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 controversial in PC that originates from ovarian cancer, stomach cancer, neuroendocrine tumors, or sarcoma. HIPEC has also been used, although very rarely, for other malignant carcinomatoses. Its use has been exceptional due either to the rarity of the tumor or because such disease is usually widespread and rarely confined to the peritoneum. The aim of this study was to evaluate the results of CCRS plus HIPEC in patients with PC of unusual origin. METHODS:We performed a retrospective analysis of all patients who underwent CCRS plus HIPEC for PC whose origin was neither gastric, ovarian or colorectal carcinoma, nor neuroendocrine tumor, mesothelioma, PMP or sarcoma. RESULTS:Between 1995 and 2013, 31 patients with 15 PC arising from unusual primary tumors underwent CCRS plus HIPEC. After a median follow-up of 90 months, 10 patients were alive and without recurrence. The overall survival rate at 5 years was 33% with a median survival of 37 months. In univariate analysis, factors of poor prognosis and predictors of recurrence were the performance of immediate postoperative intraperitoneal chemotherapy instead of HIPEC and a peritoneal index ≥ 12. No prognostic impact due to tumor origin could be demonstrated. CONCLUSION:The decision to perform CCRS plus HIPEC for PC arising from unusual cancer origins remains difficult. These patients should be prospectively entered into registries of rare tumors that involve the peritoneum in order to better define indications.
journal_name
J Visc Surgjournal_title
Journal of visceral surgeryauthors
Honoré C,Goéré D,Macovei R,Colace L,Benhaim L,Elias Ddoi
10.1016/j.jviscsurg.2015.11.010subject
Has Abstractpub_date
2016-04-01 00:00:00pages
101-7issue
2issn
1878-7886pii
S1878-7886(15)00176-9journal_volume
153pub_type
杂志文章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 under...
journal_title:Journal of visceral surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jviscsurg.2010.08.020
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:There have been no solid data regarding whether patients with aortic calcification (AC) who have undergone colorectal surgery are at increased risk for anastomotic leakage. Our study aim to investigate the impact of AC on anastomotic leakage (AL) and postoperative morbidity after colorectal resection. METHO...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2016.03.007
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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
更新日期:2018-02-01 00:00:00
abstract::Low-Phospholipid Associated Cholelithiasis (LPAC) is a genetic disease responsible for the development of intrahepatic lithiasis. It is associated with a mutation of the ABCB4 gene which codes for protein MDR3, a biliary carrier. As a nosological entity, it is defined by presence of two of the three following criteria...
journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jviscsurg.2019.02.006
更新日期:2019-09-01 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::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
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:To analyze the diagnostic and therapeutic aspects of isolated gastric outlet obstruction secondary to corrosive ingestion. PATIENTS AND METHODS:Retrospective chart review of eight patients who developed gastric stricture following corrosive ingestion and were treated in the Digestive and General Surgery Ser...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2010.12.002
更新日期:2011-02-01 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::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
更新日期:2020-06-01 00:00:00
abstract::Erythromycin (ER) is an antibiotic with prokinetic activity. This property has led to its clinical use to improve gastric emptying in patients with gastroparesis. Several papers have reported the effectiveness of ER in such patients; however few of these studies have been well-conducted methodologically with evaluatio...
journal_title:Journal of visceral surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jviscsurg.2010.06.001
更新日期:2010-04-01 00:00:00
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
更新日期:2015-04-01 00:00:00
abstract:INTRODUCTION:The goal of this study was to evaluate the immediate and long-term outcomes after the combined Frey and Beger procedure for chronic pancreatitis. MATERIAL AND METHODS:From March 2008 to July 2011, 50 consecutive patients with chronic pancreatitis, confirmed by pathology, underwent the combined Frey and Be...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2014.12.003
更新日期:2015-04-01 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::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::Complications related to energy sources in the operating room are not well-recognized or published, despite occasionally dramatic consequences for the patient and the responsible surgeon. The goal of this study was to evaluate the risks and consequences related to use of energy sources in the operating room. PATIENTS...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2017.12.003
更新日期:2018-09-01 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::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
更新日期:2014-12-01 00:00:00
abstract:PURPOSE:To assess the impact of a simple flap closing procedure by Karydakis flap (KF) after pilonidal sinus excision on the costs and healing time as compared to routine lay-open technique. METHOD:Out of 44 consecutive patients operated on for pilonidal excision (November 2013-March 2015), 17 had a Karydakis flap and...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2017.02.004
更新日期:2017-12-01 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:PURPOSE OF THE STUDY:To determine the statistical indicators aimed at identifying patients for whom ambulatory colectomy could be proposed without additional risk. PATIENTS AND METHODS:The medical charts of patients who benefited from scheduled colonic or rectal resection during conventional hospitalization stays betw...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2020.11.012
更新日期:2020-12-18 00:00:00
abstract::Health care professionals are usually at a loss when it comes to medical "complaints", essentially because they lack knowledge with regard to existing litigation procedures. After a short reminder of the different rights of appeal in France, we describe how medical appeals function in other European countries. Next, w...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2019.04.001
更新日期:2019-09-01 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::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::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::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
更新日期:2012-12-01 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::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 hemih...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2012.05.003
更新日期:2012-08-01 00:00:00
abstract::Mesenteric hernia is a frequent cause of intestinal obstruction in childhood but is exceptional in the adult. We describe a case in a young adult without any remarkable history who presented with an acute abdomen and intestinal obstruction. ...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2018.06.007
更新日期:2018-09-01 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