Publications by authors named "Elisabeth Chereau Ewald"
Objective: The objective of this study was to demonstrate that robotically assisted laparoscopy for aortic lymph node dissection was improved when double docking (DD) of the Da Vinci system is used for combined surgical procedures [defined by the combination of a pelvic procedure and a para-aortic lymphadenectomy (PAL)].
Methods: From February 2007 to February 2013, 41 patients underwent combined procedures including PAL up to the left renal vein in 2 cancer centers. We used 2 different approaches as follows: a single docking (SD) of the Da Vinci system (transperitoneal PAL and pelvic surgery) during the first period (22 patients) and a DD during the second period (19 patients).
Article Synopsis
- The study aimed to determine the percentage of breast cancer patients eligible for targeted intraoperative radiotherapy (TARGIT) and their survival rates without local recurrence.
- Two cohorts were analyzed: a larger multicentric cohort with 7,580 patients and a smaller monocentric cohort with 4,445 patients, both undergoing conservative surgery and external radiotherapy between 1980 and 2005.
- Results showed that eligibility for TARGIT varied significantly between the cohorts, with higher rates in the multicentric group and better five-year survival rates observed in eligible patients compared to non-eligible patients.
A therapeutic surgical de-escalation has been observed since many years with an actual prolongation for axillary lymph node area treatment. Axillary lymph node dissection (ALND) omission has been studied before and after validation of sentinel node (SN) biopsy procedure. A non-inferiority of ALND omission has been reported in case of non-involved SN.
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