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Article ; Online: Colorectal surgery for functional bowel disorders.

Bretagnol, F / Hain, E / Moszkowicz, D / Giovinazzo, D

Journal of visceral surgery

2022 Volume 159, Issue 1S, Page(s) S35–S39

Abstract: Surgery is a last-resort treatment for the management of severe constipation, an alternative after failure of medical treatment. We can distinguish two types of management: "conservative" colon-sparing surgery, i.e. the Malone procedure (MP), or sacral ... ...

Abstract	Surgery is a last-resort treatment for the management of severe constipation, an alternative after failure of medical treatment. We can distinguish two types of management: "conservative" colon-sparing surgery, i.e. the Malone procedure (MP), or sacral neuromodulation (SNM), and "radical" surgery such as colorectal resection. While the place of SNM remains to be defined, the MP is well codified and has shown very satisfactory results. For radical treatment, total colectomy with ileo-rectal anastomosis is the reference procedure because it is the best documented. The place of more limited segmental colectomies is poorly defined and needs a more precise identification of the colonic segment involved. Finally, it is imperative that any severe constipation be managed within a multidisciplinary radiology-medico-surgical consultative program. Indeed, a multidisciplinary strategy allows rigorous selection of patients, the only guarantee of better long-term functional results, even though they unfortunately remain uncertain.
MeSH term(s)	Anastomosis, Surgical ; Colectomy/methods ; Colon/surgery ; Constipation/surgery ; Constipation/therapy ; Humans ; Rectum/surgery ; Treatment Outcome
Language	English
Publishing date	2022-02-05
Publishing country	France
Document type	Journal Article
ISSN	1878-7886
ISSN (online)	1878-7886
DOI	10.1016/j.jviscsurg.2021.12.008
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Article ; Online: Video assisted thoracoscopy or laparoscopy for enucleation of esophageal leiomyoma: A seven-year single center experience of 75 cases.

Pham, D H / Nguyen, N D / Do, M L / Nguyen, X H / Quach, V K / Bretagnol, F / Fingerhut, A / Leroy, J

Journal of visceral surgery

2021 Volume 159, Issue 2, Page(s) 108–113

Abstract: Objective: Leiomyoma is the most common benign tumor of the esophagus. Extra mucosal enucleation is the standard treatment. Herein we evaluated the feasibility and the outcomes of Minimally Invasive Surgery (MIS) using video-assisted thoracoscopic (VATS) ...

Abstract	Objective: Leiomyoma is the most common benign tumor of the esophagus. Extra mucosal enucleation is the standard treatment. Herein we evaluated the feasibility and the outcomes of Minimally Invasive Surgery (MIS) using video-assisted thoracoscopic (VATS) or laparoscopic surgery (VALS) for esophageal leiomyoma enucleation. Subjects and methods: Retrospective study of patients who were treated via VATS or VALS for esophageal leiomyoma enucleation in "Hanoi Viet Duc Hospital" from 2010 to 2017 by the same operator. The operative approach, tumor size, complications and outcomes after surgery were recorded. Results: Seventy-five patients were included. Mean age was 41.9 (range 20-68) years. The male/female sex ratio was 2.1:1. Fifty-five patients had clinical symptoms (73.3%). Tumors were identified in the upper third (12%), middle third (51%), and lower third (37%) of the esophagus. Mean tumor size was 3.7 (range 2-11) cm. VALS enucleation was performed in 23 patients who had leiomyoma located near the cardia (gastroesophageal junction or abdominal esophagus). The remaining 52 patients underwent right (n=42) or left VATS (n=10). Five patients (6.7%) sustained esophageal mucosa injury during dissection, repaired by MIS without late morbidity. A mini-incision (2 mini-laparotomies and 1 thoracotomy) was required in three patients (4%) due to large tumor size or mucosal injury. The mean operative time was 105min in VATS and 174min in VALS. No major perioperative surgical or medical complications were reported. The mean duration of hospital stay was 7.2 (range 5-12) days. Conclusions: MIS enucleation of esophageal leiomyoma is technically safe and associated with a high therapeutic success rate with low medico-surgical morbidity. VATS could be applied for almost all esophageal leiomyoma tumors; however, the VALS approach was preferred for tumors located near the gastroesophageal junction in order to create an anti-reflux valve after enucleation.
MeSH term(s)	Adult ; Aged ; Esophageal Neoplasms/complications ; Female ; Humans ; Laparoscopy ; Leiomyoma/surgery ; Male ; Middle Aged ; Retrospective Studies ; Thoracoscopy ; Valsartan ; Young Adult
Chemical Substances	Valsartan (80M03YXJ7I)
Language	English
Publishing date	2021-08-23
Publishing country	France
Document type	Journal Article
ISSN	1878-7886
ISSN (online)	1878-7886
DOI	10.1016/j.jviscsurg.2021.02.012
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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

Clinical anatomy (New York, N.Y.)

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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Zs.A 1346: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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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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Zs.A 1346: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article: Comment prendre en charge une tumeur villeuse étendue du bas rectum?

Bretagnol, F / Panis, Y

Gastroenterologie clinique et biologique

2009 Volume 33, Issue 10-11 Suppl, Page(s) F101–5

Abstract: Radical surgery (i.e. rectal resection) remains the gold standard for surgical management of large villous tumours but such a strategy is associated with potential postoperative complications with high risk of functional disorders and genito-urinary ... ...

Title translation	Management of large villous tumors of the lower part of the rectum.
Abstract	Radical surgery (i.e. rectal resection) remains the gold standard for surgical management of large villous tumours but such a strategy is associated with potential postoperative complications with high risk of functional disorders and genito-urinary dysfunction. Transanal local surgery is an alternative treatment with low morbidity. A new procedure as transanal endoscopic microsurgery can be proposed to achieve local complete excision of rectal tumours especially in the middle and upper parts of the rectum lesions unresectable by conventional local surgery. For malignant tumours, accurate pathological evaluation to define histopathological criteria must be done to propose or not additional radical surgery.
MeSH term(s)	Adenoma, Villous/pathology ; Adenoma, Villous/surgery ; Diagnosis, Differential ; Humans ; Microsurgery ; Proctoscopy ; Rectal Neoplasms/pathology ; Rectal Neoplasms/surgery ; Treatment Outcome
Language	French
Publishing date	2009-10
Publishing country	France
Document type	English Abstract ; Journal Article
ZDB-ID	752002-5
ISSN	0399-8320
ISSN	0399-8320
DOI	10.1016/j.gcb.2009.07.023
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Article ; Online: Laparoscopic ventral rectopexy: a prospective long-term evaluation of functional results and quality of life.

Maggiori, L / Bretagnol, F / Ferron, M / Panis, Y

Techniques in coloproctology

2013 Volume 17, Issue 4, Page(s) 431–436

Abstract: Background: Laparoscopic ventral rectopexy for rectal prolapse combines the advantages of a minimally invasive approach with the low recurrence rate observed after abdominal procedures. To date, only a few long-term functional studies and no quality of ... ...

Abstract	Background: Laparoscopic ventral rectopexy for rectal prolapse combines the advantages of a minimally invasive approach with the low recurrence rate observed after abdominal procedures. To date, only a few long-term functional studies and no quality of life assessment are available. The aim of this study was to assess long-term functional outcomes and quality of life after laparoscopic ventral rectopexy. Methods: Between January 2007 and December 2008, patients who underwent laparoscopic ventral rectopexy for full-thickness external rectal prolapse and/or rectocele were prospectively included. Fecal incontinence and constipation were scored (Wexner score and Rome II criteria). Quality of life was assessed using the gastrointestinal quality of life form (GIQLI). Results: Thirty-three patients were included and 30 (91 %) completed all the questionnaires. There was no morbidity or mortality. The mean length of hospital stay was 5 ± 1 days (range 3-7 days). After a mean follow-up of 42 ± 7 months (range 32-52 months), recurrence of rectocele was observed in two patients (6 %). At the end of follow-up, constipation was improved in 13/18 patients (72 %) and two patients (7 %) presented de novo constipation. The patients' Wexner score improved between preoperative status and end of follow-up (12 ± 7 vs. 4 ± 3, p = 0.002). Compared to the preoperative score, quality of life significantly improved over time: 77 ± 21 preoperatively versus 107 ± 17 at 1 year versus 109 ± 18 at the end of follow-up (p < 0.001). Conclusions: This prospective study showed that laparoscopic ventral rectopexy was associated with excellent postoperative outcomes and a low long-term recurrence rate. Long-term functional results were excellent in terms of continence, with significant improvement of quality of life and without worsening constipation.
MeSH term(s)	Adult ; Aged ; Cohort Studies ; Constipation/prevention & control ; Fecal Incontinence/prevention & control ; Female ; Follow-Up Studies ; Humans ; Laparoscopy/methods ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures/methods ; Patient Satisfaction/statistics & numerical data ; Proctoscopy/methods ; Prospective Studies ; Quality of Life ; Recovery of Function ; Rectal Prolapse/diagnosis ; Rectal Prolapse/surgery ; Rectocele/diagnosis ; Rectocele/surgery ; Risk Assessment ; Surgical Mesh ; Surveys and Questionnaires ; Time Factors ; Treatment Outcome
Keywords	covid19
Language	English
Publishing date	2013-01-23
Publishing country	Italy
Document type	Evaluation Study ; Journal Article
ZDB-ID	2083309-X
ISSN	1128-045X ; 1123-6337
ISSN (online)	1128-045X
ISSN	1123-6337
DOI	10.1007/s10151-013-0973-3
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Article ; Online: Laparoscopy in the second and third trimesters of pregnancy for abdominal surgical emergencies.

Guterman, S / Mandelbrot, L / Keita, H / Bretagnol, F / Calabrese, D / Msika, S

Journal of gynecology obstetrics and human reproduction

2017 Volume 46, Issue 5, Page(s) 417–422

Abstract: Objective: To assess complications and outcomes of pregnancies following laparoscopic abdominal surgery during the second and third trimesters of pregnancy.: Material and methods: Retrospective single-center study of 23 cases of laparoscopic surgery ... ...

Abstract	Objective: To assess complications and outcomes of pregnancies following laparoscopic abdominal surgery during the second and third trimesters of pregnancy. Material and methods: Retrospective single-center study of 23 cases of laparoscopic surgery in the second or third trimesters of pregnancy between January 2005 and May 2016. Results: The laparoscopies were performed between 15 and 33 weeks of gestation, a mean of 23 weeks+2 days, with 6 cases in the 3rd trimester. The operations were: 11 cholecystectomies, 6 appendectomies, 1 intestinal occlusion (volvulus on a gastric band), 3 adnexal torsions, 1 ovarian cyst and 1 paratubal cyst with torsion. No secondary laparotomy was required. The postoperative courses were favorable in most cases. However, 3 appendectomies were complicated, one by chorioamnionitis and miscarriage at 20½ weeks of gestation and 2 by right iliac fossa abscesses requiring percutaneous radiological drainage, one of these women delivered a healthy term baby and the other had chorioamnionitis and preterm delivery at 34 weeks, followed by neonatal death. Conclusion: Laparoscopy can be safely performed for surgical indications in the second and third trimesters of pregnancy. In case of abdominal symptoms, a timely diagnosis is required to decide whether or not to operate and imaging should not be withheld particularly in case of suspected appendicitis which has a high risk of complications.
MeSH term(s)	Adolescent ; Appendectomy/adverse effects ; Appendectomy/methods ; Appendectomy/statistics & numerical data ; Appendicitis/epidemiology ; Appendicitis/surgery ; Cholecystectomy, Laparoscopic/adverse effects ; Emergencies ; Fallopian Tube Diseases/epidemiology ; Fallopian Tube Diseases/surgery ; Female ; Gallstones/epidemiology ; Gallstones/surgery ; Humans ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Laparoscopy/statistics & numerical data ; Ovarian Cysts/epidemiology ; Ovarian Cysts/surgery ; Pregnancy ; Pregnancy Complications/epidemiology ; Pregnancy Complications/surgery ; Pregnancy Outcome/epidemiology ; Pregnancy Trimester, Second ; Pregnancy Trimester, Third ; Retrospective Studies ; Torsion, Mechanical ; Treatment Outcome ; Young Adult
Language	English
Publishing date	2017-03-31
Publishing country	France
Document type	Journal Article ; Observational Study
ISSN	2468-7847
ISSN (online)	2468-7847
DOI	10.1016/j.jogoh.2017.03.008
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Article: Chirurgie du cancer du rectum.

Bretagnol, F / de Calan, L

Journal de chirurgie

2007 Volume 143, Issue 6, Page(s) 366–372

Abstract: Surgical resection is the only curative procedure for carcinoma of the rectum. Heald's development of total mesorectal excision has made it the standard approach for mobile, non-fixed tumors; it permits optimal local control with less than 10% local ... ...

Title translation	Surgery treatment of rectal cancer.
Abstract	Surgical resection is the only curative procedure for carcinoma of the rectum. Heald's development of total mesorectal excision has made it the standard approach for mobile, non-fixed tumors; it permits optimal local control with less than 10% local recurrence at five years and minimizes nerve damage and genito-urinary complications. Although initial short-term results of laparoscopic approaches are very promising, the final role of laparoscopy has not yet been established. Neo-adjuvant radiotherapy should be proposed for locally advanced (T3, T4, and/or N+) tumors of the low and mid-rectum. Radiochemotherapy coupled with intersphincteric dissection offers hope for sphicter-sparing extirpation of even the lowest of rectal cancers. Local resection through a trans-anal approach may be considered for small (<3 cm.), mobile, well-differentiated tumors lying within 8 cm. of the anal verge if rectal echo-endoscopy shows an in-situ tumor or a T1 lesion with no evidence of lymphadenopathy. Future strategies may enlarge the indications for local resection if and when radiochemotherapy can achieve a complete local response (tumor sterilization).
MeSH term(s)	Endosonography ; Female ; Follow-Up Studies ; Forecasting ; Humans ; Laparoscopy ; Laparotomy ; Magnetic Resonance Imaging ; Male ; Neoadjuvant Therapy ; Neoplasm Recurrence, Local ; Neoplasm Staging ; Prospective Studies ; Radiography, Abdominal ; Radiotherapy Dosage ; Radiotherapy, Adjuvant ; Randomized Controlled Trials as Topic ; Rectal Neoplasms/diagnosis ; Rectal Neoplasms/diagnostic imaging ; Rectal Neoplasms/drug therapy ; Rectal Neoplasms/pathology ; Rectal Neoplasms/radiotherapy ; Rectal Neoplasms/surgery ; Rectum/pathology ; Retrospective Studies ; Time Factors ; Tomography, X-Ray Computed ; Treatment Outcome
Language	French
Publishing date	2007-01-24
Publishing country	France
Document type	Comparative Study ; Journal Article ; Review
ZDB-ID	218138-1
ISSN	1773-0422 ; 0021-7697
ISSN (online)	1773-0422
ISSN	0021-7697
DOI	10.1016/s0021-7697(06)73718-8
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