A5047595995- Colorectal Cancer Surgical Treatments
- Colorectal and Anal Carcinomas
- Colorectal Cancer Screening and Detection
- Cardiac Valve Diseases and Treatments
- Transplantation: Methods and Outcomes
- Mechanical Circulatory Support Devices
- Anorectal Disease Treatments and Outcomes
- Infective Endocarditis Diagnosis and Management
- Cardiac Structural Anomalies and Repair
- Pancreatic and Hepatic Oncology Research
- Colorectal Cancer Treatments and Studies
- Gastric Cancer Management and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Intraperitoneal and Appendiceal Malignancies
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Enhanced Recovery After Surgery
- Diverticular Disease and Complications
- Gastrointestinal Tumor Research and Treatment
- Neuroendocrine Tumor Research Advances
- Hepatocellular Carcinoma Treatment and Prognosis
- Metastasis and carcinoma case studies
- Organ Transplantation Techniques and Outcomes
- Renal Transplantation Outcomes and Treatments
- Aortic Disease and Treatment Approaches
- Cardiac Arrhythmias and Treatments
Institut Paoli-Calmettes
2016-2025
Aix-Marseille Université
2021-2024
Institut Pprime
2010-2023
Centre Hospitalier Universitaire de Rennes
2012-2022
Inserm
2020-2021
Università Campus Bio-Medico
2021
Centre National de la Recherche Scientifique
2021
Hôpital Pontchaillou
1997-2020
Université de Rennes
2007-2020
Centre d'Investigation Clinique Bichat
2020
Endoscopic biliary stenting is the most common method of treating obstructive jaundice. We present a new technique drainage using endoscopic ultrasound (EUS) and EUS-guided puncture bile duct (CBD). A 56-year-old man with jaundice was referred for EUS retrograde cholangiopancreatography (ERCP) because computed tomography (CT) scan had shown pancreatic mass in head pancreas dilated CBD. The patient enrolled preoperative chemoradiotherapy protocol required. Deep cannulation not obtained even...
Background. Invasive aspergillosis is an opportunistic infection that occurs mainly among patients with prolonged neutropenia. Few data are available on invasive in nonneutropenic patients. Methods. The aim of this survey was to compare neutropenic and who had received a diagnosis at our institution during 6-year period. Results. Among the 88 cases analyzed here, 12 were histologically proven, 52 probable, 24 possible. Forty-seven percent diagnosed intensive care unit, 40% hematology units....
Previous publications have suggested that endoscopic transanal proctectomy (ETAP) is a promising technique and may be an alternative to conventional low anterior resection for rectal cancer. The aim of this study was evaluate the technical feasibility ETAP, with particular focus on postoperative oncological results functional outcomes.This multicenter prospective unselected consecutive patients cancer requiring coloanal anastomosis. All underwent standardized procedure. endpoints were safety...
Objective: To assess the effect of pelvic drainage after rectal surgery for cancer. Background: Pelvic sepsis is one major complications excision Although many studies have confirmed infectiveness colectomy, there still a controversy surgery. Methods: This multicenter randomized trial with 2 parallel arms (drain vs no drain) was performed between 2011 and 2014. Primary endpoint postoperative within 30 days, including anastomotic leakage, abscess, peritonitis. Secondary endpoints were overall...
Temporary faecal diversion is recommended with a low colorectal, coloanal or ileoanal anastomosis (LA). This randomized study evaluated early (EC; 8 days) versus late (LC; 2 months) closure of the temporary stoma.Patients undergoing rectal resection LA were eligible to participate. If there was no radiological sign anastomotic leakage after 7 days, patients EC LC. The primary endpoints postoperative morbidity and mortality 90 days initial resection.Some 186 analysed. There deaths within...
Total mesorectal excision is the standard surgical treatment for mid- and low-rectal cancer. Laparoscopy represents a clear leap forward in management of rectal cancer patients, offering significant improvements post-operative measures such as pain, first bowel movement, hospital length stay. However, there are still some limits to its applications, especially difficult cases. Such cases may entail either conversion an open procedure or positive resection margins. Transanal endoscopic...
The aim of this article is to assess the left atrial (LA) reservoir function in patients with severe aortic stenosis (AS) and evaluate its impact on recurrence major adverse cardiac events (MACEs). About 128 (mean age 79 ± 9 years) AS were included study. Global peak LA strain (PLAS) measured by two-dimensional speckle-tracking echocardiography (STE) during ventricular (LV) systole represented function. Overall death, hospitalization for cause, worsening heart failure defined as MACEs. With...
Abstract Aim Alteration of bowel function after delayed coloanal anastomosis (DCAA) might be a limitation to its utilization. Our aim was assess the long‐term DCAA in large multicentric cohort. Method All patients who underwent interventions at 29 GRECCAR‐affiliated hospitals between 2010 and 2021 were retrospectively included. Low anterior resection syndrome (LARS) score or confection stoma due poor assessed eligible patients. Good defined by preservation continuity with no LARS minor LARS....
Treatment by endoscopic mucosal resection (EMR) has been established for early lesions in Barrett's esophagus. However, the remaining esophagus epithelium remains at risk of developing further lesions. The aim this study was to evaluate efficacy circumferential mucosectomy (circumferential EMR)s removing not only index lesion (high-grade intraepithelial neoplasia (HGIN) or cancer), but also epithelium.A total 21 patients were included (11 men, 10 women), who had and either HGIN (n = 12)...
Background The cardiovascular side effects of volatile anesthetics are one the chief causes postoperative complications in children, and infants seem to be at greatest risk for this. This study compared changes equipotent concentrations sevoflurane halothane infants. Methods Thirty classified as American Society Anesthesiologists physical status I or II who required elective surgery were randomized receive either inhalation induction. Cardiovascular echocardiographic data recorded both...
The purpose of this study was to evaluate the clinical efficacy endosonographically guided transrectal aspiration and drainage by plastic stent deep pelvic abscesses, using a therapeutic echo endoscope device.Between September 2000 June 2001, 12 patients (nine men, three women, mean age 67 years) were treated for perirectal or abscess an endoscopic ultrasound (EUS) technique. these fluid collections performed under EUS guidance, scopes with large working channel.No major complication...
In Brief Objectives: We aimed to determine the most sensitive markers of learning process for laparoscopic conservative mesorectal excision (LCME) rectal cancer (1) generate a relevant training program junior surgeons and (2) define appropriate settings prospective trials. Summary Background Data: The approach treating has not yet been clearly described. Methods: Over 42-month period, 127 patients received LCME at our institution. procedure was performed or supervised by single referent...
Preoperative radiochemotherapy and total mesorectal excision are the standard-of-care for locally advanced rectal carcinoma, but some patients could be over- or undertreated.This study aimed to assess feasibility of tailored based on tumor response induction chemotherapy (FOLFIRINOX) obtain a minimum R0 resection rate 90% in 4 arms study.This is multicenter randomized trial (NCT01333709).This was conducted at 16 French cancer specialty centers.Two hundred six with carcinoma were enrolled...
Objective: To compare outcome of single-port laparoscopy (SPL) and multiport (MPL) for colonic surgery. Summary Background Data: Benefits SPL over MPL are yet to be demonstrated in large randomized trials. Methods: In this prospective, double-blinded, superiority trial, patients undergoing laparoscopic resection benign or malignant disease were randomly assigned (NCT01959087). Primary was length theoretical hospital stay (LHS). Results: One hundred twenty-eight 125 analyzed: 62 63 MPL,...