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Journal of Visceral Surgery

P Chasserant, M Gosgnach
AIM OF THE STUDY: Outpatient left colectomy has been described in several small series or case reports. We conducted a prospective study to determine whether an optimized management approach could allow performance of this procedure in a broader patient population. PATIENTS AND METHODS: Between December 2014 and December 2015, all eligible patients were prospectively and consecutively included in this study. They all underwent surgery following the same outpatient management protocol...
September 23, 2016: Journal of Visceral Surgery
F Guerra, S Amore Bonapasta, M Di Marino, F Coratti, M Annecchiarico, A Coratti
No abstract text is available yet for this article.
September 23, 2016: Journal of Visceral Surgery
A Venara, M Neunlist, K Slim, J Barbieux, P A Colas, A Hamy, G Meurette
Postoperative ileus (POI) is a major focus of concern for surgeons because it increases duration of hospitalization, cost of care, and postoperative morbidity. The definition of POI is relatively consensual albeit with a variable definition of interval to resolution ranging from 2 to 7 days for different authors. This variation, however, leads to non-reproducibility of studies and difficulties in interpreting the results. Certain risk factors for POI, such as male gender, advanced age and major blood loss, have been repeatedly described in the literature...
September 22, 2016: Journal of Visceral Surgery
C Salloum, C Lim, A Malek, P Compagnon, D Azoulay
Surgery using a robotic platform is expanding rapidly today, with a notable surge since its authorization on the international medical market by the US Food and Drug Administration in 2000. The first hepatectomy by a robotic approach was reported in 2002, 10 years after the first laparoscopic hepatectomy. Yet, in hepatic surgery, series are scarce and the lack of relevant data in the literature is an obstacle to the development of robot-assisted laparoscopic hepatectomy (RALH). Based on a review of the literature, this update focuses on current indications, short-term and oncologic outcomes following RALH...
September 21, 2016: Journal of Visceral Surgery
J H Lefevre, S Benoist
GOAL: To report the current clinical practice of French physicians for rectal cancer in various complex settings. METHODS: Nineteen clinical situations and four surveillance modalities were proposed to a panel of experts via 11 learned societies. The answers of 48 experts and the impact of colorectal specialists on therapeutic options were compared to those of other participants. RESULTS: A total of 722 physicians [surgeons=319 (44%), gastro-intestinal oncologists=305 (42%), radiotherapists=98 (14%)] participated in this study...
September 20, 2016: Journal of Visceral Surgery
P Tomasini, M-E Garcia, L Greillier, C Paladino, F Sebag, F Barlesi
INTRODUCTION: Oligometastatic cancer prognosis is distinct from polymetastatic cancer prognosis and surgery can improve survival. The objective of this study was to assess the role of adrenalectomy and to look for prognostic or predictive factors for the treatment of patients with oligometastatic solid tumors and adrenal metastasis. MATERIAL AND METHODS: Patients with oligometastatic solid tumors undergoing adrenalectomy were selected. Clinical data were retrieved from electronic patients records...
September 15, 2016: Journal of Visceral Surgery
G Podevin, P De Vries, H Lardy, C Garignon, T Petit, O Azzis, J MCheik, J C Roze
GOAL: To evaluate physician compliance with use of a diagnostic algorithm for appendicitis in children. Our secondary objective was to determine the impact of the algorithm on diagnostic accuracy and morbidity. METHODS: We conducted a clustered randomized trial in eight centers. A total of 866 patients were included and, depending on the period of randomization at particular centers, 543 patients were managed before the formal institution of the diagnostic algorithm; their diagnostic management was compared to that of the subsequent 323 patients...
September 14, 2016: Journal of Visceral Surgery
J Veziant, O Raspado, A Entremont, J Joris, B Pereira, K Slim
INTRODUCTION: Enhanced recovery after surgery program (ERP) has now surpassed the stage of clinical research in certain specialties and currently poses the problematic of large-scale implementation. The goal of this study was to report the experience during the first year of implementation in three French-speaking countries. MATERIAL AND METHODS: This is a prospective study in which 67 healthcare centers, all registered in the Grace-Audit databank, participated...
September 13, 2016: Journal of Visceral Surgery
G Champault, A Rogeau, V Garnier, L Pennanech
No abstract text is available yet for this article.
September 9, 2016: Journal of Visceral Surgery
G Nigri, N Petrucciani, D Sirimarco, L Mangogna, P Aurello, F D'Angelo, G Ramacciato
No abstract text is available yet for this article.
September 8, 2016: Journal of Visceral Surgery
A Sainfort, I Denis Hallouard, D Hartmann, G Aulagner, Y Francois, O Tiffet, G Barabino, O Nuiry, X Armoiry
STUDY AIM: To describe the main technical characteristics of biologic prostheses used for parietal reinforcement and to present the state of the art on their risk/benefit ratio. METHODS: We conducted a technical analysis of manufacturer specifications of the biologic prostheses that are currently available in France accompanied by a literature review by selecting meta-analyses and systematic reviews, randomized controlled trials and publications of health technology rating agencies...
September 8, 2016: Journal of Visceral Surgery
C Manterola, P Flores, T Otzen
INTRODUCTION: Floating stoma (FS) is a strategy to be considered in the context of damage control surgery (DCS). The purpose of this study is to describe the technique used and the results of a series of patients where FS was used. METHODS: Case series of relaparotomized patients at two emergency services in Temuco, Chile (2005-2014). In all of them, once drainage of septic focus or damage was controlled, the abdomen was left open with a Bogota bag (BB) and FS. Outcome variables were FS indications, morbidity, time to first replacement of BB, definitive maturation of the stoma (DMS), time to withdraw the BB and mortality...
September 8, 2016: Journal of Visceral Surgery
A Doussot, T Perrin, P Rat, O Facy
No abstract text is available yet for this article.
September 8, 2016: Journal of Visceral Surgery
M Barral, C Eveno, C Hoeffel, M Boudiaf, P Bazeries, R Foucher, M Pocard, A Dohan, P Soyer
Magnetic resonance imaging (MRI) plays now a major role in patients with colorectal cancer regarding tumor staging, surgical planning, therapeutic decision, assessment of tumor response to chemoradiotherapy and surveillance of rectal cancer, and detection and characterization of liver or peritoneal metastasis of colorectal cancers. Diffusion-weighted MRI (DW-MRI) is a functional imaging tool that is now part of the standard MRI protocol for the investigation of patients with colorectal cancer. DW-MRI reflects micro-displacements of water molecules in tissues and conveys high degrees of accuracy to discriminate between benign and malignant colorectal conditions...
September 8, 2016: Journal of Visceral Surgery
J Barbieux, A Hamy, M F Talbot, C Casa, S Mucci, E Lermite, A Venara
INTRODUCTION: While enhanced recovery after surgery (ERAS) has been proven to improve results in colorectal operations with regard to morbidity and duration of hospital stay, its impact on recovery of bowel motility is poorly documented. The aims of this study were to assess the impact of ERAS on bowel motility recovery, and to assess the consequences of the definition of postoperative ileus on its reported incidence in the literature. MATERIAL AND METHODS: This is a single-center prospective observational study of consecutive patients who underwent colorectal resection with anastomosis over a period of 17 months...
September 8, 2016: Journal of Visceral Surgery
C Dammaro, H Tranchart, M Gaillard, A Debelmas, S Ferretti, P Lainas, I Dagher
INTRODUCTION: In order to improve the outcome of classical laparoscopic cholecystectomy (CLC), surgeons have attempted to minimize tissue trauma. The aim of this study is to describe the technique of mini-laparoscopic cholecystectomy (MLC) and to report the outcome of this approach when used as a routine procedure. METHODS: Since January 2012, all consecutive patients undergoing MLC were included in this study. Operative and perioperative data were prospectively collected...
September 8, 2016: Journal of Visceral Surgery
E J Voiglio, V Dubuisson, D Massalou, Y Baudoin, J L Caillot, C Létoublon, C Arvieux
The goal of abbreviated laparotomy is to treat severely injured patients whose condition requires an immediate surgical operation but for whom a prolonged procedure would worsen physiological impairment and metabolic failure. Indeed, in severely injured patients, blood loss and tissue injuries enhance the onset of the "bloody vicious circle", triggered by the triad of acidosis-hypothermia-coagulopathy. Abbreviated laparotomy is a surgical strategy that forgoes the completeness of operation in favor of a physiological approach, the overriding preference going to rapidity and limiting the procedure to control the injuries...
August 2016: Journal of Visceral Surgery
C Letoublon, A Amariutei, N Taton, L Lacaze, J Abba, O Risse, C Arvieux
For the last 20 years, nonoperative management (NOM) of blunt hepatic trauma (BHT) has been the initial policy whenever this is possible (80% of cases), i.e., in all cases where the hemodynamic status does not demand emergency laparotomy. NOM relies upon the coexistence of three highly effective treatment modalities: radiology with contrast-enhanced computerized tomography (CT) and hepatic arterial embolization, intensive care surveillance, and finally delayed surgery (DS). DS is not a failure of NOM management but rather an integral part of the surgical strategy...
August 2016: Journal of Visceral Surgery
R Villet
No abstract text is available yet for this article.
August 2016: Journal of Visceral Surgery
K Slim, J Joris, H Beloeil
Nonsteroidal anti-inflammatory drugs (NSAID) play an important role in the treatment of post-operative pain, particularly in the context of enhanced recovery after colorectal surgery. Several recent articles have suggested that NSAID may have a deleterious effect on colo-colic or colo-rectal anastomoses. The aim of this review is to analyze the evidence based on meta-analyses and cohort studies in the literature. A systematic review of clinical studies identified twelve studies including two meta-analyses and ten comparative cohort studies that included a large number of patients...
August 2016: Journal of Visceral Surgery
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