Patrick Pessaux, Zineb Cherkaoui, Collectif d’écoresponsabilité en santé (CERES)
{"title":"A new healthcare paradigm: Integration of the environment in value-based health care. EROMs: Environment-related outcome measures","authors":"Patrick Pessaux, Zineb Cherkaoui, Collectif d’écoresponsabilité en santé (CERES)","doi":"10.1016/j.jviscsurg.2024.11.001","DOIUrl":"10.1016/j.jviscsurg.2024.11.001","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 1","pages":"Pages 2-3"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677634","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}
Floryn Cherbanyk , Marie Burgard , Lucien Widmer , François Pugin , Bernhard Egger
{"title":"Risk factors for local recurrence of rectal cancer after curative surgery: A single-center retrospective study","authors":"Floryn Cherbanyk , Marie Burgard , Lucien Widmer , François Pugin , Bernhard Egger","doi":"10.1016/j.jviscsurg.2024.10.001","DOIUrl":"10.1016/j.jviscsurg.2024.10.001","url":null,"abstract":"<div><h3>Purpose</h3><div>Approximately 7% of patients with rectal cancer experience local recurrence within 5 years of curative surgery. A positive circumferential resection margin (CRM) is among the most significant risk factors. Other reported risk factors include histopathologic type, anastomotic leakage, positive distal margins, and more recently, the anterior localization of the tumor. In this retrospective cohort study, we aimed to assess risk factors for local recurrence in our institution, with a focus on tumor localization as an independent negative predictive factor.</div></div><div><h3>Patients and methods</h3><div>From 2007 to 2018, all patients with stage II or III rectal cancer were included in this study. Patients underwent neoadjuvant chemoradiotherapy followed by surgical resection with total mesorectal excision. The tumor's anterior or posterior localization was assessed by preoperative endosonography or magnetic resonance imaging. Risk factors for local recurrence were assessed using univariate and multivariate regression analyses.</div></div><div><h3>Results</h3><div>A total of 128 patients were included. The 3-year and 5-year local recurrence rates were 4.7% and 7%, respectively. In univariate and multivariate analyses, the histologic type of a poorly differentiated tumor (<em>P</em> <!-->=<!--> <!-->0.001) and a positive CRM (<em>P</em> <!-->=<!--> <!-->0.001) were correlated with local recurrence. Tumor localization (anterior or posterior) was not identified as a statistically significant factor associated with local recurrence.</div></div><div><h3>Conclusion</h3><div>Positive CRM and a poorly differentiated tumor histological subtype were found to be independent risk factors for local recurrence. In contrast to previous findings, anterior localization was not identified as an independent risk factor for local recurrence in our patient cohort.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 1","pages":"Pages 4-12"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511385","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":"Construction of J-shaped ileal reservoir and manual or stapled ileo-anal anastomosis","authors":"Maxime K. Collard, Jérémie H. Lefèvre, Yann Parc","doi":"10.1016/j.jviscsurg.2024.09.009","DOIUrl":"10.1016/j.jviscsurg.2024.09.009","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 6","pages":"Pages 382-390"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394699","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":"Left hepatectomy extended to segments 1, 5 and 8 with reconstruction of the right branch of the hepatic artery for Rennes type X perihilar cholangiocarcinoma","authors":"Heithem Jeddou , Stylianos Tzedakis , Karim Boudjema","doi":"10.1016/j.jviscsurg.2024.10.003","DOIUrl":"10.1016/j.jviscsurg.2024.10.003","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 6","pages":"Pages 391-398"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511383","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}
Hilaire de Malleray , Henri de Lesquen , Guillaume Boddaert , Mathieu Raux , Valentin Lefrançois , Nathalie Delhaye , Pauline Ponsin , Anaïs Cordorniu , Thierry Floch , Fanny Bounes , Elisabeth Gaertner , Alexia Hardy , Julien Bordes , Éric Meaudre , Michael Cardinale
{"title":"French practice of emergency resuscitative thoracotomy. A study based on the Traumabase Registry","authors":"Hilaire de Malleray , Henri de Lesquen , Guillaume Boddaert , Mathieu Raux , Valentin Lefrançois , Nathalie Delhaye , Pauline Ponsin , Anaïs Cordorniu , Thierry Floch , Fanny Bounes , Elisabeth Gaertner , Alexia Hardy , Julien Bordes , Éric Meaudre , Michael Cardinale","doi":"10.1016/j.jviscsurg.2024.07.002","DOIUrl":"10.1016/j.jviscsurg.2024.07.002","url":null,"abstract":"<div><h3>Aim of the study</h3><div>Emergency resuscitative thoracotomy (ERT) has been described as a potentially life-saving procedure for trauma patients who have been admitted in refractory shock or with recent loss of sign of life (SOL). This nationwide registry analysis aimed to describe the French practice of ERT.</div></div><div><h3>Patients and methods</h3><div>From 2015 to 2021, all severe trauma patients who underwent ERT were extracted from the TraumaBase→ registry. Demographic data, prehospital management and in-hospital outcomes were recorded to evaluate predictors of success-to rescue after ERT at 24-hour and 28-day.</div></div><div><h3>Results</h3><div>Only 10/26 Trauma centers have an effective practice of ERT, three of them perform more than 1 ERT/year. Sixty-six patients (74% male, 49/66) with a median age of 37 y/o [26–51], mostly with blunt trauma (52%, 35/66) were managed with ERT. The median pre-hospital time was 64<!--> <!-->mins [45–89]. At admission, the median injury severity score was 35 [25–48], and 51% (16/30) of patients have lost SOL. ERT was associated with a massive transfusion protocol including 8 RBCs [6–13], 6 FFPs [4–10], and 0 PCs [0–1] in the first 6<!--> <!-->h. The overall success-to-rescue after ERT at 24-h and 28-d were 27% and 15%, respectively. In case of refractory shock after penetrating trauma, survival was 64% at 24-hours and 47% at 28-days.</div></div><div><h3>Conclusions</h3><div>ERT integrated into the trauma protocol remains a life-saving procedure that appears to be underutilized in France, despite significant success-to-rescue observed by trained teams for selected patients.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 6","pages":"Pages 356-363"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890675","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}