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 skills. This reform was an opportunity for the 13 different French surgical specialty Colleges involved to share reflections on what a surgeon actually was and to define training in surgical sub-specialties. The current reform is well adapted to these specifications and has fostered training models that are consistent with each other. This article discusses the historical construction of this reform, what will change in the training of future surgeons, as well as some points that warrant caution. The third cycle reform has also triggered a reform of the second cycle, which is expected to come into force for the 2020 academic year. Its objective will be to eliminate the guillotine effect created by the National Classifying Examinations and to allow students to better understand and test their desire and skills for a given specialty. It will be up to these same surgical Colleges to determine how to do this for the sub-specialties of the "surgery" discipline.
journal_name
J Visc Surgjournal_title
Journal of visceral surgeryauthors
Farges O,Bertolus C,Thomazeau H,Audry G,Kreitmann B,Favre JP,Goffinet F,Roche PH,Chiquet C,Lescanne E,Ruffion Adoi
10.1016/j.jviscsurg.2020.02.007subject
Has Abstractpub_date
2020-06-01 00:00:00pages
S77-S85issue
3 Suppl 2issn
1878-7886pii
S1878-7886(20)30056-4journal_volume
157pub_type
杂志文章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：: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：: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：: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: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：:This case report concerns a man with appendicitis following right colectomy. ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2014.10.002
更新日期：2014-12-01 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：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
更新日期：2020-02-01 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：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
更新日期：2018-12-01 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：: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：: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：:Malpractice claims are a regularly increasing concern in gastrointestinal surgery. The goal of this study was to compare the current status of claims in two different French-speaking communities by a retrospective descriptive study of surgeons' experiences, from the beginning of their practice up until December 31 201...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2019.04.011
更新日期：2019-09-01 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：: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：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：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
更新日期：2016-08-01 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：AIM OF THE STUDY:Delayed hemorrhage, though rare, remains a significant source of morbidity and mortality after pancreaticoduodenectomy (PD). An important cause of this delayed hemorrhage is erosion or pseudoaneurysm formation of the gastroduodenal artery (GDA) by pancreatic enzymes and adjacent intra-abdominal sepsis....
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2015.10.007
更新日期：2016-02-01 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：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：: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：: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：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：: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：INTRODUCTION:After the attacks in Paris, France was again struck by terrorism in the city of Nice during the night of July 14, 2016. At 22:33 in the evening, a 19-ton truck drove into the crowd of holiday celebrators. The attack resulted in 458 wounded and 86 deaths. The purpose of this study was to describe the manage...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2018.04.004
更新日期：2019-02-01 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：: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
