Journal of Visceral Surgery最新文献

{"title":"Abdominal and concomitant thoracic HIPEC, named HITAC : Technique and post-operative courses","authors":"Dahbia Djelil ,&nbsp;Ulrich Clarac ,&nbsp;Daniel Eyrauld ,&nbsp;Solene Doat ,&nbsp;Olivier Lucidarne ,&nbsp;Marc Pocard","doi":"10.1016/j.jviscsurg.2025.01.002","DOIUrl":"10.1016/j.jviscsurg.2025.01.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) is the preferred treatment for selected patients with carcinomatosis. When diaphragmatic involvement occurs, partial diaphragm resection (DR) is necessary to achieve complete cytoreduction (CC-0). In cases of macroscopic pleural invasion detected during CRS, abdominal and intrathoracic HIPEC (HITAC) through the diaphragm may be considered if pleural and peritoneal CC0 can be obtained.</div></div><div><h3>Objectives</h3><div>To report the combined procedure technique, postoperative course, morbidity, and long-term outcomes.</div></div><div><h3>Methods</h3><div>A monocentric database was used to identify cases.</div></div><div><h3>Results</h3><div>Seven synchronous HITAC cases were identified. Median PCI was 12 (3–39). Inflow catheter placement was behind the spleen, with outflow in the right thorax. Four patients had anastomosis and two splenectomy. Oxaliplatin was used in 4 HITAC, mitomycin in 1, and cisplatin in 2. Surgery lasted a median of 580<!--> <!-->mins (300–720), with extubation 2–4<!--> <!-->h post-op, or on day 1. Median thoracic drainage on day 1 was 657<!--> <!-->mL (300–1600), decreasing by day 3. Median drain removal was on day 8 (7–17), with hospital stay of 12 days (8–16). One patient had a postoperative pancreatic fistula and pneumonia, while the remaining 6 had no major complications. One-month residual pleural effusion was noted in one case. No pleural recurrence was observed for PMP, with a median follow-up of 88 months (30–166).</div></div><div><h3>Conclusions</h3><div>Combined HIPEC and intrathoracic chemotherapy is feasible without major risks. Thoracic drainage can produce high volumes postoperatively. Favorable long-term outcomes are observed in low-grade PMP.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 2","pages":"Pages 96-101"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143833845","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":"Single-port sleeve gastrectomy with parietal prophylactic mesh placement performed (with video)","authors":"Lucien Maraux ,&nbsp;Hadrien Tranchart ,&nbsp;Ibrahim Dagher","doi":"10.1016/j.jviscsurg.2024.09.005","DOIUrl":"10.1016/j.jviscsurg.2024.09.005","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 2","pages":"Pages 154-156"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142247850","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":"Neuroendocrine tumor arising inside a tailgut cyst","authors":"Evelyne Péroux ,&nbsp;Brice Malgras ,&nbsp;Anne-Cécile Ezanno","doi":"10.1016/j.jviscsurg.2024.10.005","DOIUrl":"10.1016/j.jviscsurg.2024.10.005","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 2","pages":"Pages 151-153"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570139","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":"An atypical mesenteric tumor: The intestinal mesenteric lipophagic granuloma","authors":"Antoine Poirier,&nbsp;Manuela Perez,&nbsp;Claire Nomine Criqui","doi":"10.1016/j.jviscsurg.2024.09.006","DOIUrl":"10.1016/j.jviscsurg.2024.09.006","url":null,"abstract":"<div><div>The intestinal mesenteric lipophagic granuloma is a rare and benign mesenteric tumor originating from the differentiation of mesenteric nodes that evolve toward a characteristic volume increase that is responsible for a compressive effect on the adjacent structures.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 2","pages":"Pages 148-150"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299463","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":"Contraindication to surgery in primary retroperitoneal sarcoma: Retrospective series on 20 years of practice in a high-volume sarcoma center","authors":"Belkacem Acidi ,&nbsp;Matthieu Faron ,&nbsp;Olivier Mir ,&nbsp;Antonin Levy ,&nbsp;Mohammed Ghallab ,&nbsp;Ines Kasraoui ,&nbsp;Benjamin Verret ,&nbsp;Cecile Le Péchoux ,&nbsp;Raslislav Bahleda ,&nbsp;Andrea Cavalcanti ,&nbsp;Axel Le Cesne ,&nbsp;Charles Honoré","doi":"10.1016/j.jviscsurg.2025.01.009","DOIUrl":"10.1016/j.jviscsurg.2025.01.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Surgery is the cornerstone treatment for retroperitoneal sarcomas (RPS). However, contraindications for unresectability are not well-documented in the literature.</div></div><div><h3>Aim of the study</h3><div>This study aims to identify contraindications that prevent surgery for primary RPS in a high-volume sarcoma center.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed all consecutive patients treated for primary RPS at our center from 1995 to 2021.</div></div><div><h3>Results</h3><div>Among the 452 patients treated for primary RPS, 92 (20%) were not offered surgery. The reasons for unresectability were categorized as follows: poor general health or severe comorbidities in 39 patients (42%), preoperative detection of distant metastases in 33 patients (36%), and locally advanced disease in 20 patients (22%). Locally advanced disease included vascular involvement in 14 patients (15%) and vertebral invasion in 6 patients (7%). Among the non-operated patients, 66% received chemotherapy, 16% received radiotherapy, and 5% received combined treatments. The median progression-free survival was 7<!--> <!-->months, and the median overall survival was 18<!--> <!-->months. The 1-year overall survival rate was 53%.</div></div><div><h3>Conclusion</h3><div>Contraindications for surgery in patients with primary RPS in a high-volume sarcoma center are not uncommon. The next step should be to differentiate absolute from relative (i.e., preoperative modifiable factors) contraindications.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 2","pages":"Pages 111-116"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505217","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":"What is the best management of patients after percutaneous transhepatic gallbladder drainage for acute lithiasic cholecystitis? Comparison of two different strategies","authors":"Fanny Sok ,&nbsp;François Mauvais ,&nbsp;Marion Demouron ,&nbsp;Thierry Yzet ,&nbsp;Noémie Ammar-Khodja ,&nbsp;Jean-Marc Regimbeau","doi":"10.1016/j.jviscsurg.2025.01.007","DOIUrl":"10.1016/j.jviscsurg.2025.01.007","url":null,"abstract":"<div><h3>Introduction</h3><div>After percutaneous transhepatic gallbladder drainage (PTGD) in patients with acute lithiasic cholecystitis (ALC), patients are managed on surgical wards. Our aim was to compare two management strategies for these patients.</div></div><div><h3>Material</h3><div>Consecutive patients (2019–2021) who underwent PTGD were included. In Center A (CHOL− DRAIN+ Clamped): clamping of the drain without systematic cholangiography and discharge with the drain clamped, removal of the drain in consultation; Center B (CHOL+ DRAIN−): cholangiography and removal of the drain during hospitalization. The primary endpoint was the success of PTGD (absence of cholecystectomy or death during hospitalization, absence of readmissions for ALC and/or death from biliary causes within 90<!--> <!-->days). Secondary endpoints were PTGD complications, length of hospitalization, unscheduled cholecystectomy, or biliary-associated readmission within 90<!--> <!-->days. Analysis was performed in intention-to-treat and per-protocol.</div></div><div><h3>Results</h3><div>Forty patients were included in Center A (CHOL− DRAIN+ Clamped) and 19 in Center B (CHOL+ DRAIN−). They were comparable. In ITT, the PTGD success rate was comparable between groups (85% vs. 63%, <em>P</em> <!-->=<!--> <!-->0.097). Drainage complications (15% vs. 53%, <em>P</em> <!-->=<!--> <!-->0.007) and re-drainage (0% vs. 15.8%, <em>P</em> <!-->=<!--> <!-->0.03), unscheduled cholecystectomy (2% vs. 26%, <em>P</em> <!-->=<!--> <!-->0.037), and readmission for biliary causes (10% vs. 32%, <em>P</em> <!-->=<!--> <!-->0.039) within 90<!--> <!-->days were less frequent in Center A. Mortality (7.5% vs. 10.5%, <em>P</em> <!-->=<!--> <!-->0.7) and length of stay (12 vs. 13<!--> <!-->days, <em>P</em> <!-->=<!--> <!-->0.744) were comparable. Cholangiography enabled a change in strategy for 20.3% of cases. PP management was more frequent in Center A (92.5% vs. 52.6%, <em>P</em> <!-->=<!--> <!-->0.004).</div></div><div><h3>Conclusion</h3><div>Drain clamping during hospitalization and removing it during consultation, without systematic cholangiography is a good strategy.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 2","pages":"Pages 102-110"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505218","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":"Thrombectomy of the inferior vena cava for renal cell carcinoma level 3 thrombus","authors":"Louise Barbier,&nbsp;Matthew Haydock,&nbsp;Kamran Zargar,&nbsp;John McCall","doi":"10.1016/j.jviscsurg.2025.02.007","DOIUrl":"10.1016/j.jviscsurg.2025.02.007","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 2","pages":"Pages 137-147"},"PeriodicalIF":2.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626589","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":"Medical tourism in bariatric surgery: Challenges and perspectives.","authors":"Fajer Nassour, Jean-Marc Catheline, Régis Cohen","doi":"10.1016/j.jviscsurg.2025.03.005","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.03.005","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722022","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":"Ingestion of an unusually high number of foreign bodies in a mentally ill man","authors":"Francisco Gonzalez ,&nbsp;Pablo Concheiro-Coello ,&nbsp;Juan Brenlla-Gonzalez","doi":"10.1016/j.jviscsurg.2024.06.010","DOIUrl":"10.1016/j.jviscsurg.2024.06.010","url":null,"abstract":"<div><div>The vast majority of ingested foreign bodies (FB) can pass through the digestive tract without major incidences. In some cases, they accumulate in large amounts in the stomach. They can also perforate the gastrointestinal wall and migrate to extraluminal sites, remaining quiescent for many years. We report a case of a psychiatric patient with more than 100 ingested FB in the stomach.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 1","pages":"Pages 50-51"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581308","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":"Nück canal cyst: A differential diagnosis of groin hernia in women","authors":"Sophie Garcia,&nbsp;Brice Malgras,&nbsp;Anne-Cécile Ezanno","doi":"10.1016/j.jviscsurg.2024.07.004","DOIUrl":"10.1016/j.jviscsurg.2024.07.004","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 1","pages":"Pages 52-54"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735484","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}