Search

Your search keyword '"Christian Dromer"' showing total 3 results
Start Over Author "Christian Dromer"
3 results on '"Christian Dromer"'

1. Impact of surgical approach on 90-day mortality after lung resection for nonsmall cell lung cancer in high-risk operable patients

Author

Harry Etienne, Pierre-Benoît Pagès, Jules Iquille, Pierre Emmanuel Falcoz, Laurent Brouchet, Jean-Philippe Berthet, Françoise Le Pimpec Barthes, Jacques Jougon, Marc Filaire, Jean-Marc Baste, Valentine Anne, Stéphane Renaud, Thomas D'Annoville, Jean Pierre Meunier, Christophe Jayle, Christian Dromer, Agathe Seguin-Givelet, Antoine Legras, Philippe Rinieri, Sophie Jaillard-Thery, Vincent Margot, Pascal-Alexandre Thomas, Marcel Dahan, and Pierre Mordant

Subjects
Medicine
Abstract

Introduction Non-small cell lung cancer (NSCLC) is often associated with compromised lung function. Real-world data on the impact of surgical approach in NSCLC patients with compromised lung function are still lacking. The objective of this study is to assess the potential impact of minimally invasive surgery (MIS) on 90-day post-operative mortality after anatomic lung resection in high-risk operable NSCLC patients. Methods We conducted a retrospective multicentre study including all patients who underwent anatomic lung resection between January 2010 and October 2021 and registered in the Epithor database. High-risk patients were defined as those with a forced expiratory volume in 1 s (FEV1) or diffusing capacity of the lung for carbon monoxide (DLCO) value below 50%. Co-primary end-points were the impact of risk status on 90-day mortality and the impact of MIS on 90-day mortality in high-risk patients. Results Of the 46 909 patients who met the inclusion criteria, 42 214 patients (90%) with both preoperative FEV1 and DLCO above 50% were included in the low-risk group, and 4695 patients (10%) with preoperative FEV1 and/or preoperative DLCO below 50% were included in the high-risk group. The 90-day mortality rate was significantly higher in the high-risk group compared to the low-risk group (280 (5.96%) versus 1301 (3.18%); p

Published
2024
Full Text
View/download PDF

2. Prognostic factors and long-term results after thymoma resection: A series of 307 patients

Author

Jean-François Regnard, Vincent Thomas de Montpréville, Christian Dromer, Pierre Magdeleinat, Philippe Levasseur, Jean-François Levi, and Elisabeth Dulmet

Subjects
Adult, Male, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Neoplasm, Residual, Thymoma, Adolescent, Biopsy, medicine.medical_treatment, Disease-Free Survival, Myasthenia Gravis, Humans, Medicine, Longitudinal Studies, Thyroid Neoplasms, Stage (cooking), Child, Survival rate, Aged, Neoplasm Staging, Postoperative Care, Analysis of Variance, Univariate analysis, medicine.diagnostic_test, business.industry, Middle Aged, Prognosis, Thymectomy, medicine.disease, Myasthenia gravis, Surgery, Survival Rate, Radiation therapy, Multivariate Analysis, Female, Radiotherapy, Adjuvant, Cardiology and Cardiovascular Medicine, business, Follow-Up Studies
Abstract

Three hundred seven cases of patients who underwent operation for thymoma (196 of whom had myasthenia gravis) were analyzed to assess the prognostic values of Masaoka clinical staging, completeness of resection, histologic classification, history of myasthenia gravis, and postoperative radiotherapy. According to the Masaoka staging system, 135 thymomas were stage I, 70 were stage II, 83 were stage III, and 19 were stage IV. According to the Verley and Hollmann histologic classification system, 67 thymomas were type 1, 77 were type 2, 139 were type 3, and 24 were type 4. Two hundred sixty patients underwent complete resection, 30 underwent incomplete resection, and 17 underwent biopsy. Postoperative radiotherapy was performed mainly in cases of invasive or metastatic thymoma. Mean follow-up was 8 years; eight patients were unavailable for follow-up. The overall 10- and 15-year survivals were 67% and 57%, respectively. In univariate analysis, three prognostic factors were established: completeness of resection, Masaoka clinical staging, and histologic classification. Furthermore, among patients with stage III thymomas, survival was significantly higher for patients with complete resection than for patients with incomplete resection ( p < 0.001). Completeness of resection should therefore be taken into account in clinical-pathologic staging. We did not find any significant difference with respect to disease-free survival between patients who had postoperative radiotherapy and those who did not. In multivariate analysis, the sole significant prognostic factor was completeness of resection. On the basis of these findings, a new clinical-pathologic staging system is proposed. (J Thorac Cardiovasc Surg 1996;112:376-84)

Published
1996
Full Text
View/download PDF

3. Total vertebrectomy for en bloc resection of lung cancer invading the spine

Author

Dominique Grunenwald, Philippe Girard, Christian Dromer, Christian Mazel, Pierre Baldeyrou, and Gérard Berthiot

Subjects
Male, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Lung Neoplasms, Thoracic Vertebrae, Metastasis, Resection, Carcinoma, Non-Small-Cell Lung, medicine, Humans, Neoplasm Invasiveness, Lung cancer, Neoplasm Staging, Spinal Neoplasms, business.industry, Respiratory disease, Laminectomy, En bloc resection, Middle Aged, medicine.disease, Vertebra, Surgery, medicine.anatomical_structure, Thoracotomy, Vertebrectomy, Non small cell, Cardiology and Cardiovascular Medicine, business
Abstract

We describe a technique of total vertebrectomy for en bloc resection of a non-small cell lung cancer with vertebral invasion through a combination of thoracic and enlarged posterior approaches, and present our entire experience of total and partial vertebrectomy for tumors invading vertebral bodies or the costovertebral angle.

Published
1996
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results