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Article ; Online: Correspondence.

Duchalais, E / Larson, D W

2019 Volume 106, Issue 7, Page(s) 950–951

MeSH term(s)	Humans ; Neoadjuvant Therapy ; Prognosis ; Rectal Neoplasms
Language	English
Publishing date	2019-06-03
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	2985-3
ISSN	1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
ISSN (online)	1365-2168
ISSN	0263-1202 ; 0007-1323 ; 1355-7688
DOI	10.1002/bjs.11202
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Article ; Online: Technique for treatment of recurrent perianal fistula in Crohn's disease using autologous fat.

Bourgeois, A / Girardot-Miglierina, A / Thomières, A / Podevin, J / Perrot, P / Duchalais, E

Techniques in coloproctology

2023 Volume 27, Issue 12, Page(s) 1377–1378

MeSH term(s)	Humans ; Crohn Disease/complications ; Rectal Fistula/etiology ; Rectal Fistula/surgery ; Treatment Outcome
Language	English
Publishing date	2023-07-10
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/s10151-023-02836-9
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Zs.A 5842: Show issues

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Article ; Online: Readmissions at 30 days after inguinal hernia repair: A series of 5126 patients.

Drissi, F / Gillion, J-F / Duchalais, E

Journal of visceral surgery

2020 Volume 158, Issue 4, Page(s) 299–304

Abstract: Introduction: The evaluation of the re-admission rate within 30 days of inguinal hernia repair represents a patient management quality indicator. The goal of our study was to evaluate the re-admission rate at 30 days after inguinal hernia repair and ... ...

Abstract	Introduction: The evaluation of the re-admission rate within 30 days of inguinal hernia repair represents a patient management quality indicator. The goal of our study was to evaluate the re-admission rate at 30 days after inguinal hernia repair and identify the risk factors for re-admission. Methods: Based on a prospective national registry, patient data were collected during two years. The number of and reasons for re-admissions were compiled. Results: A total of 5126 patients, mean age 61 years, underwent inguinal hernia repair. Ambulatory surgery was performed in 4013 (78%) patients. Failed ambulatory surgery was recorded for 100 (2%) patients. Thirty-three (0.64%) patients were re-admitted within 30 days following surgery for 34 various reasons. The re-admission rate after ambulatory surgery was 0.5%. Half of patients re-admitted presented with a severe complication that required re-intervention. In multivariable analysis, emergency hernia repair (OR 4.899 [1.309-18.327]; P=0.01) and prolonged duration of operation (OR 1.023 [1.009-1.037]; P=0.001) were identified as independent risk factors for re-admission within 30 days after surgery. Conclusion: Within this prospective national cohort, the overall re-admission rate after inguinal hernia repair was 0.64%, slightly less among the patients undergoing ambulatory surgery. Half of re-admitted patients required surgical re-operation. Emergency hernia repair and prolonged duration of operation were risk factors for re-admission.
MeSH term(s)	Ambulatory Surgical Procedures ; Hernia, Inguinal/surgery ; Herniorrhaphy/adverse effects ; Humans ; Middle Aged ; Patient Readmission ; Prospective Studies
Language	English
Publishing date	2020-08-15
Publishing country	France
Document type	Journal Article
ISSN	1878-7886
ISSN (online)	1878-7886
DOI	10.1016/j.jviscsurg.2020.08.009
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Article ; Online: Cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy by laparoscopy via a single-port approach for low-grade peritoneal malignancy.

Dumont, F / Duchalais, E / Aumont, A / Thibaudeau, E

Surgical endoscopy

2020 Volume 34, Issue 6, Page(s) 2789–2795

Abstract: Background: Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) is a long and complex procedure. A minimal invasive approach is rarely performed. The feasibility of laparoscopic CRS and HIPEC via a single port (SP) approach ...

Abstract	Background: Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) is a long and complex procedure. A minimal invasive approach is rarely performed. The feasibility of laparoscopic CRS and HIPEC via a single port (SP) approach is unknown. The aim of this study was to assess the feasibility of CRS and HIPEC with a SP approach. Methods: This study is IDEAL stage I-IIa. Patients with low grade and limited peritoneal malignancy were included in a tertiary care cancer center. Intra- and post-operative adverse events were recorded and classified according to medical and surgical dedicated classifications. The main objective measurement to assess feasibility was the conversion to open or multiport surgery. Results: A total of 12 highly selected patients were assessed. The median operating time was 240 min (range, 180-360) and two near miss events were reported. Two conversions to open and multiport surgery occurred. The median comprehensive complication index was 0 (range, 0-42.6) with two severe adverse events (Clavien-Dindo or CTC-AE ≥ 3). The median length of stay was 8.5 days (range, 5-13). Conclusion: CRS and HIPEC via a laparoscopic SP approach are feasible and safe in the short term. The next step should be a prospective development study.
MeSH term(s)	Adult ; Aged ; Combined Modality Therapy ; Cytoreduction Surgical Procedures/methods ; Feasibility Studies ; Female ; Humans ; Hyperthermic Intraperitoneal Chemotherapy/methods ; Laparoscopy/methods ; Male ; Middle Aged ; Neoplasm Grading ; Operative Time ; Peritoneal Neoplasms/pathology ; Peritoneal Neoplasms/therapy ; Peritoneum/pathology ; Peritoneum/surgery ; Postoperative Period
Language	English
Publishing date	2020-03-12
Publishing country	Germany
Document type	Evaluation Study ; Journal Article
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-020-07492-w
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Article ; Online: Anatomic and functional results of ventral biological mesh rectopexy for posterior pelvic floor disorders.

Rogier-Mouzelas, F / Drissi, F / Podevin, J / Duchalais, E / Meurette, G

Journal of visceral surgery

2022 Volume 160, Issue 3, Page(s) 188–195

Abstract: Introduction: Ventral mesh rectopexy (VMR) is the gold standard for rectal prolapse surgery, but the type of mesh reinforcement is still a matter of debate. The aim of this study was to assess the anatomic and functional results of a single center ... ...

Abstract	Introduction: Ventral mesh rectopexy (VMR) is the gold standard for rectal prolapse surgery, but the type of mesh reinforcement is still a matter of debate. The aim of this study was to assess the anatomic and functional results of a single center cohort of patients receiving ventral rectopexy with biological mesh compared to a reference group who had implantation of synthetic mesh. We also assessed the predictive factors for recurrence. Patients and methods: Seventy patients (2015-2021) were included in the biological mesh group and were compared to a reference group of 345 patients operated on with a synthetic mesh (2004-2017). Results: In the biological mesh group, the mean age of patients was 65 years (53-72). The main disorders of the posterior pelvic floor were rectal prolapse (30 cases) or rectocele (37 cases). Two patients had solitary rectal ulcer syndrome and one had internal prolapse. VMR was performed by a laparoscopic approach with robotic assistance in 93%. After a median follow-up of 12 (4.5-23) months, the anatomic recurrence rate was 10%. The median satisfaction score assessed in a telephone interview by a semi-quantitative scale from 0 to 10 was 7. Compared to the synthetic group, neither the morbidity rate (Dindo>2) (0.6% synthetic versus 1.4% biological mesh), nor the recurrence rate (12% synthetic versus 10% biological (ns) with an average interval of 13.5 versus 14 months, respectively) were statistically significantly different. Conclusion: VMR with biological mesh represents an alternative to synthetic mesh. Despite its resorbable nature, biological mesh does not seem to increase the risk of recurrence and offers satisfying functional results after a medium term follow-up.
MeSH term(s)	Female ; Humans ; Middle Aged ; Aged ; Rectal Prolapse/surgery ; Pelvic Floor Disorders/surgery ; Surgical Mesh ; Laparoscopy/methods ; Treatment Outcome ; Rectum/surgery
Language	English
Publishing date	2022-11-04
Publishing country	France
Document type	Journal Article
ISSN	1878-7886
ISSN (online)	1878-7886
DOI	10.1016/j.jviscsurg.2022.09.009
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Article ; Online: Long-term results of sacral neuromodulation for the treatment of anorectal diseases.

Duchalais, E / Drissi, F / Delestre, M / Wyart, V / Lehur, P-A / Meurette, G

Journal of visceral surgery

2021 Volume 159, Issue 6, Page(s) 463–470

Abstract: Introduction: Sacral neuromodulation (SNM) aims to improve anorectal function in patients with disorders of anal continence and rectal emptying. The mechanism of action of SNM is not well known, and its indications are still under evaluation. We report ... ...

Abstract	Introduction: Sacral neuromodulation (SNM) aims to improve anorectal function in patients with disorders of anal continence and rectal emptying. The mechanism of action of SNM is not well known, and its indications are still under evaluation. We report the functional results and morbidity of a prospective cohort treated between 2002 and 2019. Results: A total of 284 patients (of 423 tested) had implantation of a SNM. Five patients (1.8%) were lost to follow-up. Among those who had implantation, the indications for SNM were anal incontinence (n=376), refractory constipation (n=17), anterior resection syndrome (n=13), solitary rectal ulcer syndrome (n=7), and chronic inflammatory bowel disease (IBD) (n=10). The morbidity rate was 2.7% (Dindo-Clavien>2), 33 patients (11%) required explantation for infection (n=5), pain (n=2), inefficacy (n=24) or other reasons (rectal cancer) (n=3). It was necessary to change the stimulator in 68 patients (24%) during the follow-up period. Regarding the group of patients with anal incontinence, functional results showed improvement of the incontinence score in 40% and of quality of life in 25% after a mean follow-up of 55months. Conclusion: SNM constitutes a mini-invasive treatment associated with low morbidity. Its' efficacy in anal incontinence makes it a priority approach. Other indications are still under evaluation; while results are promising, they are highly variable.
MeSH term(s)	Humans ; Electric Stimulation Therapy ; Prospective Studies ; Quality of Life ; Treatment Outcome ; Fecal Incontinence/therapy ; Rectal Diseases/therapy ; Sacrum
Language	English
Publishing date	2021-11-01
Publishing country	France
Document type	Journal Article
ISSN	1878-7886
ISSN (online)	1878-7886
DOI	10.1016/j.jviscsurg.2021.09.007
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Article ; Online: Laparoscopic total pelvic exenteration via an extraperitoneal approach.

Dumont, F / Duchalais, E / Joseph, S / Thibaudeau, E

Surgical oncology

2018 Volume 28, Page(s) 109

MeSH term(s)	Female ; Humans ; Laparoscopy/methods ; Pelvic Exenteration/methods ; Pelvis/surgery ; Prognosis ; Retroperitoneal Space/surgery ; Ureter/surgery ; Uterine Cervical Neoplasms/surgery ; Video Recording
Language	English
Publishing date	2018-11-26
Publishing country	Netherlands
Document type	Case Reports ; Journal Article
ZDB-ID	1107810-8
ISSN	1879-3320 ; 0960-7404
ISSN (online)	1879-3320
ISSN	0960-7404
DOI	10.1016/j.suronc.2018.11.020
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Book ; Online: Stacked Tensegrity Mechanism for Medical Application

Khanzode, Dhruva / Jha, Ranjan / Duchalais, Emilie / Chablat, Damien

2022

Abstract: In this article a multi-segmented planar tensegrity mechanism was presented. This mechanism has a three-segment structure with each segment residing on top of another. The size of the segments may decrease proportionally from base to top, resulting in a ... ...

Abstract	In this article a multi-segmented planar tensegrity mechanism was presented. This mechanism has a three-segment structure with each segment residing on top of another. The size of the segments may decrease proportionally from base to top, resulting in a tapered shape from base to tip like an elephant trunk. The system was mechanically formulated as having linear springs and cables functioning as actuators. The singularities, as well as the stability of the parallel mechanism, were analyzed by using the principle of minimum energy. Optimization was also done to obtain the greatest angular deflection for a segment according to a ratio between the size of the base and the moving platform of the robotic system. The result of this work is a family of mechanisms that can generate the same workspace for different stability properties.
Keywords	Computer Science - Robotics
Publishing date	2022-04-04
Publishing country	us
Document type	Book ; Online
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Article ; Online: Short-Term Outcomes with Robotic Right Colectomy.

Kelley, Scott R / Duchalais, Emilie / Larson, David W

The American surgeon

2019 Volume 84, Issue 11, Page(s) 1768–1773

Abstract: Few series have reported on the impact of robotic right colectomy compared with conventional laparoscopy. Even fewer have reported on the outcomes of intracorporeal anastomoses. The aim of our study was to determine the impact of robotic surgery on short- ...

Abstract	Few series have reported on the impact of robotic right colectomy compared with conventional laparoscopy. Even fewer have reported on the outcomes of intracorporeal anastomoses. The aim of our study was to determine the impact of robotic surgery on short-term operative outcomes in patients undergoing right colectomy with intracorporeal anastomosis. One hundred and fourteen consecutive patients who underwent a right colectomy by two colorectal surgeons between 2012 and 2017 were included. Patients were separated into two groups: laparoscopic technique with extracorporeal anastomosis (n = 87) and robotic technique with intracorporeal anastomosis (n = 27). Univariate analysis was performed to determine differences in outcomes. Differences between cohorts were only identified with regard to gender (62
MeSH term(s)	Aged ; Analysis of Variance ; Anastomosis, Surgical/methods ; Cohort Studies ; Colectomy/adverse effects ; Colectomy/methods ; Colonic Neoplasms/mortality ; Colonic Neoplasms/pathology ; Colonic Neoplasms/surgery ; Female ; Humans ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Length of Stay ; Male ; Middle Aged ; Operative Time ; Pain, Postoperative/epidemiology ; Pain, Postoperative/physiopathology ; Patient Safety ; Postoperative Complications/epidemiology ; Postoperative Complications/physiopathology ; Prognosis ; Retrospective Studies ; Risk Assessment ; Robotic Surgical Procedures/adverse effects ; Robotic Surgical Procedures/methods ; Statistics, Nonparametric ; Survival Rate ; Treatment Outcome
Language	English
Publishing date	2019-02-12
Publishing country	United States
Document type	Comparative Study ; Journal Article
ZDB-ID	202465-2
ISSN	1555-9823 ; 0003-1348
ISSN (online)	1555-9823
ISSN	0003-1348
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Article ; Online: Does Sleeve Gastrectomy Increase the Risk of Barret's Esophagus?

Lallemand, L / Duchalais, E / Musquer, N / Jacobi, D / Coron, E / des Varannes, S Bruley / Mirallié, E / Blanchard, C

Obesity surgery

2020 Volume 31, Issue 1, Page(s) 101–110

Abstract: Purpose: Sleeve gastrectomy (SG) is the most commonly performed bariatric surgical procedure worldwide. However, the impact of SG on Barrett's esophagus (BE) remains unknown. The main objective was to determine the rate of BE 5 years after SG.: ... ...

Abstract	Purpose: Sleeve gastrectomy (SG) is the most commonly performed bariatric surgical procedure worldwide. However, the impact of SG on Barrett's esophagus (BE) remains unknown. The main objective was to determine the rate of BE 5 years after SG. Materials and methods: Patients, operated in 2012 by SG in one center, who preoperatively and postoperatively (5 years) underwent upper gastrointestinal endoscopy (UGIE), 24-h pH monitoring, and esophageal manometry, were included. Results: A total of 59 (81.4% of females) patients were included. Preoperative mean age and body mass index were 45.2 ± 11.7 years and 45.2 ± 8.1 kg/m Conclusions: This study highlights the incidence of postoperative GERD and endoscopic lesions following SG. Even though SG is not contraindicated in case of reflux, GERD patients who undergo SG may be supervised by a close endoscopic surveillance.
MeSH term(s)	Barrett Esophagus/epidemiology ; Barrett Esophagus/surgery ; Female ; Follow-Up Studies ; Gastrectomy/adverse effects ; Gastroesophageal Reflux/epidemiology ; Gastroesophageal Reflux/etiology ; Gastroesophageal Reflux/surgery ; Humans ; Obesity, Morbid/surgery
Language	English
Publishing date	2020-07-29
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/s11695-020-04875-9
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