Journal of Visceral Surgery最新文献_第5页

Comparison of oncological outcomes between the first 28 cases of TaTME and LaTME: A matched case-control study 前28例TaTME和LaTME的肿瘤预后比较：一项匹配的病例对照研究。

IF 2.3 4区医学

Journal of Visceral Surgery Pub Date : 2026-08-01 Epub Date: 2026-04-17 DOI: 10.1016/j.jviscsurg.2026.03.005

Mikail Yazar, Didier Mutter, Antonio D’Urso

{"title":"Comparison of oncological outcomes between the first 28 cases of TaTME and LaTME: A matched case-control study","authors":"Mikail Yazar, Didier Mutter, Antonio D’Urso","doi":"10.1016/j.jviscsurg.2026.03.005","DOIUrl":"10.1016/j.jviscsurg.2026.03.005","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare early oncological outcomes, particularly the R1 resection rate (defined as positive circumferential resection margin [CRM+] or distal resection margin [DRM+]), between transanal total mesorectal excision (TaTME) and laparoscopic total mesorectal excision (LaTME) for the treatment of rectal cancer.</div></div><div><h3>Methods</h3><div>This was a retrospective single-center case-control study including 58 patients matched for age, sex, and preoperative tumor stage, who underwent surgery between 2010 and 2020. The primary endpoint was the composite R1 resection rate. Secondary endpoints included pathological characteristics, local recurrence rates, progression-free survival, and postoperative complications.</div></div><div><h3>Results</h3><div>The R1 resection rate was 14.3% in the TaTME group and 10.0% in the LaTME group (<em>P</em>  =0.48). There were no statistically significant differences between groups regarding local recurrence rates (11.1% vs. 0%, <em>P</em>  =0.44), or severe postoperative complications (Clavien-Dindo≥III: 25.0% vs. 20.0%, <em>P</em>  =0.17).</div></div><div><h3>Conclusion</h3><div>In this single-center study, TaTME did not demonstrate clear oncological superiority over LaTME but showed a potential for improvement with increased surgical experience. These findings underscore the importance of structured implementation and ongoing evaluation of the technique in controlled clinical settings.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 4","pages":"Pages 243-251"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718611","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}

引用次数: 0

Ambulatory thyroidectomy: A paradigm shift in surgical safety and patient-centered care 门诊甲状腺切除术：手术安全性和以患者为中心的护理模式的转变。

IF 2.3 4区医学

Journal of Visceral Surgery Pub Date : 2026-08-01 Epub Date: 2026-05-21 DOI: 10.1016/j.jviscsurg.2026.04.001

Pierre Puygrenier, Martina Bertolami, Séverine Noullet, Gaelle Godiris-Petit, Ariola Hasani, Sebastien Gaujoux, Fabrice Menegaux, Nathalie Chereau

{"title":"Ambulatory thyroidectomy: A paradigm shift in surgical safety and patient-centered care","authors":"Pierre Puygrenier, Martina Bertolami, Séverine Noullet, Gaelle Godiris-Petit, Ariola Hasani, Sebastien Gaujoux, Fabrice Menegaux, Nathalie Chereau","doi":"10.1016/j.jviscsurg.2026.04.001","DOIUrl":"10.1016/j.jviscsurg.2026.04.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite longstanding concerns regarding life-threatening postoperative complications such as cervical hematoma, recent guidelines endorse ambulatory thyroidectomy as a safe and feasible option when performed under strict selection and monitoring. This study evaluated the safety and feasibility of ambulatory thyroidectomy in a high-volume endocrine surgery center.</div></div><div><h3>Methods</h3><div>All patients undergoing ambulatory thyroidectomy between May 1st, 2018, and December 31st, 2024 were retrospectively analyzed. Studied outcomes included hematoma, hypocalcemia, recurrent laryngeal nerve (RLN) injury, infection, and unplanned admission. One-step total thyroidectomy was not eligible for ambulatory care.</div></div><div><h3>Results</h3><div>A total of 3047 adult patients (77% female; mean age 48.5±14 years) were included: 86% underwent lobectomy, 12% completion thyroidectomy, and 2% isthmectomy. In all, 954 (31%) were performed for malignant diseases. The proportion of ambulatory thyroidectomies among all partial thyroidectomy procedures increased from 7% in 2018 to 32% in 2024. Complication rates were low: hematoma (0.8%), including those requiring reoperation (19/23; 82.6%), transient RLN palsy (1.9%), symptomatic hypocalcemia (1.1%), permanent hypoparathyroidism (0.3%), and wound infection (0.2%).</div></div><div><h3>Conclusion</h3><div>Ambulatory thyroidectomy can be safely integrated into routine surgical practice when conducted within a structured perioperative pathway emphasizing meticulous patient selection, extended postoperative observation, and comprehensive patient education.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 4","pages":"Pages 259-264"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989693","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

Obtaining the critical view of safety during laparoscopic cholecystectomy for symptomatic cholelithiasis 有症状的胆石症腹腔镜胆囊切除术安全性的探讨。

IF 2.3 4区医学

Journal of Visceral Surgery Pub Date : 2026-08-01 Epub Date: 2026-04-30 DOI: 10.1016/j.jviscsurg.2026.03.007

Hugo Defives, Karem Slim, Jean-Marc Regimbeau

引用次数: 0

Left-sided gallbladder: Beware of common bile duct injury 左侧胆囊：小心胆总管损伤。

IF 2.3 4区医学

Journal of Visceral Surgery Pub Date : 2026-08-01 Epub Date: 2026-06-02 DOI: 10.1016/j.jviscsurg.2026.05.002

Gaétan Pasinato, Jules Le Pessot, Jean-Marc Regimbeau

引用次数: 0

Laparoscopic subtotal gastrectomy with Roux-en-Y esophagojejunostomy for strangulated paraesophageal hernia (with video) 腹腔镜胃次全切除术联合Roux-en-Y食管空肠吻合术治疗绞窄性食管旁疝（附视频）。

IF 2.3 4区医学

Journal of Visceral Surgery Pub Date : 2026-08-01 Epub Date: 2026-05-15 DOI: 10.1016/j.jviscsurg.2026.04.003

Sidhant Kalsotra, Stefanie C. Rohde, Patrick J. Sweigert

引用次数: 0

Impact of the environment changes on the occurrence of appendicitis: A retrospective study 环境变化对阑尾炎发生影响的回顾性研究。

IF 2.3 4区医学

Journal of Visceral Surgery Pub Date : 2026-08-01 Epub Date: 2026-05-22 DOI: 10.1016/j.jviscsurg.2026.04.002

Aurélien Venara, Chloé Saint-Dizier, Antoine Lamer, Tino Bienvenu, Dune Allard, Jean-François Hamel, Mathieu Levaillant

{"title":"Impact of the environment changes on the occurrence of appendicitis: A retrospective study","authors":"Aurélien Venara, Chloé Saint-Dizier, Antoine Lamer, Tino Bienvenu, Dune Allard, Jean-François Hamel, Mathieu Levaillant","doi":"10.1016/j.jviscsurg.2026.04.002","DOIUrl":"10.1016/j.jviscsurg.2026.04.002","url":null,"abstract":"<div><h3>Background</h3><div>Appendicitis is one of the most frequent infectious abdominal diseases worldwide. Recent studies suggest that high temperatures increase the risk of appendicitis, while its incidence decreases in high-income countries. Temperature may not be the only environmental parameter associated with appendicitis. The objective was to assess the impact of meteorological parameters on the occurrence of appendicitis in France between 2013 and 2022.</div></div><div><h3>Methods</h3><div>This is a retrospective observational study was based on data from the French national hospital discharge database and publicly available historical meteorological and environmental parameters data. The impact of age, temperature, humidity, altitude, wind force, atmospheric pressure and COVID-19 lockdown on the incidence of appendicitis was examined through a subgroup analysis stratified by age.</div></div><div><h3>Results</h3><div>Between 2013 and 2022, 761,414 patients underwent an appendectomy in France. While the risk of occurrence of appendicitis increased by 6.9% for each 10̊C increase of temperature. Among the other environmental parameters studied, a higher altitude was always associated with an increased risk of appendicitis while the impact of rising atmospheric pressure varied according to age classes. Finally, both humidity and wind force were significantly associated with appendicitis occurrence. This association was no longer significant during the COVID-19 lockdown. More generally, the COVID-19 lockdown period was associated with a reduced occurrence of appendicitis.</div></div><div><h3>Conclusion</h3><div>The risk of appendicitis was strongly associated with environmental parameters. The lockdown reduced the incidence of appendicitis, advocating for the implication of exogenic parameters in the pathophysiology of appendicitis.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 4","pages":"Pages 252-258"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007230","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}

引用次数: 0

Gallstones: Physiopathology and treatment of cholelithiasis (part 1) 胆结石：胆石症的生理病理和治疗（第一部分）。

IF 2.3 4区医学

Journal of Visceral Surgery Pub Date : 2026-08-01 Epub Date: 2026-05-27 DOI: 10.1016/j.jviscsurg.2026.04.004

Nicolas Golse, Paul Boulard, Oriana Ciacio, Fabien Robin, Kayvan Mohkam, Agnès Rode, François Faitot, Joris Couillerot, Sophie Chopinet, Charlotte Maulat

{"title":"Gallstones: Physiopathology and treatment of cholelithiasis (part 1)","authors":"Nicolas Golse, Paul Boulard, Oriana Ciacio, Fabien Robin, Kayvan Mohkam, Agnès Rode, François Faitot, Joris Couillerot, Sophie Chopinet, Charlotte Maulat","doi":"10.1016/j.jviscsurg.2026.04.004","DOIUrl":"10.1016/j.jviscsurg.2026.04.004","url":null,"abstract":"<div><div>Cholelithiasis (gallstones) is a frequent disease, with an estimated annual risk of 1 to 4% of presenting clinical manifestations. It mainly results from imbalanced bile composition: cholesterol oversaturation, low levels of bile acids and gallbladder stasis resulting in the formation of gallstones. Two main types of gallstones exist: cholesterol gallstones (the most frequent), and pigment gallstones. The risk factors for lithiasis are multiple: age, female sex, rapid weight fluctuations, certain medical treatments, pregnancy, and a number of pathologies (diabetes, obesity, cirrhosis, Crohn's disease…). While lithiasis is often asymptomatic, approximately 20% of patients present with biliary colic or can develop severe complications: acute cholecystitis, stone migration, cholangitis or acute pancreatitis. In the event of symptomatic complications, laparoscopic cholecystectomy is the standard treatment. In the absence of clinical evidence, however, a conservative attitude is generally recommended, except in situations involving a risk of malignant transformation (large gallstones, adenomatous polyps, incomplete porcelain gallbladder…). Even though surgical technique is codified in terms of Critical View of Safety (CVS), the role of intraoperative cholangiography remains debated. Acute cholecystitis is managed according to the degree of severity and taking into account the Tokyo recommendations; available options range from early surgery to percutaneous drainage in the setting of major surgical risk. Management in pregnant women, elderly patients and cirrhotic patients, is individualized insofar as these populations present a risk of complications needing a personalized therapeutical approach.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 4","pages":"Pages 278-290"},"PeriodicalIF":2.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044526","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}

引用次数: 0

Appendicitis (plural): Common but still little-known conditions 阑尾炎（复数）：常见但鲜为人知的疾病。

IF 2.3 4区医学

Journal of Visceral Surgery Pub Date : 2026-08-01 Epub Date: 2026-06-02 DOI: 10.1016/j.jviscsurg.2026.05.001

Karem Slim, Christine Jacomet

引用次数: 0

Laparoscopic repair of a post-cholecystectomy bile duct injury (with video) 胆囊切除术后胆管损伤的腹腔镜修复（附视频）。

IF 2.3 4区医学

Journal of Visceral Surgery Pub Date : 2026-08-01 Epub Date: 2026-05-19 DOI: 10.1016/j.jviscsurg.2026.04.007

Elias Karam, Juba Ait-Mohand, Safi Dokmak

引用次数: 0

Robot-assisted resection of the common bile duct for a Todani type I choledochal cyst (with video) 机器人辅助胆总管切除术治疗Todani型胆总管囊肿（附视频）。