5,154 results match your criteria Journal de chirurgie[Journal]


[Chemotherapy's hepatotoxicity: what is the impact on surgery?].

Authors:
P Pessaux

J Chir (Paris) 2010 Jan;147 Suppl 1:S7-S11

Pôle de pathologies digestives et hépatiques et de la transplantation, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, 67200 Strasbourg, France.

Hepatotoxic effect of oxaliplatin and irinotecan on the non-tumourous liver parenchyma has been reported. These two main drugs have been linked to injuries such as vascular changes (sinusoidal obstruction syndrome (SOS) and chemotherapy-associated steatohepatitis (CASH)). Oxaliplatin-based regimens have been associated with an increased risk of vascular lesions and irinotecan-containing regimens have been also associated with increased risks of steatosis and steatohepatitis. Read More

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http://dx.doi.org/10.1016/S0021-7697(10)70002-8DOI Listing
January 2010
3 Reads

[Does bevacizumab have a protective effect on hepatotoxicity induced by chemotherapy?].

J Chir (Paris) 2010 Jan;147 Suppl 1:S18-24

Department of Surgical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.

Although the prognosis of patients with colorectal liver metastases (CLM) has improved dramatically with oxaliplatin and irinotecan, the enthusiasm for the preoperative use of these cytotoxic agents is being tempered by concerns about their impact on the nontumoral liver parenchyma. Bevacizumab, an anti-angiogenic agent that specifically targets the vascular endothelial growth factor, exerts an antitumor effect by inhibiting the development of the vascular network that is promoted by the tumor and mandatory for its growth. Yet angiogenesis is also a physiologic event contributing to wound healing and tissue regeneration. Read More

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http://dx.doi.org/10.1016/S0021-7697(10)70004-1DOI Listing
January 2010
5 Reads

[The safety of perioperative bevacizumab use].

Authors:
P Mariani

J Chir (Paris) 2010 Jan;147 Suppl 1:S12-7

Unité de chirurgie digestive, Institut Curie, 26, rue d'Ulm, 75248 Paris cedex 05, France.

Aim: Patients with colorectal cancer and liver metastases can benefit from preoperative chemotherapy and liver disease resection. Adjunction of bevacizumab (BV) to chemotherapy improves survival in these patients, but its impact on surgical complications remains to be fully determined.

Methods: We reviewed all studies addressing mortality and morbidity following hepatectomy in patients preoperatively treated with a combination of BV and chemotherapy. Read More

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http://dx.doi.org/10.1016/S0021-7697(10)70003-XDOI Listing
January 2010
4 Reads

[The role of perioperative chemotherapy in patients with resectable colorectal liver metastases].

J Chir (Paris) 2010 Jan;147 Suppl 1:S1-6

Service de Chirurgie Digestive et Oncologique AP-HP, Hôpital Ambroise Paré, 9, avenue Charles-de-Gaulle, 92104 Boulogne cedex, France; Université de Versailles - Saint-Quentin-en-Yvelines, 23, rue du Refuge, 78000 Versailles, France.

Surgical resection remains the only treatment of colorectal liver metastases that can ensure long-term survival and cure in some patients, but only a minority of patients with liver metastases is directly amenable to surgery. Cancer relapse is observed in the majority of patients after resection of liver metastases despite progress in surgical technique and improved surgical skills. In order to decrease the risk of cancer relapse, it has been proposed to combine surgery and chemotherapy, which could be administered before, after or before and after surgery. Read More

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http://dx.doi.org/10.1016/S0021-7697(10)70001-6DOI Listing
January 2010
4 Reads

[Laparoscopy-aided prosthetic repair of ventral hernia].

Authors:
D Lechaux

J Chir (Paris) 2009 Dec 25;146(6):565-8. Epub 2009 Nov 25.

Service de chirurgie digestive, centre hospitalier de Saint-Brieuc, 10, rue Marcel-Proust, 22000 Saint-Brieuc, France.

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http://dx.doi.org/10.1016/j.jchir.2009.10.010DOI Listing
December 2009
3 Reads

[Laparoscopic inguinal hernia repair in the young male].

Authors:
P Montupet

J Chir (Paris) 2009 Dec 18;146(6):569-72. Epub 2009 Nov 18.

Centre chirurgical de l'enfant--Boulogne-Billancourt, CHU Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France.

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http://dx.doi.org/10.1016/j.jchir.2009.10.012DOI Listing
December 2009
3 Reads

[Pyoderma gangrenosum mimicking abdominal sepsis after colorectal surgery].

J Chir (Paris) 2009 Dec 17;146(6):576-8. Epub 2009 Nov 17.

Service de chirurgie viscérale et vasculaire, hôpital d'instruction des armées Sainte-Anne, boulevard Sainte-Anne, 83000 Toulon, France.

This study reports a case of pyoderma gangrenosum arising at a drainage orifice after a colostomy for cancer. The initial clinical presentation suggested intra-abdominal sepsis but the clinical assessment did not fit with laboratory findings or the CT scan. Forty hours later, the patient developed a reddish-purple ulcer at the drainage orifice. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.10.014DOI Listing
December 2009
19 Reads

[A migrating IUD...].

J Chir (Paris) 2009 Dec 14;146(6):573-5. Epub 2009 Nov 14.

Service de gynécologie-obstétrique, médecine foetale et stérilité conjugale, CHU du Bocage, BP 77908, 21079 Dijon cedex, France. herve

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http://dx.doi.org/10.1016/j.jchir.2009.10.013DOI Listing
December 2009
5 Reads

[The patient's role in evidence-based medicine].

J Chir (Paris) 2009 Dec 12;146(6):537-44. Epub 2009 Nov 12.

EA 4129 santé, individu, société, centre Léon-Bérard, université Lyon-1, 28, rue Laënnec, 69373 Lyon cedex 08, France.

Medical practice has undergone a significant evolution over the last decade due to two important factors: (1) the theory and practice of Evidence-Based Medicine (EBM) has become widely established; (2) the relationship between health-care professionals and patients or clients has been profoundly modified. In this review, we discuss the heterogeneity and variability of patient preference and the need to develop a doctor-patient relationship, which facilitates shared decision-making in preference to previous models based on patient information without choice and paternalistic attitudes. Thus, this modern concept of care based on EBM shifts the focus of interest from the disease entity itself to that of the patient suffering from a disease. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.10.016DOI Listing
December 2009
3 Reads

[Beware of PET-CT results in cases of cancer occurring in the setting of chronic inflammatory bowel disease].

J Chir (Paris) 2009 Dec 10;146(6):579-82. Epub 2009 Nov 10.

Département médico-chirurgical de pathologie digestive, hôpital Lariboisière, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France.

PET-CT scanning has been proposed as part of the pre-treatment evaluation of GI cancers with equivocal radiologic findings. PET-CT has also been prosposed for the evaluation of patients with chronic inflammatory bowel disease (IBD). We report the case of a patient with IBD and a new diagnosis of rectal cancer; PET-CT overestimated the degree of tumor extension due to false-positive increased uptake in areas of chronic inflammation from IBD. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S002176970900224
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http://dx.doi.org/10.1016/j.jchir.2009.10.006DOI Listing
December 2009
8 Reads

[Ultrasound guidance of central venous catheterisation].

J Chir (Paris) 2009 Dec 10;146(6):528-31. Epub 2009 Nov 10.

Service de gynécologie-obstétrique, CHU Saint-Jacques, 2, place St-Jacques, 25000 Besançon, France.

Portacath implantation with introduction of a catheter into the superior vena caval system is a commonly performed procedure. Catheterization of the internal jugular vein can be difficult due to anatomical variation, individual patient morphology, or as a result of previous catheterization. Use of 2D ultrasonography facilitates localization of the internal jugular vein and decreases the risks of catheter placement. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.10.001DOI Listing
December 2009
4 Reads

[Risks related to tobacco use in general and intestinal surgery].

J Chir (Paris) 2009 Dec 10;146(6):532-6. Epub 2009 Nov 10.

Service de chirurgie générale et digestive, hôpital Nord, chemin des Bourelly, 13015 Marseille, France.

Peri-operative smoking history is an important risk factor, which is often under-appreciated by surgeons. In the first place, tobacco use predisposes patients to specific pathologies, which may require surgical intervention. Secondarily, smoking has been shown to increase surgical risks of mortality, morbidity and length of hospital stay. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.10.009DOI Listing
December 2009
3 Reads

[Transverse coloplasty, left coloplasty, colon interposition, reconstruction after total esophagogastrectomy].

J Chir (Paris) 2009 Dec 10;146(6):559-64. Epub 2009 Nov 10.

Service de chirurgie générale, digestive et endocrinienne, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France.

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http://dx.doi.org/10.1016/j.jchir.2009.10.002DOI Listing
December 2009
12 Reads

[Omental flap for vessel coverage during pancreaticoduodenectomy: a modified technique].

J Chir (Paris) 2009 Dec 10;146(6):545-8. Epub 2009 Nov 10.

Département de chirurgie oncologique, institut Paoli-Calmettes, université de la Méditerranée, 232, boulevard de Sainte-Marguerite, 13009 Marseille, France.

Introduction: In 1994, a technique of omental flap development and interposition to cover the celiac and mesenteric vessels was described. Its aim was to isolate the pancreatic anastomosis from the vessels dissected during pancreaticoduodenectomy (PD) and thereby to reduce the consequences of postoperative pancreatic fistula - particularly the risk of postoperative bleeding.

Technique: We describe this technique adding a simple modification consisting of passage of the pancreatic remnant through an omental window before completion of the pancreaticodigestive anastomosis. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.10.004DOI Listing
December 2009
4 Reads

[Combined inguinal hernia repair and transurethral resection of the prostate (TURP) for benign prostatic hypertrophy].

J Chir (Paris) 2009 Dec 3;146(6):549-52. Epub 2009 Nov 3.

Service d'urologie, CHU Mohammed VI, résidence Asbahani, 1, boulevard Hassan II, no 17 Gueliz, 40000 Marrakech, Maroc.

Objective: Our aim was to evaluate the outcome of transurethral resection of prostate (TURP) and inguinal hernia repair performed in a single session.

Methods: Data was obtained retrospectively for 31 patients (mean age 65 years) who underwent simultaneous TURP and inguinal hernia repair. Most patients had lower urinary tract symptoms related to BPH such as acute urinary retention, recurrent bladder retention, or severe dysuria. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.10.005DOI Listing
December 2009
9 Reads

[Unilateral laryngeal immobility after surgery of the thyroid gland].

J Chir (Paris) 2009 Dec 31;146(6):553-8. Epub 2009 Oct 31.

Service d'oto-rhino-laryngologie et de chirurgie cervicofaciale, université Paris-V--Descartes, hôpital européen Georges-Pompidou, AP-HP, 20-40, rue Leblanc, 75015 Paris, France.

Background: The authors studied a cohort of 154 patients with unilateral vocal cord paresis following thyroidectomy, analyzing the pathogenesis, symptomatology, spontaneous evolution, and management of this complication.

Objective: This retrospective study distinguished between vocal cord paresis due to recurrent laryngeal nerve injury or due to injury of the cricoarytenoid articulation. We assessed the influence multiple variables on therapeutic management. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.09.014DOI Listing
December 2009
4 Reads

[Laparoscopic hysterectomy in 10 steps].

J Chir (Paris) 2009 Oct 22;146(5):483-91. Epub 2009 Oct 22.

Service de gynécologie obstétrique, polyclinique Hôtel-Dieu, CHU de Clermont-Ferrand, boulevard Léon-Malfreyt, 63058 Clermont-Ferrand cedex 1, France.

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http://dx.doi.org/10.1016/j.jchir.2009.09.008DOI Listing
October 2009
4 Reads

[Why should an abdominal CT scan be performed for suspected appendicitis in the adult patient? Lessons from ten clinical cases].

J Chir (Paris) 2009 Oct 21;146 Spec No 1:12-6. Epub 2009 Oct 21.

Unité clinique de chirurgie digestive, département médicochirurgical de pathologie digestive, hôpital Lariboisière, AP-HP-GHU Nord, université Paris-Diderot-Paris-7, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France.

Ten years after its introduction, the contribution and indications for computed tomography (CT) in the diagnosis of appendicitis remain the subject of controversy among surgeons. Many argue that CT is frequently superfluous and costly, results in excessive radiation exposure, and delays surgical treatment. On our service, we perform 150 to 180 adult appendectomies annually. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S002176970900160
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http://dx.doi.org/10.1016/j.jchir.2009.08.003DOI Listing
October 2009
5 Reads

[Takedown of the hepatic flexure for extended left hemicolectomy].

Authors:
R Douard B Dousset

J Chir (Paris) 2009 Oct 21;146(5):477-82. Epub 2009 Oct 21.

Service de chirurgie digestive et endocrinienne, hôpital Cochin, 27, rue du Faubourg-Saint-Jacques, 75679 Paris cedex 14, France.

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http://dx.doi.org/10.1016/j.jchir.2009.09.009DOI Listing
October 2009
3 Reads

[The usefulness of scores in the diagnosis of appendicitis].

J Chir (Paris) 2009 Oct 28;146 Spec No 1:2-7. Epub 2009 Oct 28.

Pôle des pathologies digestives, hépatiques et de la transplantation, hôpital de Hautepierre, 1, avenue Molière, 67098 Strasbourg cedex 2, France.

The diagnosis of acute appendicitis relies largely on clinical experience; the performance of complementary tests is oftentimes unnecessary. We have created a score based on clinical and laboratory findings which can reliably categorize three zones of diagnostic probability : probable, doubtful, or improbable. Only the intermediate category requires complementary imaging. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.08.001DOI Listing
October 2009
3 Reads

[Appendiceal tumors found at appendectomy].

Authors:
D Goere D Elias

J Chir (Paris) 2009 Oct 28;146 Spec No 1:36-8. Epub 2009 Oct 28.

Département de chirurgie oncologique, institut Gustave-Roussy, 39, rue Camille-Desmoulins, 94805 Villejuif cedex, France.

There are three main histologic types of appendiceal tumor: adenoma, adenocarcinoma, and neuroendocrine tumor. Neuroendocrine tumors (carcinoids) are by far the most common and account for two-third of all appendiceal tumors. Adenomas and adenocarcinomas are both rare; they share two particularities: (a) a mucinous component is both frequent and predominant, (b) they have a tendency to intraperitoneal dissemination. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.08.006DOI Listing
October 2009
4 Reads

[Medical students in Paris during the Commune (March 28-May 28, 1871)].

Authors:
M Guivarc'h

J Chir (Paris) 2009 Oct 28;146(5):506-11. Epub 2009 Oct 28.

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http://dx.doi.org/10.1016/j.jchir.2009.08.010DOI Listing
October 2009
3 Reads

[Ultrasound and CT imaging in the diagnosis of acute appendicitis].

J Chir (Paris) 2009 Oct 28;146 Spec No 1:8-11. Epub 2009 Oct 28.

Service de chirurgie colorectale, pôle des maladies de l'appareil digestif (PMAD), hôpital Beaujon, 100, boulevard du Général-Leclerc, 92110 Clichy, France.

The diagnosis of acute appendicitis is still made on the basis of clinical findings in the majority of cases. When the clinical picture is unclear, ultrasound examination is a simple and effective tool to confirm the diagnosis. When ultrasound is unsatisfactory due to patient habitus or otherwise fails to clarify clinical uncertainty, abdominopelvic CT scan yields excellent results in terms of both sensitivity and specificity. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.08.002DOI Listing
October 2009
4 Reads

[The pediatric surgeon and acute appendicitis].

J Chir (Paris) 2009 Oct 28;146 Spec No 1:32-5. Epub 2009 Oct 28.

Clinique chirurgicale de Boulogne-Billancourt, 105, avenue Victor-Hugo, 92100 Boulogne-Billancourt, France.

The management of acute appendicitis in the pediatric patient has undergone radical rethinking in recent years. It has been shown that simple uncomplicated acute appendicitis can be successfully managed with antibiotic therapy and may not even require interval appendectomy. Appendicitis complicated by perforation, abscess, or inflammatory phlegmon can be successfully treated by initial antibiotic therapy (with or without percutaneous drainage) and delayed interval appendectomy. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.08.005DOI Listing
October 2009
3 Reads

[Can acute appendicitis be treated by antibiotics and in what conditions?].

Authors:
C Vons

J Chir (Paris) 2009 Oct 28;146 Spec No 1:17-21. Epub 2009 Oct 28.

Service de chirurgie digestive, hôpital Jean-Verdier, avenue du 14-Juillet, 93140 Bondy cedex, France.

The current treatment for acute appendicitis is an appendectomy. Several studies have, however, assessed the efficacy of an antibiotic for treating acute appendicitis that is either uncomplicated or complicated by local peritonitis. A meta-analysis in 2007 that collected the results of 44 prospective studies showed that antibiotics were efficacious in 92. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.08.033DOI Listing
October 2009
5 Reads

[Surgical techniques of appendectomy for acute appendicitis].

Authors:
B Blanc M Pocard

J Chir (Paris) 2009 Oct 20;146 Spec No 1:22-31. Epub 2009 Oct 20.

Service de chirurgie digestive, hôpital Lariboisière, université Paris Diderot-Paris 7, 2, rue Ambroise-Paré, 75010 Paris, France.

Over the last 20 years, the treatment of acute appendicitis has been transformed by the development of the laparoscopic approach. And yet the net value of this approach continues to be debated. Laparoscopic appendectomy is associated with a lower complication rate and a shorter period of disability in the general population. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.08.004DOI Listing
October 2009
3 Reads

[Prosthetic mesh for hernia repair: which mesh for which indication? Analysis of the Committee for the Assessment of Devices and Health Technologies of the French National Authority for Health (HAS). Assessment of prosthetic meshes for hernia repair].

J Chir (Paris) 2009 Oct;146(5):449-57

Haute Autorité de santé, 2, avenue du Stade-de-France, 93218 Saint-Denis-La-Plaine cedex, France.

Unlabelled: The Committee for the Assessment of Devices and Health Technologies (CEPP), one of the specialist committees of the French National Authority for Health (HAS), reassessed the use of prosthetic mesh for hernia repair in 2008. Mesh use is reimbursed by French national health insurance for use in adult and pediatric surgery. This reassessment had two primary purposes: (a) to define the indications and clinical situations justifying the use of mesh, and to describe the technical requirements; (b) to define the conditions of prescriptions and of use and to contribute to decisions for the renewal of inscription. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.09.012DOI Listing
October 2009
8 Reads

WITHDRAWN: Quelle technique chirurgicale pour une appendicectomie pour appendicite aigue ?

Authors:
B Blanc M Pocard

J Chir (Paris) 2009 Oct 15. Epub 2009 Oct 15.

Unité clinique de chirurgie digestive, département médicochirurgical de pathologie digestive, hôpital Lariboisière, université Paris-Diderot Paris-7, 2, rue Ambroise-Paré, 75475 Paris cedex 10, France.

The Publisher regrets that this article is an accidental duplication of an article that has already been published, doi:10.1016/j.jchir. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.09.002DOI Listing
October 2009
2 Reads

[Laparoscopic omentoplasty].

Authors:
A Valverde

J Chir (Paris) 2009 Oct;146(5):492-4

Clinique de chirurgie viscérale, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-Colonel-Prudhon, 95100 Argenteuil cedex, France.

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http://dx.doi.org/10.1016/j.jchir.2009.09.007DOI Listing
October 2009
4 Reads

[Persistent omphalo-mesenteric duct presenting as omphalitis].

J Chir (Paris) 2009 Oct 14;146(5):497-8. Epub 2009 Oct 14.

Service de chirurgie viscérale, hôpital militaire d'instruction Mohamed V, CHU Ibn Sina, Rabat, Maroc.

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http://dx.doi.org/10.1016/j.jchir.2009.09.006DOI Listing
October 2009
4 Reads

[Metastatic tumor implantation from a primary cancer of the base of the tongue at the site of placement of a central venous portacath].

J Chir (Paris) 2009 Oct 14;146(5):503-5. Epub 2009 Oct 14.

Service de chirurgie oncologique, centre de lutte contre le cancer Georges-François-Leclerc, 1, rue du Pr-Marion, 21079 Dijon cedex, France.

Central venous catheter placement with an implanted port (portacath) is used to provide long-term venous access. We report a case of metastatic implantation at a port site from a primary cancer of the base of the tongue. Insertion of portacaths must be performed using full sterile precautions to avoid spread of tumor cells; in no case should the port site incisions be in contact with the surgical field in which the tumor resection was performed. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S002176970900217
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http://dx.doi.org/10.1016/j.jchir.2009.09.013DOI Listing
October 2009
8 Reads

[Esophageal perforation during nasogastric tube insertion in a patient with right-sided aortic arch and thoracic aorta. Pathophysiology and surgical implications].

J Chir (Paris) 2009 Oct 14;146(5):499-502. Epub 2009 Oct 14.

Service de chirurgie thoracique, CHU d'Amiens Sud, avenue René-Laënnec, Salouel, 80054 Amiens cedex 1, France.

Esophageal perforation during nasogastric tube insertion is a very unusual occurrence. In this case report, radiologic images revealed a right-sided aortic arch with a right-sided thoracic aorta. This anatomical anomaly probably contributed to the complication and necessitated a modified approach to the surgical repair. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.09.011DOI Listing
October 2009
6 Reads

[After low anterior rectal resection, colonic pull-through with delayed colo-anal anastomosis can avoid the need for a diverting ileostomy].

J Chir (Paris) 2009 Oct 14;146(5):458-63. Epub 2009 Oct 14.

Service de chirurgie digestive, thoracique et cancérologique, CHU Bocage, 2, boulevard Maréchal-de-Lattre-de-Tassigny, 21000 Dijon, France.

A delayed colo-anal anastomosis has been proposed as a way to avoid diverting stoma after low anterior resection. Surgical and functional results were reviewed in 17 patients operated between 1999 and 2007 using this technique. Complications included one colonic necrosis, two pelvic abscesses and one colovaginal fistula. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.09.001DOI Listing
October 2009
7 Reads

[Financial analysis of a department of general surgery in a French hospital. The new "fee-for-service" reimbursement system results in a high deficit for emergency care].

J Chir (Paris) 2009 Oct 14;146(5):469-76. Epub 2009 Oct 14.

Service de chirurgie digestive, hôpital Foch, 40, rue Worth, 92151 Suresnes cedex, France.

Goal: The aim of this study was to perform a detailed analysis of income and expense in a department of general surgery in a French hospital under the new system of funding based on a "fee-for-service" principle.

Methods: All hospital stays of year 2006 were analysed retrospectively. The conditions of admission (elective vs. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S002176970900198
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http://dx.doi.org/10.1016/j.jchir.2009.09.003DOI Listing
October 2009
6 Reads

[Role of self-expanding stent in the treatment of obstructing colorectal cancer].

J Chir (Paris) 2009 Oct 14;146(5):464-8. Epub 2009 Oct 14.

Service de chirurgie viscérale et vasculaire, hôpital d'instruction des armées Begin, 69, avenue de Paris, 94160 Saint-Mandé, France.

Background: Obstruction due to colorectal cancer is a common occurrence. It often arises in patients in poor general condition with malnutrition and advanced tumor stage. Prognosis can be improved by prompt resolution of obstruction through a mininimally invasive approach. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.08.034DOI Listing
October 2009
3 Reads

[Combined ileocecal and sigmoid colonic volvulus].

J Chir (Paris) 2009 Oct 14;146(5):495-6. Epub 2009 Oct 14.

Service de chirurgie viscérale B, centre hospitalier universitaire Hassan II, Fès, Maroc.

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http://dx.doi.org/10.1016/j.jchir.2009.09.005DOI Listing
October 2009
5 Reads

[Purulent peritonitis caused by diverticular disease: treatment by laparocopic peritoneal lavage and drainage (without resection of the colon)].

Authors:
B Foppa G Portier

J Chir (Paris) 2009 Aug 23;146(4):403-6. Epub 2009 Sep 23.

Service de chirurgie digestive, hôpital Purpan, 1, place du Dr.-Baylac, 31059 Toulouse cedex, France.

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http://linkinghub.elsevier.com/retrieve/pii/S002176970900189
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http://dx.doi.org/10.1016/j.jchir.2009.08.028DOI Listing
August 2009
22 Reads

[Searching for evidence-based data].

J Chir (Paris) 2009 Aug 22;146(4):355-67. Epub 2009 Sep 22.

Laboratoire d'enseignement et de recherche sur le traitement de l'information médicale (Lertim), faculté de médecine de Marseille, université de la Méditerranée, 27, boulevard Jean-Moulin, 13385 Marseille cedex 5, France.

The foundation of evidence-based medicine is critical analysis and synthesis of the best data available concerning a given health problem. These factual data are accessible because of the availability on the Internet of web tools specialized in research for scientific publications. A bibliographic database is a collection of bibliographic references describing the documents indexed. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.08.025DOI Listing
August 2009
5 Reads

[Perineal recurrence of an aggressive angiomyxoma: Is an incomplete resection useful?].

J Chir (Paris) 2009 Aug 20;146(4):416-8. Epub 2009 Sep 20.

Service de chirurgie générale, hôpital Habib Thameur, 8, rue Ali Ben Ayed, Montfleury, 1008 Tunis, Tunisie.

Angiomyxoma is a rare but aggressive mesenchymal tumor. It commonly develops in the pelvis, perineum and groin and is more common in females. Angiomyxoma characteristically has a high incidence of local recurrence. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.08.017DOI Listing
August 2009
5 Reads

[Very late development of hepatic metastases].

J Chir (Paris) 2009 Aug 20;146(4):423-30. Epub 2009 Sep 20.

Service de chirurgie digestive et oncologique, hôpital Ambroise-Paré, AP-HP, 9, avenue Charles-de-Gaulle, 92100 Boulogne, France.

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http://dx.doi.org/10.1016/j.jchir.2009.08.022DOI Listing
August 2009
3 Reads

[Polytrauma: a therapeutic and logistical approach].

Authors:
S Haddadi

J Chir (Paris) 2009 Aug 19;146(4):347-54. Epub 2009 Sep 19.

Etablissement public hospitalier de Ain-Bessem, Bouira, Algérie.

This work aims to define a strategy for the management of polytrauma based on findings from a review of the recent literature. After a definition of terminology, we address the modes of injury, pathophysiology, and the different phases in the management of polytrauma. We assess the results of current management of polytrauma in developed countries and stress the need for improvement in trauma systems and therapeutic interventions in order to achieve better results. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.08.008DOI Listing
August 2009
5 Reads

[Urinary diversion after cystectomy: the Bricker uretero-ileostomy].

Authors:
A Cortesse

J Chir (Paris) 2009 Aug 19;146(4):397-402. Epub 2009 Sep 19.

Service d'urologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.

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http://dx.doi.org/10.1016/j.jchir.2009.08.029DOI Listing
August 2009
4 Reads

[Utero-enteric fistula due to obstetrical trauma: a case report].

J Chir (Paris) 2009 Aug 18;146(4):410-2. Epub 2009 Sep 18.

Service de gynécologie et obstétrique, hôpital Farhat Hached de Sousse, Rue Ibn El Jazzar, 4000 Sousse, Tunisie.

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http://dx.doi.org/10.1016/j.jchir.2009.08.013DOI Listing
August 2009
2 Reads

[Is strangulated obturator hernia still a clinical diagnosis?].

J Chir (Paris) 2009 Dec 18;146(6):591-2. Epub 2009 Sep 18.

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http://dx.doi.org/10.1016/j.jchir.2009.08.016DOI Listing
December 2009
5 Reads

[Is laparoscopic gastric bypass a dangerous procedure during the early phase of the learning curve? A prospective study of the first 50 cases].

J Chir (Paris) 2009 Aug 18;146(4):373-81. Epub 2009 Sep 18.

Département de chirurgie, hôpital Pasteur, hôpitaux civils de Colmar, 39, avenue de la Liberté, 68024 Colmar cedex, France.

Background: Among the various bariatric procedures, laparoscopic Roux-en-Y gastric bypass (LRYGBP) is widely considered to be the gold standard. However, a majority of bariatric surgeons in France do not perform LFYGBP, perhaps because of its reputation as a technically demanding procedure with a long learning curve. This study evaluates the outcomes and the learning curve for the first 50 LFYGBP performed by one surgeon in a French non-university hospital. Read More

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http://dx.doi.org/10.1016/j.jchir.2009.08.020DOI Listing
August 2009
10 Reads