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Biomedical subjects

M Celerier

Publications and source records attributed to M Celerier.

82 records · Page 5Linked to original sources
PubMedDate not supplied

Thoracoscopic dissection of the esophagus: an experimental study.

In order to reduce the respiratory morbidity of thoracotomy in esophageal surgery, several methods have been used, such as blunt dissection and endoscopic dissection through mediastinoscopy. It seems that the latter reduces drastically the morbidity but does not allow full visualization of the esophageal wall, a disadvantage in some circumstances. We describe a thoracoscopic dissection of the esophagus which gives a large and magnified view of the pleural cavity, of the mediastinum, and of the esophagus.

Animals↗
PubMedDate not supplied

[Retrosternal coloplasties: contribution of postoperative mesenteric arteriography].

Postoperative mesenteric angiograms were obtained after substernal coloplasty (SC) in fifteen patients, 8 male and 7 female, aged from 18 to 61 yrs old (mean = 34 yrs old). The aim of this study was to determine whether: 1) vascularization as assessed by angiography was correlated with the occurrence of cervical complications (fistulae and/or stenosis), 2) postoperative arteriography was of any practical value in this situation. Images obtained were classified into 3 groups according to the quality of vascular visualization. Clinical results were also classified into 3 groups according to whether no, one or two cervical complications were present, respectively. Angiographic and clinical results were concordant in 8 cases and discordant in 7. No definite relationship between the quality of coloplasty vascularization and the quality of clinical outcome was found in this study, but results suggest that retromanubrium compression might play a major role in outcome as visualization of colonic vascularization was obtained in only 9 of 15 cases. When clinical results are poor, characteristic images of ischemia may help in determining the indication for reoperation.

Adult↗
PubMedDate not supplied

[Morbidity factors in Nissen's procedure].

Between 1975 and 1986, 96 adult patients were operated upon for gastro-esophageal reflux using the abdominal approach to Nissen's operation, eight of these patients having undergone previous surgery to treat reflux. Diagnosis in 44 patients was stage III esophagitis, and in 16, symptomatic peptic stenosis. Mortality was 0.9% (1 case) and morbidity 14%. Morbidity was not increased in previously operated patients. Based on these results and a literature review, different technical factors are discussed that could reduce morbidity of Nissen's operation.

Adolescent↗
PubMedDate not supplied

[Intramural cyst of the esophagus. Apropos of a surgical case].

Surgical excision of a benign cyst of esophagus was justified by the presence of dysphagia, totally relieved by the operation. Esophageal cysts are exceptional findings, their histology often resembling that of bronchogenic cysts as in the case reported.

Adult↗