Management of anastomotic leakage (AL) following rectal surgery is not standardized. The aim was to evaluate the trends of clinical practice management and outcome of AL over time.

To evaluate oncologic and postoperative outcomes of pancreatic resections in a French low-volume peripheral center and compare them with national benchmarks from high-volume institutions. The objective was to determine whether a non-centralized center with an experienced hepatobiliary-pancreatic (HPB) team could achieve results comparable to national standards for pancreatic ductal adenocarcinoma (PDAC).

The objective of this study was to report on the results of cholecystectomy in patients with sickle cell disease in two hospitals in Niger.

Parastomal hernias (PSH) are a common complication of intestinal or urinary stomas, occurring with a prevalence greater than 30%. There is no repair technique that has proven to be feasible, safe, and associated with a limited risk of recurrence. The technique described herein is a modification of the SMART technique using a slowly resorbable prosthetic mesh (Phasix™) that offers several advantages: feasibility, safety, elective surgery, without stomal transposition, and a reduced risk of stomal injury and long-term complications.

Acute abdominal surgery, constituting a substantial portion of hospital services, is associated with high morbidity and mortality rates. This study aimed to compare two cohorts of emergency laparotomy surgeries: before (Cohort 1) and after (Cohort 2) the establishment of a regular daytime emergency operating theatre at Haukeland University Hospital, Norway.

While gastroesophageal junction tumors share some characteristics with both stomach and esophageal cancers, they also exhibit distinct aspects of each. In recent years, these tumors have been regarded as a separate entity. The optimal surgical approach for Siewert type 2 adenocarcinomas is still a subject of debate. This research evaluates the early clinical outcomes and long-term survival associated with transabdominal and transthoracic surgical approaches in patients with Siewert type 2 adenocarcinoma.

In colorectal surgery, assessment of the vascularization of the intestinal segments to be anastomosed by injection of indocyanine green (ICG) is one of the intra-operative measures to decrease the risk of anastomotic leak (AL). The aim of this evidence-based review was to evaluate the effectiveness and utility of this measure.

Ostomies and their appliances have evolved considerably and are now part of our daily surgical routine. The first ostomies date back to Antiquity, but little progress was made until the 19th century, when surgical technique was perfected. This paved the way for the appearance and development of commercial stomal appliances in the 20th century. In France, the technique for creation of a stoma is currently based on the 2023 recommendations, but it is important to note that many points are based on expert consensus, and some have not led to recommendations. At the same time, enterostomal therapy and therapeutic patient education have become common practices, and a wide range of appliance choices are now offered to the patient. Despite these advances, several challenges persist, particularly in terms of overall accessibility, economic burden, ecological impact, and optimizing the experience of ostomy patients. Innovation must address these challenges to offer increasingly tailored, personalized, and sustainable solutions, with particular attention paid to the patient experience.

CT scans can be used to calculate gastric volumes. In patients with adhesive small bowel obstruction, the initial gastric volume could guide the indication for nasogastric tube placement. The objective of this study was to evaluate a quick method for calculating gastric volume on CT scan by measuring two diameters of the gastric antrum, inspired by the "quick" gastric volume ultrasound measurement.

Although the morbidity and mortality after colectomy for sigmoid diverticulitis has been estimated in France, few data are available on medium- and long-term outcomes. This multicentre observational and analytical study aimed to determine the prevalence of surgical complications beyond the 90th postoperative day. From the EDI-VERTICULITE database, 1441 patients operated on between January 2010 and July 2021 were included. The objectives were to describe the prevalence of surgical complications (postoperative ventration; bowel obstruction; non-closure of stoma and recurrence of diverticulitis) and their respective independent risk factors. A mixed logistic regression model with a random effect was used to account for a possible centre effect. With a mean follow-up of 2106±1239 days, 39.3% of all patients and 27% of elective patients presented with at least one late complication. Eventration and non-closure of the stoma were the two most frequent complications. The main independent risk factors were the patient's condition (advanced age, overweight, obesity, ASA score≥3) and operative characteristics (conversion to laparotomy and 2-stage surgery) in the whole cohort of patients, and two-stage surgery and the occurrence of severe postoperative complications in the subgroup of patients operated on electively. Late complications may occur in 27 to 40% of patients after diverticular surgery, mainly in the first year. Although these results need to be confirmed in a prospective study, it would seem important to inform patients of this when discussing the indication for prophylactic colectomy.

Three-dimensional (3D) reconstruction transforms cross-sectional medical images into interactive anatomical models, interpretable on an LCD screen, in augmented reality or via 3D printing. Although certain benefits have been established in liver surgery, its use in pancreatic surgery remains limited. This update outlines the applications of 3D visualization in pancreatic surgery, ranging from surgical planning to teaching.