Quoi de neuf en chirurgie? [Novelties in surgery in 2014]

Détails

ID Serval
serval:BIB_FD75B8D8799C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Quoi de neuf en chirurgie? [Novelties in surgery in 2014]
Périodique
Revue medicale suisse
Auteur(s)
Melloul E., Demartines N.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
14/01/2015
Volume
11
Numéro
456-457
Pages
44-48
Langue
français
Notes
Publication types: English Abstract ; Journal Article
Publication Status: ppublish
Résumé
In 2014, surgical management of complex digestive pathology requires a multimodal approach. The association of chemotherapy combined with surgery allows obtaining promising 5 years survival, particularly for borderline adenocarcinoma of the head of the pancreas or for liver metastasis. The incremental use of cytoreductive surgery associated with hyperthermic intraperitoneal chemotherapy provides a clear benefit in long-term survival for selected patients with primary or secondary peritoneal carcinomatosis. Finally, the use of Enhanced recovery pathways (ERAS) after surgery is now validated in colorectal surgery, and the preliminary results in hepato-biliary and pancreatic surgery are very promising. The implementation of ERAS provides a reduction in hospital stays, postoperative complications and costs, even in elderly patients.

Mots-clé
Digestive System Surgical Procedures, Gastrointestinal Diseases/surgery, Humans
Pubmed
Création de la notice
15/02/2017 11:34
Dernière modification de la notice
20/08/2019 17:28
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