Publications by authors named "Philip Deslarzes"
Aim Of The Study: Short stay processes are incentives to unburden chronically stressed healthcare systems. The aim of this study is to analyze financial implications of day admission (DAS) and outpatient strategies for colon resections in a prospective payment system (PPS) using Diagnosis Related Group (DRG) coding.
Methods: Consecutive patients undergoing left and right colonic resections between January 1, 2019 and December 31, 2020 were included.
The present review discusses restrictive perioperative fluid protocols within enhanced recovery after surgery (ERAS) pathways. Standardized definitions of a restrictive or liberal fluid regimen are lacking since they depend on conflicting evidence, institutional protocols, and personal preferences. Challenges related to restrictive fluid protocols are related to proper patient selection within standardized ERAS protocols.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to investigate factors related to lateral lymph node (LLN) involvement in patients with locally advanced rectal cancer (LARC) undergoing neoadjuvant chemoradiotherapy (nCRT) and surgery, focusing on their effect on local recurrence rates.
- The retrospective analysis included 301 LARC patients treated between 2014 and 2019, assessing MRI results for LLN involvement and categorizing patients based on whether they had suspicious nodes.
- Findings revealed that while 15.9% showed suspicious LLNs on initial MRI, abnormal LLNs did not independently affect local recurrence rates after 3 years, suggesting they may not be a significant risk factor in this context.
During 2022 a lot of efforts were developed to reduce health-costs by reducing complications and length of hospital stay. Same-day surgery is becoming the standard for all patients scheduled for elective surgery in CHUV. Outpatient colectomy also become a new standard.
View Article and Find Full Text PDFBackground: Neuroblastic neoplasms (NN) include ganglioneuromas (GN), ganglioneuroblastomas (GNB), and neuroblastomas (NB). They generally arise in childhood from primitive sympathetic ganglion cells. Their incidence in adults, especially among elderly, is extremely low.
View Article and Find Full Text PDF