Journal De Chirurgie最新文献

{"title":"La gastrectomie longitudinale (sleeve gastrectomy) comme unique chirurgie bariatrique : résultats d’une étude rétrospective multicentrique de 446 patients","authors":"C. Chazelet ,&nbsp;P. Verhaeghe ,&nbsp;R. Perterli ,&nbsp;S. Fennich ,&nbsp;R. Houdart ,&nbsp;R. Topart ,&nbsp;J. Tussiot ,&nbsp;P. Skawinski ,&nbsp;G. Seraille ,&nbsp;J.-M. Catheline ,&nbsp;M. Merabet ,&nbsp;B. Dehaye ,&nbsp;V. Pautot ,&nbsp;G. Juglard ,&nbsp;J.-J. Sala","doi":"10.1016/j.jchir.2009.08.021","DOIUrl":"10.1016/j.jchir.2009.08.021","url":null,"abstract":"<div><h3>But de l’étude</h3><p>La gastrectomie longitudinale ou <em>sleeve gastrectomy</em> (SG) isolée est une option nouvelle dans le traitement chirurgical de l’obésité. Le but de cette étude était d’en évaluer les résultats postopératoires immédiats et à deux ans, de façon multicentrique.</p></div><div><h3>Patients et méthodes</h3><p>Étude rétrospective multicentrique incluant 446 patients opérés dans 14 centres universitaires, privés et publics.</p></div><div><h3>Résultats</h3><p>Les suites opératoires immédiates ont été simples dans 83,3 %. Le taux de complications mineures était de 10,9 %. Le taux de complications majeures était de 5,3 % en majorité des fistules sur la ligne d’agrafes (4,3 %). La mortalité postopératoire était nulle.</p><p>Le taux de réinterventions immédiates était de 2 %. La perte pondérale moyenne à deux ans était de 32 kg, la perte moyenne d’excès de poids était de 62 %. La perte pondérale était plus importante (<em>p</em> <!-->=<!--> <!-->0,0003) chez les obèses par rapport aux super-obèses (indice de masse corporelle [IMC]<!--> <!-->&gt;<!--> <!-->50).</p></div><div><h3>Conclusion</h3><p>Cette étude confirme de façon multicentrique la faisabilité de la SG et son efficacité à deux ans, surtout pour les patients ayant un IMC inférieur à 50. Au-delà d’un IMC supérieur à 50, il est probable que, dans un certain nombre de cas, un deuxième temps chirurgical est nécessaire.</p></div><div><h3>Introduction</h3><p>Sleeve gastrectomy as an isolated procedure is a new option in bariatric surgery. The aim of this study was to evaluate its short and medium term (2 years) results in a multicenter setting.</p></div><div><h3>Materials</h3><p>This is a retrospective study including 446 patients undergoing surgery in 14 teaching, private, and public hospitals.</p></div><div><h3>Results</h3><p>The immediate post-operative course were uneventful in 83.3% of patients. Minor complications occurred in 10.9% of patients and major complications in 5.3%. Suture line leaks occurred in 4.3% of the whole series. There was no mortality and the rate of reoperation was 2%. Overall mean weight loss after two years was 32<!--> <!-->kg and the mean excess weight loss was 62%. Weight loss was significantly greater in non super-obese patients (<em>p</em> <!-->=<!--> <!-->0.0003).</p></div><div><h3>Conclusions</h3><p>This study confirms the feasibility of sleeve gastrectomy in a multicenter setting; it is efficacious at two years as an isolated bariatric procedure for non super-obese patients. It is possible that an additional second-stage procedure may be necessary for super-obese patients.</p></div>","PeriodicalId":56281,"journal":{"name":"Journal De Chirurgie","volume":"146 4","pages":"Pages 368-372"},"PeriodicalIF":0.0,"publicationDate":"2009-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jchir.2009.08.021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28407098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La cicatrisation dirigée par pression negative dans les pertes de substance musculocutanées étendues: principes et techniques","authors":"C. Trésallet,&nbsp;B. Royer,&nbsp;F. Menegaux","doi":"10.1016/j.jchir.2009.07.007","DOIUrl":"10.1016/j.jchir.2009.07.007","url":null,"abstract":"","PeriodicalId":56281,"journal":{"name":"Journal De Chirurgie","volume":"146 3","pages":"Pages 281-284"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jchir.2009.07.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28386733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diverticule parabronchial dégénéré","authors":"I. Bouasker,&nbsp;M.A. Hani,&nbsp;H. Rajhi,&nbsp;M. Khalfallah,&nbsp;C. Dziri","doi":"10.1016/j.jchir.2009.05.009","DOIUrl":"10.1016/j.jchir.2009.05.009","url":null,"abstract":"","PeriodicalId":56281,"journal":{"name":"Journal De Chirurgie","volume":"146 3","pages":"Pages 290-291"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jchir.2009.05.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28240301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hémicolectomie droite réglée pour cancer par laparotomie","authors":"S. Kirzin,&nbsp;G. Portier","doi":"10.1016/j.jchir.2009.07.006","DOIUrl":"10.1016/j.jchir.2009.07.006","url":null,"abstract":"","PeriodicalId":56281,"journal":{"name":"Journal De Chirurgie","volume":"146 3","pages":"Pages 275-280"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jchir.2009.07.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28386252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adoption en France d’une « check-list » de sécurité au bloc opératoire","authors":"K. Slim,&nbsp;G. Martin","doi":"10.1016/j.jchir.2009.07.004","DOIUrl":"10.1016/j.jchir.2009.07.004","url":null,"abstract":"","PeriodicalId":56281,"journal":{"name":"Journal De Chirurgie","volume":"146 3","pages":"Pages 233-235"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jchir.2009.07.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40021306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Une lésion « kystique » du pancréas","authors":"L. Barbier","doi":"10.1016/j.jchir.2009.07.001","DOIUrl":"10.1016/j.jchir.2009.07.001","url":null,"abstract":"","PeriodicalId":56281,"journal":{"name":"Journal De Chirurgie","volume":"146 3","pages":"Pages 301-310"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jchir.2009.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28342640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le drainage péricardique par voie sous-xiphoïdienne","authors":"F. Pons,&nbsp;J.-P. Arigon,&nbsp;H. Abdourrhamane","doi":"10.1016/j.jchir.2009.07.008","DOIUrl":"10.1016/j.jchir.2009.07.008","url":null,"abstract":"","PeriodicalId":56281,"journal":{"name":"Journal De Chirurgie","volume":"146 3","pages":"Pages 285-289"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jchir.2009.07.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28386734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Une cause inhabituelle de détresse respiratoire après une intervention cœliochirurgicale : la hernie diaphragmatique","authors":"S.R. Jai ,&nbsp;R. Boufettal ,&nbsp;R. Cherkab ,&nbsp;F. Chehab ,&nbsp;D. Khaiz ,&nbsp;H. Barrou ,&nbsp;A. Bouzidi","doi":"10.1016/j.jchir.2009.06.006","DOIUrl":"10.1016/j.jchir.2009.06.006","url":null,"abstract":"","PeriodicalId":56281,"journal":{"name":"Journal De Chirurgie","volume":"146 3","pages":"Pages 325-327"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jchir.2009.06.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28335647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"45e Congrès de l’American Society of Clinical Oncology (ASCO) Orlando, 30 mai–2 juin 2009","authors":"C. Tournigand ,&nbsp;D. Malka ,&nbsp;J. Desramé","doi":"10.1016/j.jchir.2009.07.005","DOIUrl":"10.1016/j.jchir.2009.07.005","url":null,"abstract":"","PeriodicalId":56281,"journal":{"name":"Journal De Chirurgie","volume":"146 3","pages":"Pages 311-315"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jchir.2009.07.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28342638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le lymphome de Burkitt et l’actinomycose, deux tumeurs pelviennes qu’il ne faut pas opérer","authors":"M. Abid ,&nbsp;M.F. Frikha ,&nbsp;M. Mdhaffar ,&nbsp;R. Mzali ,&nbsp;M. Ben Amar ,&nbsp;M.I. Beyrouti","doi":"10.1016/j.jchir.2009.06.012","DOIUrl":"10.1016/j.jchir.2009.06.012","url":null,"abstract":"<div><p>La prise en charge thérapeutique des tumeurs pelviennes dépend de leur nature histologique. Certaines ne nécessitent qu’un traitement médical sans recours à une chirurgie. Nous rapportons deux cas de tumeurs pelviennes rares survenant chez des adultes jeunes. Dans un cas, la nature actinomycosique a été portée sur l’étude histologique des biopsies chirurgicales. Dans le second cas, la nature lymphomateuse d’une tumeur du bas rectum a été retenue sur l’étude immunohistochimique des biopsies endoscopiques. L’évolution était favorable dans les deux observations, respectivement après un traitement médical à base de pénicilline G ou d’une chimiothérapie. Nous discutons à l’occasion de ces deux observations les difficultés diagnostiques et les modalités thérapeutiques de ces affections rares.</p></div><div><p>The treatment of the pelvic tumors depends of their histological nature. Some of them require only one medical treatment without recourse to surgery. We report two rare cases of pelvic tumors occurring in young adults. For the first case, actinomycosic nature was related to the histological study of the surgical biopsies. Concerning the second case, the lymphatic nature of a tumor of the low rectum was retained on the immunohistochimic study of the endoscopic biopsies. The evolution was uneventful in the two cases after a medical treatment containing penicillin G or a chemotherapy. We discuss at the time of these two observations the diagnostic difficulties and the therapeutic methods of these rare affections.</p></div>","PeriodicalId":56281,"journal":{"name":"Journal De Chirurgie","volume":"146 3","pages":"Pages 297-300"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jchir.2009.06.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40021195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}