1
|
Branger N, Doumerc N, Waeckel T, Bigot P, Surlemont L, Knipper S, Pignot G, Audenet F, Bruyère F, Fontenil A, Parier B, Champy C, Rouprêt M, Patard JJ, Henon F, Fiard G, Guillotreau J, Beauval JB, Michel C, Bernardeau S, Taha F, Mallet R, Panthier F, Guy L, Vignot L, Khene ZE, Bernhard JC. Preparing for the Worst: Management and Predictive Factors of Open Conversion During Minimally Invasive Renal Tumor Surgery (UroCCR-135 Study). EUR UROL SUPPL 2024; 63:89-95. [PMID: 38585592 PMCID: PMC10997889 DOI: 10.1016/j.euros.2024.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2024] [Indexed: 04/09/2024] Open
Abstract
Background and objective Data regarding open conversion (OC) during minimally invasive surgery (MIS) for renal tumors are reported from big databases, without precise description of the reason and management of OC. The objective of this study was to describe the rate, reasons, and perioperative outcomes of OC in a cohort of patients who underwent MIS for renal tumor initially. The secondary objective was to find the factors associated with OC. Methods Between 2008 and 2022, of the 8566 patients included in the UroCCR project prospective database (NCT03293563), who underwent laparoscopic or robot-assisted minimally invasive partial (MIPN) or radical (MIRN) nephrectomy, 163 experienced OC. Each center was contacted to enlighten the context of OC: "emergency OC" implied an immediate life-threatening situation not reasonably manageable with MIS, otherwise "elective OC". To evaluate the predictive factors of OC, a 2:1 paired cohort on the UroCCR database was used. Key findings and limitations The incidence rate of OC was 1.9% for all cases of MIS, 2.9% for MIRN, and 1.4% for MIPN. OC procedures were mostly elective (82.2%). The main reason for OC was a failure to progress due to anatomical difficulties (42.9%). Five patients (3.1%) died within 90 d after surgery. Increased body mass index (BMI; odds ratio [OR]: 1.05, 95% confidence interval [CI]: 1.01-1.09, p = 0.009) and cT stage (OR: 2.22, 95% CI: 1.24-4.25, p = 0.008) were independent predictive factors of OC. Conclusions and clinical implications In MIS for renal tumors, OC was a rare event (1.9%), caused by various situations, leading to impaired perioperative outcomes. Emergency OC occurred once every 300 procedures. Increased BMI and cT stage were independent predictive factors of OC. Patient summary The incidence rate of open conversion (OC) in minimally invasive surgery for renal tumors is low. Only 20% of OC procedures occur in case of emergency, and others are caused by various situations. Increased body mass index and cT stage were independent predictive factors of OC.
Collapse
Affiliation(s)
- Nicolas Branger
- Department of Urology, Institut Paoli Calmettes, Marseille, France
| | | | | | - Pierre Bigot
- Department of Urology, CHU Angers, Angers, France
| | | | - Sophie Knipper
- Department of Urology, Institut Paoli Calmettes, Marseille, France
| | - Géraldine Pignot
- Department of Urology, Institut Paoli Calmettes, Marseille, France
| | - François Audenet
- Department of Urology, Hopital européen Georges Pompidou, Paris, France
| | | | | | | | - Cécile Champy
- Department of Urology, Hopital Henri Mondor, Créteil, France
| | - Morgan Rouprêt
- GRC 5 Predictive Onco-Uro, AP-HP, Urology, Pitie-Salpetriere Hospital, Sorbonne University, Paris, France
| | | | | | - Gaëlle Fiard
- Department of Urology, CHU Grenoble, Grenoble, France
| | | | | | | | | | - Fayek Taha
- Department of Urology, CHU Reims, Reims, France
| | - Richard Mallet
- Department of Urology, Polyclinique Francheville, Périgueux, France
| | | | - Laurent Guy
- Department of Urology, CHU Clermont-Ferrand, Clermont-Ferrand, France
| | | | | | | |
Collapse
|
2
|
Baboudjian M, de La Taille A, Lechevallier E, Pradere B, Mallet R. Urologists and Sustainability: The First Survey from the French Sustainability Working Group. Eur Urol Focus 2024:S2405-4569(24)00020-8. [PMID: 38395728 DOI: 10.1016/j.euf.2024.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Accepted: 02/13/2024] [Indexed: 02/25/2024]
Affiliation(s)
- Michael Baboudjian
- Department of Urology, North Academic Hospital, AP-HM, Marseille, France.
| | - Alexandre de La Taille
- Department of Urology, University Hospital Henri Mondor, AP-HP, Université Paris-Est Créteil, Créteil France
| | - Eric Lechevallier
- Department of Urology and Kidney Transplantation, AP-HM, La Conception Academic Hospital, Marseille, France
| | - Benjamin Pradere
- Department of Urology, Comprehensive Cancer Center, Vienna General Hospital, Medical University of Vienna, Vienna, Austria; Department of Urology UROSUD, La Croix du Sud Hôpital, Quint Fonsegrives, France
| | - Richard Mallet
- Department of Urology, Hôpital Privé Francheville, Périgueux, France
| |
Collapse
|
3
|
Mallet R. Thulium fiber laser as a novel technique with shallow and accurate cutting, high-quality hemostasis, and no ballistic effect in the treatment of non-muscle invasive bladder cancer. Urologia 2023:3915603231211982. [PMID: 37982376 DOI: 10.1177/03915603231211982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2023]
Affiliation(s)
- Richard Mallet
- Department of Urology, Hôpital Privé Francheville, Périgueux, France
| |
Collapse
|
4
|
Lebdai S, Ben Boujema M, Benard A, Barry Delongchamps N, Benchikh A, Bruyere F, Della Negra E, Descazeaud A, Doizi S, Fourmarier M, Mallet R, Misrai V, Pelegrin T, Rouscoff Y, Ruffion A, Villers A, Saillour F, Robert G. Standardized technique for ejaculation preservation during prostatic endoscopic ablative surgery. World J Urol 2023; 41:3041-3049. [PMID: 37715788 DOI: 10.1007/s00345-023-04592-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Accepted: 08/15/2023] [Indexed: 09/18/2023] Open
Abstract
PURPOSE Ejaculatory dysfunction is the most common side effect of benign prostatic hyperplasia surgery. Modified techniques have emerged with the aim of preserving antegrade ejaculation without compromising obstruction relief. None are standardized or validated. The PARTURP study is a randomized study investigating partial versus complete prostate resection. We conducted an investigator consensus meeting to define the ideal surgical technique to achieve both correct obstruction relief with ejaculation preservation. METHODS An expert consensus meeting involving all investigators of the PARTURP study took place to define a common technique using the nominal group methodology. The objectives were to define the areas to be resected and the areas to be preserved; to define the criteria for proper obstruction relief; to define the criteria for proper ejaculation preservation. RESULTS All investigators (n = 15) attended the consensus meeting, and agreement between all the participants was obtained. The anatomical landmarks to be preserved are located around the verumontanum and along the posterior part of the prostatic urethra. These structures must be preserved up to 2 cm from the verumontanum. The participants agreed on the need to preserve the urethral mucosa in all the areas to be preserved and to reach the enucleation plane in the areas of resection. CONCLUSIONS Anatomical landmarks for ejaculation-sparing surgery have been defined by the investigators of the PARTURP randomized study. These landmarks will be used during the study, and the clinical outcomes of this ejaculation-sparing technique will be compared with complete resection with up to 3 years follow-up.
Collapse
Affiliation(s)
- Souhil Lebdai
- Urology Department, University Hospital of Angers, CHU Angers, 4 Rue Larrey, 49933, Angers Cedex 9, France.
| | - Méric Ben Boujema
- Methodology Department, University Hospital of Bordeaux, Bordeaux, France
| | - Antoine Benard
- Methodology Department, University Hospital of Bordeaux, Bordeaux, France
| | | | - Amine Benchikh
- Urology Department, Clinique Des Franciscaines, Versailles, France
| | - Franck Bruyere
- Urology Department, University Hospital of Tours, Tours, France
| | | | | | - Steeve Doizi
- Urology Department, Hôpital Tenon, APHP, Paris, France
| | | | - Richard Mallet
- Urology Department, Hôpital Prive Francheville, Périgueux, France
| | | | | | - Yohan Rouscoff
- Urology Department, Polyclinique Saint Georges, Nice, France
| | - Alain Ruffion
- Urology Department, University Hospital of Lyon, Lyon, France
- EA 3738-CICLY EMR UCBL Lyon 1, Lyon, France
| | - Arnaud Villers
- Urology Department, University Hospital of Lille, Lille, France
| | - Florence Saillour
- Methodology Department, University Hospital of Bordeaux, Bordeaux, France
| | - Grégoire Robert
- Urology Department, University Hospital of Bordeaux, Bordeaux, France
| |
Collapse
|
5
|
Margue G, Bigot P, Ingels A, Roupret M, Waeckel T, Long JA, Pignot G, Bensalah K, Lang H, Olivier J, Bruyere F, Durand M, Beauval JB, Mallet R, Parier B, De La Taille A, Bernhard JC. Clinical trial protocol for P-NeLoP: a randomized controlled trial comparing the feasibility and outcomes of robot-assisted partial nephrectomy with low insufflation pressure using AirSeal versus standard insufflation pressure (UroCCR no. 85 study). Trials 2023; 24:545. [PMID: 37596613 PMCID: PMC10439590 DOI: 10.1186/s13063-023-07533-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 07/21/2023] [Indexed: 08/20/2023] Open
Abstract
Robot-assisted partial nephrectomy (RAPN) is the standard of care for small, localized kidney tumors. This surgery is conducted within a short hospital stay and can even be performed as outpatient surgery in selected patients. In order to allow early rehabilitation of patients, an optimal control of postoperative pain is necessary. High-pressure pneumoperitoneum during surgery seems to be the source of significant pain during the first hours postoperatively. Our study is a prospective, randomized, multicenter, controlled study which aims to compare post-operative pain at 24 h between patients undergoing RAPN at low insufflation pressure (7 mmHg) and those operated on at standard pressure (12 mmHg) using the AirSeal system.This trial is registered in the US National Library of Medicine Trial Registry (NCT number: NCT05404685).
Collapse
Affiliation(s)
- Gaelle Margue
- Urology Department, Bordeaux University Hospital, Bordeaux, France.
| | - Pierre Bigot
- Urology Department, Angers University Hospital, Angers, France
| | - Alexandre Ingels
- Urology Department, Henri Mondor University Hospital, APHP, Paris, France
| | - Morgan Roupret
- Urology Department, Pitié-Saplétrière Hospital, APHP, Paris, France
| | | | | | | | - Karim Bensalah
- Urology Department, Rennes University Hospital, Rennes, France
| | - Hervé Lang
- Urology Department, Strasbourg University Hospital, Strasbourg, France
| | | | - Franck Bruyere
- Urology Department, Tours University Hospital, Tours, France
| | | | | | - Richard Mallet
- Urology Department, Polyclinique Francheville, Perigueux, France
| | - Bastien Parier
- Urology Department, Kremlin Bicetre, APHP, Paris, France
| | | | | |
Collapse
|
6
|
Pradere B, Mallet R, de La Taille A, Bladou F, Prunet D, Beurrier S, Bardet F, Game X, Fournier G, Lechevallier E, Meria P, Matillon X, Polguer T, Abid N, De Graeve B, Kassab D, Mejean A, Misrai V, Pinar U. Climate-smart Actions in the Operating Theatre for Improving Sustainability Practices: A Systematic Review. Eur Urol 2023; 83:331-342. [PMID: 35151515 DOI: 10.1016/j.eururo.2022.01.027] [Citation(s) in RCA: 17] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Revised: 01/02/2022] [Accepted: 01/11/2022] [Indexed: 11/15/2022]
Abstract
CONTEXT Surgical activity contributes to global warming though the production of greenhouse gases and consumption of resources. To date, no clinical practice guidelines have been made to promote and implement climate-smart actions. OBJECTIVE To perform a systematic review of the available actions that could limit CO2 emission in the operating room (OR) and their potential benefits upon the environment, whilst preserving quality of care. EVIDENCE ACQUISITION MEDLINE and Cochrane databases were searched from January 1, 1990 to April 2021. We included studies assessing carbon footprint (CF) in the OR and articles detailing actions that limit or reduce CF. EVIDENCE SYNTHESIS Thirty-eight studies met the inclusion criteria. We identified six core climate-smart actions: (1) waste reduction by segregation; (2) waste reduction by recycling, reuse, and reprocessing; (3) sterilisation; (4) anaesthesia gas management; and (5) improvement of energy use. Quantitative analysis regarding the CF was not possible due to the lack of homogeneous data. For climate-smart actions, the analysis was limited by discrepancies in study scope and in the methodology of CO2 emission calculation. Improvement of education and awareness was found to have an important impact on waste segregation and reduction. Waste management is the area where health care workers could have the strongest impact, whereas the main field to reduce CF in the OR was found to be energy consumption. CONCLUSIONS This review provides arguments for many climate-smart actions that could be implemented in our daily practice. Improving awareness and education are important to act collectively in a sustainable way. Further studies are mandatory to assess the impact of these climate-smart actions in the OR. PATIENT SUMMARY We performed a systematic review of the available scientific literature to reference all the climate-smart actions proposed to improve the sustainability of surgical activities. Waste segregation, waste reduction and recycling, reuse and reprocessing, sterilisation, anaesthesia gas changes, and improvement of energy use in the operating room were found to be the main areas of research. There is still a long way to go to homogenise and improve the quality of our climate-smart actions.
Collapse
Affiliation(s)
- Benjamin Pradere
- Department of Urology, Comprehensive Cancer Center, Vienna General Hospital, Medical University of Vienna, Vienna, Austria.
| | - Richard Mallet
- Department of Urology, Hopital Privé Francheville, Périgueux, France
| | - Alexandre de La Taille
- Department of Urology, University Hospital Henri Mondor, AP-HP, UPEC, Créteil Cédex, France
| | - Franck Bladou
- Department of Urology, Pellegrin University Hospital, Bordeaux, France
| | - Denis Prunet
- Department of Urology, Clinique Urologie Royan, Royan, France
| | - Sarah Beurrier
- Department of Urology, Hopital Cochin AP-HP, Paris, France
| | | | - Xavier Game
- Department of Urology, Centre Hospitalier Universitaire de Rangueil, Université Toulouse III, Toulouse, France
| | - Georges Fournier
- Department of Urology, Hôpital de la Cavale Blanche, Université de Brest, Brest, France
| | - Eric Lechevallier
- Department of Urology, Aix-Marseille Université, CHU La Conception, AP-HM, Marseille, France
| | - Paul Meria
- Department of Urology, Hopital Saint Louis, APH-HP, Paris, France
| | - Xavier Matillon
- Department of Urology, Hôpital Édouard Herriot, Hospices Civils de Lyon, Lyon, France
| | - Thomas Polguer
- Department of Urology, CH Romans-sur-Isère, Hopitaux Drome nord, Romans-sur-Isère, France
| | - Nadia Abid
- Department of Urology, Hôpital Édouard Herriot, Hospices Civils de Lyon, Lyon, France
| | | | | | - Arnaud Mejean
- Department of Urology, Hôpital Européen Georges Pompidou, AP-HP Centre, Université de Paris, Paris, France
| | - Vincent Misrai
- Department of Urology, Clinique Pasteur, Toulouse, France
| | - Ugo Pinar
- Department of Urology, Sorbonne University, GRC 5 Predictive Onco-Uro, AP-HP, Pitie-Salpetriere Hospital, Paris, France
| | | |
Collapse
|
7
|
Branger N, Bigot P, Pignot G, Lorusso V, Audenet F, Parier B, Doumerc N, Brenier M, Xylinas E, Boissier R, Rouprêt M, Champy C, Nouhaud FX, Lang H, Charles T, Mallet R, Ambrosetti D, Bensalah K, Bernhard JC. Oncocytoma on renal mass biopsy: is it still the same histology when surgery is performed? Results from UroCCR-104 study. World J Urol 2023; 41:483-489. [PMID: 36633650 DOI: 10.1007/s00345-022-04261-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Accepted: 12/08/2022] [Indexed: 01/13/2023] Open
Abstract
PURPOSE To describe clinical features of patients with oncocytoma on renal biopsy (RMB), correlation with final histology on surgically treated patients, and predictive factors of discrepancy between RMB and final histology. METHODS This was a retrospective study conducted in the framework of the UroCCR project (NCT03293563). All tumors with oncocytoma on RMB were selected and all pathological reports were reviewed. Patients with the RMB simultaneously performed with a focal treatment, synchronous bilateral tumors and ambiguous RMB report were excluded. Discrepancy between RMB and definitive histology was evaluated using a uni- and multivariable logistic regression analyses model. RESULTS Overall, 119 tumors with oncocytoma on RMB, from 15 centers, were included. Of those, 54 (45.4%) had upfront surgery and 65 (54.6%) had active surveillance (AS). In renal masses with initial active surveillance, with a median follow-up of 28 months, 23 (19.3%) underwent surgery, 4 (3.4%) received focal treatment and 38 (31.9%) remained on AS. On final pathology, only 51 of the 75 surgically treated tumors (68.0%) had oncocytoma, while 24 presented malignant tumors (mainly chromophobe carcinoma (19.2%), and hybrid oncocytic/chromophobe tumor (HOCT) (6.8%)) leading to a discrepancy of 32.0% between RMB and final pathology. The only predictive factor of a discrepancy between RMB and definitive histology was a biopsy done outside of the center (Odds ratio: 3.22 [95%-confidence interval: 1.08-9.61], p = 0.03). CONCLUSION Despite the increase of RMB in more and more centers, histologic discrepancy between RMB and definitive histology remains significant. This information should be discussed with patients and taken into consideration before treatment decision.
Collapse
Affiliation(s)
- Nicolas Branger
- Department of Urology, Institut Paoli Calmettes Cancer Center, Marseille, France.
| | - Pierre Bigot
- Department of Urology, CHU Angers, Angers, France
| | - Géraldine Pignot
- Department of Urology, Institut Paoli Calmettes Cancer Center, Marseille, France
| | - Vito Lorusso
- Department of Urology, Institut Paoli Calmettes Cancer Center, Marseille, France
| | - François Audenet
- Department of Urology, Hopital Européen Georges Pompidou, Paris, France
| | | | | | - Martin Brenier
- Department of Urology, Hopital Saint-Joseph, Paris, France
| | - Evanguelos Xylinas
- Department of Urology, Bichat-Claude Bernard Hospital, Assistance Publique Hôpitaux de Paris, Paris Cité University, Paris, France
| | | | - Morgan Rouprêt
- Department of Urology, La Pitié Salpêtrière, Paris, France
| | - Cecile Champy
- Department of Urology, Hopital Henri Mondor, Créteil, France
| | | | - Hervé Lang
- Department of Urology, CHU Strasbourg, Strasbourg, France
| | | | - Richard Mallet
- Department of Urology, Polyclinique Francheville, Périgueux, France
| | | | | | | |
Collapse
|
8
|
Deslandes M, Klein C, Marquette T, Comat V, Mallet R, Degraeve B, Houssin V, Villers A, Bladou F, Robert G. Influence of holmium laser enucleation of the prostate on erectile function: results of a multicentric analysis of 235 patients. World J Urol 2022; 40:2747-2754. [PMID: 36194285 DOI: 10.1007/s00345-022-04175-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Accepted: 05/04/2022] [Indexed: 11/25/2022] Open
Abstract
PURPOSE Preserved sexual function is one of the endpoints of the surgical management of lower urinary tract symptoms suggestive of benign prostatic hyperplasia. Our aim was to investigate the evolution of erectile function (EF) at 3 and 12 months after holmium laser enucleation of the prostate (HoLEP). METHODS A multicentric retrospective study was performed including 235 sexually active patients who underwent HoLEP between January 2016 and June 2017. Evaluation of EF was carried out with the five-item version of the International Index of Erectile Function (IIEF-5) completed before surgery and at 3 and 12 months after surgery. A change of more than five points in either direction in the IIEF-5 score compared to baseline was considered as an improvement or impairment of EF. RESULTS No significant differences were found between median pre-operative IIEF-5 and median scores at 3 and 12 months (p = 0.15 and p = 0.45). At 3 and 12 post-operative months, respectively, 10% and 13% of patients reported an improvement, whereas 15% and 16% reported an impairment. The reduction in IIEF-5 score was only statistically significant within the sub-group of patients with normal pre-operative EF (p < 0.001). In this sub-group, 15% of patients reported a decrease of more than five points in total IIEF-5 score. CONCLUSION This multicentric evaluation confirmed that median IIEF-5 score was not significantly impaired after HoLEP. However, for patients with normal pre-operative EF, a significant decrease in EF after HoLEP was observed. These results may be taken into account when counselling patients before HoLEP.
Collapse
Affiliation(s)
- Maxime Deslandes
- Urology CHU Bordeaux GH Pellegrin Centre Hospitalier Universitaire de Bordeaux, 33000, Bordeaux, France.
| | - Clément Klein
- Urology CHU Bordeaux GH Pellegrin Centre Hospitalier Universitaire de Bordeaux, 33000, Bordeaux, France
| | | | - Vincent Comat
- Urology CH Côte Basque, 13 Av. de L'Interne Jacques Loeb, 64100, Bayonne, France
| | - Richard Mallet
- Urology Clinique Francheville, 4 Pl. Francheville, 24000, Périgueux, France
| | - Bertrand Degraeve
- Urology Polyclinique Grand Sud, 350, avenue St André de Codols, 30932, Nîmes, France
| | - Vianney Houssin
- Urology Clinique Médico-Chirurgicale de La Côte d'Opale, 173 Route de Desvres, 62280, Saint-Martin-Boulogne, France
| | - Arnauld Villers
- Urology CHRU Lille, 2 Av. Oscar Lambret, 59000, Lille, France
| | - Franck Bladou
- Urology CHU Bordeaux GH Pellegrin Centre Hospitalier Universitaire de Bordeaux, 33000, Bordeaux, France
| | - Grégoire Robert
- Urology CHU Bordeaux GH Pellegrin Centre Hospitalier Universitaire de Bordeaux, 33000, Bordeaux, France
| |
Collapse
|
9
|
Thureau S, Mallet R, Gouel P, Modzelewski R, Vera P. [What dose escalation in the treatment of locally advanced non-small cell lung cancer?]. Cancer Radiother 2022; 26:890-893. [PMID: 36075830 DOI: 10.1016/j.canrad.2022.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2022] [Revised: 06/28/2022] [Accepted: 07/01/2022] [Indexed: 11/29/2022]
Abstract
Despite significant therapeutic advances in the treatment of locally advanced inoperable non-small cell lung cancer (NSCLC), notably through adjuvant immunotherapy, the rate of therapeutic failure remains high. The use of positron emission tomography with fluorodeoxyglucose (FDG-PET), respiratory motion and intensity modulated radiotherapy (IMRT) have led to therapeutic improvements with reduced toxicity and better local control. The optimal dose to be delivered remains unknown due to discordant results of studies for almost 20 years and the way to define the area to benefit from a dose increase (whole volume, subvolume defined by pre- or per-radiotherapy PET).
Collapse
Affiliation(s)
- S Thureau
- Département de radiothérapie et de physique médicale, centre Henri-Becquerel, Rouen, France; Unité QuantIF LITIS EA 4108, université de Rouen, Normandie, France; Département d'imagerie, centre Henri-Becquerel, Rouen, France.
| | - R Mallet
- Département de radiothérapie et de physique médicale, centre Henri-Becquerel, Rouen, France
| | - P Gouel
- Département d'imagerie, centre Henri-Becquerel, Rouen, France
| | - R Modzelewski
- Unité QuantIF LITIS EA 4108, université de Rouen, Normandie, France; Département d'imagerie, centre Henri-Becquerel, Rouen, France
| | - P Vera
- Unité QuantIF LITIS EA 4108, université de Rouen, Normandie, France; Département d'imagerie, centre Henri-Becquerel, Rouen, France
| |
Collapse
|
10
|
Pradere B, Mallet R, De La Taille A, Bladou F, Prunet D, Beurrier S, Bardet F, Game X, Fournier G, Lechevallier E, Meria P, Matillon X, Polguer T, Abid N, De Graeve B, Kassab D, Mejean A, Misrai V, Pinar U. Climate-smart actions in the operating theatre for improving sustainability practices: A systematic review. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)01137-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
11
|
Fiard G, Kassab-Chahmi D, Matillon X, Mallet R, Corbel L, Pogu B, Bart S. Do French urologists suffer from imposter syndrome? A survey. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00110-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
12
|
Gury L, Mallet R, Robert G. Holmium laser en-bloc enucleation of the prostate: Bi-centric prospective evaluation of 109 consecutive cases. Prog Urol 2021; 32:121-129. [PMID: 34154962 DOI: 10.1016/j.purol.2021.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 12/27/2020] [Accepted: 01/29/2021] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Holmium laser enucleation of the prostate (HoLEP) is a validated alternative to transurethral resection of the prostate (TURP) and open prostatectomy (OP) for surgical treatment of bladder outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH). The surgical technique may vary considerably from one surgeon to another. The three-lobe technique remains the reference procedure, but some surgeons claim "en bloc" enucleation could help to shorten enucleation time. Our objective was to prospectively assess the clinical results of "en bloc" HoLEP. METHODS Consecutive 109 patients presenting with lower urinary tract symptoms (LUTS) related to BPH and selected for surgical treatment were prospectively included in an observational clinical study. There were no exclusion criteria as long as the patient was operated on by one of the two participating surgeons. The surgeons involved had previous experience of more than 200 HoLEP cases, including more than 50 "en bloc" procedures, before starting the clinical study. Clinical data were prospectively collected in a common computerized database and analysed once the 3-month follow-up data were collected including complications, maximum urinary flow rate (Qmax), post-void residual urine volume (PVR), the International Prostate Symptom Score (IPSS) and the Quality of life score (QoL). RESULTS Overall, 109 consecutive patients were included with median IPSS and QoL score of 20/35 and 5/6 respectively. At inclusion median prostatic size was 70mL, Qmax was 8mL/s, and PVR was160mL. The median length of the complete procedure, the enucleation and the morcellation were, respectively, 41min, 30min and 10min. The mean enucleation efficiency was 1.5g/min, and the mean morcellation efficiency was 4.5g/min. The median bladder catheterization and hospitalization length were of 18hours and 1 day respectively and 41% of patients had day-case procedure. Early post-operative complications were reported in 17 cases (16%) including 3 Clavien IIIb (bladder clot removal in the operating room). At 3-month, the IPSS and QoL decreased to 3/35 and 1/6 while Qmax and PVR improved to 26mL/s and 40mL. CONCLUSION In this bi-centric study evaluating short-term outcomes of the "en bloc" technique, the operating time was very short (41min) with excellent functional outcomes. A prospective clinical trial is necessary to confirm these results are due to the surgical technique itself and not only to the skills of the surgeons.
Collapse
Affiliation(s)
- L Gury
- Department of urology, Pellegrin hospital, Bordeaux, France.
| | - R Mallet
- Department of urology, Périgueux, France
| | - G Robert
- Department of urology, Pellegrin hospital, Bordeaux, France
| |
Collapse
|
13
|
Mallet R, Decazes P, Modzelewski R, Lequesne J, Vera P, Dubray B, Thureau S. Prognostic value of low skeletal muscle mass in patient treated by exclusive curative radiochemotherapy for a NSCLC. Sci Rep 2021; 11:10628. [PMID: 34017035 PMCID: PMC8137692 DOI: 10.1038/s41598-021-90187-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 04/20/2021] [Indexed: 12/25/2022] Open
Abstract
Low skeletal muscle mass is a well-known prognostic factor for patients treated for a non-small-cell lung cancer by surgery or chemotherapy. However, its impact in patients treated by exclusive radiochemotherapy has never been explored. Our study tries to evaluate the prognostic value of low skeletal muscle mass and other antropometric parameters on this population. Clinical, nutritional and anthropometric date were collected for 93 patients treated by radiochemotherapy for a NSCLC. Anthropometric parameters were measured on the PET/CT by two methods. The first method was a manual segmentation at level L3, used to define Muscle Body Area (MBAL3), Visceral Fat Area (VFAL3) and Subcutaneous Fat Area (SCFAL3). The second method was an software (Anthropometer3D), allowing an automatic multislice measurement of Lean Body Mass (LBMAnthro3D), Fat Body Mass (FBMAnthro3D), Muscle Body Mass (MBMAnthro3D), Visceral Fat Mass (VFMAnthro3D), and Sub-Cutaneous Fat Mass (SCFMAnthro3D) on the PET/CT. All anthropometrics parameters were normalised by the patient's height. The primary end point was overall survival time. Univariate and then stepwise multivariate cox analysis were performed for significant parameters. Finally, Spearman's correlation between MBAL3 and MBMAnthro3D was assessed. Forty-one (44%) patients had low skeletal muscle mass. The median overall survival was 18 months for low skeletal muscle mass patients versus 36 months for non-low skeletal muscle mass patients (p = 0.019). Low skeletal muscle mass (HR = 1.806, IC95% [1.09–2.98]), serums albumin level < 35 g/l (HR = 2.203 [1.19–4.09]), Buzby Index < 97.5 (HR = 2.31 [1.23–4.33]), WHO score = 0 (HR = 0.59 [0.31–0.86] and MBMAnthro3D < 8.56 kg/m2 (HR = 2.36 [1.41–3.90]) were the only significant features in univariates analysis. In the stepwise multivariate Cox analysis, only MBMAnthro3D < 8.56 kg/m2 (HR = 2.16, p = 0.003) and WHO score = 0 (HR = 0.59, p = 0.04) were significant. Finally, muscle quantified by MBAL3 and MBMAnthro3D were found to be highly correlated (Spearman = 0.9). Low skeletal muscle mass, assessed on the pre-treatment PET/CT is a powerful prognostic factor in patient treated by radiochemotherapy for a NSCLC. The automatic software Anthropometer3D can easily identify patients a risk that could benefit an adapted therapy.
Collapse
Affiliation(s)
- R Mallet
- Department of Radiation Oncology, Centre Henri Becquerel and Rouen University Hospital, & QuantIF-LITIS [EA (Equipe d'Accueil) 4108], Rouen, France
| | - P Decazes
- Department of Nuclear Medicine, Centre Henri Becquerel and Rouen University Hospital, & QuantIF-LITIS [EA (Equipe d'Accueil) 4108-FR CNRS 3638], Faculty of Medicine, University of Rouen, Rouen, France
| | - R Modzelewski
- Department of Nuclear Medicine, Centre Henri Becquerel and Rouen University Hospital, & QuantIF-LITIS [EA (Equipe d'Accueil) 4108-FR CNRS 3638], Faculty of Medicine, University of Rouen, Rouen, France
| | - J Lequesne
- Clinical Research Department, Centre Henri Becquerel, Rouen, France
| | - P Vera
- Department of Nuclear Medicine, Centre Henri Becquerel and Rouen University Hospital, & QuantIF-LITIS [EA (Equipe d'Accueil) 4108-FR CNRS 3638], Faculty of Medicine, University of Rouen, Rouen, France
| | - B Dubray
- Department of Radiation Oncology, Centre Henri Becquerel and Rouen University Hospital, & QuantIF-LITIS [EA (Equipe d'Accueil) 4108], Rouen, France
| | - S Thureau
- Department of Radiation Oncology, Centre Henri Becquerel and Rouen University Hospital, & QuantIF-LITIS [EA (Equipe d'Accueil) 4108], Rouen, France. .,Department of Nuclear Medicine, Centre Henri Becquerel and Rouen University Hospital, & QuantIF-LITIS [EA (Equipe d'Accueil) 4108-FR CNRS 3638], Faculty of Medicine, University of Rouen, Rouen, France.
| |
Collapse
|
14
|
Thureau S, Lebret L, Dandoy S, Ebran M, Gouley Toutain C, Guerault F, Lefebvre L, Mallet R, Moldovan C, Veresezan O, Lequesne J, Modzelewski R, Clatot F. PH-0039: Impact of sarcopenia on survival and recurrence after radiotherapy for head and neck cancer. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00065-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
15
|
Roupret M, Neuzillet Y, Mallet R, Mongiat-Artus P, Gamé X, Fournier G. Résultats d’une enquête de pratique nationale de l’Association française d’urologie (AFU) concernant la prise en charge des tumeurs de la vessie n’infiltrant pas le muscle (TVNIM) au sein des réunions de concertation pluridisciplinaires (RCP). Prog Urol 2020. [DOI: 10.1016/j.purol.2020.07.226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
16
|
Vallée M, Mallet R, Cormier L, Mongiat-Artus P, Fournier G, Gamé X, Bruyère F, Pradère B. Organisation de la téléconsultation en chirurgie urologique durant l’épidémie de COVID-19. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.07.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
17
|
Thureau S, Lebret L, Lequesne J, Mihailescu S, Mallet R, Cabourg M, Lefebvre L, Dandoy S, Modzelewski R, Clatot F. Impact de la sarcopénie sur la survie globale et la survie sans progression après radiothérapie ou chimioradiothérapie pour le carcinome épidermoïde de la tête et du cou. Cancer Radiother 2020. [DOI: 10.1016/j.canrad.2020.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
18
|
Méjean A, Rouprêt M, Rozet F, Bensalah K, Murez T, Game X, Rebillard X, Mallet R, Faix A, Mongiat-Artus P, Fournier G, Neuzillet Y. [Recommendations CCAFU on the management of cancers of the urogenital system during an epidemic with Coronavirus COVID-19]. Prog Urol 2020; 30:221-231. [PMID: 32224294 PMCID: PMC7146722 DOI: 10.1016/j.purol.2020.03.009] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Revised: 03/25/2020] [Accepted: 03/25/2020] [Indexed: 12/16/2022]
Abstract
Objectif La population française est confrontée à la pandémie de COVID-19 et le système de santé a été réorienté en urgence pour la prise en charge des patients atteints du coronavirus. La prise en charge des cancers de l’appareil urinaire et génital masculin doit être adaptée à ce contexte. Matériel et méthode Un avis d’experts documenté par une revue de la littérature a été formulé par le Comité de Cancérologie de l’Association Française d’Urologie (CCAFU). Résultats La prise en charge médicale et chirurgicale des patients atteints de cancers de l’appareil urinaire et génital masculin doit être adaptée en modifiant les modalités de consultation, en priorisant les interventions en fonction du pronostic intrinsèque des cancers en tenant compte des comorbidités du patient. La protection des urologues vis-à-vis du COVID-19 doit être prise en considération. Conclusion Le CCAFU émet un avis d’experts quant aux mesures à prendre pour adapter la prise en charge des cancers de l’appareil urinaire et génital masculin au contexte de pandémie par COVID-19.
Collapse
Affiliation(s)
- A Méjean
- Comité de cancérologie de l'Association française d'urologie, 11, rue Viète, 75017 Paris, France
| | - M Rouprêt
- Comité de cancérologie de l'Association française d'urologie, 11, rue Viète, 75017 Paris, France
| | - F Rozet
- Comité de cancérologie de l'Association française d'urologie, 11, rue Viète, 75017 Paris, France
| | - K Bensalah
- Comité de cancérologie de l'Association française d'urologie, 11, rue Viète, 75017 Paris, France
| | - T Murez
- Comité de cancérologie de l'Association française d'urologie, 11, rue Viète, 75017 Paris, France
| | - X Game
- Bureau du Conseil d'administration d'Association française d'urologie, 11, rue Viète, 75017 Paris, France
| | - X Rebillard
- Bureau du Conseil d'administration d'Association française d'urologie, 11, rue Viète, 75017 Paris, France
| | - R Mallet
- Bureau du Conseil d'administration d'Association française d'urologie, 11, rue Viète, 75017 Paris, France
| | - A Faix
- Bureau du Conseil d'administration d'Association française d'urologie, 11, rue Viète, 75017 Paris, France
| | - P Mongiat-Artus
- Bureau du Conseil d'administration d'Association française d'urologie, 11, rue Viète, 75017 Paris, France
| | - G Fournier
- Bureau du Conseil d'administration d'Association française d'urologie, 11, rue Viète, 75017 Paris, France
| | - Y Neuzillet
- Bureau du Conseil d'administration d'Association française d'urologie, 11, rue Viète, 75017 Paris, France.
| | | |
Collapse
|
19
|
Richard C, Graziana J, Khene Z, Peyronnet B, Mallet R, Mathieu R, Verhoest G, Bensalah K, Alimi Q, Hascoet J, Manunta A, Vincendeau S, Freton L. Implantation de prothèse pénienne (AMS 700) par voie infrapubienne: résultats périopératoires et à moyen terme. Prog Urol 2019. [DOI: 10.1016/j.purol.2019.08.173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
20
|
Marquette T, Klein C, Comat V, De Graeve B, Houssin V, Mallet R, Capon G, Bladou F, Ferrière J, Robert G. Influence de l’énucléation de prostate au laser Holmium (HoLEP) sur la fonction érectile : résultats d’une étude multicentrique sur 235 patients. Prog Urol 2019. [DOI: 10.1016/j.purol.2019.08.175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
21
|
Gury L, Mallet R, Robert G. Technique d’énucléation prostatique en « monobloc » au laser Holmium : évaluation bicentrique à propos de 109 cas. Prog Urol 2019. [DOI: 10.1016/j.purol.2019.08.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
22
|
Degeratu CN, Mabilleau G, Aguado E, Mallet R, Chappard D, Cincu C, Stancu IC. Polyhydroxyalkanoate (PHBV) fibers obtained by a wet spinning method: Good in vitro cytocompatibility but absence of in vivo biocompatibility when used as a bone graft. Morphologie 2019; 103:94-102. [PMID: 30905592 DOI: 10.1016/j.morpho.2019.02.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2019] [Revised: 02/21/2019] [Accepted: 02/25/2019] [Indexed: 06/09/2023]
Abstract
Polyhydroxyalkanoates (PHAs) are biomaterials widely investigated for tissue-engineering applications. In this regard, we describe a method to prepare fibers of poly(3-hydroxybutyrate-co-3-hydroxyvalerate) (PHBV) by a wet-spinning technique. Polymer fibers were used to test the cytocompatibility of the material in vitro. We have investigated their behavior in vitro in presence of the osteoblast-like (SaOs2) and macrophage (J774.2) cell lines. The PHBV fibers used were 100-200μm in diameter and offered a large surface for cell adhesion, similar to that they encounter when apposed onto a bone trabeculae. The fiber surface possessed a suitable roughness, a factor known to favor the adherence of cells, particularly osteoblasts. PHBV fibers were degraded in vitro by J774.2 cells as erosion pits were observable by transmission electron microscopy. The fibers were also colonisable by SaOs2 cells, which can spread and develop onto their surface. However, despite this good cytocompatibility observed in vitro, implantation in a bone defect drilled in rabbit femoral condyles showed that the material was only biotolerated without any sign of osteoconduction or degradation in vivo. We can conclude that PHBV is cytocompatible but is not suitable to be used as a bone graft as it does not favor osteoconduction and is not resorbed by bone marrow macrophages.
Collapse
Affiliation(s)
- C N Degeratu
- University Politehnica of Bucharest, Faculty of Applied Chemistry and Materials Science, Department of Bioresources and Polymer Science, 1-7 Gh Polizu, district 1, 011061 Bucharest, Romania; Groupe études remodelage osseux et biomatériaux, GEROM, EA-4658, SFR-4208, université d'Angers, IRIS-IBS institut de biologie en santé, CHU d'Angers, 49933 Angers, France
| | - G Mabilleau
- Groupe études remodelage osseux et biomatériaux, GEROM, EA-4658, SFR-4208, université d'Angers, IRIS-IBS institut de biologie en santé, CHU d'Angers, 49933 Angers, France; Service commun d'imagerie et analyses microscopiques, SCIAM, SFR-4208, université d'Angers, IRIS-IBS institut de biologie en santé, CHU d'Angers, 49933 Angers cedex, France
| | - E Aguado
- ONIRIS, École vétérinaire de Nantes, 44307 Nantes cedex 3, France
| | - R Mallet
- Groupe études remodelage osseux et biomatériaux, GEROM, EA-4658, SFR-4208, université d'Angers, IRIS-IBS institut de biologie en santé, CHU d'Angers, 49933 Angers, France; Service commun d'imagerie et analyses microscopiques, SCIAM, SFR-4208, université d'Angers, IRIS-IBS institut de biologie en santé, CHU d'Angers, 49933 Angers cedex, France
| | - D Chappard
- Groupe études remodelage osseux et biomatériaux, GEROM, EA-4658, SFR-4208, université d'Angers, IRIS-IBS institut de biologie en santé, CHU d'Angers, 49933 Angers, France; Service commun d'imagerie et analyses microscopiques, SCIAM, SFR-4208, université d'Angers, IRIS-IBS institut de biologie en santé, CHU d'Angers, 49933 Angers cedex, France.
| | - C Cincu
- University Politehnica of Bucharest, Faculty of Applied Chemistry and Materials Science, Department of Bioresources and Polymer Science, 1-7 Gh Polizu, district 1, 011061 Bucharest, Romania
| | - I C Stancu
- University Politehnica of Bucharest, Faculty of Applied Chemistry and Materials Science, Department of Bioresources and Polymer Science, 1-7 Gh Polizu, district 1, 011061 Bucharest, Romania
| |
Collapse
|
23
|
Descazeaud A, Coloby P, Taille ADL, Kouri G, Mallet R, Rossi D, Rozet F, Zerbib M, Carrois F. Intérêt d’une évaluation systématique du traitement des symptômes du bas appareil urinaire dans la prise en charge d’une hypertrophie bénigne de la prostate en médecine générale. Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
24
|
Marquette T, Klein C, De Graeve B, Mallet R, Houssin V, Rizk J, Comat V, Bernhard J, Capon G, Ferrière J, Robert G. Évaluation de la fonction érectile après énucléation prostatique au laser holmium. Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
25
|
Houssin V, Villers A, Robert G, Marquette T, Mallet R, Baumert H, Rizk J. Incidence de l’incontinence urinaire après holep : registre descriptif, prospectif, national, multicentrique. Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
26
|
Mallet R, Decazes P, Modzelewski R, Vera P, Dubray B, Lequesne J, Thureau S. Impact pronostique de la sarcopénie chez les patients pris en charge par chimioradiothérapie pour un cancer pulmonaire non à petites cellules. Cancer Radiother 2018. [DOI: 10.1016/j.canrad.2018.07.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
27
|
Mallet R, Ducrocq S, Suberville M, Bournel P. Utilisation d’un instrument robotisé tenu en main en association avec la vision laparoscopique 3D lors d’interventions de prostatectomie radicale, résultats après 18 mois d’utilisation. Prog Urol 2015; 25:797-8. [DOI: 10.1016/j.purol.2015.08.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
28
|
Sukumaran P, Foxton R, Wilson R, Mallet R, Fenlon M. The Effect of Disinfectant Solutions on the Durability of the Bond between Resin Based Cement and Non-Precious Metal Alloy. SAINS MALAYS 2015. [DOI: 10.17576/jsm-2015-4403-13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
29
|
Gallard A, Mallet R, Chevalier M, Grapin A. Limited elimination of two viruses by cryotherapy of pelargonium apices related to virus distribution. Cryo Letters 2011; 32:111-122. [PMID: 21766140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The possibility of eradicating the pelargonium flower break virus (PFBV) and pelargonium line pattern virus (PLPV) by cryotherapy of axillary shoot apices was investigated using five Pelargonium cultivars. Viruses were detected by DAS-ELISA and their location was determined by immunolocalization. Apex culture did not permit elimination of PFBV and only 15 percent regenerated plants of 'Stellar Artic' cultivar were ELISA PLPV-negative. Plants regenerated from cryotherapy-treated apices were tested by DAS-ELISA after a 3-month in vitro culture period. Viruses were not detected in 25 percent and 50 percent of the plants tested for PFBV and PLPV, respectively. However, immunolocalization carried out on apices originating from cryopreserved shoot tips sampled from DAS-ELISA negative plants showed that they were still virus-infected. Using immunolocalization, PFBV and PLPV could be detected in Pelargonium apices, even in the meristematic dome. However, viral particles were more numerous in basal zone cells than in meristematic cells. Our results demonstrate that PFBV and PLPV are present within meristematic cells and that cryopreservation can partly reduce the quantity of these viruses in Pelargonium plants but not eliminate them totally. Additional knowledge on localization and behaviour of viruses during cryopreservation is essential to optimize cryotherapy and plant genetic resource management.
Collapse
Affiliation(s)
- A Gallard
- AGROCAMPUS-OUEST, Centre d Angers, INHP, UMR GenHort, Angers Cedex, France
| | | | | | | |
Collapse
|
30
|
Guillotreau J, Gamé X, Mouzin M, Doumerc N, Mallet R, Sallusto F, Malavaud B, Rischmann P. Radical Cystectomy for Bladder Cancer: Morbidity of Laparoscopic Versus Open Surgery. J Urol 2009; 181:554-9; discussion 559. [DOI: 10.1016/j.juro.2008.10.011] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2008] [Indexed: 10/21/2022]
Affiliation(s)
- Julien Guillotreau
- Service d'Urologie, Andrologie et Transplantation Rénale, CHU Rangueil, Toulouse, France
| | - Xavier Gamé
- Service d'Urologie, Andrologie et Transplantation Rénale, CHU Rangueil, Toulouse, France
| | - Marc Mouzin
- Service d'Urologie, Andrologie et Transplantation Rénale, CHU Rangueil, Toulouse, France
| | - Nicolas Doumerc
- Service d'Urologie, Andrologie et Transplantation Rénale, CHU Rangueil, Toulouse, France
| | - Richard Mallet
- Service d'Urologie, Andrologie et Transplantation Rénale, CHU Rangueil, Toulouse, France
| | - Federico Sallusto
- Service d'Urologie, Andrologie et Transplantation Rénale, CHU Rangueil, Toulouse, France
| | - Bernard Malavaud
- Service d'Urologie, Andrologie et Transplantation Rénale, CHU Rangueil, Toulouse, France
| | - Pascal Rischmann
- Service d'Urologie, Andrologie et Transplantation Rénale, CHU Rangueil, Toulouse, France
| |
Collapse
|
31
|
Guillotreau J, Gamé X, Castel-Lacanal E, Mallet R, De Boissezon X, Malavaud B, Marque P, Rischmann P. [Laparoscopic cystectomy and transileal ureterostomy for neurogenic vesicosphincteric disorders. Evaluation of morbidity]. Prog Urol 2007; 17:208-12. [PMID: 17489320 DOI: 10.1016/s1166-7087(07)92265-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
OBJECTIVES To evaluate the morbidity and mortality of laparoscopic cystectomy combined with transileal ureterostomy to treat neurogenic vesicosphincteric disorders. MATERIAL Prospective study performed between february 2004 and april 2006 on 26 consecutive patients with a mean age of 55.0 +/- 12.7 years treated by laparoscopic cystectomy for neurogenic vesicosphincteric disorders. The underlying neurological disease was multiple sclerosis (MS) in 20 cases, spinal cord injury in 4 cases and transverse myelitis in 2 cases. The median preoperative ASA score was 3 (range: 2-3). RESULTS No open conversion was necessary. One intraoperative complication was observed (vascular injury). No perioperative death was observed. The nasogastric tube was maintained postoperatively for an average of 8.69 +/- 5.9 hours. The mean time to resumption of oral fluids was 1.4 +/- 0.7 days and mean time to resumption of solids was 2.6 +/- 1.0 days. The mean time to resumption of bowel movements was 3.8 +/- 3.2 days. The mean intensive care stay was 3.9 +/- 1.1 days. Two postoperative complications were observed in the same patient (ileus and bronchial congestion). Postoperative narcotic analgesics were necessary in 60% of cases. The mean hospital stay was 10.3 +/- 4.1 days. Two late postoperative complications were observed in the same patient (two episodes of pyelonephritis). CONCLUSION Laparoscopic cystectomy has a low morbidity in neurological patients, allowing early return of feeding and a moderate length of hospital stay.
Collapse
Affiliation(s)
- Julien Guillotreau
- Service d'Urologie, d'Andrologie et de Transplantation Rénale, CHU Rangueil, Toulouse, France
| | | | | | | | | | | | | | | |
Collapse
|
32
|
Mallet R, Game X, Lefi M, Mouzin M, Malavaud B, Otal P, Joffre F, Rischmann P. [Conservative management of renal haemangioma: value of a synergistic combination of flexible ureteroscopy and CT angiography]. Prog Urol 2007; 17:108-10. [PMID: 17373249 DOI: 10.1016/s1166-7087(07)92237-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Renal haemangioma (RH) is a rare congenital vascular lesion that is frequently responsible for macroscopic haematuria. This lesion is difficult to diagnose preoperatively despite progress in imaging techniques. These diagnostic difficulties account for the high rate of radical treatment (nephrectomy or nephro-ureterectomy) due to a suspicion of renal carcinoma or upper urinary tract tumour. However, conservative diagnostic and therapeutic management can be performed by a combination of CT angiography, flexible ureteroscopy and selective embolization.
Collapse
Affiliation(s)
- Richard Mallet
- Service de chirurgie urologique, Hôpital de Rangueil de Toulouse, Toulouse, France.
| | | | | | | | | | | | | | | |
Collapse
|
33
|
Gamé X, Mallet R, Guillotreau J, Berrogain N, Mouzin M, Vaessen C, Sarramon JP, Malavaud B, Rischmann P. Uterus, Fallopian Tube, Ovary and Vagina-Sparing Laparoscopic Cystectomy: Technical Description and Results. Eur Urol 2007; 51:441-6; discussion 446. [DOI: 10.1016/j.eururo.2006.06.052] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2006] [Accepted: 06/29/2006] [Indexed: 11/26/2022]
|
34
|
Dean K, Fearon P, Morgan K, Hutchinson G, Orr K, Chitnis X, Suckling J, Mallet R, Leff J, Jones PB, Murray RM, Dazzan P. Grey matter correlates of minor physical anomalies in the AeSOP first-episode psychosis study. Br J Psychiatry 2006; 189:221-8. [PMID: 16946356 DOI: 10.1192/bjp.bp.105.016337] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Minor physical anomalies are more prevalent among people with psychosis. This supports a neurodevelopmental aetiology for psychotic disorders, since these anomalies and the brain are both ectodermally derived. However, little is understood about the brain regions implicated in this association. AIMS To examine the relationship between minor physical anomalies and grey matter structure in a sample of patients with first-episode psychosis. METHOD Sixty patients underwent assessment of minor physical anomalies with the Lane scale. High-resolution magnetic resonance images and voxel-based methods of image analysis were used to investigate brain structure in these patients. RESULTS The total anomalies score was associated with a grey matter reduction in the prefrontal cortex and precuneus and with a grey matter excess in the basal ganglia, thalamus and lingual gyrus. CONCLUSIONS Minor physical anomalies in a sample of patients with first-episode psychosis are associated with regional grey matter changes. These regional changes may be important in the pathogenesis of psychotic disorder.
Collapse
Affiliation(s)
- K Dean
- Division of Psychological Medicine, Institute of Psychiatry, King's College London SE5 8AF, UK, and Department of Psychiatry, Sir Charles Gairdner Hospital, Perth, Australia.
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
35
|
Baudelot-Berrogain N, Roquejoffre S, Gamé X, Mallet R, Mouzin M, Bertrand N, Plante P, Sarramon JP, Rischmann P, Malavaud B. [Linguistic validation of the "Brief Index of Sexual Functioning for Women"]. Prog Urol 2006; 16:174-83. [PMID: 16734241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
UNLABELLED Application to the study of sexuality in a population of 93 French women. OBJECTIVES This study was designed to linguistically validate the French version of the BISF-W (Brief Index of Sexual Functioning for Women) which provides a quantitative and qualitative assessment of female sexuality according to 7 dimensions. This version was then used to study the impact of recognized factors of sexual dysfunction on a control population. MATERIAL AND METHOD The BISF-W a self-administered quality of life questionnaire developed by Rosen, was translated and linguistically validated. This questionnaire comprises 22 questions in 7 dimensions investigating all aspects of female sexuality: D1 (desire), D2 (arousal), D3 (frequency of sexual activity), D4 (receptiveness), 05 (pleasure, orgasm), D6 (relational satisfaction), D7 (problems affecting sexuality), Composite Score (CS) D1+D2+D3+D4+D5+D6+07. The French version was administered to a study population of 93 women: 49 derived from gynaecology or urology departments and 44 derived from the general population. We calculated and compared the scores of the various dimensions of the BISF-W according to factors able to modify sexuality, such as menopause, age or parity. RESULTS The results of our study show an alteration of the various dimensions of sexuality in elderly patients (D2, D5, D6, CS; p<0.05) or postmenopausal patients (D2, D5, D6, CS, p<0.05) and in multiparous women. CONCLUSION The French version of the BISF-W gives results in line with the literature and demonstrates changes of sexuality as a function of the above mentioned variables.
Collapse
|
36
|
Game X, Moscovici J, Mallet R, Berrogain N, Mouzin M, Sarramon JP, Malavaud B, Rischmann P. 714: Sexual Function and Erection Ability in Young Men with Spina Bifida and Myelomeningocele. J Urol 2005. [DOI: 10.1016/s0022-5347(18)35946-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
37
|
Mallet R, Tricoire JL, Rischmann P, Sarramon JP, Puget J, Malavaud B. High prevalence of erectile dysfunction in young male patients after intramedullary femoral nailing. Urology 2005; 65:559-63. [PMID: 15780376 DOI: 10.1016/j.urology.2004.10.002] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2004] [Accepted: 10/06/2004] [Indexed: 11/18/2022]
Abstract
OBJECTIVES To evaluate, given the central role of the pudendal nerves in erection, the impact of potential infraclinical lesions on male sexual function. After intramedullary femoral fixation, countertraction on the fracture table has sporadically been involved in pudendal neurapraxia. Patients with tibial fractures served as controls. METHODS A total of 168 patients treated for femoral or tibial shaft fractures by intramedullary nailing were mailed the International Index of Erectile Function questionnaire, which addresses all aspects of male sexual function and permits grading of the severity of erectile dysfunction (ED). Univariate and multivariate analyses were conducted to test for factors associated with ED. RESULTS Of the 168 patients, 101 (60.1%) returned the questionnaire. A greater proportion of ED was observed in sexually active patients after femoral fracture than after tibial fracture (40.5% versus 12.5%, P <0.01). The differential prevalence of ED in both groups subjected to comparable high-energy trauma suggested that post-traumatic stress disorder was of marginal importance in ED occurring after femoral nailing. Greater intraoperative doses of curare were associated with better sexual functioning in sexually active patients after femoral fracture (10.6 versus 7.5 mg in patients without and with ED, respectively, P = 0.02), suggesting that postoperative ED could be partially prevented by optimal muscle relaxation during fracture reduction. CONCLUSIONS Erectile dysfunction was shown to be highly prevalent after intramedullary nailing of femoral shaft fractures. Greater intraoperative curare doses, resulting in optimal relaxation and reduced pressure on the pudendal nerves by the perineal post, were associated with better sexual functioning.
Collapse
Affiliation(s)
- Richard Mallet
- Department of Urology, Hôpital Rangueil, Toulouse, France
| | | | | | | | | | | |
Collapse
|
38
|
Mallet R, Vaessen C, Gamé X, Mouzin M, Berrogain N, Sarramon JP, Malavaud B, Rischmann P. [Prospective study of iliac extraction of the kidney after laparoscopic nephrectomy]. Prog Urol 2005; 15:103-7. [PMID: 15822406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
INTRODUCTION Various routes are used to extract the operative specimen during laparoscopic nephrectomy. The main points are compliance with rules of cancer surgery, when applicable, and minimum wall destruction. The objective of this study was to prospectively evaluate the low iliac approach. MATERIAL AND METHOD Prospective follow-up of 23 laparoscopic nephrectomies (17 tumours and 6 living donor kidney harvestings) in which the kidney was extracted via a low iliac incision measuring 5 to 7 cm. RESULTS The mean operating time was 188 +/- 50 min with a mean blood loss of 112 +/- 126 ml. The mean duration of the incision was 10 minutes. In the case of a tumour the mean weight of the operative specimen was 571 +/- 127 g in and the mean diameter of the mass was 5.7 +/- 1.9 cm. All grafted kidneys functioned normally. No surgical conversion was necessary. The mean follow-up was 9.6 +/- 1.2 months. No late postoperative complications were observed. CONCLUSION Radical nephrectomy or living donor kidney harvesting can be performed via laparoscopy with extraction of the operative specimen via a low iliac incision. This incision ensures extraction of very large specimens while preserving the aesthetic and functional advantages of laparoscopy with no increased cancer risk. They are simple to perform and easily reproducible via a transperitoneal or retroperitoneal approach. Absence of muscle section maintains the integrity of the abdominal wall. No postoperative incisional hernia has been observed.
Collapse
Affiliation(s)
- Richard Mallet
- Service d'Urologie, Andrologie et de Transplantation renale, CHU Rangueil, Toulouse, France.
| | | | | | | | | | | | | | | |
Collapse
|
39
|
Mallet R, Game X, Mouzin M, Sarramon JP, Vaessen C, Malavaud B, Rischmann P. [Symptomatic vesicoureteral reflux in kidney transplantation: results of endoscopic injections of teflon and predictive factors for success]. Prog Urol 2003; 13:598-601. [PMID: 14650289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
OBJECTIVES Evaluation of the results of endoscopic Teflon injections for the treatment of symptomatic vesicoureteric reflux in renal transplant recipients and identification of prognostic factors. POPULATION AND METHODS Between June 1997 and January 2002, out of a series of 408 renal transplant recipients, 15 patients (8 males, 7 females) with a mean age of 41.9 years were treated for symptomatic vesicoureteric reflux on the transplanted kidney by endoscopic Teflon injection. This treatment was indicated due to the presence of febrile or afebrile infections, possibly associated with deterioration of renal function. Reflux was demonstrated by retrograde cystography. The results of endoscopic treatment were evaluated by cystography at 3 months, and by clinical and laboratory examinations thereafter. RESULTS The mean interval between renal transplantation and endoscopic treatment was 64.2 +/- 64.7 months. With a mean follow-up of 25 +/- 16.7 months, we observed a 53.3% success rate (8 patients), 13.3% of patients (2 patients) were improved and 33.3% of procedures were considered to be failures (5 patients). A lower number of preoperative infections, reflux < or = grade III and the absence of impaired renal function are predictive factors for the success of endoscopic treatment. The only complication was one case of renal colic due to meatal stenosis at 3 months, which responded favourably to endoscopic treatment alone. CONCLUSION Endoscopic treatment of symptomatic vesicoureteric reflux on a transplanted kidney by Teflon injection is effective in two-thirds of cases. Due to the low morbidity of this minimally invasive procedure, this treatment should be proposed as first-line management for all cases of symptomatic vesicoureteric reflux on a transplanted kidney.
Collapse
Affiliation(s)
- Richard Mallet
- Service d'Urologie, Andrologie et Transplantation Rénale, CHU Rangueil, 31403 Toulouse.
| | | | | | | | | | | | | |
Collapse
|
40
|
Gamé X, Vaessen C, Mouzin M, Mallet R, Malavaud B, Sarramon JP, Rischmann P. [Retroperitoneal laparoscopic nephrectomy fo polycystic kidney: preliminary results]. Prog Urol 2003; 13:215-21. [PMID: 12765054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Abstract
OBJECTIVES To evaluate the morbidity and mortality of retroperitoneal laparoscopic nephrectomy for polycystic kidney. MATERIAL AND METHODS Between June 2000 and March 2002, seven retroperitoneal laparoscopic nephrectomies for polycystic kidney were performed in six patients (three men, three women) with a mean age of 52.8 years. All patients presented end-stage renal failure treated by haemodialysis in five cases and by renal transplantation in one case. The ASA score was 2 in four cases and 3 in two cases. The indication for surgery was preparation for renal transplantation, episodes of macroscopic haematuria and pain in three cases, hypertension poorly controlled by medical treatment in two cases, preparation for renal transplantation in one case and pain associated with restrictive respiratory syndrome due to compression in one case. RESULTS The mean operating time was 4 hours 35 minutes, and the mean blood loss was 400 ml. There were no intraoperative or perioperative deaths. An early postoperative complication occurred in two cases. The mean hospital stay was 11 days, with a mean stay of 2.4 days in the postoperative intensive care unit. No late complications were observed with a mean follow-up of 14 months. Preoperative pain, episodes of haematuria, hypertension and signs of compression resolved in each case. CONCLUSION Laparoscopic nephrectomy for polycystic kidney is a technique that can be performed via a retroperitoneal approach without manual assistance and with low morbidity.
Collapse
Affiliation(s)
- Xavier Gamé
- Servce d'Urologie, d'Andrologie et de Transplantation Rénale, 31403 Toulouse, France.
| | | | | | | | | | | | | |
Collapse
|
41
|
Mallet R, Mouzin M, Gamé X, Braud F, Rischmann P, Sarramon JP. [Acute epididymitis disclosing tertiary tuberculosis]. Prog Urol 2001; 11:542-5. [PMID: 11512474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
Abstract
The authors report the case of a 50-year-old drinker and smoker presenting with isolated acute on chronic epididymitis, leading to the diagnosis of tertiary tuberculosis. This now exceptional case emphasizes the value of scrotal ultrasound and complementary investigations looking for other sites of tuberculosis.
Collapse
Affiliation(s)
- R Mallet
- Service de Chirurgie Urologique et de Transplantation Rénale, CHU Rangueil, avenue Jean Poulhès, 31403 Toulouse
| | | | | | | | | | | |
Collapse
|
42
|
Mallet R. Endogenous adenosine increases O2 utilisation efficiency in isoprenaline-stimulated canine myocardium. Cardiovasc Res 1996. [DOI: 10.1016/0008-6363(95)00166-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
43
|
Abstract
Selective interventions for areas with high perinatal mortality-rates have been proposed. Measuring the effectiveness of intervention requires prior calculation of spontaneous regression towards the mean. A method is described and applied.
Collapse
|
44
|
Leroy D, Jaubert F, Jundt S, Lavaud J, Mallet R. [Interstitial pneumonia due to cholesterol in the child]. Ann Pediatr (Paris) 1977; 24:397-403. [PMID: 16211983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
|
45
|
Raoul O, Carpentier S, Dutrillaux B, Mallet R, Lejeune J. [Partial trisomy of chromosome 21 by maternal translocation t(15;21) (q26.2; q21)]. Ann Genet 1976; 19:187-90. [PMID: 136225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
A balanced reciprocal translocation, t(15;21) (q262;q21) was observed in the mother and maternal grandfather of two patients. The propositus, who received the abnormal chromosome 15 from his mother, is trisomic for the distal part of chromosome 21, and his phenotype is that of classical trisomy 21. His sister, who is trisomic for the proximal part of 21q, is slightly retarded but developmentally normal otherwise.
Collapse
|
46
|
Labrune B, Mallet R. [Orientation of diagnosis in clear liquid meningitis]. Rev Prat 1975; 25:603-4, 607-8, 613-4. [PMID: 1129565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
|
47
|
Mallet R, Joron F. [Why not maternal breast feeding?]. Rev Prat 1974; 24:4751-4 passim. [PMID: 4476088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
|
48
|
Gerbeaux J, Mallet R. [Pediatrics in 1974]. Rev Prat 1974; 24:4701-passim. [PMID: 4450091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
|
49
|
Mallet R, Gerbeaux J. [Pediatrics in 1973]. Rev Prat 1973; 23:4103-30. [PMID: 4801877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
|
50
|
Labrune B, Bertin P, Donnève R, Hayat P, Mallet R. [Ectopic outlet of the choledochus and pancreatic lithiasis. A case in a 3-year-old child]. Nouv Presse Med 1972; 1:3051-5. [PMID: 4648960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
|