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Article ; Online: Daily medical education for confined students during coronavirus disease 2019 pandemic: A simple videoconference solution.

Moszkowicz, David / Duboc, Henri / Dubertret, Caroline / Roux, Damien / Bretagnol, Frédéric

2020 Volume 33, Issue 6, Page(s) 927–928

Abstract: The outbreak of coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 infection has recently spread globally and is now a pandemic. As a result, university hospitals have had to take unprecedented measures of containment, ... ...

Abstract	The outbreak of coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 infection has recently spread globally and is now a pandemic. As a result, university hospitals have had to take unprecedented measures of containment, including asking nonessential staff to stay at home. Medical students practicing in the surgical departments find themselves idle, as nonurgent surgical activity has been canceled, until further notice. Likewise, universities are closed and medical training for students is likely to suffer if teachers do not implement urgent measures to provide continuing education. Thus, we sought to set up a daily medical education procedure for surgical students confined to their homes. We report a simple and free teaching method intended to compensate for the disappearance of daily lessons performed in the surgery department using the Google Hangouts application. This video conference method can be applied to clinical as well as anatomy lessons.
MeSH term(s)	Anatomy/education ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/prevention & control ; Education, Distance/methods ; Education, Distance/organization & administration ; Education, Medical/methods ; General Surgery/education ; Humans ; Infection Control/methods ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; SARS-CoV-2 ; Surgery Department, Hospital ; Teaching/trends ; Videoconferencing/organization & administration
Keywords	covid19
Language	English
Publishing date	2020-04-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	1025505-9
ISSN	1098-2353 ; 0897-3806
ISSN (online)	1098-2353
ISSN	0897-3806
DOI	10.1002/ca.23601
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Article ; Online: Laparoscopic resection for T4 colon cancer: perioperative and long-term outcomes.

Bretagnol, Frederic / Leroy, Joel

Updates in surgery

2016 Volume 68, Issue 1, Page(s) 59–62

Abstract: Laparoscopic resection has been considered a contraindication for T4 colorectal cancer. It is argued that it is a challenging and demanding procedure with high conversion rate, inadequate oncologic clearance and surgical outcomes. There are only a few ... ...

Abstract	Laparoscopic resection has been considered a contraindication for T4 colorectal cancer. It is argued that it is a challenging and demanding procedure with high conversion rate, inadequate oncologic clearance and surgical outcomes. There are only a few data on short- and long-term operative results. This review aimed at assessing feasibility and operative and oncologic results of laparoscopic resection for T4 colorectal cancer.
MeSH term(s)	Colectomy/methods ; Colonic Neoplasms/diagnosis ; Colonic Neoplasms/surgery ; Conversion to Open Surgery ; Follow-Up Studies ; Humans ; Laparoscopy/methods ; Neoplasm Staging ; Time Factors ; Treatment Outcome
Language	English
Publishing date	2016-03
Publishing country	Italy
Document type	Journal Article ; Review
ZDB-ID	2572692-4
ISSN	2038-3312 ; 2038-131X
ISSN (online)	2038-3312
ISSN	2038-131X
DOI	10.1007/s13304-016-0354-3
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Article: Quelle est la place du traitement local ?

Bretagnol, Frédéric

Gastroenterologie clinique et biologique

2007 Volume 31S1, Page(s) 63–74

Language	French
Publishing date	2007-01
Publishing country	France
Document type	Journal Article
ZDB-ID	752002-5
ISSN	0399-8320
ISSN	0399-8320
DOI	10.1016/S0399-8320(07)91506-7
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Article: Recommandations pour la pratique clinique. Choix des thérapeutiques du cancer du rectum. Quelle est la place du traitement local?

Bretagnol, Frédéric

Gastroenterologie clinique et biologique

2007 Volume 31 Spec No 1, Page(s) 1S63–74, 1S97–100

Title translation	Recommendations for clinical practice. Therapeutic choices for rectal cancer. What role should local treatment play in rectal cancer?.
MeSH term(s)	Electrocoagulation ; Endoscopy, Gastrointestinal ; Humans ; Laser Therapy ; Neoadjuvant Therapy ; Neoplasm Staging ; Rectal Neoplasms/pathology ; Rectal Neoplasms/therapy
Language	French
Publishing date	2007-01
Publishing country	France
Document type	Journal Article ; Review
ZDB-ID	752002-5
ISSN	0399-8320
ISSN	0399-8320
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Article: Daily medical education for confined students during COVID-19 pandemic: A simple videoconference solution

Moszkowicz, David / Duboc, Henri / Dubertret, Caroline / Roux, Damien / Bretagnol, Frédéric

Clin. anat

Abstract	The outbreak of coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 infection has recently spread globally and is now a pandemic. As a result, university hospitals have had to take unprecedented measures of containment, including asking nonessential staff to stay at home. Medical students practicing in the surgical departments find themselves idle, as nonurgent surgical activity has been canceled, until further notice. Likewise, universities are closed and medical training for students is likely to suffer if teachers do not implement urgent measures to provide continuing education. Thus, we sought to set up a daily medical education procedure for surgical students confined to their homes. We report a simple and free teaching method intended to compensate for the disappearance of daily lessons performed in the surgery department using the Google Hangouts application. This video conference method can be applied to clinical as well as anatomy lessons.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #38676
Database	COVID19

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Article: Daily medical education for confined students during coronavirus disease 2019 pandemic: A simple videoconference solution

Moszkowicz, David / Duboc, Henri / Dubertret, Caroline / Roux, Damien / Bretagnol, Frédéric

Clin Anat

Abstract	The outbreak of coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 infection has recently spread globally and is now a pandemic. As a result, university hospitals have had to take unprecedented measures of containment, including asking nonessential staff to stay at home. Medical students practicing in the surgical departments find themselves idle, as nonurgent surgical activity has been canceled, until further notice. Likewise, universities are closed and medical training for students is likely to suffer if teachers do not implement urgent measures to provide continuing education. Thus, we sought to set up a daily medical education procedure for surgical students confined to their homes. We report a simple and free teaching method intended to compensate for the disappearance of daily lessons performed in the surgery department using the Google Hangouts application. This video conference method can be applied to clinical as well as anatomy lessons.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #38676
Database	COVID19

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Article ; Online: Robotic-assisted transanal total mesorectal excision: the key against the Achilles' heel of rectal cancer?

Huscher, Cristiano G S / Bretagnol, Frederic / Ponzano, Cecilia

Annals of surgery

2015 Volume 261, Issue 5, Page(s) e120–1

MeSH term(s)	Aged ; Anal Canal/surgery ; Humans ; Laparoscopy/methods ; Male ; Middle Aged ; Rectal Neoplasms/surgery ; Rectum/surgery ; Robotics
Language	English
Publishing date	2015-05
Publishing country	United States
Document type	Letter
ZDB-ID	340-2
ISSN	1528-1140 ; 0003-4932
ISSN (online)	1528-1140
ISSN	0003-4932
DOI	10.1097/SLA.0000000000001089
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Article ; Online: Laparoscopic Colorectal Cancer Resection in High-Volume Surgical Centers: Long-Term Outcomes from the LAPCOLON Group Trial.

Huscher, Cristiano G S / Bretagnol, Frederic / Corcione, Francesco

World journal of surgery

2015 Volume 39, Issue 8, Page(s) 2045–2051

Abstract: Background: Strong evidence has confirmed the benefit of laparoscopy in colorectal cancer resection but remains a challenging procedure. It is not clear that such promising results in selected patients translate into a favorable risk-benefit balance in ... ...

Abstract	Background: Strong evidence has confirmed the benefit of laparoscopy in colorectal cancer resection but remains a challenging procedure. It is not clear that such promising results in selected patients translate into a favorable risk-benefit balance in real practice. We conducted a multicenter national observational registry to assess operative and oncologic long-term outcomes following laparoscopic colorectal cancer resection. Methods: All patients with laparoscopic colorectal cancer resection between 2001 and 2004 were included. Data were extracted from the prospective Italian national database of 10 high-volume centers (≥40 colorectal cancer laparoscopic resections per year). Surgical technique and follow-up were standardized. Survivals were analyzed by Kaplan-Meier method. Results: We reported 1832 patients with colon (58.5%) and rectal cancer (41.5%). TNM stage was 0-I-II in 1044 patients (57%) and III-IV in 788 patients (43%). Surgery included a totally laparoscopic procedure in 1820 patients (99.3%). Conversion was 10.5%. Postoperative morbidity and 30-day mortality rates were 17 and 1.2%, respectively. Clinical anastomotic leakage rate was 8.3% (n=152). R0 resection was 95%. With a median follow-up of 54.2 months, cancer recurrence rate was 13.3%. At 5 years, cancer-free survival was 86.7%. Upon multivariate analysis, age (P=0.001) and TNM stage (P<0.001) were associated with cancer-free survival. Predictive factors of cancer recurrence were gender (P=0.029) and TNM stage (P<0.001). Conclusions: In high-volume centers and non-selective patients, laparoscopic colorectal resection for cancer achieves good operative results with satisfactory long-term oncologic results. Even in the laparoscopy era, age, gender, and TNM stage remain the most powerful predictor of oncologic outcomes.
MeSH term(s)	Aged ; Anastomotic Leak/epidemiology ; Colectomy/methods ; Colonic Neoplasms/surgery ; Colorectal Neoplasms/surgery ; Conversion to Open Surgery/statistics & numerical data ; Disease-Free Survival ; Female ; Hospitals, High-Volume ; Humans ; Italy/epidemiology ; Laparoscopy/methods ; Male ; Middle Aged ; Neoplasm Recurrence, Local ; Postoperative Complications ; Prospective Studies ; Rectal Neoplasms/surgery ; Registries ; Time Factors ; Treatment Outcome
Language	English
Publishing date	2015-08
Publishing country	United States
Document type	Journal Article ; Multicenter Study ; Observational Study
ZDB-ID	224043-9
ISSN	1432-2323 ; 0364-2313
ISSN (online)	1432-2323
ISSN	0364-2313
DOI	10.1007/s00268-015-3050-4
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Article ; Online: Prise en charge des complications de la diverticulose sigmoïdienne.

Bretagnol, Frédéric / Panis, Yves

Presse medicale (Paris, France : 1983)

2008 Volume 37, Issue 5 Pt 2, Page(s) 827–830

Abstract: Computed tomography (CT) with contrast enhancement for vascular and bowel opacification is the reference examination for suspected sigmoid diverticulitis because it makes it possible to confirm the diagnosis and look for signs of severity (pericolic ... ...

Title translation	Management of complications of sigmoid diverticulosis.
Abstract	Computed tomography (CT) with contrast enhancement for vascular and bowel opacification is the reference examination for suspected sigmoid diverticulitis because it makes it possible to confirm the diagnosis and look for signs of severity (pericolic abscess, or presence of air or extraintestinal contrast product). Therapeutic management depends on the patient's general condition and on the severity of the intraperitoneal infection, assessed according to Hinchey's 4-stage classification. For Hinchey stages I and II (pericolic or pelvic abscess), radiologically guided puncture-drainage is an effective treatment, combined with antibiotic therapy. Emergency surgery is only indicated if this drainage fails. Two to three months later, elective prophylactic sigmoidectomy, by laparoscopy, is indicated. In stage III or IV diverticulitis (generalized purulent or fecal peritonitis), the surgical treatment of reference is a Hartmann procedure (sigmoidectomy and left iliac colostomy with closure of the rectal stump). But because of burden of the procedure and the risk of failing to re-establish gastrointestinal continuity, it is preferable, if local conditions allow, to propose resection-anastomosis with a temporary protective stoma. Prophylactic sigmoidectomy is controversial. It is indicated regardless of the number of episodes and regardless of age in patients at high risk of recurrence, that is, those with a complicated clinical form or radiologic signs of severity. There is no consensus for patients aged younger than 75 years with a first uncomplicated episode, for whom the risk of recurrence is also elevated. Finally, for patients older than 50 years with an uncomplicated episode on CT, the role of prophylactic surgery, even after 2 or 3 episodes, has not been demonstrated, because of the very low risk (<5%) of subsequent complications. More than 80% of diverticular hemorrhages stop spontaneously but their rate of recurrence is high (25% of cases) and they sometimes require emergency colectomy.
MeSH term(s)	Anti-Bacterial Agents/therapeutic use ; Cryosurgery ; Diverticulosis, Colonic/complications ; Diverticulosis, Colonic/diagnosis ; Diverticulosis, Colonic/therapy ; Drainage ; Enzyme Inhibitors/therapeutic use ; Gastrointestinal Hemorrhage/surgery ; Humans ; Sigmoid Diseases/complications ; Sigmoid Diseases/diagnosis ; Sigmoid Diseases/therapy ; Tomography, X-Ray Computed
Chemical Substances	Anti-Bacterial Agents ; Enzyme Inhibitors
Language	French
Publishing date	2008-05
Publishing country	France
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	120943-7
ISSN	2213-0276 ; 0032-7867 ; 0755-4982 ; 0301-1518
ISSN (online)	2213-0276
ISSN	0032-7867 ; 0755-4982 ; 0301-1518
DOI	10.1016/j.lpm.2007.07.032
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Article ; Online: Laparoscopic subtotal colectomy for acute or severe colitis with double-end ileo-sigmoidostomy in right iliac fossa.

Maggiori, Léon / Bretagnol, Frédéric / Alves, Arnaud / Panis, Yves

Surgical laparoscopy, endoscopy & percutaneous techniques

2010 Volume 20, Issue 1, Page(s) 27–29

Abstract: The aim of this study was to report an original technique of laparoscopic subtotal colectomy (STC) for acute colitis complicating inflammatory bowel disease where both ileostomy and sigmoidostomy are located in the right iliac fossa. Thirty-five ... ...

Abstract	The aim of this study was to report an original technique of laparoscopic subtotal colectomy (STC) for acute colitis complicating inflammatory bowel disease where both ileostomy and sigmoidostomy are located in the right iliac fossa. Thirty-five consecutive laparoscopic STC cases with ileo-sigmoidostomy in right iliac fossa were retrospectively reviewed. There was no mortality. No patient was reoperated until stoma closure. Bowel continuity was restored by either ileorectal anastomosis (n=14) or secondary proctectomy with ileal-pouch-anal anastomosis (IPAA; n=21). Elective approach was performed in 11 of 14 ileorectal anastomoses (79%) and through iterative laparoscopy in 21 of 21 IPAA (100%). Laparoscopic STC with ileo-sigmoidostomy in right iliac fossa avoid a secondary wound incision for sigmoidostomy, and offers the possibility of an elective approach for ileorectal anastomosis as in 79% of the patients. It allowed, in all cases, a totally laparoscopic approach for the second step of IPAA.
MeSH term(s)	Acute Disease ; Adolescent ; Adult ; Aged ; Anastomosis, Surgical ; Colectomy/adverse effects ; Colectomy/instrumentation ; Colectomy/methods ; Colitis/surgery ; Digestive System Surgical Procedures/adverse effects ; Digestive System Surgical Procedures/instrumentation ; Digestive System Surgical Procedures/methods ; Female ; Humans ; Ileostomy/adverse effects ; Ileostomy/instrumentation ; Ileostomy/methods ; Ileum/surgery ; Inflammatory Bowel Diseases/surgery ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Male ; Middle Aged ; Retrospective Studies ; Young Adult
Language	English
Publishing date	2010-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	1475108-2
ISSN	1534-4908 ; 1530-4515 ; 1051-7200
ISSN (online)	1534-4908
ISSN	1530-4515 ; 1051-7200
DOI	10.1097/SLE.0b013e3181cda0f8
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