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Boudiaf Z, Kheloufi M, Bentabak K. Gastric pouch interposition after excision of an ileal pouch following septic complications: An alternative to definitive ileostomy. J Visc Surg 2023; 160:389-391. [PMID: 37659964 DOI: 10.1016/j.jviscsurg.2023.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2023]
Affiliation(s)
- Zaki Boudiaf
- Department of Oncological Surgery, Centre Pierre et Marie Curie, avenue Bouzenad-Salem, 16000 Algiers, Algeria; Faculty of medicine, University of Algiers Benyoucef-Benkhedda, Algiers, Algeria.
| | - Mohand Kheloufi
- Department of Oncological Surgery, Centre Pierre et Marie Curie, avenue Bouzenad-Salem, 16000 Algiers, Algeria; Faculty of medicine, University of Algiers Benyoucef-Benkhedda, Algiers, Algeria
| | - Kamel Bentabak
- Department of Oncological Surgery, Centre Pierre et Marie Curie, avenue Bouzenad-Salem, 16000 Algiers, Algeria; Faculty of medicine, University of Algiers Benyoucef-Benkhedda, Algiers, Algeria
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Boudiaf Z, Bouzid C, Ait-arab MR, Cherchar K, Kheloufi M, Chibane A, Boutekedjiret IH, Hattou Z, Gouaref F, Bentabak K. [Laparoscopic downstaging surgery for colorectal cancer with synchronous liver metastases: what value in two-stage hepatectomies?]. Pan Afr Med J 2023; 46:38. [PMID: 38145195 PMCID: PMC10746878 DOI: 10.11604/pamj.2023.46.38.35775] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Accepted: 09/13/2023] [Indexed: 12/26/2023] Open
Abstract
Bilobar hepatic metastases from colorectal cancer pose a problem in terms of management, with curative surgery often requiring several stages. The purpose of our study was to evaluate laparoscopic approach with portal vein ligation in the first step of two-stage hepatectomy in the treatment of patients with synchronous liver metastases from colorectal cancers (SLMCRC). We conducted a single-center retrospective study from August 2016 to January 2020. It included patients with SLMCRC requiring two-stage curative surgery due to insufficient future liver remnant volume (FRL). The primary endpoint was to evaluate postoperative morbidity and mortality following first step laparoscopy at 30 days. The secondary endpoints were to evaluate conversion rate, FRL hypertrophy following laparoscopic portal vein ligation, postoperative morbidity and mortality of 2nd step of two-stage hepatectomy and finally treatment completion rate. We included six patients (4 men and 2 women) with a mean age of 64 (44-72) years. The first step of surgery consisted of a laparoscopic colonic resection associated with right portal vein ligation in 5 patients and left portal vein ligation in one patient. The postoperative morbimortality was zero. The conversion rate was zero. After portal vein ligation, 5 of the 6 patients had significantly enlarged FRL, with a mean gain in FRL volume of 59.48% (31.02%-68.71%). Two of the six patients had severe morbidity after 2nd step hepatectomy (Clavien IIIb). All patients completed the treatment.
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Affiliation(s)
- Zaki Boudiaf
- Service de Chirurgie Oncologique A, Centre Pierre et Marie Curie (CPMC), Avenue Bouzenad Salem, 16000 Alger, Algérie
- Faculté de Médecine d´Alger, Université Benyoucef Benkhedda, Alger, Algérie
| | - Chafik Bouzid
- Service de Chirurgie Oncologique A, Centre Pierre et Marie Curie (CPMC), Avenue Bouzenad Salem, 16000 Alger, Algérie
- Faculté de Médecine d´Alger, Université Benyoucef Benkhedda, Alger, Algérie
| | - Mohamed Rafik Ait-arab
- Etablissement Hospitalier Spécialisé en Lutte Contre le Cancer de Blida, Blida, Algérie
- Faculté de Médecine, Université Saad Dahleb Blida I, Blida, Algérie
| | - Karim Cherchar
- Service de Chirurgie Oncologique A, Centre Pierre et Marie Curie (CPMC), Avenue Bouzenad Salem, 16000 Alger, Algérie
- Faculté de Médecine d´Alger, Université Benyoucef Benkhedda, Alger, Algérie
| | - Mohand Kheloufi
- Service de Chirurgie Oncologique A, Centre Pierre et Marie Curie (CPMC), Avenue Bouzenad Salem, 16000 Alger, Algérie
- Faculté de Médecine d´Alger, Université Benyoucef Benkhedda, Alger, Algérie
| | - Aissam Chibane
- Service de Chirurgie Oncologique A, Centre Pierre et Marie Curie (CPMC), Avenue Bouzenad Salem, 16000 Alger, Algérie
- Faculté de Médecine d´Alger, Université Benyoucef Benkhedda, Alger, Algérie
| | - Ihsene Hatem Boutekedjiret
- Service de Chirurgie Oncologique A, Centre Pierre et Marie Curie (CPMC), Avenue Bouzenad Salem, 16000 Alger, Algérie
- Faculté de Médecine d´Alger, Université Benyoucef Benkhedda, Alger, Algérie
| | - Zakia Hattou
- Service de Chirurgie Oncologique A, Centre Pierre et Marie Curie (CPMC), Avenue Bouzenad Salem, 16000 Alger, Algérie
- Faculté de Médecine d´Alger, Université Benyoucef Benkhedda, Alger, Algérie
| | - Fatiha Gouaref
- Service de Chirurgie Oncologique A, Centre Pierre et Marie Curie (CPMC), Avenue Bouzenad Salem, 16000 Alger, Algérie
- Faculté de Médecine d´Alger, Université Benyoucef Benkhedda, Alger, Algérie
| | - Kamel Bentabak
- Service de Chirurgie Oncologique A, Centre Pierre et Marie Curie (CPMC), Avenue Bouzenad Salem, 16000 Alger, Algérie
- Faculté de Médecine d´Alger, Université Benyoucef Benkhedda, Alger, Algérie
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Boudiaf Z, Cherchar K, Bouzid C, Bentabak K. Re: "Laparoscopic Resection of Colon Cancer and Synchronous Liver Metastasis" by Geiger, et al. J Laparoendosc Adv Surg Tech A 2022; 32:1131-1132. [PMID: 36126308 DOI: 10.1089/lap.2022.0363] [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: 11/13/2022] Open
Affiliation(s)
- Zaki Boudiaf
- Department of Oncological Surgery, Centre Pierre et Marie Curie, Algiers, Algeria.,Faculty of Medicine, University of Algiers Benyoucef Benkhedda, Algiers, Algeria
| | - Karim Cherchar
- Department of Oncological Surgery, Centre Pierre et Marie Curie, Algiers, Algeria.,Faculty of Medicine, University of Algiers Benyoucef Benkhedda, Algiers, Algeria
| | - Chafik Bouzid
- Department of Oncological Surgery, Centre Pierre et Marie Curie, Algiers, Algeria.,Faculty of Medicine, University of Algiers Benyoucef Benkhedda, Algiers, Algeria
| | - Kamel Bentabak
- Department of Oncological Surgery, Centre Pierre et Marie Curie, Algiers, Algeria.,Faculty of Medicine, University of Algiers Benyoucef Benkhedda, Algiers, Algeria
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Boudiaf Z, Bouzid C, Cherchar K, Chibane A, Kheloufi M, Boutekedjiret IH, Hattou Z, Bentabak K. Outcomes of Laparoscopic Combined Surgery for Colorectal Cancer with Synchronous Liver Metastases: A Prospective Comparative Study. Gulf J Oncolog 2022; 1:47-55. [PMID: 35695346] [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] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/05/2021] [Indexed: 06/15/2023]
Abstract
AIM Combined surgery for colorectal cancer with synchronous liver metastases (CRCSLM) is addressed to selected patients. Technically, by conventional surgery this simultaneous approach raises a problem of adequate access. The purpose of this study is to assess the feasibility and safety of the laparoscopic approach in combined surgery. METHODS From August 2016 to January 2020 a monocentric prospective comparative study was conducted. Short and long-term outcomes of simultaneous laparoscopic surgery (SLS) were evaluated. Short-term outcomes of SLS were compared to those of laparoscopic colorectal surgery alone (LCRS). RESULTS Forty patients were included in each arm. In SLS group, the median age was 62.5 years. Hybrid surgery was performed for 60% of patients, down staging laparoscopic surgery for 22.5% of patients and totally laparoscopic surgery for 10% of patients. The conversion rate was 7.5%. Mean operating time was 323 minutes. Overall morbidity rate was 27.5%. Multivariate analysis showed that anemia (p = 0.046) and number of liver resections (p = 0.018) were independent factors of morbidity. Ninety-five percent of colorectal resections were R0, 90% of liver resections were R0. The mean length of hospital stay was 5.1 ± 2.58 days. The recurrence rate was 22.5%. Median diseasefree survival was 27 months. There was no difference in short-term outcomes between the two arms except for operating time which was longer in SLS arm (p < 0.0005). CONCLUSION Laparoscopy is feasible in combined surgery in selected patients. Minor liver resection may be associated with laparoscopic colorectal surgery without increasing morbidity.
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Affiliation(s)
- Zaki Boudiaf
- Department of Oncological Surgery, Centre Pierre et Marie Curie, avenue Bouzenad Salem, 16000 Algiers, Algeria
- Faculty of medicine, University of Algiers Benyoucef Benkhedda, Algeria
| | - Chafik Bouzid
- Department of Oncological Surgery, Centre Pierre et Marie Curie, avenue Bouzenad Salem, 16000 Algiers, Algeria
- Faculty of medicine, University of Algiers Benyoucef Benkhedda, Algeria
| | - Karim Cherchar
- Department of Oncological Surgery, Centre Pierre et Marie Curie, avenue Bouzenad Salem, 16000 Algiers, Algeria
- Faculty of medicine, University of Algiers Benyoucef Benkhedda, Algeria
| | - Aissam Chibane
- Department of Oncological Surgery, Centre Pierre et Marie Curie, avenue Bouzenad Salem, 16000 Algiers, Algeria
- Faculty of medicine, University of Algiers Benyoucef Benkhedda, Algeria
| | - Mohand Kheloufi
- Department of Oncological Surgery, Centre Pierre et Marie Curie, avenue Bouzenad Salem, 16000 Algiers, Algeria
- Faculty of medicine, University of Algiers Benyoucef Benkhedda, Algeria
| | - Ihsene Hatem Boutekedjiret
- Department of Oncological Surgery, Centre Pierre et Marie Curie, avenue Bouzenad Salem, 16000 Algiers, Algeria
- Faculty of medicine, University of Algiers Benyoucef Benkhedda, Algeria
| | - Zakia Hattou
- Department of Oncological Surgery, Centre Pierre et Marie Curie, avenue Bouzenad Salem, 16000 Algiers, Algeria
- Faculty of medicine, University of Algiers Benyoucef Benkhedda, Algeria
| | - Kamel Bentabak
- Department of Oncological Surgery, Centre Pierre et Marie Curie, avenue Bouzenad Salem, 16000 Algiers, Algeria
- Faculty of medicine, University of Algiers Benyoucef Benkhedda, Algeria
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Bouzid C, Haroun I, Kheloufi M, Chibane A, Boudiaf Z, Cherchar K, Benabdelmoumene D, Ait Kaci H, Bentabak K. Liver Resection for Metastasis of Adenoid Cystic Carcinoma of the Lacrymal Gland : A Case Report and Literature Review. JMSR 2021. [DOI: 10.46327/msrjg.1.000000000000195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Adenoid cystic carcinoma (ACC) is a rare malignant tumor. The first description of the ACC dates back to 1856 by Billroth. The ACC of the lacrimal glands are very rare. They are known for their locally aggressive character. Liver metastases are almost exceptional. We report the case of a patient with hepatic metastasis ACC. After eye enucleation of the primitive lacrimal gland ACC, the patient received external adjuvant radiotherapy. Three years later, she presented an upper abdominal pain. CT scan and MRI showed a liver tumor and the diagnosis of intrahepatic cholangiocarcinoma was made regarding imaging features. A left hepatectomy was performed; histology concluded to a liver metastasis of ACC. The immediate post-operative course was uneventful and no adjuvant treatment was decided. Thirty four months later, the patient presented with lung metastasis.
Liver metastasis of ACC are very rare. Extended liver surgery is recommended especially for isolated liver metastasis with a long free gap between primary tumor and the liver metastasis.
Keywords: Adenoid cystic carcinoma, Hepatic metastasis, Lacrymal gland
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Bouzid C, Essangri H, Bentabak K, Majbar MA, Kheloufi M, Boudiaf Z, Benkabbou A, Souadka A. Gallbladder cancer radical surgery is a matter of specialized centers. J Surg Oncol 2021; 123:1361-1362. [PMID: 33590476 DOI: 10.1002/jso.26250] [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: 09/20/2020] [Accepted: 09/26/2020] [Indexed: 11/07/2022]
Affiliation(s)
- Chafik Bouzid
- Surgical Oncology Department, Pierre and Marie Curie Center, Benyoucef Benkhedda University, Algiers, Algeria
| | - Hajar Essangri
- Department of Surgical Oncology, National Institute of Oncology, Mohammed V University in Rabat, Morocco
| | - Kamal Bentabak
- Surgical Oncology Department, Pierre and Marie Curie Center, Benyoucef Benkhedda University, Algiers, Algeria
| | - Mohammed Anass Majbar
- Department of Surgical Oncology, National Institute of Oncology, Mohammed V University in Rabat, Morocco
| | - Mohand Kheloufi
- Surgical Oncology Department, Pierre and Marie Curie Center, Benyoucef Benkhedda University, Algiers, Algeria
| | - Zaki Boudiaf
- Surgical Oncology Department, Pierre and Marie Curie Center, Benyoucef Benkhedda University, Algiers, Algeria
| | - Amine Benkabbou
- Department of Surgical Oncology, National Institute of Oncology, Mohammed V University in Rabat, Morocco
| | - Amine Souadka
- Department of Surgical Oncology, National Institute of Oncology, Mohammed V University in Rabat, Morocco
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Ouki-Messalhi N, Mammeri A, Boudiaf Z, Touaref A, Gaba A, Aidaoui M, Laouar M. BACT-13 - Aspects cliniques, thérapeutiques de la pyélonéphrite aiguë sur grossesse et ses conséquences materno-foetales. Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30308-0] [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: 10/21/2022]
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Bonnal C, Boudiaf Z, Saad S, Cotteret R, Drunat O, Wolmark Y, Baune B. J-02 Pertinence de l’antibiothérapie dans la prise en charge des infections respiratoires (IR) du sujet âgé hospitalisé. Med Mal Infect 2008. [DOI: 10.1016/s0399-077x(08)73145-7] [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: 10/21/2022]
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