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  1. Article ; Online: Laparoscopic Roux-en-Y Fistulo-Jejunostomy for a Chronic Gastric Leak After Sleeve Gastrectomy.

    Robert, Maud / Pasquer, Arnaud

    Obesity surgery

    2021  Volume 31, Issue 11, Page(s) 5100–5101

    MeSH term(s) Anastomosis, Roux-en-Y ; Anastomotic Leak/etiology ; Anastomotic Leak/surgery ; Gastrectomy/adverse effects ; Gastric Bypass ; Humans ; Jejunostomy ; Laparoscopy ; Obesity, Morbid/surgery ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Treatment Outcome
    Language English
    Publishing date 2021-08-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-021-05599-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Robotic Transit Bipartition with Sleeve Gastrectomy: Technical Points.

    Robert, Maud / Pasquer, Arnaud / Saber, Toufic

    Obesity surgery

    2022  Volume 32, Issue 6, Page(s) 2100–2101

    MeSH term(s) Bariatric Surgery ; Gastrectomy ; Gastric Bypass ; Humans ; Laparoscopy ; Obesity, Morbid/surgery ; Retrospective Studies ; Robotic Surgical Procedures ; Treatment Outcome ; Weight Loss
    Language English
    Publishing date 2022-04-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-022-06070-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Operating room organization and surgical performance: a systematic review.

    Pasquer, Arnaud / Ducarroz, Simon / Lifante, Jean Christophe / Skinner, Sarah / Poncet, Gilles / Duclos, Antoine

    Patient safety in surgery

    2024  Volume 18, Issue 1, Page(s) 5

    Abstract: Background: Organizational factors may influence surgical outcomes, regardless of extensively studied factors such as patient preoperative risk and surgical complexity. This study was designed to explore how operating room organization determines ... ...

    Abstract Background: Organizational factors may influence surgical outcomes, regardless of extensively studied factors such as patient preoperative risk and surgical complexity. This study was designed to explore how operating room organization determines surgical performance and to identify gaps in the literature that necessitate further investigation.
    Methods: We conducted a systematic review according to PRISMA guidelines to identify original studies in Pubmed and Scopus from January 1, 2000 to December 31, 2019. Studies evaluating the association between five determinants (team composition, stability, teamwork, work scheduling, disturbing elements) and three outcomes (operative time, patient safety, costs) were included. Methodology was assessed based on criteria such as multicentric investigation, accurate population description, and study design.
    Results: Out of 2625 studies, 76 met inclusion criteria. Of these, 34 (44.7%) investigated surgical team composition, 15 (19.7%) team stability, 11 (14.5%) teamwork, 9 (11.8%) scheduling, and 7 (9.2%) examined the occurrence of disturbing elements in the operating room. The participation of surgical residents appeared to impact patient outcomes. Employing specialized and stable teams in dedicated operating rooms showed improvements in outcomes. Optimization of teamwork reduced operative time, while poor teamwork increased morbidity and costs. Disturbances and communication failures in the operating room negatively affected operative time and surgical safety.
    Conclusion: While limited, existing scientific evidence suggests that operating room staffing and environment significantly influences patient outcomes. Prioritizing further research on these organizational drivers is key to enhancing surgical performance.
    Language English
    Publishing date 2024-01-29
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2409244-7
    ISSN 1754-9493
    ISSN 1754-9493
    DOI 10.1186/s13037-023-00388-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Mesenteric sparing approach for advanced nodal extent in small intestinal neuroendocrine tumors. Is there a limit to the vascular resection in order to avoid creating a short small bowel syndrome? An anatomic research study.

    Bufacchi, Paul / Gomes-Jorge, Mathys / Walter, Thomas / Poncet, Gilles / Pasquer, Arnaud

    Surgical and radiologic anatomy : SRA

    2024  

    Abstract: Purpose: By selectively perfusing the first three jejunal arteries (JA), we aim to assess the individual perfusion length of small bowel (SB) and its impact on nodal resection in stage III-up small-intestinal neuroendocrine tumors (SI-NET).: Methods: ...

    Abstract Purpose: By selectively perfusing the first three jejunal arteries (JA), we aim to assess the individual perfusion length of small bowel (SB) and its impact on nodal resection in stage III-up small-intestinal neuroendocrine tumors (SI-NET).
    Methods: Our anatomical research protocol implies a midline laparotomy and three measures of the SB length. We then perform a classical anterior approach of the superior mesenteric vessels. We carry on with the complete dissection and checking of the superior mesenteric artery (SMA) in order to identify the first three JA. Then we selectively perfuse each artery with colored latex solutions and measure the length of small bowel perfused respectively.
    Results: We conducted our protocol on six cadaveric subjects. Mean(SD) SB length was 413(5.7), 535(13.2), 485(15), 353(25.1), 730(17.3) and 525(16° cm respectively from subject one to six. Most JA originated from the left side of the SMA. The first JA originated from its posterior wall in two subjects. Mean(SD) distance of origin of the first three JA was 4.6(1.3)cm, 6(1.1)cm and 7.1(0.9)cm respectively. Mean(SD) diameter of SMA was 10.8(3.3)mm. Mean diameter of the three first JA was 4(1.4)mm, 4(1.5)mm and 5(1.2)mm respectively. Mean(SD) SB length perfused by first and second JA was 224(14.9)cm, 175(8.6)cm, 238.3(7.6)cm, 84.3(5.1)cm, 233.3(5.8)cm and 218.3(10.4)cm respectively from subject one to six.
    Conclusion: We observed a trend suggesting that the first and second JA may sustain a SB length beyond the viable 1.5 m limit, implying the feasibility of stage III-up SI-NET resection with just two JA.
    Language English
    Publishing date 2024-04-23
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 632839-8
    ISSN 1279-8517 ; 0930-312X ; 0930-1038
    ISSN (online) 1279-8517
    ISSN 0930-312X ; 0930-1038
    DOI 10.1007/s00276-024-03356-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Cold snaring biopsies to increase screening efficacy during endoscopic surveillance of patients at high risk of diffuse gastric cancer.

    Lemoine Laroussinie, Marie / Pioche, Mathieu / Calavas, Laura / Fenouil, Tanguy / Saurin, Jean-Christophe / Pasquer, Arnaud / Benech, Nicolas

    Endoscopy

    2024  Volume 56, Issue S 01, Page(s) E213–E214

    MeSH term(s) Humans ; Stomach Neoplasms/diagnostic imaging ; Stomach Neoplasms/pathology ; Early Detection of Cancer ; Biopsy ; Endoscopy
    Language English
    Publishing date 2024-03-01
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 80120-3
    ISSN 1438-8812 ; 0013-726X
    ISSN (online) 1438-8812
    ISSN 0013-726X
    DOI 10.1055/a-2262-7988
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: An emergency Altemeier procedure for necrosis of full-thickness rectal prolapse.

    De Schlichting, Thibault / Poncet, Gilles / Bufacchi, Paul / Pasquer, Arnaud

    Techniques in coloproctology

    2021  Volume 25, Issue 10, Page(s) 1165

    Language English
    Publishing date 2021-05-11
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2083309-X
    ISSN 1128-045X ; 1123-6337
    ISSN (online) 1128-045X
    ISSN 1123-6337
    DOI 10.1007/s10151-021-02462-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Cold snaring biopsies to increase screening efficacy during endoscopic surveillance of patients at high risk of diffuse gastric cancer

    Lemoine Laroussinie, Marie / Pioche, Mathieu / Calavas, Laura / Fenouil, Tanguy / Saurin, Jean-Christophe / Pasquer, Arnaud / Benech, Nicolas

    Endoscopy

    2024  Volume 56, Issue S 01, Page(s) E213–E214

    Language English
    Publishing date 2024-03-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 80120-3
    ISSN 1438-8812 ; 0013-726X
    ISSN (online) 1438-8812
    ISSN 0013-726X
    DOI 10.1055/a-2262-7988
    Database Thieme publisher's database

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  8. Article ; Online: Laparoscopic Revision of Roux-en-Y Gastric Bypass to Biliopancreatic Diversion with Duodenal Switch: Technical Points.

    Robert, Maud / Pasquer, Arnaud

    Obesity surgery

    2017  Volume 27, Issue 1, Page(s) 271–272

    Language English
    Publishing date 2017-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-016-2423-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: What are the Particularities of Gastric and Bariatric Surgery in the Cirrhotic Patient.

    Pasquer, Arnaud / Gronnier, Caroline / Piessen, Guillaume

    Chirurgia (Bucharest, Romania : 1990)

    2020  Volume 115, Issue 2, Page(s) 161–168

    Abstract: The objective of this work was to review the entire literature on gastric and bariatric surgery in order to best define the surgical indications and the specifics of their management. A literature review from 1995 to August 2015 was conducted in Pubmed ... ...

    Abstract The objective of this work was to review the entire literature on gastric and bariatric surgery in order to best define the surgical indications and the specifics of their management. A literature review from 1995 to August 2015 was conducted in Pubmed and Google Scholar, using French and English as publication languages. 21 studies were included (level 3 and 4) over 128 identified. In total, if the cirrhotic patients, candidates for gastric surgery, are appropriately selected, long-term survival seems relatively good. No risk factors for long-term survival have been reported. The literature data are insufficient to be able to make recommendations concerning bariatric surgery in the cirrhotic patient.
    MeSH term(s) Bariatric Surgery ; Humans ; Liver Cirrhosis/complications ; Obesity/complications ; Obesity/surgery ; Stomach/surgery
    Language English
    Publishing date 2020-05-05
    Publishing country Romania
    Document type Journal Article ; Review
    ZDB-ID 419244-8
    ISSN 1842-368X ; 1221-9118 ; 0009-4730 ; 0377-5003
    ISSN (online) 1842-368X
    ISSN 1221-9118 ; 0009-4730 ; 0377-5003
    DOI 10.21614/chirurgia.115.2.161
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Principles of Surgical Management of Small Intestinal NET.

    Pasquer, Arnaud / Walter, Thomas / Milot, Laurent / Hervieu, Valérie / Poncet, Gilles

    Cancers

    2021  Volume 13, Issue 21

    Abstract: Introduction: Small-intestinal neuroendocrine tumors (siNETs) account for 25% of gastroenteropancreatic NETs. Multiple siNETs appear to develop in a limited segment of the small bowel (SB), 89% of them being located in the ileum, most often within 100 ... ...

    Abstract Introduction: Small-intestinal neuroendocrine tumors (siNETs) account for 25% of gastroenteropancreatic NETs. Multiple siNETs appear to develop in a limited segment of the small bowel (SB), 89% of them being located in the ileum, most often within 100 cm of the ileocecal valve (ICV). According to the European Neuroendocrine Tumor Society (ENETS) and the American Joint Committee on Cancer (AJCC), all localized siNETs should be considered for radical surgical resection with adequate lymphadenectomy irrespective of the absence of lymphadenopathy or mesenteric involvement. Surgical management of siNETs: The preoperative workout should include a precise evaluation of past medical and surgical history, focusing on the symptoms of carcinoid syndrome (flush, diarrhea, and cardiac failure). Morphological evaluation should include a CT scan including a thin-slice arterial CT, a PET/CT with 68 Ga, and a hepatic MRI in cases of suspected metastasis. Levels of 24 h urinary 5-hydroxyindoleacetic acid are needed. Regarding surgery, the limiting component is the number of free jejunal branches allowing a resection without risk of short small bowel syndrome. The laparoscopic approach has been poorly studied, and open laparotomy remains the gold standard to explore the abdominal cavity and entirely palpate the small bowel through bidigital palpation and compression. An extensive lymphadenectomy is required. A prophylactic cholecystectomy should be performed. In case of emergency surgery, current recommendations are not definitive. However, there is expert agreement that it is not reasonable to initiate resection of the mesenteric mass without comprehensive workup and mapping.
    Conclusion: The surgery of siNETs is in constant evolution. The challenge lies in the ability to propose a resection without imposing short small bowel syndrome on the patients. The oncological benefits supported in the literature led to recent changes in the recommendations of academic societies. The next steps remain the dissemination of reproducible quality criteria to perform these procedures.
    Language English
    Publishing date 2021-10-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers13215473
    Database MEDical Literature Analysis and Retrieval System OnLINE

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