Nicolas Santucci, Jeanne Caillot, Christine Binquet, Pierre Goudet, Olivier Facy, Sébastien Gaujoux
{"title":"Distal pancreatectomy for neuroendocrine neoplasms in patients with multiple endocrine neoplasia type 1.","authors":"Nicolas Santucci, Jeanne Caillot, Christine Binquet, Pierre Goudet, Olivier Facy, Sébastien Gaujoux","doi":"10.1016/j.jviscsurg.2026.06.010","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.06.010","url":null,"abstract":"<p><strong>Background: </strong>To analyze the outcomes of multiple endocrine neoplasia type 1 (MEN1) patients after distal pancreatectomy (DP) for pancreatic neuroendocrine neoplasm (P-NENs) with a specific attention to postoperative complications and long-term survival.</p><p><strong>Methods: </strong>MEN1 patients from the French MEN1 cohort who underwent DP for P-NENs between 1990 and 2022 were included in the study. Early and late postoperative complications, secretory control, pancreatic disease-free and overall survival were assessed.</p><p><strong>Results: </strong>Out of 62 patients included, 41 (66%) underwent DP for a non-functioning P-NENs, 14 (23%) for insulinomas, 4 (6%) for a VIPoma and 3 (5%) for a glucagonoma. Median follow-up was 84 months (range: 12-335). No death within the 90 postoperative days was observed. Clavien-Dindo grade III-V postoperative complications occurred in 16% of the patients (n=11). Fourteen patients (23%) developed pancreatic fistulas. Twenty-four patients (39%) developed diabetes mellitus and 8 patients (13%) developed pancreatic exocrine insufficiency. The secretory control rate was 90%. Mean age at death was 56±10.9years. Five-year and ten-year overall survival was 93.0% [CI (85-100)], and 86.7% [CI (76.2-98.5)]. Ten-year liver metastasis-free survival was significantly shorter when DP was performed for non-functioning P-NENs compared to insulinomas 60.4% [CI (47-79)] versus 83.3% [CI (68-87)] (P=0.007).</p><p><strong>Conclusion: </strong>Distal pancreatectomy in MEN1 patients is a safe surgical procedure with an acceptable morbidity and a very low postoperative mortality. Further studies are needed to standardize the extent of lymph node removal when distal pancreatectomy is performed in MEN-1 patients.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438559","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}
Léa Govillot, Alya Bellemin, Clément Baratte, Davide Giovinazzo, David Moszkowicz
{"title":"Incisional hernia repair with mesh: How I choose it?","authors":"Léa Govillot, Alya Bellemin, Clément Baratte, Davide Giovinazzo, David Moszkowicz","doi":"10.1016/j.jviscsurg.2026.06.007","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.06.007","url":null,"abstract":"<p><p>Incisional hernia is a common late complication of abdominal surgery. Treatment consists in restoring abdominal wall integrity, with prosthetic reinforcement to limit long-term recurrence. In practice, the choice of mesh is complicated by the wide variety of materials, their composition and biological behaviors, while current guidelines are broad and poorly discriminative according to indications. The aim of this review is to summarize the main criteria for selecting parietal meshes and their clinical impact, in order to propose recommendations for rational choice in each situation. Non-absorbable materials are standard in most indications, but are increasingly controversial because of long-term complications associated with a permanent foreign body: notably chronic inflammation, and environmental concerns related to micropollutants. Slowly or partially absorbable materials are a promising alternative, particularly in high-risk contexts, as they optimize tissue integration by modulating the immune response. However, further studies with high levels of evidence are needed to confirm indications. The physical characteristics of meshes, the clinical impact of which is difficult to pinpoint among other operative variables, should be re-assessed by manufacturers, in the light of newly available materials. The choice of parietal mesh is based on a combination of multiple interdependent parameters derived from preclinical and clinical studies. It should be primarily guided by clinical context and the risk of complications.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425724","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 GRADE approach explained to surgeons.","authors":"Karem Slim, Louise Barbier","doi":"10.1016/j.jviscsurg.2026.06.003","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.06.003","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320159","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}
Melinda Bajul, Brice Malgras, Charles de Ponthaud, Anne de Carbonnieres, Damien Massalou, Fabrice Menegaux, Edouard Girard, Sébastien Gaujoux
{"title":"Role of laparoscopy in the management of abdominal trauma.","authors":"Melinda Bajul, Brice Malgras, Charles de Ponthaud, Anne de Carbonnieres, Damien Massalou, Fabrice Menegaux, Edouard Girard, Sébastien Gaujoux","doi":"10.1016/j.jviscsurg.2026.04.006","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2026.04.006","url":null,"abstract":"<p><p>Laparoscopy has an important place in elective and non-traumatic emergency surgery. While exploratory laparotomy remains the standard in the surgical approach and management of unstable abdominal trauma patients, laparoscopy has evolved as a diagnostic and therapeutic tool in selected trauma patients. This update, based on a recent review of the literature, examines the feasibility, reliability, and patient selection for laparoscopy in the diagnostic and/or therapeutic management of penetrating or blunt abdominal trauma, based on strict patient selection.</p>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279595","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}
Jules Le Pessot , Alexandra Pellegrin , Charles Sabbagh
{"title":"Passing the right colic angle can also lead to complications in coloscopy","authors":"Jules Le Pessot , Alexandra Pellegrin , Charles Sabbagh","doi":"10.1016/j.jviscsurg.2026.03.002","DOIUrl":"10.1016/j.jviscsurg.2026.03.002","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 3","pages":"Pages 226-227"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534059","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":"Reconstruction of the right hepatic vein using a cadaveric iliac vein allograft after extended resection of segment 7","authors":"Serban Puia-Negulescu , Jean Hardwigsen","doi":"10.1016/j.jviscsurg.2026.02.001","DOIUrl":"10.1016/j.jviscsurg.2026.02.001","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 3","pages":"Pages 220-225"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214656","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}
Benoit Romain , David Liu , Marie Jeanneau-Degallaix , François Severac , Odile Rohmer , Simone Manfredelli , Cécile Brigand , Dominique Guenot
{"title":"What is the impact of perioperative stress management sessions on patient well-being during colorectal cancer treatment? Results of a prospective, randomized, single-center study","authors":"Benoit Romain , David Liu , Marie Jeanneau-Degallaix , François Severac , Odile Rohmer , Simone Manfredelli , Cécile Brigand , Dominique Guenot","doi":"10.1016/j.jviscsurg.2026.01.009","DOIUrl":"10.1016/j.jviscsurg.2026.01.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Improving patients’ quality of life during and after their illness has become a major objective in the field of oncology. The aim of this study was to analyze the impact of stress management sessions on improving quality of life upon discharge in patients undergoing colorectal cancer surgery.</div></div><div><h3>Methods</h3><div>Patients undergoing colorectal cancer surgery were randomized between a group that received perioperative stress management sessions as part of an Enhanced Rehabilitation After Surgery (ERAS) program and a group that did not. Outcomes were assessed using questionnaires before, during, and at discharge from hospitalization. Well-being, fatigue score, and quality of life were assessed using the Manifestations of Psychological Well-Being Scale (EMMBEP), the Multidimensional Fatigue Inventory (MFI), and the FACT-C scale (Functional Assessment of Cancer Therapy-Colorectal), respectively. Pain and sleep were assessed using a Visual Analog Scale. The effectiveness of stress management sessions was evaluated at discharge, and patient satisfaction was assessed at one month. Length of hospital stay and complications were compared between the two groups.</div></div><div><h3>Results</h3><div>Of a total of 154 patients who were randomized in the study, four patients were excluded because they did not undergo surgery, leaving 74 in the control group and 76 in the experimental group. The results showed no statistically significant difference between the two groups in terms of demographics. Stress management sessions did not improve patients’ quality of life at discharge. Preoperative well-being was inversely correlated with the MFI fatigue score (<em>P</em> <!--><<!--> <!-->0.001). Length of hospital stay and postoperative complications were not influenced by stress management sessions.</div></div><div><h3>Conclusion</h3><div>Perioperative stress management sessions for colorectal cancer did not demonstrate a positive impact on quality of life at hospital discharge, and neither length of hospital stay nor postoperative complication rates were influenced by stress management sessions.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 3","pages":"Pages 183-189"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159017","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}