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2. Severe postoperative morbidity after left colectomy for sigmoid diverticulitis without splenic flexure mobilization. Results of a multicenter cohort study with propensity score analysis

Author

Barraud, Alexis, Sabbagh, Charles, Beyer-Berjot, Laura, Ouaissi, Mehdi, Zerbib, Philippe, Bridoux, Valérie, Manceau, Gilles, Panis, Yves, Buscail, Etienne, Venara, Aurélien, Khaoudy, Iman, Gaillard, Martin, Viennet, Manon, Thobie, Alexandre, Menahem, Benjamin, Eveno, Clarisse, Bonnel, Catherine, Mabrut, Jean-Yves, Badic, Bogdan, Godet, Camille, Eid, Yassine, Duchalais, Emilie, Lakkis, Zaher, Cotte, Eddy, Laforest, Anaïs, Defourneaux, Véronique, Maggiori, Léon, Rebibo, Lionel, Christou, Niki, Talal, Ali, Mege, Diane, Bonnamy, Cécile, Germain, Adeline, Mauvais, François, Tresallet, Christophe, Roudie, Jean, Laurent, Alexis, Trilling, Bertrand, Bertrand, Martin, Massalou, Damien, Romain, Benoit, Tranchart, Hadrien, Pellegrin, Alexandra, Briant, Anais R., Parienti, Jean Jacques, and Alves, Arnaud

Published
2024
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5. Risk factors for emergency surgery for diverticulitis: A retrospective multicentric French study at 41 hospitals

Author

Jeanne, Dembinski, Gillet, Julien, Hamy, Antoine, Lahmidi, Amine, Sebbagh, Mohamed, Bres, Antoine, Girard, Nicolas, Desjouis, Aurélie, Ainseba, Nadjib, Epailly, Julien, Huysman, Fabienne, Dezeustre, Maud, Doussot, Alexandre, Turco, Célia, Bourrhis, Diane, Godet, Camille, Finocchi, Morgane, Marion, Yoan, Lebreton, Gil, Benard, Flavie, Pineau, Elodie, Bouvier, Véronique, Ortega-Deballon, Pablo, Moreno-Lopez, Nathan, Rat, Patrick, Makar, Bassem, Fara, Paola, Pompilio, Marc, Hertault, Hugo, Guezennec, Corentin, Saida, Habchi, Brinza, Alexandre, Plard, Laurent, Ailhaud, Antoine, Gutierrez, Léa, Venchiarutti, Vincent, Faucheron, Jean-Luc, Morin, Bertrand, Pech de la Clause, Bertrand, Voitellier, Eglantine, Gagnat, Guillaume, Noiret, Barbara, Laroye, Constance, Piessen, Guillaume, Lécolle, Katia, Robert, Jean, Nzamushelepanmabla, Engel, Perrine, Mathonnet, Muriel, Rodriguez, Cyprien, Makki, Ammar, Couchard, Anne-Cécile, Duramé, François, Marceau, Cécile, Paquet, Jean-Christophe, Kepenekian, Vahan, Passot, Guillaume, Glehen ; Ninon Wallach, Olivier, Mohkam, Kayvan, Blanc, Marie-Caroline, Berdah, Stéphane, Aubert, Mathilde, Ayav, Ahmet, Chanty, Hervé, Didier, Alexandre, Vigneron, Estelle, Périard, Noémie, Thaumoux, Marie, Grenouilloux, Océane, Fall, Seila, Thomareis, Sophoclis, Marsollier, Chloé, Prud’homme, Michel, Antonopulos, Christos, Msika, Simon, Monsinjon, Marie, Giacca, Massimo, Cazelles, Antoine, Karoui, Mehdi, Malerba, Valentina, Dagher, Ibrahim, de Angelis, Nicola, Brunetti, Francesco, Ahmed, Omar, Ferraz, Jean-Marc, Ramjaun, Yassir, Denet, Christine, Fuchs, Basile, Pietrasz, Daniel, Raimbert, Pénélope, Benedetti, Juliette, Coton, Chloé, Corte, Hélène, Medrignac, Aude, Chavrier, Daphné, Girard, Robin, Berthelot, Julia, Monge, Matthieu, Papet, Eloïse, Pinson, Jean, Dolbeau, Elise, Tuech, Jean-Jacques, Chautard, Julien, Boullier, Mathilde, Goujard, François, Perrot, Laurent, Loge, Ludovic, Petiot, Jean-Michel, Manfredelli, Simone, Charleux-Muller, Diane, Sauvinet, Guillaume, Bertin, Jean-Baptiste, Vincent, Louis, Simeu, Blandine, Delhorme, Jean-Baptiste, Brigand, Cécile, Rohr, Serge, Bouchet, Manon, Duffas, Jean-Pierre, Ghouti, Laurent, Philis, Antoine, Portier, Guillaume, Karam, Elias, Michot, Nicolas, Artus, Alice, Mauny, Emilien, Bourbao-Tournois, Céline, Barbin, Hugo, Thiery, Julien, Sabbagh, Charles, Beyer-Berjot, Laura, Ouaissi, Mehdi, Zerbib, Philippe, Valérie, Bridoux, Manceau, Gilles, Panis, Yves, Buscail, Etienne, Venara, Aurélien, Khaoudy, Iman, Gaillard, Martin, Viennet, Manon, Thobie, Alexandre, Menahem, Benjamin, Eveno, Clarisse, Bonnel, Catherine, Mabrut, Jean-Yves, Badic, Bogdan, Eid, Yassine, Duchalais, Emilie, Lakkis, Zaher, Cotte, Eddy, Laforest, Anaïs, Desfourneaux-Denis, Véronique, Maggiori, Léon, Rebibo, Lionel, Niki, Christou, Talal, Ali, Mege, Diane, Bonnamy, Cécile, Germain, Adeline, Mauvais, François, Tresallet, Christophe, Roudie, Jean, Laurent, Alexis, Trilling, Bertrand, Bertrand, Martin, Massalou, Damien, Romain, Benoit, Tranchart, Hadrien, Pellegrin, Alexandra, Dejardin, Olivier, and Alves, Arnaud

Published
2024
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7. Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study

Author

Gil, Camille, Beyer-Bergeot, Laura, Sabbagh, Charles, Zerbib, Philippe, Bridoux, Valérie, Manceau, Gilles, Panis, Yves, Buscail, Etienne, Venara, Aurélien, Khaoudy, Iman, Gaillard, Martin, Viennet, Manon, Thobie, Alexandre, Menahem, Benjamin, Eveno, Clarisse, Bonnel, Catherine, Mabrut, Jean-Yves, Badic, Bodgan, Godet, Camille, Eid, Yassine, Duchalais, Emilie, Lakkis, Zaher, Cotte, Eddy, Laforest, Anais, Defourneaux, Véronique, Maggiori, Léon, Rebibo, Lionel, Christou, Niki, Talal, Ali, Mege, Diane, Bonnamy, Cécile, Germain, Adeline, Mauvais, François, Tresallet, Christophe, Roudie, Jean, Laurent, Alexis, Trilling, Bertrand, Bertrand, Martin, Massalou, Damien, Romain, Benoit, Tranchart, Hadrien, Giger, Urs, Alves, Arnaud, and Ouaissi, Mehdi

Published
2023
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16. Is Delaying a Coloanal Anastomosis the Ideal Solution for Rectal Surgery?: Analysis of a Multicentric Cohort of 564 Patients From the GRECCAR

Author

Collard, Maxime K., Rullier, Eric, Tuech, Jean-Jacques, Sabbagh, Charles, Souadka, Amine, Loriau, Jérome, Faucheron, Jean-Luc, Benoist, Stéphane, Dubois, Anne, Dumont, Frédéric, Germain, Adeline, Manceau, Gilles, Marchal, Frédéric, Sourrouille, Isabelle, Lakkis, Zaher, Lelong, Bernard, Derieux, Simon, Piessen, Guillaume, Laforest, Anaïs, Venara, Aurélien, Prudhomme, Michel, Brigand, Cécile, Duchalais, Emilie, Ouaissi, Mehdi, Lebreton, Gil, Rouanet, Philippe, Mège, Diane, Pautrat, Karine, Reynolds, Ian S., Pocard, Marc, Parc, Yann, Denost, Quentin, and Lefevre, Jérémie H.

Published
2023
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20. Impact of a procalcitonin-based algorithm on the quality of management of patients with uncomplicated adhesion-related small bowel obstruction assessed by a textbook outcome: a multicenter cluster-randomized open-label controlled trial

Author

Sabbagh, Charles, Mauvais, Francois, Tuech, Jean-Jacques, Tresallet, Christophe, Ortega-Debalon, Pablo, Mathonnet, Muriel, Lefevre, Jeremie H., Lakkis, Zaher, Fuks, David, Muscari, Fabrice, Dron, Bernard, Couderc, Philippe, Alves, Arnaud, and Regimbeau, Jean-Marc

Published
2022
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26. Risk factors for emergency surgery for diverticulitis: A retrospective multicentric French study at 41 hospitals.

Author

Godet, Camille, Sabbagh, Charles, Beyer-Berjot, Laura, Ouaissi, Mehdi, Zerbib, Philippe, Valérie, Bridoux, Manceau, Gilles, Panis, Yves, Buscail, Etienne, Venara, Aurélien, Khaoudy, Iman, Gaillard, Martin, Viennet, Manon, Thobie, Alexandre, Menahem, Benjamin, Eveno, Clarisse, Bonnel, Catherine, Mabrut, Jean-Yves, Badic, Bogdan, and Chautard, Julien

Abstract

The observed increase in the incidence of complicated diverticulitis may lead to the performance of more emergency surgeries. This study aimed to assess the rate and risk factors of emergency surgery for sigmoid diverticulitis. The primary outcomes were the rate of emergency surgery for sigmoid diverticulitis and its associated risk factors. The urgent or elective nature of the surgical intervention was provided by the surgeon and in accordance with the indication for surgical treatment. A mixed logistic regression with a random intercept after multiple imputations by the chained equation was performed to consider the influence of missing data on the results. Between 2010 and 2021, 6,867 patients underwent surgery for sigmoid diverticulitis in the participating centers, of which one-third (n = 2317) were emergency cases. In multivariate regression analysis with multiple imputation by chained equation, increasing age, body mass index <18.5 kg/m2, neurologic and pulmonary comorbidities, use of anticoagulant drugs, immunocompromised status, and first attack of sigmoid diverticulitis were independent risk factors for emergency surgery. The likelihood of emergency surgery was significantly more frequent after national guidelines, which were implemented in 2017, only in patients with a history of sigmoid diverticulitis attacks. The present study highlights a high rate (33%) of emergency surgery for sigmoid diverticulitis in France, which was significantly associated with patient features and the first attack of diverticulitis. [ABSTRACT FROM AUTHOR]

Published
2024
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28. Second-look surgery plus hyperthermic intraperitoneal chemotherapy versus surveillance in patients at high risk of developing colorectal peritoneal metastases (PROPHYLOCHIP–PRODIGE 15): a randomised, phase 3 study

Author

Ducreux, M, Malka, D, Boige, V, Benhamou, E, Goéré, Diane, Glehen, Olivier, Quenet, François, Guilloit, Jean-Marc, Bereder, Jean-Marc, Lorimier, Gérard, Thibaudeau, Emilie, Ghouti, Laurent, Pinto, Amandine, Tuech, Jean-Jacques, Kianmanesh, Reza, Carretier, Michel, Marchal, Frédéric, Arvieux, Catherine, Brigand, Cécile, Meeus, Pierre, Rat, Patrick, Durand-Fontanier, Sylvaine, Mariani, Pascale, Lakkis, Zaher, Loi, Valeria, Pirro, Nicolas, Sabbagh, Charles, Texier, Matthieu, and Elias, Dominique

Published
2020
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29. Association Between Microscopic Lesions at Ileal Resection Margin and Recurrence After Surgery in Patients With Crohn’s Disease

Author

Cattan, Pierre, Chirica, Mircea, Munoz-Bongrand, Nicolas, Corte, Hélène, Beaupel, Nathan, Catry, Jonathan, Gornet, Jean-Marc, Baudry, Clotilde, Lourenco, Nelson, Maillet, Mariane, Tran-Minh, My-Linh, Chardiny, Victor, Grand, Céline, Gergaud, Brice, Bonnet, Joelle, Chedouba, Leila, Nisard, Andrée, Beaugerie, Laurent, Sokol, Harry, Bourrier, Anne, Nion-Larmurier, Isabelle, Kirchgesner, Julien, Quevrain, Elodie, Brot, Loic, Chafai, Najim, Lefevre, Jeremie H., Tiret, Emmanuel, Svrcek, Magali, Guedj, Nathalie, Panis, Yves, Magiorri, Leon, Ferron, Marianne, Bouhnik, Yoram, Corcos, Olivier, Stefanescu, Carmen, Marteau, Philippe, Dray, Xavier, Chaput, Ulrika, Kaci, Rachid, Dubois, Anne, Bommelaer, Gilles, Goutte, Marion, Barnich, Nicolas, Coban, Dilek, Godfraind, Catherine, Zakeyh, Juliette Joubert, Desreumaux, Pierre, Nachury, Maria, Sommeville, Coralie, Renaud, Florence, Dupas, Jean-Louis, Loreau, Julien, Brazier, Franck, Chatelain, Denis, Attencourt, Christophe, Sabbagh, Charles, Leconte, Martine, Boschetti, Gilles, Flourié, Bernard, François, Yves, Cotte, Eddy, Charlois, Anne-Laure, Falgon, Peggy, Hadjisavvas, Helena, Moussata, Driffa, Chauvenet, Marion, Boyer, Sarah, Traverse-Glehen, Alexandra, Hebuterne, Xavier, Filippi, Jérome, Hofmann, Paul, Rahili, Amine, Patouraux, Stéphanie, Jouven, Xavier, Hammoudi, Nassim, Cazals-Hatem, Dominique, Auzolle, Claire, Gardair, Charlotte, Ngollo, Marjolaine, Bottois, Hugo, Nancey, Stéphane, Pariente, Benjamin, Buisson, Anthony, Treton, Xavier, Fumery, Mathurin, Bezault, Madeleine, Seksik, Philippe, Le Bourhis, Lionel, Flejou, Jean-François, and Allez, Matthieu

Published
2020
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37. Surgical management of obstructive right-sided colon cancer at a national level results of a multicenter study of the French Surgical Association in 776 patients

Author

Berger, Anne, Ouaissi, Mehdi, Codjia, Tatiana, Dazza, Marie, Gagnat, Guillaume, Hamel, Servane, Mallet, Laure, Martre, Paul, Philouze, Guillaume, Roussel, Edouard, Tortajada, Pauline, Dumaine, Anne Stéphanie, Heyd, Bruno, Lakkis, Zaher, Paquette, Brice, de' Angelis, Nicola, Esposito, Francesco, Lizzi, Vincenzo, Michot, Nicolas, Denost, Quentin, Tresallet, Christophe, Tetard, Oriana, Sabbagh, Charles, Rivier, Pauline, Fayssal, Elie, Collard, Maxime, Moszkowicz, David, Peschaud, Frederique, Etienne, Jean Charles, loge, Ludovic, Beyer-Berjot, Laura, Bege, Thierry, Corte, Hélène, Bonnet, Julien, D'Annunzio, Elsa, Humeau, Marine, Issard, Julien, Munoz, Nicolas, Abba, Julio, Jafar, Yaqoub, Lacaze, Laurence, Sage, Pierre Yves, Susoko, Lilija, Trilling, Bertrand, Arvieux, Catherine, Mauvais, François, Severino, Béatrice Ulloa, Pitel, Sophie, Vauchaussade de Chaumont, Arthus, Badic, Bogdan, Blanc, Benjamin, Bert, Marine, Rat, Paul, Ortega-Deballon, Pablo, Chau, Amélie, Dejeante, Clémentine, Mariette, Christophe, Piessen, Guillaume, Grégoire, Emilie, Alfarai, Abdallah, Lefèvre, Jérémie, Cabau, Magali, David, Anaelle, Kadoche, Deborah, Dufour, Fanny, Goin, Géraldine, Goudard, Yvain, Pauleau, Ghislain, Sockeel, Philippe, De la Villeon, Bruno, Pautrat, Karine, Eveno, Clarisse, Brouquet, Antoine, Couchard, Anne Cécile, Balbo, Gregoire, Mabrut, Jean Yves, Bellinger, Justine, Bertrand, Martin, Aumont, Aurélie, Duchalais, Emilie, Messière Adrien Tranchart, Anne-Sophie, Cazauran, Jean-Baptiste, Pichot-Delahaye, Virginie, Dubuisson, Vincent, Maggiori, Leon, Boumediene, Bilem Djawad, Fuks, David, Kahn, Xavier, Huart, Eve, Catheline, Jean Marc, Lailler, Grégory, Baraket, Oussama, Baque, Patrick, Diaz de Cerio, Jean Marie, Bernard Maes, Philippe Mariol, Fernoux, Philippe, Guillem, Philippe, Chatelain, Eric, de Saint Roman, Charlotte, Fixot, Kévin, Mege, Diane, Manceau, Gilles, Bridoux, Valérie, Venara, Aurélien, Voron, Thibault, Brunetti, Francesco, Sielezneff, Igor, and Karoui, Mehdi

Published
2018
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38. L’entérite kystique profonde

Author

Dréau, Axel, primary, Barthomeuf, Clémence, additional, Balesdent, Marion, additional, Fumery, Mathurin, additional, Sabbagh, Charles, additional, and Chatelain, Denis, additional

Published
2023
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40. What is the Best Option Between Primary Diverting Stoma or Endoscopic Stent as a Bridge to Surgery with a Curative Intent for Obstructed Left Colon Cancer? Results from a Propensity Score Analysis of the French Surgical Association Multicenter Cohort of 518 Patients

Author

Mege, Diane, Sabbagh, Charles, Manceau, Gilles, Bridoux, Valérie, Lakkis, Zaher, Momar, Diouf, Sielezneff, Igor, Karoui, Mehdi, and the AFC (French Surgical Association) Working Group

Published
2019
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41. Simultaneous Versus Delayed Resection for Initially Resectable Synchronous Colorectal Cancer Liver Metastases: A Prospective, Open-label, Randomized, Controlled Trial

Author

Boudjema, Karim, Locher, Clara, Sabbagh, Charles, Ortega-Deballon, Pablo, Heyd, Bruno, Bachellier, Philippe, Métairie, Sylvie, Paye, François, Bourlier, Pascal, Adam, René, Merdrignac, Aude, Tual, Christelle, Le Pabic, Estelle, Sulpice, Laurent, Meunier, Bernard, Regimbeau, Jean-Marc, and Bellissant, Eric

Published
2021
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44. Data from BAD, a Proapoptotic Member of the BCL2 Family, Is a Potential Therapeutic Target in Hepatocellular Carcinoma

Author

Galmiche, Antoine, primary, Ezzoukhry, Zakaria, primary, François, Catherine, primary, Louandre, Christophe, primary, Sabbagh, Charles, primary, Nguyen-Khac, Eric, primary, Descamps, Véronique, primary, Trouillet, Nathalie, primary, Godin, Corinne, primary, Regimbeau, Jean-Marc, primary, Joly, Jean-Paul, primary, Barbare, Jean-Claude, primary, Duverlie, Gilles, primary, Mazière, Jean-Claude, primary, and Chatelain, Denis, primary

Published
2023
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45. Supplementary Data from BAD, a Proapoptotic Member of the BCL2 Family, Is a Potential Therapeutic Target in Hepatocellular Carcinoma

Author

Galmiche, Antoine, primary, Ezzoukhry, Zakaria, primary, François, Catherine, primary, Louandre, Christophe, primary, Sabbagh, Charles, primary, Nguyen-Khac, Eric, primary, Descamps, Véronique, primary, Trouillet, Nathalie, primary, Godin, Corinne, primary, Regimbeau, Jean-Marc, primary, Joly, Jean-Paul, primary, Barbare, Jean-Claude, primary, Duverlie, Gilles, primary, Mazière, Jean-Claude, primary, and Chatelain, Denis, primary

Published
2023
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46. Right portal vein ligation is still relevant for left hemi-liver hypertrophy: results of a comparative study using a propensity score between right portal vein ligation and embolization.

Author

Werey, Fabien, Dembinski, Jeanne, Michaud, Audrey, Sabbagh, Charles, Mauvais, François, Yzet, Thierry, and Regimbeau, Jean-Marc

Subjects
PORTAL vein surgery, PORTAL vein, COLORECTAL liver metastasis, HYPERTROPHY
Abstract

Background: In two-stage hepatectomy for bilobar liver metastases from colorectal cancer, future liver remnant (FLR) growth can be achieved using several techniques, such as right portal vein ligation (RPVL) or right portal vein embolization (RPVE). A few heterogeneous studies have compared these two techniques with contradictory results concerning FLR growth. The objective of this study was to compare FLR hypertrophy of the left hemi-liver after RPVL and RPVE. Study design: This was a retrospective comparative study using a propensity score of patients who underwent RPVL or RPVE prior to major hepatectomy between January 2010 and December 2020. The endpoints were FLR growth (%) after weighting using the propensity score, which included FLR prior to surgery and the number of chemotherapy cycles. Secondary endpoints were the percentage of patients undergoing simultaneous procedures, the morbidity and mortality, the recourse to other liver hypertrophy procedures, and the number of invasive procedures for the entire oncologic program in intention-to-treat analysis. Results: Fifty-four consecutive patients were retrospectively included and analyzed, 18 in the RPVL group, and 36 in the RPVE group. The demographic characteristics were similar between the groups. After weighting, there was no significant difference between the RPVL and RPVE groups for FLR growth (%), respectively 32.5% [19.3–56.0%] and 34.5% [20.5–47.3%] (p = 0.221). There was no significant difference regarding the secondary outcomes except for the lower number of invasive procedures in RPVL group (median of 2 [2.0, 3.0] in RPVL group and 3 [3.0, 3.0] in RPVE group, p = 0.001)). Conclusion: RPVL and RPVE are both effective to provide required left hemi-liver hypertrophy before right hepatectomy. RPVL should be considered for the simultaneous treatment of liver metastases and the primary tumor. [ABSTRACT FROM AUTHOR]

Published
2023
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48. Iatrogenic ureteral injury during colorectal surgery has a significant impact on patient outcomes: a French multicentric retrospective cohort study

Author

Sérénon, Victor, Rouanet, Philippe, Charleux-Muller, Diane, Eveno, Clarisse, Poirot, Karine, Trilling, Bertrand, Benoist, Stéphane, Manceau, Gilles, Panis, Yves, Alves, Arnaud, Kartheuser, Alex, Venara, Aurélien, Pocard, Marc, Sabbagh, Charles, Laforest, Anaïs, Lakkis, Zaher, Badic, Bogdan, Chau, Amélie, Christou, Niki, Beyer-Berjot, Laura, Dumont, Frederic, Germain, Adeline, Valverde, Alain, Duchalais, Emilie, Ouaissi, Mehdi, Benhaim, Leonor, Collard, Maxime, Tuech, Jean‐jacques, Buscail, Etienne, Mege, Diane, Régimbeau, Jean-Marc, Aix-Marseille Université - École de médecine (AMU SMPM MED), Aix-Marseille Université - Faculté des sciences médicales et paramédicales (AMU SMPM), Aix Marseille Université (AMU)-Aix Marseille Université (AMU), CRLC Val d'Aurelle-Paul Lamarque, CRLCC Val d'Aurelle - Paul Lamarque, Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Microbes, Intestin, Inflammation et Susceptibilité de l'Hôte (M2iSH), Institut National de la Recherche Agronomique (INRA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre de Recherche en Nutrition Humaine d'Auvergne (CRNH d'Auvergne), Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications Grenoble - UMR 5525 (TIMC-IMAG), VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes (UGA)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP ), Université Grenoble Alpes (UGA), CHU Grenoble, AP-HP Hôpital Bicêtre (Le Kremlin-Bicêtre), CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Aix-Marseille Université - Faculté de médecine (AMU MED), Aix Marseille Université (AMU), Service de Chirurgie Viscérale et Digestive [CHU Caen], CHU Caen, Normandie Université (NU)-Tumorothèque de Caen Basse-Normandie (TCBN)-Normandie Université (NU)-Tumorothèque de Caen Basse-Normandie (TCBN), Unité de recherche interdisciplinaire pour la prévention et le traitement des cancers (ANTICIPE), Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU)-CHU Caen, Normandie Université (NU)-Tumorothèque de Caen Basse-Normandie (TCBN)-Tumorothèque de Caen Basse-Normandie (TCBN)-Centre Régional de Lutte contre le Cancer François Baclesse [Caen] (UNICANCER/CRLC), Normandie Université (NU)-UNICANCER-Tumorothèque de Caen Basse-Normandie (TCBN)-UNICANCER-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Caen Normandie - UFR Santé (UNICAEN Santé), Normandie Université (NU)-Normandie Université (NU), Université Catholique de Louvain = Catholic University of Louvain (UCL), Hémodynamique, Interaction Fibrose et Invasivité tumorales Hépatiques (HIFIH), Université d'Angers (UA), CArcinose Péritoine Paris-Technologies (ex-CART) (CAP Paris-Tech (UMR_S_1275)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Chirurgie digestive [CHU Amiens], CHU Amiens-Picardie, Simplification des soins chez les patients complexes - UR UPJV 7518 (SSPC), Université de Picardie Jules Verne (UPJV), Sorbonne Université (SU), CHU Saint-Antoine [AP-HP], Service d'Oncologie Médicale [CHRU Besançon], Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Laboratoire de Traitement de l'Information Medicale (LaTIM), Université de Brest (UBO)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre Hospitalier Régional Universitaire de Brest (CHRU Brest)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT)-Institut Brestois Santé Agro Matière (IBSAM), Université de Brest (UBO), Contrôle de l’Activation Cellulaire, Progression Tumorale et Résistance thérapeutique (CAPTuR), Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM), Service de Chirurgie digestive, endocrinienne et générale [CHU Limoges], CHU Limoges, and The French Research Group of Rectal Cancer Surgery = Groupe de Recherche en Chirurgie du Rectum (GRECCAR)

Subjects
ureteral injury, colorectal surgery, [SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery, chemotherapy, ureteral stent
Abstract

International audience; Aim: The long-term urological sequelae after iatrogenic ureteral injury (IUI) during colorectal surgery are not clearly known. The aims of this work were to report the incidence of IUI and to analyse the long-term consequences of urological late complications and their impact on oncological results of IUI occurring during colorectal surgery through a French multicentric experience (GRECCAR group).Method: All the patients who presented with IUI during colorectal surgery between 2010 and 2019 were retrospectively included. Patients with ureteral involvement needing en bloc resection, delayed ureteral stricture or noncolorectal surgery were not considered.Results: A total of 202 patients (93 men, mean age 63 ± 14 years) were identified in 29 centres, corresponding to 0.32% of colorectal surgeries (n = 63 562). Index colorectal surgery was mainly oncological (n = 130, 64%). IUI was diagnosed postoperatively in 112 patients (55%) after a mean delay of 11 ± 9 days. Intraoperative diagnosis of IUI was significantly associated with shorter length of stay (21 ± 22 days vs. 34 ± 22 days, p < 0.0001), lower rates of postoperative hydronephrosis (2% vs. 10%, p = 0.04), anastomotic complication (7% vs. 22.5%, p = 0.002) and thromboembolic event (0% vs. 6%, p = 0.02) than postoperative diagnosis of IUI. Delayed chemotherapy because of IUI was reported in 27% of patients. At the end of the follow-up [3 ± 2.6 years (1 month-13 years)], 72 patients presented with urological sequalae (36%). Six patients (3%) required a nephrectomy.Conclusion: IUI during colorectal surgery has few consequences for the patients if recognized early. Long-term urological sequelae can occur in a third of patients. IUI may affect oncological outcomes in colorectal surgery by delaying adjuvant chemotherapy, especially when the ureteral injury is not diagnosed peroperatively.

Published
2023

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