Exposure for hepatic surgery in the obese patient: an innovative adaptation in time of need….

Abstract:

:Obesity has become a major public health concern. More and more patients with substantial obesity require surgery including complex hepatobiliary interventions. The morphology of these patients can make surgery difficult, especially in terms of exposure. We report the case of an obese patient who required a left hemihepatectomy for colorectal liver metastasis. It was very difficult to obtain adequate exposure; this problem was solved by transcutaneous introduction of the handle of a broad costal margin retractor. We describe this maneuver, which allowed us to carry out the intervention under excellent conditions.

journal_name

J Visc Surg

authors

Bouras AF,Boleslawski E,Hervieux E,Truant S,Pruvot FR

doi

10.1016/j.jviscsurg.2012.05.003

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

e262-3

issue

4

issn

1878-7886

pii

S1878-7886(12)00059-8

journal_volume

149

pub_type

杂志文章
  • Esophageal obstruction due to a right-sided Zenker diverticulum.

    abstract::A Zenker's or pharyngoesophageal diverticulum may represent a rare cause of upper digestive obstruction, or more often, cervical dysphagia, regurgitations and cough. It develops most often on the posterior left side of cervical oesophagus in elderly patients, and depending on the severity of clinical symptoms may warr...

    journal_title:Journal of visceral surgery

    pub_type: 杂志文章

    doi:10.1016/j.jviscsurg.2018.02.002

    authors: Mantziari S,Mariette C,Piessen G

    更新日期:2018-06-01 00:00:00

  • Relevance of early CT scan diagnosis of blunt diaphragmatic injury: A retrospective analysis from the Northern French Alps Emergency Network.

    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

    authors: Mancini A,Duramé A,Barbois S,Abba J,Ageron FX,Arvieux C

    更新日期:2019-02-01 00:00:00

  • Pneumatosis cystoides intestinalis: Not uncommon cause of free air in acute abdomen.

    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

    authors: Tseng SM,Li C,Ho CM

    更新日期:2019-04-01 00:00:00

  • Tube sigmoidostomy: a valuable alternative to sigmoidopexy for sigmoid volvulus.

    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

    authors: Gupta SS,Singh O,Paramhans D,Mathur RK

    更新日期:2011-04-01 00:00:00

  • Early removal of intraperitoneal drainage after pancreatoduodenectomy in patients without postoperative fistula at POD3: Results of a randomized clinical trial.

    abstract:BACKGROUND:To determine whether the timing of removal of abdominal drainage (AD) after pancreatoduodenectomy (PD) influences the 30-day surgical site infection (30-day SSI) rate. METHODS:A multicenter randomized, intention-to-treat trial with two parallel arms (superiority of early vs. standard AD removal on SSI) was ...

    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.2018.06.006

    authors: Dembinski J,Mariette C,Tuech JJ,Mauvais F,Piessen G,Fuks D,Schwarz L,Truant S,Cosse C,Pruvot FR,Regimbeau JM

    更新日期:2019-04-01 00:00:00

  • Peritoneal carcinomatosis from unusual cancer origins: Is there a role for hyperthermic intraperitoneal chemotherapy?

    abstract:INTRODUCTION:Complete cytoreductive surgery (CCRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC) is the gold standard for curative treatment of peritoneal carcinomatosis (PC) arising from colorectal cancer, peritoneal mesothelioma and peritoneal pseudomyxoma peritonei (PMP). The results of HIPEC remain controv...

    journal_title:Journal of visceral surgery

    pub_type: 杂志文章

    doi:10.1016/j.jviscsurg.2015.11.010

    authors: Honoré C,Goéré D,Macovei R,Colace L,Benhaim L,Elias D

    更新日期:2016-04-01 00:00:00

  • Do complications following pancreatic resections impact hospital costs in France: Medico-economic study on 127 patients.

    abstract:OBJECTIVE:To define the cost of pancreatectomies and to identify factors associated with increased hospital costs after pancreatic resection. METHODS:All patients undergoing pancreatic surgery in our department between January 2008 and December 2014 were included. All complications occurring during hospitalization or ...

    journal_title:Journal of visceral surgery

    pub_type: 杂志文章

    doi:10.1016/j.jviscsurg.2018.04.003

    authors: El Amrani M,Fulbert M,Lenne X,Clément G,Drumez E,Pruvot FR,Truant S

    更新日期:2018-12-01 00:00:00

  • Management of the perineal wound after abdominoperineal resection.

    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

    authors: Sinna R,Alharbi M,Assaf N,Perignon D,Qassemyar Q,Gianfermi M,Deguines JB,Regimbeau JM,Mauvais F

    更新日期:2013-02-01 00:00:00

  • Presacral schwannoma.

    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

    authors: Makni A,Fetirich F,Mbarek M,Ben Safta Z

    更新日期:2012-12-01 00:00:00

  • Circumportal pancreas.

    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

    authors: Addeo P,Locicero A,Bachellier P

    更新日期:2019-10-01 00:00:00

  • Bowel obstruction due to a right paraduodenal hernia with midgut malrotation.

    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

    authors: Peru N,Jouvin I,Pocard M

    更新日期:2020-06-01 00:00:00

  • Optimal oncologic treatment of rectal cancer in patients over 75 years old: Results of a strategy based on oncogeriatric evaluation.

    abstract:BACKGROUND:Few data are available on the management of elderly rectal cancer patients, and especially on the ability to provide optimal oncological treatment. The aim of this study was to determine the feasibility and results of multimodality treatment for rectal cancer in patients 75years and older after simplified co...

    journal_title:Journal of visceral surgery

    pub_type: 杂志文章

    doi:10.1016/j.jviscsurg.2017.06.005

    authors: Suhool A,Moszkowicz D,Cudennec T,Vychnevskaia K,Malafosse R,Beauchet A,Julié C,Peschaud F

    更新日期:2018-02-01 00:00:00

  • Surgical tracheotomy.

    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

    authors: Gaubert N,Crambert A,Malgras B

    更新日期:2021-02-01 00:00:00

  • Postgraduate training in surgery: From theory to practice.

    abstract:INTRODUCTION:Postgraduate training is a time-honored entity, the goal of which was to develop and ensure the acquisition of new medical knowledge for the medical profession. MATERIAL AND METHODS:The main goal of this retrospective study is to analyze the current situation of postgraduate training in surgical disciplin...

    journal_title:Journal of visceral surgery

    pub_type: 杂志文章

    doi:10.1016/j.jviscsurg.2020.03.004

    authors: Coudane H,Danan JL,Martrille L,Batt M,Kabuth B

    更新日期:2020-06-01 00:00:00

  • Risks of viral contamination in healthcare professionals during laparoscopy in the Covid-19 pandemic.

    abstract::The Covid-19 pandemic has markedly changed our practices. This article analyses the risks of contamination among healthcare professionals (HCPs) during laparoscopic surgery on patients with Covid-19. Harmful effects of aerosols from a pneumoperitoneum, with the virus present, have not yet been quantified. Measures for...

    journal_title:Journal of visceral surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jviscsurg.2020.04.010

    authors: Veziant J,Bourdel N,Slim K

    更新日期:2020-06-01 00:00:00

  • Primary rectal linitis: a rare clinical condition.

    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

    authors: Sabbagh C,Chapuis-Roux E,Chatelain D,Regimbeau JM

    更新日期:2015-02-01 00:00:00

  • Hepatocellular cancer in the non-cirrhotic liver.

    abstract::Less than 20% of hepatocellular carcinoma (HCC) develops in the non-cirrhotic liver (NCL). The diagnosis of HCC in NCL is suggested by a large hypervascular tumor in a 60-75 year old patient (usually male), particularly if the alpha-fetoprotein (AFP) level is high. But AFP is normal more often than not. Surgical resec...

    journal_title:Journal of visceral surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jviscsurg.2010.12.012

    authors: Alkofer B,Lepennec V,Chiche L

    更新日期:2011-02-01 00:00:00

  • Hospital care in severe trauma: Initial strategies and life-saving surgical procedures.

    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

    authors: Monchal T,Hornez E,Prunet B,Beaume S,Marsaa H,Bourgouin S,Baudoin Y,Bonnet S,Morvan JB,Avaro JP,Dagain A,Platel JP,Balandraud P

    更新日期:2016-08-01 00:00:00

  • Radiation enteritis: Diagnostic and therapeutic issues.

    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

    authors: Loge L,Florescu C,Alves A,Menahem B

    更新日期:2020-12-01 00:00:00

  • Classical treatment of hemorrhoids.

    abstract::Radical and definitive surgical treatment is indicated in approximately one out of ten patients with hemorrhoidal disease. The Milligan and Morgan hemorrhoidectomy technique is the most widely performed in France: the technique is well-codified and results are satisfactory and durable if the indications and the post-o...

    journal_title:Journal of visceral surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jviscsurg.2014.09.012

    authors: Moult HP,Aubert M,De Parades V

    更新日期:2015-04-01 00:00:00

  • Surgical treatment of late dysfunction of an esophagocoloplasty.

    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

    authors: Moussi A,Daldoul S,Gherib BS,Zaouche A

    更新日期:2010-12-01 00:00:00

  • Esophageal tissue engineering: Current status and perspectives.

    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

    authors: Poghosyan T,Catry J,Luong-Nguyen M,Bruneval P,Domet T,Arakelian L,Sfeir R,Michaud L,Vanneaux V,Gottrand F,Larghero J,Cattan P

    更新日期:2016-02-01 00:00:00

  • Anastomotic leakage after gastrointestinal surgery: diagnosis and management.

    abstract::Anastomotic leakage represents a major complication of gastrointestinal surgery, leading to increased postoperative morbidity; it the foremost cause of mortality after intestinal resection. Identification of risk factors is essential for the prevention of AL. AL can present with various clinical pictures, ranging from...

    journal_title:Journal of visceral surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jviscsurg.2014.10.004

    authors: Girard E,Messager M,Sauvanet A,Benoist S,Piessen G,Mabrut JY,Mariette C

    更新日期:2014-12-01 00:00:00

  • Evaluation of risk factors for complications after bariatric surgery.

    abstract::The decision to perform a bariatric surgical procedure, the conclusion of a clinical pathway in which management is individually adapted to each patient, is taken after multidisciplinary consultation. Paradoxically, the patients who would most benefit from surgery are also those who have the highest operative risk. In...

    journal_title:Journal of visceral surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jviscsurg.2018.01.004

    authors: Quilliot D,Sirveaux MA,Nomine-Criqui C,Fouquet T,Reibel N,Brunaud L

    更新日期:2018-06-01 00:00:00

  • Anterior resection syndrome: What should we tell practitioners and patients in 2018?

    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

    authors: Sarcher T,Dupont B,Alves A,Menahem B

    更新日期:2018-10-01 00:00:00

  • Prospective, multicentric, comparative study between sleeve gastrectomy and Roux-en-Y gastric bypass, 277 patients, 3 years follow-up.

    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

    authors: Catheline JM,Fysekidis M,Bendacha Y,Portal JJ,Huten N,Chouillard E,Gugenheim J,Fourtanier G,Arapis K,Msika S,Fabre JM,Sodji M,Vicaut E,Dbouk R,Roussel J,Cohen R

    更新日期:2019-12-01 00:00:00

  • Bariatric surgery and the perioperative management of type 2 diabetes: Practical guidelines.

    abstract:BACKGROUND:Metabolic surgery is now considered as a therapeutic option in type 2 diabetes (T2D). However, few data are available regarding perioperative management of T2D. OBJECTIVES:To assess current practice among bariatric teams regarding perioperative management of T2D in order to propose guidelines. METHODS:A tw...

    journal_title:Journal of visceral surgery

    pub_type: 杂志文章

    doi:10.1016/j.jviscsurg.2019.07.012

    authors: Galtier F,Pattou F,Czernichow S,Disse E,Ritz P,Chevallier JM,Cosson E,Valensi P,Andreelli F,Robert M,DIAMS study group.

    更新日期:2020-02-01 00:00:00

  • Management of splenic and pancreatic trauma.

    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

    authors: Girard E,Abba J,Cristiano N,Siebert M,Barbois S,Létoublon C,Arvieux C

    更新日期:2016-08-01 00:00:00

  • Intestinal transplantation: indications and prospects.

    abstract::Intestinal transplantation (IT) can involve small bowel transplantation alone, or be associated with liver or multivisceral transplantation. Although IT is the radical treatment for intestinal failure, home parenteral nutrition (PN) remains the treatment of choice for this disease. Indications for IT are still debated...

    journal_title:Journal of visceral surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.jviscsurg.2012.10.008

    authors: Beyer-Berjot L,Joly F,Dokmak S,Bretagnol F,Corcos O,Bouhnik Y,Belghiti J,Panis Y

    更新日期:2012-12-01 00:00:00

  • Reform of the 3rd cycle in surgery training.

    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

    authors: Farges O,Bertolus C,Thomazeau H,Audry G,Kreitmann B,Favre JP,Goffinet F,Roche PH,Chiquet C,Lescanne E,Ruffion A

    更新日期:2020-06-01 00:00:00