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 between 2018 and 2019 were reviewed. Eligibility for ambulatory colectomy was defined by hospital stay≤4 days and absence of any postoperative complication. Patient characteristics were compared, and the results were modeled in the form of a decision-making tree. The effect of an enhanced recovery after surgery (ERAS) protocol for each sub-group was calculated. RESULTS:One hundred and ten (110) patients were selected (41 "eligible" and 69 "non-eligible"). Median age was 73 years (27-95). Nearly 80% of the patients were operated for cancer. In multivariate analysis, age (≥65 years, OR=3.15, CI95%=1.22-8.12), diabetes (OR=3.91, CI95%=1.03-14.8) and indication (sigmoidectomy for diverticulosis, OR=0.21, CI=95%=0.05-0.9) were the only identified independent variables. Likelihood for ambulatory eligibility was 83.3% (<65 years, sigmoidectomy pour diverticulosis, +ERAS=92%-96.9%), 58.3% (<65 years, other indication, +ERAS=63.4%-89.9%), 35.7% (≥65 years without diabetes, +ERAS=40.0%-55.9%) and 8.3% (≥65 years with diabetes, +ERAS=10.0%-20.1%). CONCLUSION:Sigmoidectomy for diverticulosis in a patient under 65 years age represents the best indication for ambulatory colectomy, a procedure that must not be proposed to diabetic patients over 65 years of age. In the other cases (<65 years operated in another indication and non-diabetic≥65 years), ambulatory surgery is possible, pending satisfactory application of the ERAS protocol.
journal_name
J Visc Surgjournal_title
Journal of visceral surgeryauthors
Bourgouin S,Monchal T,Schlienger G,Franck L,Lacroix G,Balandraud Pdoi
10.1016/j.jviscsurg.2020.11.012subject
Has Abstractpub_date
2020-12-18 00:00:00issn
1878-7886pii
S1878-7886(20)30306-4pub_type
杂志文章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: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::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::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: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
abstract::Gallbladder volvulus is a rare condition caused by torsion of the cholecystic pedicle and is favored by a long or nonexistent cholecystic mesentery. Gallbladder torsion presents clinically as gangrenous cholecystitis. Emergency cholecystectomy is the standard treatment. Lack of awareness of this condition can result i...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2011.12.002
更新日期:2012-04-01 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: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::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::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::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::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::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::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::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
更新日期:2018-06-01 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::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::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::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::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: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::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::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::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: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: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:GOAL:Present and analyze the implementation of laparoscopic teaching program at the Surgical School of Paris, introduced in 2008. MATERIAL AND METHODS:Evaluation of the technical capacities of 43 students in six basic tests after four, one and a half hour training sessions with a pelvic-trainer. RESULTS:The time nece...
journal_title:Journal of visceral surgery
pub_type: 杂志文章
doi:10.1016/j.jviscsurg.2010.10.009
更新日期:2010-12-01 00:00:00
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: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