يعرض 1 - 6 نتائج من 6 نتيجة بحث عن '"Souche, FR"', وقت الاستعلام: 0.72s تنقيح النتائج
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    دورية أكاديمية
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    دورية أكاديمية
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    دورية أكاديمية
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    دورية أكاديمية
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    دورية أكاديمية

    المساهمون: Panaro, F, Leon, P, Perniceni, T, Bianchi, G, Souche, Fr, Fabre, Jm, De Blasi, V, Azagra, S, Marin, G, Giannandrea, G, Gayet, B, Navarro, F, Fuks, D

    الوصف: Background: Short and long-term outcomes after repeat anti-reflux surgery (BARS) are still debated and generally not considered as satisfying as after primary anti-reflux surgery (PARS). The aim of this study was to evaluate functional outcomes after PARS and risk factors associated to intra-operative and post-operative complications. Methods: This is a multicenter retrospective survey from four European laparoscopic centers. Patients who underwent elective PARS from January 2005 to October 2017 for dysphagia or for persistent reflux disease refractory to medical treatment were analyzed. Data on demographic characteristics, including type and timing of previous operations as well as infra-operative details (surgical technique, type of PARS, conversion to open surgery, prosthetic material placement) were collected. Patients who underwent operations in the emergency setting, interventions mixed with bariatric procedures and PARS performed in other surgical departments were not included in this study. Primary endpoint of this study was to evaluate risk factors associated with intraoperative and postoperative complications. Secondary endpoint was to evaluate clinical outcomes and to identify any possible correlation with clinical and surgical parameters. Results: Among 1662 patients who underwent PARS, failure occurred in 174 (10.5%) patients. Repeat surgery was performed in 117 (7%) patients, after a mean time of 80 months (range 4-315). PARS was carried out laparoscopically in 88% of cases. Prosthetic mesh to reinforce hiatoplasty was used in 22.2% of patients. Intraoperative upper gastro-intestinal tracts injuries occurred in 6 (5.1%) patients. Perioperative mortality was nil and 13 (11.1%) patients experienced postoperative complications. Mean length of hospital stay was 9.6 +/- 6.4 days. Based on a multivariable analysis, age >70 years (OR 1.074, C.I.95% 1.018-1.133, p = 0.008) and body mass index (BMI) < 23 (OR 0.172, C.I. 95% 0.052-0.568, p = 0.004) were independently associated to postoperative ...

    العلاقة: info:eu-repo/semantics/altIdentifier/wos/WOS:000522649400039; volume:76; firstpage:121; lastpage:127; numberofpages:7; journal:INTERNATIONAL JOURNAL OF SURGERY; https://hdl.handle.net/11579/171580Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85081682029

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