Showing papers in "Journal of Visceral Surgery in 2016"

TL;DR: The definition of postoperative ileus (POI) is relatively consensual albeit with a variable definition of interval to resolution ranging from 2 to 7 days for different authors as discussed by the authors.

TL;DR: Colonic volvulus is the third leading cause of colonic obstruction worldwide, occurring at two principal locations: the sigmoid colon and cecum.

TL;DR: Post-splenectomy infections are potentially severe with overwhelming post-Splenectomy infection (OPSI) and this justifies preventive measures (prophylactic antibiotics, appropriate immunizations, patient education) and demands prompt antibiotic management with third-generation cephalosporins for any post- splenectomy fever.

TL;DR: The aim of this review was to summarize results of prehabilitation on the pre- and postoperative period and to determine its possible future in digestive surgery.

TL;DR: The French Society of Colo-Proctology (Société nationale française de colo-proctologie) recently revised its recommendations for the management of hemorrhoids, based on the literature and consensual expert opinion.

TL;DR: Non-operative management is the rule for the trauma victim who is hemodynamically stable as long as the patient remains hemodynamic stable and there is no suspicion of injury to hollow viscera, with the patient being carefully monitored on a surgical service.

TL;DR: This study suggests the possibility, as for ambulatory surgery, to use test messaging for post-discharge home surveillance for patients undergoing colorectal surgery within an ERP.

TL;DR: The aim of this manuscript is to illustrate the Shanghai Pulmonary Hospital surgical techniques for uniportal subxiphoid VATS (SVATS) segmentectomies and show that, SVATS segmentectomy can be considered a safe procedure with a relative low rate early post-operative complication.

TL;DR: From a perspective on pectus excavatum deformities, operative planning, and technical details of the MIRPE procedure, proper patient selection and attention to technical details are essential to achieve optimal outcomes and prevent significant complications.

TL;DR: In the near future, esophageal substitutes could be constructed from acellular "intelligent matrices" that contain the molecules necessary for tissue regeneration; this should allow circumvention of the implantation step and still obtain standardized in vivo biological responses.

TL;DR: 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.

TL;DR: Routine practice of the LPD procedure was feasible and safe, and gained experience can improve clinical outcomes in 30 to 60 operations by overcoming the learning curve.

TL;DR: A case of internal hernia is described for the first time after laparoscopic Roux-en-Y gastric bypass, resulting in a single anastomosis and in potential shortening of operative time.

TL;DR: It is recommended that centres starting out with non-intubated anaesthetic techniques begin by performing minor video-assisted thoracic surgery (VATS) procedures in selected low risk patients.

TL;DR: Neoadjuvant treatment may prevent from unnecessary surgery for patients with progressive disease and may facilitate resection with acceptable long-term survival and DP-CAR for borderline resectable/locally advanced distal PDAC is associated with high morbidity and mixed long- term functional results.

TL;DR: The value of the Hartmann procedure and its equivalents in colonic surgery is evaluated, according to its indications: colorectal cancer, peritonitis from diverticular disease, anastomotic complications, ischemic colitis, left-sided colonic volvulus and abdominal trauma.

TL;DR: A new approach of non-operative management (NOM) may be applicable to hemodynamically stable patients with no signs of perforation or peritonitis, and is being increasingly employed as mentioned in this paper.

TL;DR: Single-port MATHE is feasible as a novel minimally invasive surgery for esophageal squamous cell carcinoma (ESCC) or thoracic esophagal cancer and improves the visibility and handling in the deep mediastinum around the aortic arch.

TL;DR: 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).

TL;DR: The goal at the present time is to obtain optimal analgesia that allows rapid rehabilitation without sequelae or chronicity through the use of drugs and/or techniques to avoid the need for opioid medications.

TL;DR: The present surgical option seems to be an effective measure for the prevention of erosion and pseudoaneurysm formation of the gastroduodenal artery after pancreaticoduodenectomy.

TL;DR: In patients with distal PT and main pancreatic duct involvement, simple drainage is associated with high morbidity and mortality; for proximal PT, the therapeutic options of drainage versus pancreatoduodenectomy must be weighed; Pancreatic trauma may be unavoidable when the duodenum is injured as well.

TL;DR: Guidelines of the French Federation of Visceral and Gastrointestinal surgery (Fédération de chirurgie viscérale et digestive — FCVD), and the Francophone working group for enhanced recovery after surgery (Groupe francophone de réhabilitation améliorée après chirurgical — GRACE).

TL;DR: This article reviews the data and discusses considerations to weigh in finding the right balance between the video-assisted and the open approaches to lung cancer resection.

TL;DR: In this article, the authors describe the learning curve of the first 200 selected patients who underwent uniportal subxiphoid lobectomy or segmentectomy by subxaiphoid midline incision from September 2014 with early-stage non-small cell lung carcinoma (NSCLC) and benign disease.

TL;DR: Diffusion-weighted MRI has an important role to accurately detect colorectal neoplasms and peritoneal implants, to differentiate benign focal liver lesions from metastases and to detect tumor relapse within fibrotic changes.

TL;DR: Beyond the reduction in overall morbidity, ERP include issues and stakes that affect patient care, the care team and society in general and all studies show that ERP have a beneficial effect in economic terms for society.

TL;DR: The decision to perform CCRS plus HIPEC for PC arising from unusual cancer origins remains difficult and patients should be prospectively entered into registries of rare tumors that involve the peritoneum in order to better define indications.

TL;DR: It is suggested that aortic calcification score is correlated with surgical outcomes, particularly anastomosis leakage, after colorectal surgery, and these findings could provide useful tools for adapting surgical strategies by delaying colore CT imaging in high-risk patients.