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Biomedical subjects

M Ribet

Publications and source records attributed to M Ribet.

At least 271 records · Page 15Linked to original sources
PubMedDate not supplied

[Anatomo-clinical and therapeutic study of esophageal resection for cancer of the thoracic esophagus].

272 cancers of the thoracic esophagus were resected on 664 cases observed from 1975 to 1985 (resection rate: 41 p.c.): 8.1 p.c. were on the upper third, 71.3 p.c. on the middle third, 20.6 p.c. on the lower third of the esophagus. Tumors were classified as stage I (12: 4.5 p.c.), II (40: 15.2 p.c.), III (100: 37.9 p.c.), IV (112: 42.2 p.c.); 8 cases were not classified. Post-operative radiotherapy was administered to 90 patients. Hospital mortality was 50 (18.4 p.c.). Respiratory complications were the main lethal cause. After a post-operative survival of 81.6 p.c., survival at 1 year was 58.3 p.c., at 3 years 23.3 p.c., at 5 years 9.8 p.c. Actuarial survival at 5 years is 11.1 p.c. +/- 3, 17.2 p.c. for T1 and T2, 8 p.c. for T3. No advantage was noted comparing neck or intrathoracic anastomosis. Post-operative irradiation was beneficial. Factors influencing survival are staging, curative or no curative resection and post-operative irradiation for T3 N+. Nodes invasion is more important than invasion of the site of anastomosis. Palliative resections are the majority. They have no more severity than curative resections and give a 10 p.c. 5 years survival. The main effort must bear on a decrease of post-operative pulmonary complications and mortality.

Adult↗
PubMedDate not supplied

[Admittance, treatment and hospitalization in surgical emergencies].

Emergencies constitute a substantial part of surgery. They are handled in difficult conditions quite often. In public hospitals they represent a percentage of activity of 20 to 25 p. cent, and half of them are hospitalized. Prehospital care is an important part of the treatment. Emergencies should be addressed to centers which are able to receive them and to treat them completely. Architecture and organization of those centers must answer important principles. Fifteen p. cent of surgical emergencies are grave, and 2 p. cent are an immediate threat to the patient's life. Secondary transfers are always dangerous and demand an excellent organization. First examination is important and must be well planned. Good surgery and reanimation standards are expected in emergency surgery. In traumatology, good communication between orthopedic and visceral surgeons is essential. In general surgery a rapid and simple action is to be commended. Surgical emergencies should not be diverted to medical intensive care units.

Child↗