Journal de chirurgie viscerale最新文献

{"title":"Iléocoloplastie droite pour la prise en charge d’une sténose caustique de l’œsophage (avec vidéo)","authors":"Samuel Dos Santos , Pierre Cattan , Hélène Corté","doi":"10.1016/j.jchirv.2026.01.006","DOIUrl":"10.1016/j.jchirv.2026.01.006","url":null,"abstract":"","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"163 3","pages":"Pages 274-276"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148202674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconstruction de la veine hépatique droite par allogreffe veineuse iliaque cadavérique après hépatectomie élargie du segment 7","authors":"Serban Puia-Negulescu , Jean Hardwigsen","doi":"10.1016/j.jchirv.2025.12.004","DOIUrl":"10.1016/j.jchirv.2025.12.004","url":null,"abstract":"","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"163 3","pages":"Pages 256-262"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148202682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"« Gentil, ce n’est pas un métier ». Réflexion sur l’importance des compétences non techniques dans la formation chirurgicale","authors":"Morgane Bouquot","doi":"10.1016/j.jchirv.2026.01.007","DOIUrl":"10.1016/j.jchirv.2026.01.007","url":null,"abstract":"","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"163 3","pages":"Pages 191-193"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148202677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Au-delà de la récidive : rechutes tardives et secondes localisations primitives après œsophagectomie curative","authors":"Aurore Protat , Julie Veziant , Clarisse Eveno , Marguerite Messier , Sebastien Degisors , Guillaume Piessen , Thibault Voron","doi":"10.1016/j.jchirv.2025.11.008","DOIUrl":"10.1016/j.jchirv.2025.11.008","url":null,"abstract":"<div><h3>Introduction</h3><div>La majorité des récidives après œsophagectomie surviennent dans les deux premières années. En France, la surveillance postopératoire est habituellement conduite pendant cinq ans. Cependant, des rechutes plus tardives ont été rapportées, soulevant la question de la pertinence d’un suivi prolongé.</div></div><div><h3>Méthodes</h3><div>Une étude rétrospective bicentrique a été menée au CHU de Lille et à l’hôpital Saint-Antoine. Ont été inclus les patients opérés d’un cancer de l’œsophage à visée curative entre 2009 et 2015, vivants et indemnes de récidive à cinq ans. Les récidives tardives (≥<!--> <!-->5 ans) et les seconds cancers primitifs ont été recensés et leurs facteurs associés analysés.</div></div><div><h3>Résultats</h3><div>Parmi 664 patients opérés, 229 remplissaient les critères d’inclusion. Douze patients (5,2 %) ont présenté une récidive tardive, dont 50 % métastatiques, survenant jusqu’à 107 mois après la chirurgie. En analyse multivariée, cinq variables étaient indépendamment associées à une diminution de la survie sans récidive : le sexe masculin (OR<!--> <!-->=<!--> <!-->6,09 ; <em>p</em> <!-->=<!--> <!-->0,001), les antécédents néoplasiques (OR<!--> <!-->=<!--> <!-->2,28 ; <em>p</em> <!-->=<!--> <!-->0,048), la radiochimiothérapie néoadjuvante (OR<!--> <!-->=<!--> <!-->3,18 ; <em>p</em> <!-->=<!--> <!-->0,002), le carcinome épidermoïde (OR<!--> <!-->=<!--> <!-->2,22 ; <em>p</em> <!-->=<!--> <!-->0,022) et les marges de résection non saines (OR<!--> <!-->=<!--> <!-->56,32 ; <em>p</em> <!-->=<!--> <!-->0,001). Seize patients (6,9 %) ont développé un second cancer primitif, principalement ORL ou pulmonaire. La radiochimiothérapie néoadjuvante était associée à un risque accru de seconde localisation (OR<!--> <!-->=<!--> <!-->2,64 ; <em>p</em> <!-->=<!--> <!-->0,011).</div></div><div><h3>Conclusion</h3><div>Un risque évolutif persiste au-delà de cinq ans après œsophagectomie curative, sous forme de récidives tardives (5 %) et de seconds cancers primitifs (6,9 %). Ces résultats remettent en question l’arrêt systématique du suivi à cinq ans et plaident pour une surveillance prolongée et individualisée.</div></div><div><h3>Introduction</h3><div>Most recurrences after oesophagectomy occur within the first two years. In France, postoperative surveillance is usually conducted for five years. However, later relapses have been reported, raising the question of the relevance of prolonged follow-up.</div></div><div><h3>Methods</h3><div>A bicentric retrospective study was conducted at Lille University Hospital and Saint-Antoine Hospital. Patients who underwent curative-intent oesophagectomy between 2009 and 2015, who were alive and disease-free at five years, were included. Late recurrences (≥<!--> <!-->5 years) and second primary cancers were recorded and associated factors were analysed.</div></div><div><h3>Results</h3><div>Among 664 operated patients, 229 met inclusion criteria. Twelve patients (5.2%) experienced ","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"163 3","pages":"Pages 205-214"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148202679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adieu p < 0,05. La valeur p n’est qu’un élément parmi tant d’autres permettant d’évaluer les preuves scientifiques","authors":"Karem Slim ,&nbsp;Chadli Dziri ,&nbsp;Bob Occean","doi":"10.1016/j.jchirv.2026.01.005","DOIUrl":"10.1016/j.jchirv.2026.01.005","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Depuis un siècle, la valeur &lt;em&gt;p&lt;/em&gt; est utilisée de manière routinière dans presque tous les articles de recherche, avec un seuil de 0,05 pour rejeter l’hypothèse nulle. Le but de cette brève analyse est d’examiner la validité de ce seuil arbitraire, souvent considéré comme fondamental. L’histoire de la valeur &lt;em&gt;p&lt;/em&gt; montre que très rapidement, les praticiens ont adopté une méthode simple qui leur convenait, tandis que les statisticiens ne voyaient pas l’intérêt de freiner cet enthousiasme, qui semblait faire consensus. Cependant, le recours excessif aux valeurs p est préoccupant en raison des risques d’interprétation erronée. Les principaux écueils d’un seuil de signification de &lt;em&gt;p&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0,05 sont l’approche dichotomique avec un jugement binaire, la possibilité de faux positifs, le manque d’informations sur l’ampleur de l’effet, sur la pertinence clinique et l’utilisation hors contexte. Ces écueils expliquent pourquoi plusieurs statisticiens et chercheurs recommandent d’abandonner non pas la valeur &lt;em&gt;p&lt;/em&gt; elle-même, mais le seuil de 0,05 et le terme « signification statistique ». Nous sommes ainsi confrontés à un changement de paradigme : il s’agit de séparer la valeur &lt;em&gt;p&lt;/em&gt; de son rôle de seuil et d’utiliser des outils alternatifs tels que les méthodes bayésiennes, la taille de l’effet avec intervalles de confiance, des seuils plus stricts, des essais pragmatiques et la différence minimale cliniquement importante. Cela amènerait les statisticiens, les chercheurs, les éditeurs et les décideurs du secteur de la santé à changer radicalement leur façon d’interpréter les données scientifiques en abandonnant l’analyse dichotomique centenaire – une véritable révolution à venir.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;div&gt;For a century, &lt;em&gt;P&lt;/em&gt;-value is routinely used in almost every research paper with a threshold of 0.05 to reject the null hypothesis. The aim of this short review was to discuss the validity of this arbitrary (yet sacred) threshold. The history of &lt;em&gt;P&lt;/em&gt;-value shows that very quickly, practitioners had found a simple method that appealed to them, while statisticians saw no great need to curb this enthusiasm, which seemed consensual. However, heavy reliance on &lt;em&gt;P&lt;/em&gt;-values is of concern because of potential misuse and misinterpretation. The main pitfalls of &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.05 are the dichotomized approach with a black-or-white judgement, possible false positive results, lack of information about magnitude of the effect, clinical relevance, and use out of context. These pitfalls explain why several statisticians and researcher recommend abandoning, not the &lt;em&gt;P&lt;/em&gt;-value itself but the threshold of 0.05 and the term “statistical significance”. We are faced with a paradigm shift by demoting &lt;em&gt;P&lt;/em&gt;-value from its threshold screening role and using alternative tools such as Bayesian methods, effect size with confidence intervals, more stringent thresholds, pragmatic trials, and th","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"163 3","pages":"Pages 224-229"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148202689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thérapie à pression négative endoluminale per-opératoire en cas de perforation œsophagienne ou fistule anastomotique œso-gastrique","authors":"Olivier Raspado ,&nbsp;Gaspard Bertrand ,&nbsp;Claire Billioud ,&nbsp;Salim Mezoughi","doi":"10.1016/j.jchirv.2025.11.009","DOIUrl":"10.1016/j.jchirv.2025.11.009","url":null,"abstract":"","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"163 3","pages":"Pages 245-255"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148202638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dissection du ligament arqué par voie robot-assistée (avec vidéo)","authors":"Tom Delouche ,&nbsp;Emeric Abet","doi":"10.1016/j.jchirv.2026.01.004","DOIUrl":"10.1016/j.jchirv.2026.01.004","url":null,"abstract":"","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"163 3","pages":"Pages 271-273"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148202688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exérèse d’un kyste du tractus thyréoglosse avec résection de l’os hyoïde (avec vidéo)","authors":"Francois Ansart ,&nbsp;Fabrice Menegaux ,&nbsp;Sébastien Gaujoux","doi":"10.1016/j.jchirv.2025.09.003","DOIUrl":"10.1016/j.jchirv.2025.09.003","url":null,"abstract":"","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"163 2","pages":"Pages 169-172"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147631593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proctectomie secondaire avec anastomose iléoanale sur réservoir en J robot-assistée","authors":"Julien Touzmanian ,&nbsp;Guillaume Levenson ,&nbsp;Antoine Brouquet","doi":"10.1016/j.jchirv.2026.01.002","DOIUrl":"10.1016/j.jchirv.2026.01.002","url":null,"abstract":"","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"163 2","pages":"Pages 142-154"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147631598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Double anastomoses porto-variqueuses au cours d’une transplantation hépatique pour thrombose portale complexe (avec vidéo)","authors":"Arthur Marichez ,&nbsp;Mehdi Boubaddi ,&nbsp;Laurence Chiche","doi":"10.1016/j.jchirv.2025.09.002","DOIUrl":"10.1016/j.jchirv.2025.09.002","url":null,"abstract":"","PeriodicalId":73567,"journal":{"name":"Journal de chirurgie viscerale","volume":"163 2","pages":"Pages 166-168"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147631592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}