{"title":"Excision of a thyroglossal duct cyst with resection of the hyoid bone (with video)","authors":"Francois Ansart , Fabrice Menegaux , Sébastien Gaujoux","doi":"10.1016/j.jviscsurg.2025.09.008","DOIUrl":"10.1016/j.jviscsurg.2025.09.008","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 2","pages":"Pages 150-153"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253404","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":"Validation of the French SURG-TLX: A reliable and task-sensitive tool for assessing surgical workload","authors":"Georges Pfister , Emeric Saguin","doi":"10.1016/j.jviscsurg.2025.11.005","DOIUrl":"10.1016/j.jviscsurg.2025.11.005","url":null,"abstract":"<div><h3>Background</h3><div>Assessing intraoperative workload is essential for understanding performance variability, preventing errors, and supporting occupational well-being. The Surgery Task Load Index (SURG-TLX) offers greater contextual relevance for surgery than general tools such as the NASA-TLX, but no validated French version has been available.</div></div><div><h3>Objective</h3><div>To translate the SURG-TLX into French and evaluate its psychometric properties in a real-world operating-room setting.</div></div><div><h3>Methods</h3><div>Twenty operating-room professionals each rated two distinct procedures (Time 1, T1; Time 2, T2), yielding 40 evaluations. After each operation, participants completed the French SURG-TLX, the NASA-TLX, and a 1–10 perceived difficulty rating. Analyses included descriptive statistics, Pearson correlations (convergent/construct validity), paired t-tests, Bland–Altman plots, intraclass correlation coefficient (ICC[3,k]) for test–retest reliability, and linear mixed-effects models with participant as a random intercept.</div></div><div><h3>Results</h3><div>Mean weighted SURG-TLX scores indicated moderate workload (T1: 9.28<!--> <!-->±<!--> <!-->4.27; T2: 8.37<!--> <!-->±<!--> <!-->2.98 on a 0–40 scale). Convergent validity was supported by strong correlations with NASA-TLX (T1: r<!--> <!-->=<!--> <!-->0.67, <em>P</em> <!--><<!--> <!-->0.001; T2: r<!--> <!-->=<!--> <!-->0.81, <em>P</em> <!--><<!--> <!-->0.001). Construct validity was confirmed by the association with perceived difficulty across all procedures (r<!--> <!-->=<!--> <!-->0.69, <em>P</em> <!--><<!--> <!-->0.001). The paired comparison showed no T1–T2 difference (t(19)<!--> <!-->=<!--> <!-->0.94, <em>P</em> <!-->=<!--> <!-->0.36, d<!--> <!-->=<!--> <!-->0.21). Test–retest reliability was moderate (ICC[3,k]<!--> <!-->=<!--> <!-->0.48; 95% CI −0.12–0.76). In mixed-effects models, perceived difficulty predicted SURG-TLX (β=1.20<!--> <!-->±<!--> <!-->0.22, <em>P</em> <!--><<!--> <!-->0.001), whereas time and demographics were non-significant.</div></div><div><h3>Conclusion</h3><div>The French SURG-TLX shows solid preliminary validity, moderate temporal reliability, and sensitivity to task complexity in real surgical practice.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 2","pages":"Pages 90-96"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795290","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}
Cristina Ciulli , Fabrizio Romano , Mattia Garancini
{"title":"Three-dimensional modeling of the liver to predict the presence of intrahepatic communicating veins in a patient with a tumor infiltrating the right hepatic vein (with video)","authors":"Cristina Ciulli , Fabrizio Romano , Mattia Garancini","doi":"10.1016/j.jviscsurg.2025.11.008","DOIUrl":"10.1016/j.jviscsurg.2025.11.008","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 2","pages":"Pages 154-156"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769641","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":"Mental load: An often-overlooked aspect of the surgical profession","authors":"Karem Slim , Marc Pocard","doi":"10.1016/j.jviscsurg.2026.01.002","DOIUrl":"10.1016/j.jviscsurg.2026.01.002","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 2","pages":"Pages 87-89"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120754","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}
Edouard Roussel , Jean Pinson , Lola Duhamel , Paul Martre , Gaetan Kerdelhué , Jean-Jacques Tuech , Lilian Schwarz
{"title":"Value of 3D reconstructions in pancreatic surgery: Current status","authors":"Edouard Roussel , Jean Pinson , Lola Duhamel , Paul Martre , Gaetan Kerdelhué , Jean-Jacques Tuech , Lilian Schwarz","doi":"10.1016/j.jviscsurg.2025.09.011","DOIUrl":"10.1016/j.jviscsurg.2025.09.011","url":null,"abstract":"<div><h3>Introduction</h3><div>Three-dimensional (3D) reconstruction transforms cross-sectional medical images into interactive anatomical models, interpretable on an LCD screen, in augmented reality or via 3D printing. Although certain benefits have been established in liver surgery, its use in pancreatic surgery remains limited. This update outlines the applications of 3D visualization in pancreatic surgery, ranging from surgical planning to teaching.</div></div><div><h3>Method</h3><div>A systematic search for English-language articles reporting 3D pancreatic reconstructions in adult patients was conducted in PubMed, Web of Science, Lens.org and the Cochrane Library up to August 28, 2024. Of 1650 articles initially identified, 34 were retained after exclusion of duplicate publications and analysis of titles, abstracts and texts.</div></div><div><h3>Results</h3><div>The analysis of these studies suggests that 3D reconstruction, in comparison to cross-sectional imaging, could improve preoperative evaluation, by facilitating the detection of anatomical variations, the assessment of resection margins, and the prediction of morbidity and mortality according to tumor volume and residual pancreatic parenchyma. 3D imaging could also improve intraoperative safety, with some series reporting a 50% reduction of blood loss and a 25% reduction in operating time. 3D reconstruction is also a promising tool for teaching surgical anatomy, particularly through 3D printing.</div></div><div><h3>Conclusion</h3><div>3D reconstruction could improve outcomes of pancreatic surgery but requires robust comparative studies before becoming a standard evidence-based practice.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 2","pages":"Pages 109-116"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349457","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":"RE: “Does the indocyanine green test reduce the risk of anastomotic dehiscence in colorectal surgery?”","authors":"Chadli Dziri , Abraham Fingerhut","doi":"10.1016/j.jviscsurg.2026.01.004","DOIUrl":"10.1016/j.jviscsurg.2026.01.004","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 2","pages":"Pages 157-159"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147631620","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}
Chia-Chi Tsai , Chi-Yu Kuo , Yi-Chen Ho , Shih-Ping Cheng
{"title":"Acute effects of parathyroidectomy on homocysteine levels in patients on dialysis","authors":"Chia-Chi Tsai , Chi-Yu Kuo , Yi-Chen Ho , Shih-Ping Cheng","doi":"10.1016/j.jviscsurg.2025.11.001","DOIUrl":"10.1016/j.jviscsurg.2025.11.001","url":null,"abstract":"<div><h3>Background</h3><div>Elevated homocysteine levels are a known biomarker for cardiovascular disease. Previous studies have reported inconsistent effects of parathyroidectomy on homocysteine levels. This study aimed to investigate the acute effects of parathyroidectomy on homocysteine levels.</div></div><div><h3>Methods</h3><div>A total of 357 dialysis patients who underwent parathyroidectomy for uncontrolled secondary hyperparathyroidism between 2011 and 2022 were included in the analysis. Baseline and postoperative plasma homocysteine levels were assessed.</div></div><div><h3>Results</h3><div>The median baseline homocysteine level was 19.2<!--> <!-->μmol/L, decreasing to 16.1<!--> <!-->μmol/L in the early postoperative period (<em>P</em> <!--><<!--> <!-->0.001). Baseline homocysteine levels showed a positive correlation with phosphorus but not with parathyroid hormone levels. The median change in homocysteine levels before and after surgery was −3.0<!--> <!-->μmol/L, reflecting a decrease of 16% from baseline. In multivariate analysis, patients with a higher body mass index or a longer duration of dialysis were less likely to experience a drop of more than 20% in homocysteine levels following parathyroidectomy.</div></div><div><h3>Conclusion</h3><div>Plasma homocysteine levels decrease rapidly after parathyroidectomy. Further research is needed to clarify the relationship between this decrease and the benefits of surgical management.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 2","pages":"Pages 103-108"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436985","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}
Yara El Hawly, Mathilde Aubert, Emilie Bollon, Rémy Le Huu Nho, Sophie Chopinet, Diane Mege
{"title":"Black cloud in digestive surgery: Myth or reality?","authors":"Yara El Hawly, Mathilde Aubert, Emilie Bollon, Rémy Le Huu Nho, Sophie Chopinet, Diane Mege","doi":"10.1016/j.jviscsurg.2025.11.006","DOIUrl":"10.1016/j.jviscsurg.2025.11.006","url":null,"abstract":"<div><h3>Aim</h3><div>Digestive surgery is known to be a surgical specialty with high workload, through training program for residents and lot of emergent procedures during night shift. The term “black cloud” referred to nurses, attending physicians and residents who seem to have a heavier workload during on-call shifts relative to their peers. The scientific literature is controversial about the reality of this concept. The aim was to determine if the “black cloud” concept really exists in digestive surgery.</div></div><div><h3>Methods</h3><div>All the emergent surgeries (under general and local anaesthesia) performed in one department of digestive surgery in a tertiary referral centre (Timone Hospital, Marseille, France) were prospectively included during 6 months.</div></div><div><h3>Results</h3><div>During the study period, 423 emergent digestive procedures were performed in one tertiary referral centre, by 9 surgeons and 8 residents. The mean number of interventions was similar between surgeons (<em>P</em> <!-->=<!--> <!-->0.4). Regarding the surgeon degree, the mean number of emergent procedures was similar between attending surgeons and senior residents (2.3<!--> <!-->±<!--> <!-->1.5 vs 2.4<!--> <!-->±<!--> <!-->1.6, <em>P</em> <!-->=<!--> <!-->0.49). There was no significant difference between digestive surgery residents and those from urology and gynaecology training program in terms of mean number of emergent procedures (2.2<!--> <!-->±<!--> <!-->1.5 vs 2.4<!--> <!-->±<!--> <!-->1.6, <em>P</em> <!-->=<!--> <!-->0.4). The emergent procedures performed during the day were significantly different between weekdays (<em>P</em> <!-->=<!--> <!-->0.03), with a lower number of procedures performed on Sunday: 0.9<!--> <!-->±<!--> <!-->0.9 [range, 0–3].</div></div><div><h3>Conclusion</h3><div>We did not identify a real “black cloud” in our digestive surgery department. We only reported that there were less emergencies procedures during the day of Sunday.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"163 2","pages":"Pages 97-102"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145744990","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}