Abstract：
PURPOSE:To evaluate the impact of truncal versus terminal branch ligature of the inferior thyroid artery (ITA) on postoperative calcium and PTH plasma levels in patients undergoing total thyroidectomy for multinodular goiter. METHODS:A prospective randomized study was performed comparing a group of patients that underwent either truncal ligature of the ITA (group 1) or terminal ligature of ITA branches (group 2). RESULTS:A series of 126 consecutive patients with non-toxic euthyroid multinodular goiter underwent total thyroidectomy. Truncal ligature of the ITA was performed in 63 patients (group 1) and terminal branch ITA ligature in 63 patients (group 2). Postoperative ionized serum calcium (mmol/L) at 24 hours was significantly lower in group 1 than in group 2 patients (1.22 ± 0.06 vs. 1.25 ± 0.05, P<0.05) and at 48 hours (1.20 ± 0.05 vs. 1.23 ± 0.05, P<0.05). Mean postoperative PTH levels (pg/mL) at 4 hours after thyroidectomy were significantly lower in group 1 than in group 2 patients (22.32 ± 11.64 vs. 25.82 ± 12.87, P=0.044). Mean hospital stay (hours) was higher in group 1 than in group 2 patients (87.47 ± 41.04 vs. 70.34 ± 24.82, P<0.05). CONCLUSION:This study shows that terminal ligature of ITA branches during total thyroidectomy for multinodular goiter is associated with higher mean postoperative calcium and PTH levels, and shorter hospital stay. However, no significant difference in terms of permanent hypoparathyroidism was observed between the two groups.
journal_name
J Visc Surgjournal_title
Journal of visceral surgeryauthors
Cocchiara G,Cajozzo M,Amato G,Mularo A,Agrusa A,Romano Gdoi
10.1016/j.jviscsurg.2010.08.020subject
Has Abstractpub_date
2010-10-01 00:00:00pages
e329-32issue
5issn
1878-7886pii
S1878-7886(10)00103-7journal_volume
147pub_type
杂志文章,随机对照试验abstract：:The circumportal pancreas (CPP) is a normal though rare anatomical variant of the pancreas resulting from fusion of ventral and dorsal pancreatic buds during embryogenesis. Preoperative imaging in a 69-year-old man displayed the presence of a CPP completely encasing the portal vein. For pancreatic resection, missing a...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2019.02.001
更新日期：2019-10-01 00:00:00
abstract：:Tissue engineering, which consists of the combination and in vivo implantation of elements required for tissue remodeling toward a specific organ phenotype, could be an alternative for classical techniques of esophageal replacement. The current hybrid approach entails creation of an esophageal substitute composed of a...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2015.11.009
更新日期：2016-02-01 00:00:00
abstract：INTRODUCTION:The mild pancreatic tumors are more and more treated by central pancreatectomy (CP) in alternative with the widened pancreatectomies. Indeed, their morbidity is lesser but they are however burdened by a rate of important postoperative fistulas. The purpose of our study is to compare pancreatico-jejunal ana...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jviscsurg.2012.01.002
更新日期：2012-04-01 00:00:00
abstract：:Rectal linitis is a rare tumor with a poor prognosis that may be seen as a primary tumor or in association with gastric linitis plastica. In this article we describe the morphological appearance on CT and magnetic resonance imaging, which is typical. We also discuss the oncologic management, which is not well defined,...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2014.09.005
更新日期：2015-02-01 00:00:00
abstract：:Replacement of the esophagus by colon interposition often has late complications, frequently due to technical defects. We report the case of a patient who presented 12 years after surgery with complex dysfunctions of a colonic interposition, including cervical and retrosternal strictures associated with a redundant po...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2010.08.006
更新日期：2010-12-01 00:00:00
abstract：OBJECTIVE OF THE STUDY:Skin-sparing mastectomies (SSM) have gained acceptance among teams performing immediate breast reconstruction because this technique provides the best cosmetic outcome. Nevertheless, in France, concerns have been raised that limited skin excision during mastectomy could result in an increased ris...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2013.09.011
更新日期：2013-11-01 00:00:00
abstract：OBJECTIVE:To compare the effectiveness of tube sigmoidostomy and sigmoidopexy as effective treatment options for patients with acute uncomplicated sigmoid volvulus. METHODS:The records of 72 patients with acute uncomplicated sigmoid volvulus with obstruction who were treated by tube sigmoidostomy (Group I: n=32) and s...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2011.02.003
更新日期：2011-04-01 00:00:00
abstract：:Two principal branches from the aorta provide the colonic blood supply: the superior and inferior mesenteric arteries. There are numerous anatomical variations, which the surgeon must fully understand before embarking on any colonic surgery. A good knowledge of these variations is particularly important when the patie...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2016.02.002
更新日期：2016-04-01 00:00:00
abstract：INTRODUCTION:Diaphragmatic rupture following blunt trauma occurs rarely. Classically described after high-velocity accidents, ruptures are often associated with multiple organ injuries. The diagnosis is sometimes difficult. The goal of this study was to analyze and to discuss the modalities of early radiologic diagnosi...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jviscsurg.2018.10.005
更新日期：2019-02-01 00:00:00
abstract：GOAL:The aim of this study was to objectively analyze the characteristics of abstracts submitted to the annual joint congress of the SFCD (French Society of Digestive Surgery) and the ACBHT (Association of Hepato-biliary Surgery and Transplantation), in order to identify factors associated with acceptance for presentat...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2014.04.007
更新日期：2014-06-01 00:00:00
abstract：:Presacral schwannoma is a rare tumor, diagnosed essentially by pelvi-rectal digital examination. Diagnostic investigations should include initial CT-scan followed by pelvic MRI. The role of angiography and preoperative biopsy remain debated. Management is surgical: several surgical routes are possible to remove the tu...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2012.07.001
更新日期：2012-12-01 00:00:00
abstract：:Multidisciplinary management of infra-peritoneal rectal cancer has pushed back the frontiers of sphincter preservation, without impairment of carcinological outcome. However, functional intestinal sequelae, grouping together several symptoms known under the name of anterior resection syndrome (ARS), have emerged and b...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2018.03.006
更新日期：2018-10-01 00:00:00
abstract：:The spleen and pancreas are at risk for injury during abdominal trauma. The spleen is more commonly injured because of its fragile structure and its position immediately beneath the ribs. Injury to the more deeply placed pancreas is classically characterized by discordance between the severity of pancreatic injury and...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2016.04.005
更新日期：2016-08-01 00:00:00
abstract：:Severe trauma patients should be received at the hospital by a multidisciplinary team directed by a "trauma leader" and all institutions capable of receiving such patients should be well organized. As soon as the patient is accepted for care, the entire team should be prepared so that there is no interruption in the p...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2016.04.014
更新日期：2016-08-01 00:00:00
abstract：:Right paraduodenal internal hernia, which has an embryonic origin, can be a rare cause of bowel obstruction, generally in young adults. We report the case of a young man who sought emergency care for acute abdominal pain with obstruction. ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2019.08.008
更新日期：2020-06-01 00:00:00
abstract：INTRODUCTION:Adhesion-related small bowel obstruction (ASBO) management is difficult if there are no signs of strangulation or peritonitis when intestinal transit has not been restored. The aim of the present study was to determine the impact of combining a procalcitonin (PCT)-based algorithm with clinical signs on the...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2017.01.004
更新日期：2017-09-01 00:00:00
abstract：:In spite of the ever-increasing hyper-specialization of gastro-intestinal surgeons, some surgical emergency procedures, such as tracheotomy, need to be mastered. The need for tracheotomy is sometimes so urgent that one cannot wait for a specialized surgeon to arrive or to transport the patient elsewhere. Even though p...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2020.10.002
更新日期：2021-02-01 00:00:00
abstract：:The main objectives of the reform of the 3rd cycle of medical studies in France that was instituted in 2017 after eight years of preparation, are to train future specialists in a consistent and equitable fashion and to replace the previous time-based qualification by training based on the progressive acquisition of sk...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2020.02.007
更新日期：2020-06-01 00:00:00
abstract：:Mesenteric tumors are rare and consist of a heterogeneous group of lesions. Masses may arise from any of the mesenteric components: peritoneum, lymphatic tissue, fat, and connective tissue. Cellular proliferation can also arise from infectious or inflammatory processes. They can be classified as solid or cystic, benig...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2012.05.005
更新日期：2012-08-01 00:00:00
abstract：:Pneumatosis cystoides intestinalis is generally benign in course and sometimes, if cysts ruptured, behave as the not uncommon cause of free air in acute abdomen. In our case, we illustrate ruptured isolated cysts of pneumatosis cystoides intestinalis are responsible for pneumoperitoneum in a 94-year-old male patient. ...
journal_title：Journal of visceral surgery
pub_type：
doi：10.1016/j.jviscsurg.2018.09.006
更新日期：2019-04-01 00:00:00
abstract：:Mortality associated with pelvic and perineal trauma (PPT) has fallen from 25% to 10% in the last decade thanks to progress accomplished in medical, surgical and interventional radiology domains (Dyer and Vrahas, 2006) [1]. The management strategy depends on the hemodynamic status of the patient (stable, unstable or e...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2012.06.004
更新日期：2012-08-01 00:00:00
abstract：:Abdominal pelvic radiation therapy can induce acute or chronic lesions in the small bowel wall, called radiation enteritis. Treatment of acute radiation enteritis is essentially symptomatic; symptoms regress when radiation is discontinued. Conversely, late toxicity can occur up to 30 years after discontinuation of rad...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2020.08.012
更新日期：2020-12-01 00:00:00
abstract：:Whereas surgical resection is the only curative treatment for liver tumors, effective treatment for isolated unresectable lesions when there is tumor progression in spite of several lines of chemotherapy remains to be found. We report herein two cases of patients treated by a 1-hour Hyperthermic Isolated Liver Perfusi...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2012.10.018
更新日期：2013-02-01 00:00:00
abstract：: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: ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2016.07.005
更新日期：2016-08-01 00:00:00
abstract：:Re-admission is a new concept in France, born with the advent of day-case surgery, and defined as any re-admission occurring within 30 days after surgery. The re-admission rate has increasingly come to be considered a criterion of the quality of medical care, by both the medical profession and by insurance companies. ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2015.09.013
更新日期：2015-12-01 00:00:00
abstract：BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en Y gastric bypass (LRYGB) are commonly performed, but few studies have shown superiority of one strategy over the other. OBJECTIVE:Simultaneously compare LSG and LRYGB in terms of weight loss and morbimortality over a 36-month follow-up period. ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.jviscsurg.2019.04.013
更新日期：2019-12-01 00:00:00
abstract：:Complications in bariatric surgery are varied; they are severe at times but infrequent. They may be surgical or non-surgical, and may occur early or late. The goal of this systematic review is to inform and help the attending physician, the emergency physician and the non-bariatric surgeon who may be called upon to ma...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2017.10.012
更新日期：2018-02-01 00:00:00
abstract：:Although many options are available for the management of perineal wounds after abdominoperineal resection, ranging from direct closure to flap reconstruction, treatment remains challenging. A better understanding of the aims, drawbacks and progress in perineal wound management after abdominoperineal rectal resection ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2013.02.001
更新日期：2013-02-01 00:00:00
abstract：INTRODUCTION:Post-operative adhesions after gastrointestinal surgery are responsible for significant morbidity and constitute an important public health problem. The aim of this study was to review the surgical literature to determine the incidence, consequences and the variety of possible countermeasures to prevent ad...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2011.11.006
更新日期：2012-04-01 00:00:00
abstract：BACKGROUND:Hepatectomy remains the standard treatment for large hepatocellular carcinoma (LHCC) ≥5cm. Fibrosis may constitute a contraindication for resection because of high risk of post-hepatectomy liver failure, but its impact on patient outcome and cancer recurrence remains ill defined. Our aim was to compare predi...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2017.10.015
更新日期：2018-09-01 00:00:00
