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Giulioni C, Garelli G, Riviere J, Piechaud-Kressmann J, Vuong N, Lopez L, Piechaud T, Roche J, Rouffilange J, Hoepffner J, Galosi A, Gaston R, Pierquet G. The evaluation of 6-months postoperative outcome of robot-assisted pudendal nerve decompression in case of entrapment: a first case series. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01107-7] [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: 11/07/2022] Open
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Cabaillé M, Gaston R, Belhomme S, Giraud A, Rouffilange J, Roubaud G, Sargos P. [Plan of the day adaptive radiotherapy for bladder cancer: Dosimetric and clinical results]. Cancer Radiother 2021; 25:308-315. [PMID: 33422418 DOI: 10.1016/j.canrad.2020.10.002] [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: 09/10/2020] [Revised: 10/14/2020] [Accepted: 10/26/2020] [Indexed: 10/22/2022]
Abstract
PURPOSE To account of individual intra-pelvic anatomical variations in muscle invasive bladder cancer (MIBC) irradiation, adaptive radiotherapy (ART) using a personalized plan library may have dosimetric and clinical benefits. MATERIAL AND METHODS The data from ten patients treated for localized MIBC according to the "plan of the day" (P0oD) individualized ART technique were collected and retrospectively analysed. Target volumes and organs at risk (OAR) were delineated at different bladder fill rates, resulting in two or three treatment plans. Daily Cone-Beam CT (CBCT) was used for the selection of PoD at each fraction. Retrospectively, we delineated rectal, intestinal and target volumes on each CBCT, to assess target volume coverage and dose sparing to healthy tissues. A comparison with the conventional radiotherapy technique was performed. The secondary objectives were toxicity and efficacy. RESULTS The target coverage was respected with the adaptive treatment: 97.3% for the bladder Clinical Target Volume (CTV) (99.5; [60.1-100]) and 98% for the bladder+lymph nodes CTV (98.6; [85.4-100]). Concerning OAR, the volume of healthy tissue spared was 43.7% on average and the V45Gy for the small bowel was 43,4cc (35; [0-129]) (versus 57,6cc). The rectal D50 was on average 18,7Gy for the adaptive treatment (15.9; [2.4-44.1]) versus 17Gy with the conventional approach. With a median follow-up of 2.94 years (95% CI: [0.92-4.02]), we observed three grade 3 toxicities (30%). No grade 4 toxicity was observed. The 2-year overall survival and progression-free survival rates were 65.6% (95% CI: [26-87.6]) and 45.7% (95% CI: [14.3-73]), respectively. CONCLUSION The ART technique using a PoD strategy showed a reduction of the irradiated healthy tissue volume while maintaining a similar bladder coverage, with an acceptable rate of toxicity.
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Affiliation(s)
- M Cabaillé
- Département de Radiothérapie, Institut Bergonié, 33076 Bordeaux cedex, France
| | - R Gaston
- Département de Chirurgie Urologique, Clinique Saint Augustin, 33000 Bordeaux, France
| | - S Belhomme
- Département de Physique Médicale, Institut Bergonié, 33076 Bordeaux cedex, France
| | - A Giraud
- Unité de Recherche Épidémiologique et Clinique, Institut Bergonié, 33076 Bordeaux cedex, France
| | - J Rouffilange
- Département de Chirurgie Urologique, Clinique Saint Augustin, 33000 Bordeaux, France
| | - G Roubaud
- Département d'Oncologie Médicale, Institut Bergonié, 33076 Bordeaux cedex, France
| | - P Sargos
- Département de Radiothérapie, Institut Bergonié, 33076 Bordeaux cedex, France.
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Rouffilange J, Gobet A, Capon G, Comat V, Lagabrielle S, Guillaume A, Robert G, Bensadoun H, Ferrière JM, Bernhard JC. [Partial nephrectomy for renal masses >7cm: Morbidity, oncological and functional outcomes (UroCCR-7 study)]. Prog Urol 2018; 28:588-595. [PMID: 30017703 DOI: 10.1016/j.purol.2018.06.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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: 09/12/2017] [Revised: 01/03/2018] [Accepted: 06/07/2018] [Indexed: 01/20/2023]
Abstract
OBJECTIVES To describe the morbidity, mortality, oncological and functional results of Partial nephrectomy (PN) for the treatment of renal tumors of more than 7cm. MATERIAL AND METHODS Thirty-seven partial nephrectomies for tumors larger than 7cm operated in a single center between 1987 and 2016 were analyzed retrospectively. The pre, per and postoperative clinico-biological data were collected within the UroCCR database. The GFR was assessed at day 5, 1 month and last follow-up. Intraoperative and postoperative surgical complications, the recurrence rate and the overall and specific mortality were collected. RESULTS The mean age of the patients was 57 years (44-68). The preoperative GFR and the median tumor size were 80mL/min and 8cm, respectively. The indication for surgery was elective in 21 cases (60%) and 19 tumors (54%) were malignant. Postoperative complications occurred in 24,3 cases (24.3%). The median post-operative GFR was respectively 77mL/min, 80mL/min and 77mL/min at day 5, 1month and at last follow-up. With a median follow up of 31 months [1-168], 5 patients (26,3%) had metastatic progression of whom 1 (5.3%) had a concomitant local recurrence and 3 (15.8%) had died from cancer. CONCLUSION This study confirms the feasibility of PN for large tumors with acceptable morbidity, limited risk of local recurrence and excellent functional results. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- J Rouffilange
- Service de chirurgie urologique, andrologie et transplantation rénale, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France.
| | - A Gobet
- Institut de santé publique, d'épidémiologie et de développement, université Victor-Segalen Bordeaux 2, 33000 Bordeaux, France
| | - G Capon
- Service de chirurgie urologique, andrologie et transplantation rénale, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France
| | - V Comat
- Service de chirurgie urologique, andrologie et transplantation rénale, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France
| | - S Lagabrielle
- Service de chirurgie urologique, andrologie et transplantation rénale, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France
| | - A Guillaume
- Service de chirurgie urologique, andrologie et transplantation rénale, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France
| | - G Robert
- Service de chirurgie urologique, andrologie et transplantation rénale, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France
| | - H Bensadoun
- Service de chirurgie urologique, andrologie et transplantation rénale, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France
| | - J-M Ferrière
- Service de chirurgie urologique, andrologie et transplantation rénale, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France
| | - J-C Bernhard
- Service de chirurgie urologique, andrologie et transplantation rénale, hôpital Pellegrin, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France; Réseau français de recherche sur le cancer du rein UroCCR, 33000 Bordeaux, France
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Michiels C, Dupitout L, Allenet C, Rouffilange J, Guillaume A, Susperregui J, Robert G, Pasticier G, Bensadoun H, Grenier N, Ferrière J, Bernhard JC. Néphrectomie totale élargie gauche avec clampage latéral de veine cave et curage ganglionnaire par voie mini-invasive robot-assistée. Prog Urol 2017. [DOI: 10.1016/j.purol.2017.07.251] [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: 10/18/2022]
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Boulenger de Hauteclocque A, Maiga S, Michiels C, Allenet C, Marquette T, Rouffilange J, Capon G, Robert G, Bensadoun H, Pasticier G, Susperregui J, Grenier N, Ferrière J, Bernhard JC. Technique de dévascularisation tumorale anatomique guidée par l’image : illustration sur un cas d’héminéphrectomie robotique. Prog Urol 2017. [DOI: 10.1016/j.purol.2017.07.254] [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: 10/18/2022]
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Michiels C, Cornélis F, Guillaume A, Grasssano Y, Percot M, Queruel V, Rouffilange J, Robert G, Pasticier G, Bensadoun H, Grenier N, Ferrière J, Bernhard J. Modélisation 3D et chirurgie guidée par l’image : un premier pas vers la réalité augmentée chirurgicale appliquée à la néphrectomie partielle robot-assistée. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.09.026] [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]
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Allenet C, Cornelis F, Michiels C, Deslandes M, Rouffilange J, Capon G, Robert G, Pasticier G, Bensadoun H, Grenier N, Ferriere J, Bernhard J. Tumorectomie laparoscopique robot-assistée de rattrapage sur rein unique après double échec de cryothérapie : apport du principe de chirurgie guidée par modélisation 3D et du repérage échographique peropératoire. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.09.032] [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]
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