Publications by authors named "Pierre Thierry Piechaud"
Article Synopsis
- - Dupuytren's contracture is a hereditary condition leading to hand deformities due to progressive fibrosis; limited fasciectomy is a common surgical treatment, though its recurrence rates vary (2-39%).
- - The REMEDY trial aims to see if combining limited fasciectomy with autologous adipose tissue grafting reduces recurrence rates compared to limited fasciectomy alone, involving 150 participants in a randomized controlled setup.
- - This trial is significant as it explores the long-term outcomes of this combined treatment approach, potentially improving recovery and reducing the chances of recurrence post-surgery.
Background: Robotic spinal surgery may result in better pedicle screw placement accuracy, and reduction in radiation exposure and length of stay, compared to freehand surgery. The purpose of this randomized controlled trial (RCT) is to compare screw placement accuracy of robot-assisted surgery with integrated 3D computer-assisted navigation versus freehand surgery with 2D fluoroscopy for arthrodesis of the thoraco-lumbar spine.
Methods: This is a single-centre evaluator-blinded RCT with a 1:1 allocation ratio.
Objectives: Radical prostatectomy (RP) remains a standard for localized prostate cancer treatment. The objective of this study is to present this operating technique of the robot-assisted radical prostatectomy (PR-RA) and to evaluate oncological and functional results as well as on the surgical safety.
Methods: A first series of 1679 patients consecutively operated in our institution with this technique from 2005 to 2010 and with a 5-year follow-up evaluated in 2014.
Objectives: To explore the views of experts about the development and validation of a robotic surgery training curriculum, and how this should be implemented.
Materials And Methods: An international expert panel was invited to a structured session for discussion. The study was of a mixed design, including qualitative and quantitative components based on focus group interviews during the European Association of Urology (EAU) Robotic Urology Section (ERUS) (2012), EAU (2013) and ERUS (2013) meetings.
Context: Live surgery is an important part of surgical education, with an increase in the number of live surgery events (LSEs) at meetings despite controversy about their real educational value, risks to patient safety, and conflicts of interest.
Objective: To provide a European Association of Urology (EAU) policy on LSEs to regulate their organisation during urologic meetings.
Evidence Acquisition: The project was carried out in phases: a systematic literature review generating key questions, surveys sent to Live Surgery Panel members, and Internet- and panel-based consensus finding using the Delphi process to agree on and formulate a policy.
Objective: To present a series of 15 laparoscopic and robot-assisted Mitrofanoff and Yang-Monti vesicostomies in an adult population, and to assess the feasibility and safety of these minimally invasive approaches.
Patients And Methods: Between 2009 and 2012, 15 patients underwent laparoscopic (n = 11) or robot-assisted (n = 4) construction of vesicostomy by a single surgeon (D.R.
Objective: To report the feasibility of a novel robotic technique for intracorporeal construction of a double Yang-Monti ileal conduit with bladder augmentation in an adult patient.
Methods: The Yang-Monti procedure can be considered as an alternative to Mitrofanoff appendicovesicostomy when the appendix is not available or in obese patients. To date, the robotic approach has not been described.
Choosing laparoscopy is an important investment for urologists, and it must be learned from basic principles to advance skills through a steep learning curve; the caseload is made of frequent but very demanding procedures. In training centers, scholars are confronted with real-life conditions through large animal models. For about 1500 urologists, the European Institute of Tele Surgery has offered such a program for a decade.
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