Clinique de chirurgie digestive et endocrinienne

Nantes, France

Clinique de chirurgie digestive et endocrinienne

Nantes, France
SEARCH FILTERS
Time filter
Source Type

Boulanger G.,Clinique de chirurgie digestive et endocrinienne | Meurette G.,Clinique de chirurgie digestive et endocrinienne
Colon and Rectum | Year: 2010

Rectal resection with coloanal anastomosis was performed in 65 patients with carcinoma of the lower rectum. In 20 a pelvic colonic reservoir was constructed while in 45 a direct anastomosis was carried out. There were no postoperative deaths and morbidity was comparable in the two groups. Functional results were determined by clinical examination and manometry. The frequency of Bowel movements was inversely related to the maximum tolerated volume (P < 0.001). During the first year 60 per cent of the patients with a reservoir and 33 per cent of the patients without had one or two stools per day (P < 0.05). After one year, 86 per cent of the patients with a reservoir and 33 per cent of the patients without had one or two bowel movements per day (P < 0.01). The maximum tolerated volume was increased by the reservoir (P < 0.05). The loss of reservoir capacity of the rectum increases frequency of bowel movements in coloanal anastomosis. The creation of a colonic reservoir improves function by increasing the maximum tolerated volume without any increase in mortality or morbidity. © 2010 Springer Verlag France.


Robert P.E.,Clinique de chirurgie digestive et endocrinienne
Journal of visceral surgery | Year: 2011

We report the case of a 73-year-old female who presented with rectal prolapse due to a sigmoid lipoma. This is a rare benign tumor that can result in mechanical complications; it should be resected for this reason. Transanal resection is a feasible approach. Copyright © 2011. Published by Elsevier Masson SAS.


De Franco V.,Clinique de Chirurgie Digestive et Endocrinienne | Frampas E.,Nantes University Hospital Center | Wong M.,Clinique de Chirurgie Digestive et Endocrinienne | Meurette G.,Clinique de Chirurgie Digestive et Endocrinienne | And 3 more authors.
Pancreas | Year: 2011

Objectives: To compare the clinical outcomes after pancreaticoduodenectomy (PD) in patients older than 70 years old against a matched cohort of patients younger than 70. Methods: A search of the department database revealed that 285 consecutive patients underwent PD from 1996 to 2009. Forty-one patients (14%) were identified to be older than 70 years (group 1), and they were matched with 41 patients younger than 70 (group 2) according to sex, body mass index, American Society of Anesthesiologists score and tumor staging. Medical comorbidities, preoperative CA19-9 and hemoglobin levels, operative and histopathologic data, postoperative course, and survival outcomes were compared between the 2 groups of patients. Results: Statistical analyses revealed no significant difference between the 2 groups, except for preoperative CA19-9 and hemoglobin levels, operating time, duration of hospitalization, and the number of lymph nodes removed. These parameters, however, did not have an impact on morbidity, mortality, and overall survival. Conclusions: Based on our study, perioperative morbidity, mortality, and overall survival are not poorer in patients older than 70. Thus, PD should not be contraindicated solely on the basis of chronological age. Moreover, PD can be rationally proposed to patients meeting the "fit elderly" definition. Copyright © 2011 by Lippincott Williams & Wilkins.


Didnee A.-S.,Clinique de chirurgie digestive et endocrinienne | Meurette G.,Clinique de chirurgie digestive et endocrinienne
Colon and Rectum | Year: 2014

Laparoscopic ventral mesh rectopexy is a validated option for the management of posterior pelvic floor disorders. This approach restores the anatomy and improves functional results. The mesh implantation is a crucial point of the technique. The recurrence rate is as low as 5% and 60 to 90% of the patients experience improvement of the anorectal function. © 2014 Springer-Verlag France.


PubMed | Clinique de chirurgie digestive et endocrinienne
Type: Case Reports | Journal: Journal of visceral surgery | Year: 2011

We report the case of a 73-year-old female who presented with rectal prolapse due to a sigmoid lipoma. This is a rare benign tumor that can result in mechanical complications; it should be resected for this reason. Transanal resection is a feasible approach.

Loading Clinique de chirurgie digestive et endocrinienne collaborators
Loading Clinique de chirurgie digestive et endocrinienne collaborators