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  1. Article ; Online: FOxTROT: Are We Ready to Dance?

    Taieb, Julien / Karoui, Mehdi

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology

    2023  Volume 41, Issue 8, Page(s) 1514–1517

    MeSH term(s) Humans ; Dancing
    Language English
    Publishing date 2023-01-19
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 604914-x
    ISSN 1527-7755 ; 0732-183X
    ISSN (online) 1527-7755
    ISSN 0732-183X
    DOI 10.1200/JCO.22.02108
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1847: Show issues Location:
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  2. Article ; Online: Restoration of gastro-intestinal continuity after laparoscopic distal gastrectomy.

    Mariani, Antoine / Rebibo, Lionel / Karoui, Mehdi

    Journal of visceral surgery

    2023  Volume 160, Issue 6, Page(s) 456–460

    MeSH term(s) Humans ; Gastroenterostomy ; Stomach Neoplasms/surgery ; Laparoscopy ; Gastrectomy
    Language English
    Publishing date 2023-11-18
    Publishing country France
    Document type Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2023.09.006
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  3. Article ; Online: Management after local excision of small rectal cancers. Indications for completion total mesorectal excision and possible alternatives.

    Labiad, Camélia / Alric, Hadrien / Barret, Maximilien / Cazelles, Antoine / Rahmi, Gabriel / Karoui, Mehdi / Manceau, Gilles

    Journal of visceral surgery

    2024  

    Abstract: The treatment of superficial rectal cancers (local excision, or proctectomy with total mesorectal excision (TME) remains controversial. Endoscopy and endorectal ultrasonography are essential for the precise initial definition of these small cancers. ... ...

    Abstract The treatment of superficial rectal cancers (local excision, or proctectomy with total mesorectal excision (TME) remains controversial. Endoscopy and endorectal ultrasonography are essential for the precise initial definition of these small cancers. During endoscopy, the depth of the lesion can be estimated using virtual chromoendoscopy with magnification, thereby aiding the assessment of the possibilities of local excision. Current international recommendations indicate completion proctectomy after wide local excision for cases where the pathologic examination reveals poorly-differentiated lesions, lymphovascular invasion, grade 2 or 3 tumor budding, and incomplete resection. But debate persists regarding whether the depth of submucosal invasion can accurately predict the risk of lymph node spread. Recent data from the literature suggest that the depth of submucosal invasion should no longer, by itself, be an indication for additional oncological surgery. Adjuvant radio-chemotherapy could be an alternative to completion proctectomy in patients with pT1 rectal cancer and unfavorable histopathological criteria. A Dutch randomized controlled trial is underway to validate this strategy.
    Language English
    Publishing date 2024-03-05
    Publishing country France
    Document type Journal Article ; Review
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2024.02.003
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  4. Article: Case report: Schizophrenia and hypertrophic osteoarthropathy, a rare syndrome hiding a life-threatening condition.

    Baklouti, Emna / Karoui, Mehdi / Kammoun, Rania / Ellouze, Faten

    Clinical case reports

    2022  Volume 10, Issue 1, Page(s) e05247

    Abstract: Schizophrenia is associated to somatic disorders especially cardio-vascular and auto-immune. Through this case report, we describe an association with hypertrophic osteoarthropathy (HPO). For this patient, it was a paraneoplastic syndrome secondary to ... ...

    Abstract Schizophrenia is associated to somatic disorders especially cardio-vascular and auto-immune. Through this case report, we describe an association with hypertrophic osteoarthropathy (HPO). For this patient, it was a paraneoplastic syndrome secondary to lung cancer. This syndrome is rare but important to recognize since it could hide a life-threatening condition.
    Language English
    Publishing date 2022-01-12
    Publishing country England
    Document type Case Reports
    ZDB-ID 2740234-4
    ISSN 2050-0904
    ISSN 2050-0904
    DOI 10.1002/ccr3.5247
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  5. Article ; Online: Outcomes of a Phase II Study of Intraperitoneal Paclitaxel Plus Systemic Capecitabine and Oxaliplatin (XELOX) for Gastric Cancer with Peritoneal Metastases.

    Mariani, Antoine / Zaanan, Aziz / Glehen, Olivier / Karoui, Mehdi

    Annals of surgical oncology

    2022  

    Language English
    Publishing date 2022-11-16
    Publishing country United States
    Document type Letter
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-022-12837-x
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4042: Show issues Location:
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  6. Article: Cognitive and psychiatric signs revealing Sneddon syndrome: A case report.

    Karoui, Mehdi / Baklouti, Emna / Ben Mohamed, Dina / Riahi, Hend / Chelli-Bouaziz, Mouna

    Clinical case reports

    2023  Volume 11, Issue 10, Page(s) e8013

    Abstract: Key clinical message: The diagnosis of Sneddon Syndrome should be considered in adults with young-onset dementia accompanied by neuropsychiatric signs and livedo racemosa. Magnetic resonance imaging and cerebral angiography are essential. A cutaneous ... ...

    Abstract Key clinical message: The diagnosis of Sneddon Syndrome should be considered in adults with young-onset dementia accompanied by neuropsychiatric signs and livedo racemosa. Magnetic resonance imaging and cerebral angiography are essential. A cutaneous biopsy may help in the diagnosis.
    Abstract: Sneddon syndrome (SS) is a clinical entity corresponding to a noninflammatory thrombotic vasculopathy that typically includes livedo racemosa and cerebrovascular ischemia. Psychiatric symptoms with cognitive impairment often occur but are rarely the inaugural symptoms. We present a case of secondary SS in a 45-year-old man in whom dementia and psychosis revealed the disease.
    Language English
    Publishing date 2023-10-04
    Publishing country England
    Document type Case Reports
    ZDB-ID 2740234-4
    ISSN 2050-0904
    ISSN 2050-0904
    DOI 10.1002/ccr3.8013
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  7. Article: Two-stage free latissimus dorsi flap for the management of a voluminous enterocutaneous fistula in a patient with Ehlers-Danlos syndrome: a case report.

    Lellouch, Alexandre G / Mathieu, Olivier / Cetrulo, Curtis L / Ragot, Emilia / Karoui, Mehdi

    Annals of translational medicine

    2023  Volume 11, Issue 11, Page(s) 392

    Abstract: Background: Ehlers-Danlos syndrome (EDS) is a rare genetic disorder that causes abnormal collagen structure and production, seriously impacting the quality of connective tissues. Reconstructive surgery can be challenging in affected patients, and ... ...

    Abstract Background: Ehlers-Danlos syndrome (EDS) is a rare genetic disorder that causes abnormal collagen structure and production, seriously impacting the quality of connective tissues. Reconstructive surgery can be challenging in affected patients, and additional precautions should be taken for microsurgical transfers.
    Case description: This case aimed to describe the management of a 27-year-old man with vascular EDS and a history of heavy smoking who developed a voluminous enterocutaneous fistula after multiple abdominal surgeries. Due to the high surgical risk of flap failure resulting from the patient's condition, the large full-thickness abdominal defect, and the lack of locoregional reconstructive options, a two-stage free latissimus dorsi flap reconstruction was performed. A left myocutaneous free latissimus dorsi flap (sized 10 cm × 25 cm) was transferred and anastomosed to the left superficial femoral artery and the proximal part of the rerouted greater saphenous vein. The flap was folded, sutured to itself, and left in place for 8 days. Once the flap's viability was confirmed, complete small bowel liberation with resection of the enterocutaneous fistula and end-to-end primary anastomosis were performed by the visceral surgeons. The latissimus dorsi flap was unfolded and moved cephalically to cover the defect. No complications were reported on the flap. A fistula recurrence occurred on postoperative day 9 but was successfully addressed within 6 weeks using a combination of nasogastric tube aspiration, somatostatin, antibiotics, and negative pressure therapy. Follow-up at 6 months showed complete wound healing with no further complications.
    Conclusions: This report suggests the two-stage free flap transfer strategy to manage a voluminous full-thickness abdominal wall defect in a patient with vascular EDS. This approach allowed for optimal tissue coverage and full abdominal restoration while minimizing the risk of complications.
    Language English
    Publishing date 2023-08-29
    Publishing country China
    Document type Case Reports
    ZDB-ID 2893931-1
    ISSN 2305-5847 ; 2305-5839
    ISSN (online) 2305-5847
    ISSN 2305-5839
    DOI 10.21037/atm-23-826
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  8. Article ; Online: A systematic review of minimal length of lroximal margin in gastric adenocarcinoma resection.

    Mariani, Antoine / Zaanan, Aziz / Rebibo, Lionel / Martin, Grégory / Taieb, Julien / Karoui, Mehdi

    Langenbeck's archives of surgery

    2023  Volume 408, Issue 1, Page(s) 172

    Abstract: For early distal gastric cancers, a proximal margin (PM) > 2-3 cm might probably be sufficient. For advanced tumors, many confounding factors have a prognostic impact on survival and recurrence and negative margin involvement may be more relevant than ... ...

    Abstract For early distal gastric cancers, a proximal margin (PM) > 2-3 cm might probably be sufficient. For advanced tumors, many confounding factors have a prognostic impact on survival and recurrence and negative margin involvement may be more relevant than negative margin length.
    Introduction: In gastric cancer surgery, microscopic positive margin is a poor prognostic factor whereas complete resection with tumor-free margins remains a challenging issue. European guidelines recommended a macroscopic margin of 5 or even 8 cm for diffuse-type cancers to achieve R0 resection. However, it is unclear if the length of negative proximal margin (PM) could have a prognostic impact on survival. We aimed to perform a systematic review of the literature analyzing PM length and its prognostic impact in gastric adenocarcinoma.
    Material and methods: Pubmed and Embase databases were searched for "gastric cancer" or "gastric adenocarcinoma," combined with "proximal margin," between January 1990 and June 2021. English-written studies that specified PM length were included. Survival data, in relation to PM, were extracted.
    Results: Twelve retrospective studies, with a total number of 10,067 patients, met inclusion criteria and were analyzed. Mean length of proximal margin on the whole population varied from 2.6 to 5.29 cm. Three studies found minimal PM cut-off to improve overall survival in univariate analysis. Concerning recurrence-free survival analysis, only 2 series showed better results with PM > 2 or > 3 cm, using Kaplan-Meier method. Multivariate analysis demonstrated an independent impact of PM on overall survival in 2 studies.
    Conclusion: For early distal gastric cancers, a PM > 2-3 cm might probably be sufficient. For advanced or proximal tumors, many confounding factors have a prognostic impact on survival and recurrence and negative margin involvement may be more relevant than negative margin length.
    MeSH term(s) Humans ; Retrospective Studies ; Prognosis ; Adenocarcinoma ; Stomach Neoplasms/pathology ; Gastrectomy/methods ; Margins of Excision ; Neoplasm Recurrence, Local/pathology
    Language English
    Publishing date 2023-05-03
    Publishing country Germany
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1423681-3
    ISSN 1435-2451 ; 1435-2443
    ISSN (online) 1435-2451
    ISSN 1435-2443
    DOI 10.1007/s00423-023-02910-8
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    Uk I Zs.10: Show issues Location:
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  9. Article ; Online: Robotic splenic flexure colectomy for splenic flexure adenocarcinoma: the role of CT colonography and angiography as a tool for adequate procedure and lymphadenectomy-a video vignette.

    Lecot, Frederik / Cadi, Mehdi / Labiad, Camélia / Cazelles, Antoine / Karoui, Mehdi / Manceau, Gilles

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2023  Volume 25, Issue 10, Page(s) 2111–2112

    MeSH term(s) Humans ; Colon, Transverse/diagnostic imaging ; Colon, Transverse/surgery ; Colonography, Computed Tomographic ; Robotic Surgical Procedures/methods ; Colonic Neoplasms/diagnostic imaging ; Colonic Neoplasms/surgery ; Lymph Node Excision ; Angiography ; Colectomy/methods ; Adenocarcinoma/diagnostic imaging ; Adenocarcinoma/surgery ; Laparoscopy/methods
    Language English
    Publishing date 2023-08-15
    Publishing country England
    Document type Video-Audio Media ; Journal Article
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16711
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    Zs.A 5799: Show issues Location:
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  10. Article ; Online: Laparoscopic complete mesocolic excision and D3 lymphadenectomy for right-sided colon cancer: the use of CT colonography angiography for intraoperative vascular monitoring - a video vignette.

    Cazelles, Antoine / Lecot, Frederik / Cadi, Mehdi / Labiad, Camélia / Karoui, Mehdi / Manceau, Gilles

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2023  Volume 25, Issue 10, Page(s) 2119–2120

    MeSH term(s) Humans ; Colonography, Computed Tomographic ; Lymph Node Excision ; Colonic Neoplasms/diagnostic imaging ; Colonic Neoplasms/surgery ; Laparoscopy ; Angiography ; Colectomy ; Mesocolon/diagnostic imaging ; Mesocolon/surgery
    Language English
    Publishing date 2023-09-10
    Publishing country England
    Document type Video-Audio Media ; Letter
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16729
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