted to identify variables of interest, which were subsequently entered into a regression model.</p><p><strong>Results: </strong>Among 133 patients included in the study, 9 (6.8%) experienced rectal stump blowout. Black ethnicity (P=0.07; odds ratio 7.4), diagnoses involving colonic perforation (P=0.08; odds ratio 5.6), and placement of pelvic drain (P=0.054; relative risk 0.91) demonstrated nearly significant association with blowout but did not add significantly to the model. Patients with Charlson Comorbidity Index ≥ 7 (P=0.02) and those who underwent multiple bowel resections during Hartmann's procedure (P=0.005) were 9.2-fold and 28.5-fold more likely, respectively, to develop stump leak. The use of rectal tubes did not influence the incidence of blowout (P=0.49).</p><p><strong>Conclusions: </strong>Highly comorbid patients and those requiring additional bowel resections are at increased risk of post-Hartmann's stump leak. Routine use of protective rectal tubes does not alter the probability to develop a rectal stump blowout.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680541","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":"Current understanding and management of brain metastasis from colorectal cancer. A review","authors":"Arthur Leclerc,&nbsp;Mathilde Charles,&nbsp;Paul Lesueur,&nbsp;Benoit Dupont,&nbsp;Evelyne Emery,&nbsp;Arnaud Alves","doi":"10.1016/j.jviscsurg.2026.01.001","DOIUrl":"10.1016/j.jviscsurg.2026.01.001","url":null,"abstract":"<div><h3>Background</h3><div>Colorectal cancer (CRC) ranks as the third most diagnosed cancer worldwide and the second leading cause of cancer-related death. Although relatively rare, brain metastases from CRC (BMCRC) have been linked to poor prognosis and reduced survival rates. The incidence of BMCRC is increasing, possibly because of improved diagnostic techniques and prolonged patient survival due to advances in systemic treatments.</div></div><div><h3>Methods</h3><div>A systematic literature review was conducted following PRISMA guidelines, utilizing databases such as PubMed, Embase, and the Cochrane Library. Eligible studies included original research articles related to BMCRC published in English from January 2000 to June 2025. Two independent reviewers screened and extracted data on study characteristics, treatment modalities, outcomes, and risk factors.</div></div><div><h3>Key findings</h3><div>BMCRC is less common than liver and lung metastases, but its incidence is increasing. Risk factors include molecular subtype (particularly KRAS mutation), location of the primary (rectal or right-sided) and the presence of lung or liver metastases. Symptoms are often nonspecific and include neurological deficits and headaches. Systematic brain scans are not currently recommended but may be suggested for patients with risk factors. Treatments are not standardized and include neurosurgery, radiotherapy (stereotactic radiosurgery [SRS] and whole-brain radiotherapy [WBRT]) and systemic therapies (chemotherapy, targeted therapies and immunotherapy). Surgical resection remains the treatment of choice when possible.</div></div><div><h3>Conclusion</h3><div>BMCRC is challenging because of its rarity and complex management. Recent advances in systemic therapies and diagnostic techniques have improved patient outcomes. Future research should focus on novel therapeutic approaches and biomarker validation to enhance early detection and personalize treatment strategies.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 4","pages":"Pages 265-277"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126896","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":"Robotic radical anterogradepancreatosplenectomy (r-RAMPS)(with video)","authors":"Pierre Peyrafort,&nbsp;Abdallah Iben Khayat,&nbsp;Baudouin Thebault","doi":"10.1016/j.jviscsurg.2026.03.009","DOIUrl":"10.1016/j.jviscsurg.2026.03.009","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 4","pages":"Pages 296-304"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377601","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}