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  1. Article ; Online: Liver resection safety in a developing country: Analysis of a collective learning curve.

    Benkabbou, A / Houssaini, K / Majbar, M A / Souadka, A

    Journal of visceral surgery

    2022  Volume 159, Issue 4, Page(s) 350

    MeSH term(s) Developing Countries ; Hepatectomy ; Humans ; Laparoscopy ; Learning Curve ; Liver ; Retrospective Studies
    Language English
    Publishing date 2022-07-14
    Publishing country France
    Document type Letter ; Comment
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2022.06.001
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  2. Article ; Online: Open Source-Based 3-Dimensional Liver Modeling Serving Accessibility of Liver Surgery Virtual Planning.

    Benkabbou, Amine / Azami, Amine / Majbar, Mohammed Anass

    JAMA surgery

    2023  Volume 158, Issue 9, Page(s) 974–975

    MeSH term(s) Humans ; Liver/surgery ; Hepatectomy/methods ; Imaging, Three-Dimensional/methods ; Surgery, Computer-Assisted/methods
    Language English
    Publishing date 2023-06-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701841-6
    ISSN 2168-6262 ; 2168-6254
    ISSN (online) 2168-6262
    ISSN 2168-6254
    DOI 10.1001/jamasurg.2023.0272
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  3. Article ; Online: Enhancing patient safety: a system-based analysis of morbidity and mortality conferences in managing postoperative bleeding following gastric and pancreatic cancer surgery.

    Lahnaoui, Oumayma / Houmada, Amina / Benkabbou, Amine / Ghannam, Abdelillah / Al Ahmadi, Brahim / Belkhadir, Zakaria / Mohsine, Raouf / Souadka, Amine / Majbar, Mohammed Anass

    BMJ open quality

    2024  Volume 13, Issue 1

    Abstract: Morbidity and mortality conferences (MMCs) have evolved beyond their traditional educational role to become instrumental in enhancing patient safety. System-based MMCs offer a unique perspective on patient safety by dissecting systemic factors ... ...

    Abstract Morbidity and mortality conferences (MMCs) have evolved beyond their traditional educational role to become instrumental in enhancing patient safety. System-based MMCs offer a unique perspective on patient safety by dissecting systemic factors contributing to adverse events. This paper reviews the impact of MMC in managing postoperative bleeding after gastric and pancreatic cancer surgery, within the constraints of limited resources. The study conducted at the National Institute of Oncology in Rabat, Morocco, analysed 18 MMC of haemorrhage following gastric and pancreatic surgeries and allowed to identify two patterns of cumulative factors contributing to adverse events. The first one relates to organisational issues and the second to postoperative management. Fifteen recommendations of improvement emerged from MMC addressing elements of these patterns with an implementation rate of 53.3%.
    MeSH term(s) Humans ; Patient Safety ; Pancreatic Neoplasms/surgery ; Morbidity
    Language English
    Publishing date 2024-03-13
    Publishing country England
    Document type Review ; Journal Article
    ISSN 2399-6641
    ISSN (online) 2399-6641
    DOI 10.1136/bmjoq-2023-002657
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  4. Article ; Online: Two-Stage Turnbull-Cutait Pull-Through Coloanal Anastomosis for Low Rectal Cancers.

    Majbar, Anass M / Benkabbou, Amine / Souadka, Amine

    JAMA surgery

    2020  Volume 156, Issue 2, Page(s) 200–201

    MeSH term(s) Anastomosis, Surgical ; Digestive System Surgical Procedures ; Humans ; Rectal Neoplasms/surgery
    Language English
    Publishing date 2020-12-05
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2701841-6
    ISSN 2168-6262 ; 2168-6254
    ISSN (online) 2168-6262
    ISSN 2168-6254
    DOI 10.1001/jamasurg.2020.5165
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  5. Article ; Online: Staging laparoscopy in locally advanced gastric cancer: Beware the poorly differentiated histological subtype.

    Souadka, Amine / Essangri, Hajar / Elazzaoui, Faysal / Majbar, Mohammed Anass / Benkabbou, Amine / Mohsine, Raouf

    Journal of surgical oncology

    2022  Volume 126, Issue 3, Page(s) 625–626

    MeSH term(s) Humans ; Laparoscopy ; Neoplasm Staging ; Stomach Neoplasms/pathology ; Stomach Neoplasms/surgery
    Language English
    Publishing date 2022-07-01
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 82063-5
    ISSN 1096-9098 ; 0022-4790
    ISSN (online) 1096-9098
    ISSN 0022-4790
    DOI 10.1002/jso.26966
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    Zs.A 706: Show issues Location:
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  6. Article: External validation of the Moroccan Arabic version of the European Organization for Research and Treatment of Cancer colorectal (CR29) module: Monocentric study.

    Bachri, Houda / Essangri, Hajar / El Bahaoui, Nezha / Benkabbou, Amine / Mohsine, Raouf / Majbar, Anass Mohammed / Souadka, Amine

    World journal of methodology

    2023  Volume 13, Issue 4, Page(s) 259–271

    Abstract: Background: Quality of life (QoL) outcomes are a focal endpoint of cancer treatment strategies.: Aim: To externally validate the Moroccan Arabic version of the European Organization for Research and Treatment of Cancer (EORTC) QoL Questionnaire (QLQ) ...

    Abstract Background: Quality of life (QoL) outcomes are a focal endpoint of cancer treatment strategies.
    Aim: To externally validate the Moroccan Arabic version of the European Organization for Research and Treatment of Cancer (EORTC) QoL Questionnaire (QLQ) for colorectal cancer (CRC) patients (CR29).
    Methods: Both Moroccan Arabic modules of QLQ-CR29 and QLQ-C30 were administered to Moroccan CRC. Psychometric properties were retested by measuring Cronbach's alpha coefficient for reliability and Intraclass correlation coefficient (ICC) to examine test-retest reproducibility. The multitrait-scaling analysis was performed to demonstrate the validity of the instrument and known-groups comparison was used to test the score's ability to discriminate between different groups of patients.
    Results: In total, 221 patients were included in our study and 34 patients completed the questionnaire twice. The Urinary Frequency scale and Stool Frequency scale had good internal consistency with alpha Cronbach coefficients of 0.79 and 0.83 respectively, while the same coefficients were moderately lower for the Blood and Mucus in Stool scale (0.61) and the Body Image scale (0.67). The ICCs ranged from 0.88 to 1 indicating good to excellent reproducibility. In multitrait scaling analyses, the criterion for item convergent and divergent validity was satisfactory. The known-group comparison showed statistically significant differences between patients according to age, gender, stoma status, tumor location, and radiotherapy.
    Conclusion: The Moroccan Arabic version of the EORTC QLQ-CR29 is a valid and reliable tool that can be used safely for research and clinical purposes in Moroccan CRC patients.
    Language English
    Publishing date 2023-09-20
    Publishing country United States
    Document type Journal Article
    ISSN 2222-0682
    ISSN 2222-0682
    DOI 10.5662/wjm.v13.i4.259
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  7. Article ; Online: Striking a balance: Deciphering the dilemma of treatment equivalence in cardia gastric cancer.

    Louafi, Mohammed Oussama / Lahnaoui, Oumayma / Benkabbou, Amine / Majbar, Mohammed Anass / Mohsine, Raouf / El Khannoussi, Basma / Boutayeb, Saber / Souadka, Amine

    Journal of surgical oncology

    2023  Volume 128, Issue 8, Page(s) 1459–1460

    MeSH term(s) Humans ; Cardia ; Stomach Neoplasms/therapy
    Language English
    Publishing date 2023-10-16
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 82063-5
    ISSN 1096-9098 ; 0022-4790
    ISSN (online) 1096-9098
    ISSN 0022-4790
    DOI 10.1002/jso.27452
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  8. Article: The learning curve of laparoscopic rectal cancer surgery of millennial surgeons: Lessons for a safe implementation in low- and middle-income countries.

    Sekkat, Hamza / Souadka, Amine / Alaoui, Leila / Rafik, Ali / Belkhadir, Zakaria / Amrani, Laila / Benkabbou, Amine / Mohsine, Raouf / Majbar, Anass Mohammed

    Journal of minimal access surgery

    2023  Volume 19, Issue 2, Page(s) 296–304

    Abstract: Objective: This study aimed to analyse the learning curve (LC) in laparoscopic rectal cancer resections of 2 millennial surgeons during the implementation of the first laparoscopic rectal cancer surgery programme in low- and middle-income country (LMIC) ...

    Abstract Objective: This study aimed to analyse the learning curve (LC) in laparoscopic rectal cancer resections of 2 millennial surgeons during the implementation of the first laparoscopic rectal cancer surgery programme in low- and middle-income country (LMIC) cancer centre.
    Methods: All consecutive patients operated by two millennial surgeons for primary rectal adenocarcinoma between January 2018 and March 2020 were included. The LC was analysed for operative duration and conversion to open surgery using both cumulative sum (CUSUM) and/or variable life-adjusted display (VLAD) charts.
    Results: Eighty-four patients were included, 45 (53.6%) men with a mean age of 57.3 years. Abdominoperineal resection was performed in 31 (36.9%) cases and resections were extended to other organs in 20 (23.8%) patients. Thirteen patients (15.5%) had conversion to open surgery. Using CUSUM, Learning curve based on conversion was completed at 12 cases for the first surgeon versus 10 cases for the second. While using VLAD and learning curve-CUSUM (LC-CUSUM), the cases needed were 26 vs 24 respectively. The median operative duration was 314 min with a LC completed at cases (17 vs. 26), and (18 vs. 29) using, respectively, standard and LC-CUSUM.
    Conclusions: This study shows a safe and short LC of millennial surgeons during the implementation of a laparoscopic rectal cancer surgery in an LMIC cancer centre, and the valuable use of modern statistical methods in the prospective assessment of LC safety during surgical training.
    Language English
    Publishing date 2023-04-13
    Publishing country India
    Document type Journal Article
    ZDB-ID 2186884-0
    ISSN 1998-3921 ; 0972-9941
    ISSN (online) 1998-3921
    ISSN 0972-9941
    DOI 10.4103/jmas.jmas_78_22
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  9. Article: Endoscopic management of anastomotic leakage after colorectal cancer surgery in a Moroccan center: A case series and literature review.

    Aourarh, Benayad / Souadka, Amine / Majbar, Mohamed Anass / Benkabbou, Amine / Chakkor, Amal / Bakkar, Meriem / Mohsine, Raouf / Amrani, Laila

    SAGE open medical case reports

    2023  Volume 11, Page(s) 2050313X231205716

    Abstract: Endoscopic management has become an alternate treatment to a revision surgery for colorectal fistulas. Eight patients who were treated by endoscopy for postoperative anastomotic leakage to colorectal cancer were included. A univariate analysis was ... ...

    Abstract Endoscopic management has become an alternate treatment to a revision surgery for colorectal fistulas. Eight patients who were treated by endoscopy for postoperative anastomotic leakage to colorectal cancer were included. A univariate analysis was carried out to determine the predictive factors of success. All our patients were treated using metallic clips. The primary efficiency of this technique was 50%. In a univariate analysis, the size of the fistula and its distance from the anal margin had an influence on the efficiency of the endoscopic treatment, which was not the case for either the surgical technique or the use of neoadjuvant radiotherapy. This endoscopic treatment is effective and represents a more secure alternative than revision surgery. In our study, the use of metallic clips showed a 50% success rate, going up to 100% for the group of patients with a fistula ostium of a size ⩽1 cm, proving the necessity of using this technique.
    Language English
    Publishing date 2023-11-09
    Publishing country England
    Document type Case Reports
    ZDB-ID 2736953-5
    ISSN 2050-313X
    ISSN 2050-313X
    DOI 10.1177/2050313X231205716
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: From burden to relief: The economic and quality-of-life advantages of pseudo continent perineal colostomy in ultra-low rectal cancer patients.

    Lahnaoui, Oumayma / Essangri, Hajar / El Bahaoui, Nezha / Majbar, Mohammed Anass / Benkabbou, Amine / Mohsine, Raouf / Souadka, Amine

    Journal of surgical oncology

    2023  Volume 129, Issue 2, Page(s) 297–307

    Abstract: Background and objective: Pseudo Continent Perineal Colostomy (PCPC) is an alternative technique to left iliac colostomy (LIC) after abdominoperineal resection for ultra low rectal cancer (ULRC). It allows placing the stoma in the perineum to preserve ... ...

    Abstract Background and objective: Pseudo Continent Perineal Colostomy (PCPC) is an alternative technique to left iliac colostomy (LIC) after abdominoperineal resection for ultra low rectal cancer (ULRC). It allows placing the stoma in the perineum to preserve patients' body image. However, concerns about its impact on quality of life and management costs have limited its adoption. We aimed to compare the early outcomes and financial burden of PCPC and LIC in ULRC patients in Morocco, a low-middle-income country.
    Methods: From January 2018 to December 2019, all patients who underwent abdomino-perineal resection (APR) with LIC or PCPC were prospectively enrolled. For each patient, baseline characteristics, and in hospital and 90 days morbidity with a focus on perineal complications were reported. Quality of life (QOL) was assessed using the validated EORTC-C30 and CR29 questionnaires. Financial burden to patients was reported using declarative out-of-pocket costs (OOPC) analysis.
    Results: Among 49 patients who underwent APR, 33 received PCPC and 16 received definitive LIC. Similar rates of early perineal complications were observed between the two groups (p = 0.49). Readmission rate at POD90 was higher in the LIC-group due to perineal sepsis (p = 0.09). QOL analysis at 6 months revealed that patients with PCPC had a higher global health status (p = 0.006), a better physical functioning and reported fewer symptoms of flatulence and fecal incontinence (p = 0.001). Patients with a LIC reported more financial difficulties with higher median OOPC of stoma management up to €23 versus €0 per month for PCPC (p = 0.0024). PCPC was the only predictive factor of improved patient reported outcomes.
    Conclusions: PCPC is a cost-effective alternative to the standard definitive colostomy without alteration of the QOL or additional perineal complications during the first 6 months following the surgery. These findings may help convince surgeons to offer this option to patients refusing definitive LIC.
    MeSH term(s) Humans ; Quality of Life ; Colostomy/methods ; Rectal Neoplasms/surgery ; Health Status ; Perineum/surgery
    Chemical Substances oleyloxyethylphosphorylcholine (96720-06-8)
    Language English
    Publishing date 2023-10-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 82063-5
    ISSN 1096-9098 ; 0022-4790
    ISSN (online) 1096-9098
    ISSN 0022-4790
    DOI 10.1002/jso.27484
    Database MEDical Literature Analysis and Retrieval System OnLINE

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