Journal of Visceral Surgery最新文献_第8页

Robotic Roux-en-Y hepaticojejunostomy for Mirizzi Syndrome (with video) 治疗米利兹综合征的机器人 Roux-en-Y 肝空肠吻合术（附视频）

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.jviscsurg.2023.12.002

Aram Rojas, Pierce Paterakos, Melissa E. Hogg

引用次数: 0

Systematic review of carbon footprint of surgical procedures 外科手术碳足迹的系统回顾。

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jviscsurg.2023.03.002

Nicola de’Angelis , Christel Conso , Giorgio Bianchi , Ana Gabriela Barría Rodríguez , Francesco Marchegiani , Maria Clotilde Carra , Charlotte Lafont , Florence Canouï-Poitrine , Karem Slim , Patrick Pessaux , CERES (Collectif Eco-REsponsabilité en Santé)

{"title":"Systematic review of carbon footprint of surgical procedures","authors":"Nicola de’Angelis , Christel Conso , Giorgio Bianchi , Ana Gabriela Barría Rodríguez , Francesco Marchegiani , Maria Clotilde Carra , Charlotte Lafont , Florence Canouï-Poitrine , Karem Slim , Patrick Pessaux , CERES (Collectif Eco-REsponsabilité en Santé)","doi":"10.1016/j.jviscsurg.2023.03.002","DOIUrl":"10.1016/j.jviscsurg.2023.03.002","url":null,"abstract":"<div><p><span><span>The ecological sustainability of the operating room (OR) is a matter of recent interest. The present systematic review aimed to review the current literature assessing the carbon footprint of surgical procedures in different surgical fields. Following to the PRISMA statement checklist, three databases (MEDLINE, EMBASE, Cochrane Library) were searched by independent reviewers, who screened records on title and abstract first, and then on the full text. Risk of bias was evaluated using the MINORS system. Over the 878 articles initially identified, 36 original studies were included. They considered ophthalmologic surgical procedures (30.5%), general/digestive surgery (19.4%), gynecologic procedures (13.9%), orthopedic procedures (8.3%), </span>neurosurgery<span><span> (5.5%), otolaryngology/head and neck surgery (5.5%), plastic/dermatological surgery (5.5%), and cardiac surgery (2.8%). Despite a great methodological heterogeneity, data showed that a single surgical procedure emits 4–814 kgCO2e, with anesthetic gases and energy consumption representing the largest sources of greenhouse gas emission. </span>Minimally invasive surgical techniques may require more resources than conventional open surgery, particularly for packaging and plastics, energy use, and waste production. Each OR has the potential to produce from 0.2 to 4</span></span> <!-->kg of waste per case with substantial differences depending on the type of intervention, hospital setting, and geographic area. Overall, the selected studies were found to be of moderate quality. Based on a qualitative synthesis of the available literature, the OR can be targeted by programs and protocols implemented to reduce the carbon footprint and improve the waste stream of the OR.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 2","pages":"Pages 7-14"},"PeriodicalIF":2.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812133","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

Glossary of sustainable development for the ecofriendly surgeon 生态友好型外科医生的可持续发展词汇表

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jviscsurg.2023.11.010

Karem Slim , Richard Villet

引用次数: 0

Caregiver involvement in an approach favoring sustainable development in the operating theater 护理人员参与有利于手术室可持续发展的方法

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jviscsurg.2023.11.006

Marie-Pierre Matezak , Jane Muret , Lauriane Bordenave , Chafika Mazouni-Menard

{"title":"Caregiver involvement in an approach favoring sustainable development in the operating theater","authors":"Marie-Pierre Matezak , Jane Muret , Lauriane Bordenave , Chafika Mazouni-Menard","doi":"10.1016/j.jviscsurg.2023.11.006","DOIUrl":"10.1016/j.jviscsurg.2023.11.006","url":null,"abstract":"<div><p>The climate emergency alarm is resounding. Tasked with caregiving, healthcare facilities are nonetheless responsible for apparently innumerable greenhouse gas emissions. Predominantly atmospheric pollution causes 9 million deaths a year throughout the world. While legislative measures have been taken to favor change in climate-related business practices, the effects of their implementation are far from visible. On a parallel track, caregivers have been coming together and calling into question their practices, the objective being to institute concrete actions leading to reduction of healthcare-related carbon footprint. Not all of these actions have the same ecological impact or ease of implementation. To demonstrate their effectiveness and set the stage for readjustments, the existing initiatives require qualitative assessment and quantitative appraisal. While they demand personal motivation and professional investment, these efforts have a triple impact, at once ecological, economic and related to quality of life. Multidisciplinary teams come together in the pursuit of a common project epitomizing our missions as caregivers; is not that the essence of our presence in hospital?</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 2","pages":"Pages 32-36"},"PeriodicalIF":2.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139499028","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

Laparoscopic right hemicolectomy with complete mesocolic excision-inferior approach (with video) 腹腔镜右半结肠切除术，完整切除结肠系膜--下入路（附视频）。

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jviscsurg.2024.01.003

Lukas Schabl, Eddy Lincango, Hermann Kessler

引用次数: 0

Knowledge of surgeons and practical stances of healthcare institutions in the Ile-de-France region toward sustainable development: A cross-sectional study 法兰西岛大区外科医生的知识和医疗机构对可持续发展的实际立场：横断面研究。

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jviscsurg.2022.12.011

E.-M. AKINOCHO , M. Ashraf , N. Badirou , H.-J. Philippe

{"title":"Knowledge of surgeons and practical stances of healthcare institutions in the Ile-de-France region toward sustainable development: A cross-sectional study","authors":"E.-M. AKINOCHO , M. Ashraf , N. Badirou , H.-J. Philippe","doi":"10.1016/j.jviscsurg.2022.12.011","DOIUrl":"10.1016/j.jviscsurg.2022.12.011","url":null,"abstract":"<div><h3>Purpose of the study</h3><p>Climate change represents one of the gravest threats to health. Surgical activities mobilize a large number of resources which contribute to increased emission of CO2 and anesthetic gases in the environment. The objective of this study was to assess the level of knowledge of surgeons and the practical stances of healthcare establishments toward sustainable development.</p></div><div><h3>Methods</h3><p>This was a descriptive cross-sectional study, lasting 2 months. From 1 May 2021 to 30 June 2021, surgeons were asked via an online questionnaire to participate.</p></div><div><h3>Results</h3><p>A total of 131 out of the 457 contacted surgeons responded. A majority practiced in the private sector, 48.9% knew little about the rules of sustainable development in operating theaters, and 43.5% had an average level. The sustainable development charter was available in only 23% of establishments, while 19% had a sustainable development committee, and specific sustainable development actions were carried out in 27%.</p></div><div><h3>Conclusion</h3><p>The level of knowledge of surgeons in Île-de-France on sustainable development was low. In general, surgical units were not complying with the rules of good practice on CO<sub>2</sub> reduction. It is necessary to find strategies to reduce the impact of operating theaters on the environment.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 2","pages":"Pages 15-20"},"PeriodicalIF":2.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10544987","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

Should liver metastases of pancreatic adenocarcinoma be resected? 胰腺癌的肝转移灶是否应该切除？

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jviscsurg.2023.12.006

Milena Muzzolini , Renato Lupinacci , Jean-Baptiste Bachet , Donia Lassoued , Alain Sauvanet , Sébastien Gaujoux

引用次数: 0

Retroperitoneal soft tissue sarcomas: Predictive factors for incomplete resection 腹膜后软组织肉瘤：不完全切除的预测因素

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jviscsurg.2023.10.002

Pierre-Olivier Jouppe , Nicolas Regenet , Ephrem Salame , Matthias Tallegas , Aymeric Amelot , Arthur David , Nicolas Michot

{"title":"Retroperitoneal soft tissue sarcomas: Predictive factors for incomplete resection","authors":"Pierre-Olivier Jouppe , Nicolas Regenet , Ephrem Salame , Matthias Tallegas , Aymeric Amelot , Arthur David , Nicolas Michot","doi":"10.1016/j.jviscsurg.2023.10.002","DOIUrl":"10.1016/j.jviscsurg.2023.10.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Curative management of retroperitoneal sarcoma<span><span> relies on surgery, and complete monoblock resection is one of the main prognostic factors. The goal of this study was to search </span>predictive factors for incomplete resection.</span></p></div><div><h3>Methods</h3><p>All patients undergoing surgery for retroperitoneal sarcoma in two University hospitals between 2010 and 202 were included. The main endpoint was incomplete resection (R1 ad R2) after surgery. Secondary analysis was performed where marginal R0 resection was considered as complete. Univariate and multivariable analysis of demographics, radiological, surgical and pathologic criteria were performed. Overall survival, local and distant recurrence were evaluated.</p></div><div><h3>Results</h3><p><span>Fifty-eight patients were included in the study. Fifty patients had incomplete resection, of which seven had marginal R0 resection. In multivariable analysis, none of the factors analyzed were associated with incomplete resection. In secondary analysis, undifferentiated liposarcoma histology (OR 12.3, 95% CI [1.416–107.303], </span><em>P</em>  =0.043). Median follow-up duration was 27 months. Local and distant recurrence rates at three years were 37% and 22.4%, respectively.</p></div><div><h3>Conclusion</h3><p>In this study, we highlighted several predictive factors for incomplete resection. These factors enable us to define target populations that could most benefit from complementary therapy along with surgery.</p></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"161 2","pages":"Pages 90-98"},"PeriodicalIF":2.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136093354","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

Environmental responsibility in the operating theater 手术室的环保责任。

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jviscsurg.2023.11.009

Jane Muret

引用次数: 0

Press review 新闻评论

IF 2.1 4区医学

Journal of Visceral Surgery Pub Date : 2024-04-01 DOI: 10.1016/j.jviscsurg.2024.02.005

引用次数: 0