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  1. Article: Postoperative pancreatic fistula after distal pancreatectomy: pancreatic thickness and duct size as the only denominators?

    Notte, Antoine / Doussot, Alexandre

    Hepatobiliary surgery and nutrition

    2023  Volume 12, Issue 2, Page(s) 229–231

    Language English
    Publishing date 2023-03-15
    Publishing country China (Republic : 1949- )
    Document type Editorial ; Comment
    ZDB-ID 2812398-0
    ISSN 2304-389X ; 2304-3881
    ISSN (online) 2304-389X
    ISSN 2304-3881
    DOI 10.21037/hbsn-23-47
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Comment on: local control and survival after induction chemotherapy and ablative radiation versus resection for pancreatic ductal adenocarcinoma with vascular involvement.

    Georges, Pauline / Doussot, Alexandre

    Hepatobiliary surgery and nutrition

    2021  Volume 10, Issue 5, Page(s) 672–674

    Language English
    Publishing date 2021-10-21
    Publishing country China (Republic : 1949- )
    Document type Editorial ; Comment
    ZDB-ID 2812398-0
    ISSN 2304-389X ; 2304-3881
    ISSN (online) 2304-389X
    ISSN 2304-3881
    DOI 10.21037/hbsn-21-336
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: ASO Author Reflections: Challenges in the Management of Synchronous Prostate Cancer and Rectal Cancer: Towards Double Organ Preservation?

    Doussot, Alexandre / Lakkis, Zaher

    Annals of surgical oncology

    2020  Volume 27, Issue 11, Page(s) 4294–4295

    MeSH term(s) Humans ; Male ; Multicenter Studies as Topic ; Neoplasms, Multiple Primary/therapy ; Organ Sparing Treatments ; Prostatic Neoplasms/therapy ; Rare Diseases ; Rectal Neoplasms/therapy
    Language English
    Publishing date 2020-05-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-020-08685-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: We Asked the Experts: How Do We Maintain Surgical Quality Standards for Enhanced Recovery Programs After Cancer Surgery During the COVID-19 Outbreak?

    Doussot, Alexandre / Heyd, Bruno / Lakkis, Zaher

    World journal of surgery

    2020  Volume 44, Issue 7, Page(s) 2051–2052

    Keywords covid19
    Language English
    Publishing date 2020-04-24
    Publishing country United States
    Document type Editorial
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-020-05546-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Anatomic patterns of anastomotic leaks after Ivor Lewis esophagectomy for cancer: Impact on management and outcomes.

    Laydi, Maxime / Doussot, Alexandre / Lakkis, Zaher / Mathieu, Pierre / Gandon, Anne / Dubois, Clément / Degisors, Sébastien / Martin, Louis / Heyd, Bruno / Piessen, Guillaume

    Surgery

    2023  Volume 174, Issue 2, Page(s) 247–251

    Abstract: Background: Anastomotic leakage presentation after Ivor Lewis esophagectomy may vary on imaging. Such variations may influence anastomotic leakage management and outcomes.: Methods: All consecutive patients who underwent Ivor Lewis esophagectomy for ... ...

    Abstract Background: Anastomotic leakage presentation after Ivor Lewis esophagectomy may vary on imaging. Such variations may influence anastomotic leakage management and outcomes.
    Methods: All consecutive patients who underwent Ivor Lewis esophagectomy for cancer between 2012 and 2019 in 2 referral centers were included. Anatomical patterns of anastomotic leakage were defined on imaging as follows: eso-mediastinal anastomotic leakage was a leak contained in the posterior mediastinum, eso-pleural anastomotic leakage was a leak involving the pleural cavity, and eso-bronchial anastomotic leakage was a leak communicating with the tracheobronchial tract. According to the Esophageal Complications Consensus Group definition, management and 90-day mortality were evaluated according to these patterns.
    Results: Among 731 patients, 111 (15%) developed anastomotic leakage consisting of eso-mediastinal anastomotic leakage (n = 87, 79%), eso-pleural anastomotic leakage (n = 16, 14%) and eso-bronchial anastomotic leakage (n = 8, 7%). There was no difference among these groups regarding preoperative characteristics or time to anastomotic leakage diagnosis. There was a significant difference in initial management according to anastomotic leakage anatomic patterns (P = .001). More than half of patients who experienced eso-mediastinal anastomotic leakage (n = 46, 53%) were initially treated conservatively without requiring intervention (Esophageal Complications Consensus Group type I), whereas most patients with eso-pleural anastomotic leakage (n = 14, 87.5%) and all with eso-bronchial anastomotic leakage (n = 8, 100%) initially required interventional or surgical treatment (Esophageal Complications Consensus Group type II-III). Anastomotic leakage anatomic patterns had a statistically significant impact on 90-day mortality, intensive care unit stay, and total hospital stay (P < .001).
    Conclusion: Anastomotic leakage anatomic patterns after Ivor Lewis esophagectomy influence outcomes. Further studies are warranted to validate it in a prospective setting. Anastomotic leakage anatomic patterns may help in guiding anastomotic leakage management.
    MeSH term(s) Humans ; Anastomotic Leak/diagnosis ; Anastomotic Leak/epidemiology ; Anastomotic Leak/etiology ; Esophagectomy/adverse effects ; Esophagectomy/methods ; Anastomosis, Surgical/adverse effects ; Anastomosis, Surgical/methods ; Prospective Studies ; Esophageal Neoplasms ; Retrospective Studies ; Postoperative Complications/diagnosis ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology
    Language English
    Publishing date 2023-06-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2023.04.034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: MEK inhibitors combined with programmed cell death-1 blockade immunotherapy for metastatic uveal melanoma: is it warranted?

    Zanella, Anais / Doussot, Alexandre / Puzenat, Eve / Aubin, François / Nardin, Charlée

    Melanoma research

    2020  Volume 30, Issue 6, Page(s) 606–607

    Abstract: In the setting of metastatic uveal melanoma (mUM), prognosis is dismal and treatment options are limited. MEK inhibition using selumetinib has led to promising results with improved progression-free survival. While immune checkpoint inhibitors such as ... ...

    Abstract In the setting of metastatic uveal melanoma (mUM), prognosis is dismal and treatment options are limited. MEK inhibition using selumetinib has led to promising results with improved progression-free survival. While immune checkpoint inhibitors such as programmed cell death-1 (PD-1) blockade therapy (anti-PD-1) has shown discrete efficacy in mUM, combining MEK inhibitors (MEKi) to anti-PD-1 might be an option as such combinations have shown synergistic efficacy in metastatic cutaneous melanoma. We report here and discuss our experience in three patients who received this combination in the absence of suitable alternative treatment. The efficacy was difficult to assess due to early severe toxicities (pneumonitis and Takotsubo syndrome). This case series highlights the need to evaluate the safety and efficacy of new treatment options such as MEKi and anti-PD-1 for mUM.
    MeSH term(s) Adult ; Female ; Humans ; Immunotherapy ; Male ; Melanoma ; Middle Aged ; Programmed Cell Death 1 Receptor/therapeutic use ; Protein Kinase Inhibitors/pharmacology ; Protein Kinase Inhibitors/therapeutic use ; Uveal Neoplasms
    Chemical Substances Programmed Cell Death 1 Receptor ; Protein Kinase Inhibitors
    Language English
    Publishing date 2020-06-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 1095779-0
    ISSN 1473-5636 ; 0960-8931
    ISSN (online) 1473-5636
    ISSN 0960-8931
    DOI 10.1097/CMR.0000000000000677
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Fluorescence-based pancreas stump perfusion is associated with postoperative acute pancreatitis after pancreatoduodenectomy a prospective cohort study.

    Doussot, Alexandre / Decrock, Marc / Calame, Paul / Georges, Pauline / Turco, Célia / Lakkis, Zaher / Heyd, Bruno

    Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.

    2021  

    Abstract: Background: Postoperative acute pancreatitis (POAP) emerges as a distinct pancreas-specific complication increasing both the risk and the burden of POPF after pancreatoduodenectomy. Among various risk factors, pancreas stump (PS) hypoperfusion might ... ...

    Abstract Background: Postoperative acute pancreatitis (POAP) emerges as a distinct pancreas-specific complication increasing both the risk and the burden of POPF after pancreatoduodenectomy. Among various risk factors, pancreas stump (PS) hypoperfusion might play a role in POAP occurrence but has never been investigated. The current study aimed at evaluating the feasibility of intraoperative fluorescence angiography (IOFA) of the PS using ICG and its association with POAP.
    Methods: Consecutive patients who underwent pancreatoduodenectomy for a periampullary tumor with pancreatojejunostomy and PS perfusion assessment using IOFA between January 2020 and November 2020 were prospectively included. Perioperative management and surgical strategy were standardized. IOFA of the pancreas stump was performed before fashioning pancreatojejunostomy. POAP was defined according to the Connor definition and was confirmed upon radiological blind review. Outcomes between patients with normally perfused and hypoperfused PS were compared. POAP was the primary endpoint.
    Results: Among 30 patients, nine patients (30%) developed POAP according to the Connor definition, and six patients (20%) had CT-confirmed POAP. Upon IOFA, six patients (20%) presented PS hypoperfusion; of which one patient underwent extended pancreatectomy further to the left. PS hypoperfusion was statistically associated with the occurrence of POAP (80% vs. 16%; p = 0.011) and CT-confirmed POAP (60% vs. 12%; p = 0.041). Clinically relevant POPF rate was 40% in case of PS hypoperfusion and 4% in case of normal PS perfusion (p = 0.064).
    Conclusions: PS perfusion assessment using IOFA seems safe and reliable to anticipate POAP. PS IOFA could be considered as a potential tool for perioperative assessment of surgical risk after pancreatoduodenectomy.
    Language English
    Publishing date 2021-05-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2056680-3
    ISSN 1424-3911 ; 1424-3903
    ISSN (online) 1424-3911
    ISSN 1424-3903
    DOI 10.1016/j.pan.2021.05.009
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  8. Article ; Online: Local invasion of hepatic alveolar echinococcosis should not be underestimated: Lessons learned from imaging-pathologic correlation.

    Calame, Paul / Doussot, Alexandre / Turco, Celia / Colpart, Prudence / Heyd, Bruno / Delabrousse, Eric

    Diagnostic and interventional imaging

    2021  Volume 102, Issue 3, Page(s) 189–192

    MeSH term(s) Echinococcosis, Hepatic/diagnostic imaging ; Echinococcosis, Hepatic/pathology ; Hepatectomy ; Humans ; Tomography, X-Ray Computed
    Language English
    Publishing date 2021-01-23
    Publishing country France
    Document type Case Reports ; Letter
    ZDB-ID 2648283-6
    ISSN 2211-5684 ; 2211-5684
    ISSN (online) 2211-5684
    ISSN 2211-5684
    DOI 10.1016/j.diii.2021.01.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Role of the radiologist in the diagnosis and management of the two forms of hepatic echinococcosis.

    Calame, Paul / Weck, Mathieu / Busse-Cote, Andreas / Brumpt, Eleonore / Richou, Carine / Turco, Celia / Doussot, Alexandre / Bresson-Hadni, Solange / Delabrousse, Eric

    Insights into imaging

    2022  Volume 13, Issue 1, Page(s) 68

    Abstract: Echinococcosis is a parasitic disease caused by two zoonotic tapeworms (cestodes) of the Echinocococcus genus. It can be classified as either alveolar or cystic echinococcosis. Although the two forms differ significantly in terms of imaging findings, ... ...

    Abstract Echinococcosis is a parasitic disease caused by two zoonotic tapeworms (cestodes) of the Echinocococcus genus. It can be classified as either alveolar or cystic echinococcosis. Although the two forms differ significantly in terms of imaging findings, they share similarities in terms of management and treatment. In parallel to medical treatment with albendazole (ABZ), and surgery, historically used in these diseases, various imaging-guided interventional procedures have recently emerged (drainage, stenting, or Puncture, aspiration, injection, and reaspiration (PAIR)). These options open up a new range of therapeutic options. As in oncology, multidisciplinary consultation meetings now play a major role in adapted management and patient care in hepatic echinococcosis. Consequently, diagnostic imaging and interventional expertise have brought radiologists to the fore as important members of these multidisciplinary team. The radiologist will need to evaluate parasite activity in both forms of the disease, to guide the choice of the appropriate therapy from among medical treatment, interventional radiology procedures and/or surgical treatment. Knowledge of the specific complications of the two forms of echinococcosis will also help radiologists to discuss the appropriate treatment and management. The aim of this review is to describe the core knowledge that what a radiologist should possess to actively participate in multidisciplinary meetings about hepatic echinococcosis. We discuss the role of imaging, from diagnosis to treatment, in alveolar (AE) and cystic echinococcosis (CE), respectively.
    Language English
    Publishing date 2022-04-08
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 2543323-4
    ISSN 1869-4101
    ISSN 1869-4101
    DOI 10.1186/s13244-022-01190-y
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  10. Article ; Online: Tissue-resident memory T cells in gastrointestinal cancer immunology and immunotherapy: ready for prime time?

    Abdeljaoued, Syrine / Arfa, Sara / Kroemer, Marie / Ben Khelil, Myriam / Vienot, Angélique / Heyd, Bruno / Loyon, Romain / Doussot, Alexandre / Borg, Christophe

    Journal for immunotherapy of cancer

    2022  Volume 10, Issue 4

    Abstract: Tissue-resident memory T ( ... ...

    Abstract Tissue-resident memory T (T
    MeSH term(s) Epigenesis, Genetic ; Gastrointestinal Neoplasms/therapy ; Humans ; Immunotherapy ; Memory T Cells ; Tumor Microenvironment
    Language English
    Publishing date 2022-04-25
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2719863-7
    ISSN 2051-1426 ; 2051-1426
    ISSN (online) 2051-1426
    ISSN 2051-1426
    DOI 10.1136/jitc-2021-003472
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