{"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> <!--><<!--> <!-->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> <!--><<!--> <!-->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":"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}
{"title":"Use of intraluminal indocyanine green to detect anastomotic leak after laparoscopic gastrojejunostomy (with video)","authors":"","doi":"10.1016/j.jviscsurg.2024.03.002","DOIUrl":"10.1016/j.jviscsurg.2024.03.002","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 4","pages":"Pages 275-277"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190276","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":"Can artificial intelligence help a digestive surgeon in management of rectal cancer?","authors":"","doi":"10.1016/j.jviscsurg.2024.05.008","DOIUrl":"10.1016/j.jviscsurg.2024.05.008","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 4","pages":"Pages 231-233"},"PeriodicalIF":2.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318741","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}
Océane Lelièvre , Stéphane Benoist , Antoine Brouquet
{"title":"Indications, modalities, and outcomes of surgery for ulcerative colitis in 2024","authors":"Océane Lelièvre , Stéphane Benoist , Antoine Brouquet","doi":"10.1016/j.jviscsurg.2024.05.004","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2024.05.004","url":null,"abstract":"<div><p>Treatment of ulcerative colitis (UC) has been revolutionized by the arrival of biotherapies and technical progress in interventional endoscopy and surgery. (Sub)total emergency colectomy is required in the event of complicated severe acute colitis: colectasis, perforation, hemorrhage, organ failure. Corticosteroid therapy is the reference treatment for uncomplicated severe acute colitis, while infliximab and ciclosporin are 2nd-line treatments. At each step, before and after each line of treatment failure, surgery should be considered as an option. In cases refractory to medical treatment, the choice between surgery and change in medication must weigh the chronic symptoms associated with the disease against the risks of postoperative complications and functional sequelae inherent to surgery. Detection of dysplastic lesions necessitates chromoendoscopic imaging with multiple biopsies and anatomopathological verification. Endoscopic treatment of these lesions remains reserved for selected patients. These different indications call for multidisciplinary medical-surgical discussion. Total coloproctectomy with ileo-anal anastomosis (TCP-IAA) is the standard surgery, and it holds out hope for healing. Modalities depend on patient characteristics, previous emergency colectomy, and presence of dysplasia. It may be carried out in one, in two modified, or in three phases. The main complications are anastomotic fistula, short-term pouch-related fistula, ileo-anal pouch syndrome, pouchitis and long-term digestive and sexual disorders. For selected cases, an alternative can consist in total colectomy with ileo-rectal anastomosis or permanent terminal ileostomy. The objective of this update is to clarify the indications, modalities, and results of surgical treatment of ulcerative colitis in accordance with the most recent data in the literature.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 3","pages":"Pages 182-193"},"PeriodicalIF":2.1,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141423754","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}