353 results match your criteria: "Rennes 1 University[Affiliation]"

Background & Aims: Hepatocellular carcinoma (HCC) is the third leading cause of cancer-related death worldwide. Liver transplantation (LT) is a curative treatment option. We investigated survival outcomes based on recipient-donor sex constellation (RDSC) following LT.

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Epidemiology of major heart rhythm and conduction disorders.

Arch Cardiovasc Dis

December 2024

Cardiovascular and Neurovascular Disease Surveillance Unit, Santé Publique France, 94410 Saint-Maurice, France.

Article Synopsis
  • Heart rhythm and conduction disorders vary in severity and can be benign or life-threatening, with a focus on their epidemiology in France.
  • A study analyzed hospitalization data from 2022 and mortality from 2021 to assess the prevalence of three main conditions: atrial fibrillation/flutter, conduction disorders, and ventricular tachycardia/cardiac arrest.
  • Findings revealed over 2.7 million individuals impacted by these disorders as of January 2023, with significant hospitalization rates and a concerning 44% mortality rate for those hospitalized due to ventricular tachycardia/cardiac arrest.
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Impact of late-night liver transplantation on recipient outcome.

Updates Surg

November 2024

Department of Hepatobiliary and Digestive Surgery, Rennes University Hospital, University of Rennes 1, Rennes, France.

Article Synopsis
  • When liver transplants are done at night, doctors wanted to see if it causes more problems afterwards.
  • They looked at 790 patients who had liver transplants from 2012 to 2018.
  • The study found that transplants done late at night had more serious complications and needed more blood transfusions compared to those done during the day.
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Laparoscopic left hepatectomy (with video).

J Visc Surg

September 2024

Department of Hepatobiliary and Digestive Surgery, Pontchaillou University Hospital, Rennes 1 University, 2, rue Henri-Le-Guilloux, 35000 Rennes, France.

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Clinico-biological factors predicting the benefit of the LV5FU2 maintenance strategy as a first-line therapy in patients with metastatic pancreatic cancer.

Oncologist

September 2024

Department of Gastroenterology, University Hospital Pontchaillou, Rennes 1 University, INSERM U1242 "Chemistry Oncogenesis Stress Signalling," Rennes, France.

Article Synopsis
  • The study investigates predictive markers for the benefits of LV5FU2 maintenance therapy after first-line FOLFIRINOX treatment in patients with metastatic pancreatic cancer.
  • It compares two patient groups from the PRODIGE-35 trial: one receiving 12 cycles of FOLFIRINOX, and another receiving 8 cycles followed by LV5FU2 maintenance.
  • Results indicate that certain factors, like age and metastatic sites, affect patient outcomes, suggesting that LV5FU2 maintenance is generally beneficial except for some specific cases.
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Background: Methodological limitations affect a significant number of oncology and haematology trials, raising concerns about the applicability of their results. For example, a suboptimal control arm or limited access to best care upon progression may skew the trial results toward a benefit in the experimental arm. Beyond the fact that such limitations do not prevent drugs reaching the market, other assessment tools, such as those developed by professional societies-ESMO-MCBS and ASCO Value Framework-do not integrate these important shortcomings.

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Although goniometric measurement is considered the gold standard for the measurement of digital range of motion, visual estimation is often employed due to its simplicity despite being inconsistent with recommended guidelines. We evaluated the Rennes Universal Measurement Method, an innovative tool employing artificial intelligence to concurrently analyse hand joint angles based on a single photograph. We found a strong correlation between the goniometric method and the photograph-based approach (Spearman correlation coefficient 0.

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Background: The impact of cirrhosis on the postoperative outcomes of distal pancreatectomy is yet to be reported. We aimed to evaluate the outcomes of distal pancreatectomy in patients with cirrhosis.

Methods: We conducted a retrospective, multicentric study patients with cirrhosis who underwent planned distal pancreatectomy between 2008 and 2020 in French high volume centers.

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Article Synopsis
  • Minimally invasive surgery (MIS) for left pancreatic resections has been increasingly utilized, but its advantages over traditional open surgery for distal pancreatectomy in treating pancreatic neuroendocrine tumors are still debated.
  • A retrospective study involving 274 patients across 21 French centers analyzed short and long-term outcomes of MIS versus open surgery, focusing on factors like tumor size and patient characteristics.
  • Results showed that MIS reduced major complications and delayed gastric emptying while maintaining comparable survival rates, suggesting it is a safe option for patients with resectable left pancreatic neuroendocrine tumors.
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Background: Preterm birth is a major health issue due to its potential outcomes and socioeconomic impact. Prenatal counseling is of major importance for parents because it is believed that the risk of preterm birth is associated with a higher parental mental burden. Nowadays in France, the content and delivery of antenatal counseling is based on personal experience since there is a lack of official guidelines.

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Background: When faced with a surge of physically injured individuals, especially following a traumatic event like an attack, frontline practitioners prioritize early triage. Detecting potential psychological injuries soon after such events remains challenging. Some individuals might develop post-traumatic stress disorder (PTSD) according to DSM-V criteria.

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Article Synopsis
  • Uterine innervation is crucial to female reproductive health and has significant implications for conditions like endometriosis; recent histological advances have revealed its complex structure and role in these disorders.
  • This review summarizes current research on uterine innervation, focusing on its effects on endometriosis and associated pain, using a systematic approach to analyze relevant studies.
  • The review identified 45 studies that highlighted a trend towards increased nerve fiber density in ectopic endometrial tissue, suggesting a link between this heightened innervation and the chronic pain seen in endometriosis patients.
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Article Synopsis
  • Pelvic gynecological surgeries often lead to complications due to damage to the autonomic nervous system, and recognizing the deep uterine vein (DUV) can help prevent this.
  • A systematic literature review and anatomical studies were conducted to better understand the DUV's structure and role in surgical settings, utilizing cadaver dissections and advanced imaging techniques.
  • The research confirmed the DUV's importance in dividing uterine regions and assisting surgeons in navigating the subperitoneal anatomy to reduce the risk of nerve and ureter injuries during procedures.
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Article Synopsis
  • A study analyzed 701 COVID-19 patients on ECMO in France to assess the incidence and impact of healthcare-associated infections (HAI) during their treatment.
  • The findings showed that 36% of the patients experienced ECMO-associated infections (ECMO-AI), with 27 infections per 1000 ECMO days, predominantly bloodstream infections and ventilator-associated pneumonia caused by various microorganisms.
  • Despite the high incidence of ECMO-AI, there was no significant association found between these infections and in-hospital mortality rates.
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Background: In the era of innovating minimal invasive surgery, laparoscopic right posterior sectionectomy (RLPS) is considered a technically challenging procedure for its deeply anatomic location. Performed by experienced surgeons, it has been shown to be a safe and feasible procedure. The purpose of this video was to show the technique of a RLPS.

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Folic acid insufficiency is an important risk factor for congenital neural tube defects. Despite recommendations and national campaigns, the proportion of women taking folic acid in the peri-conceptional period remains insufficient worldwide. We describe in this study the proportion of peri-conceptional folic acid supplementation use and its determinants among a population of hospital workers during the course of a prevention campaign.

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Flecainide to prevent atrial arrhythmia after patent foramen ovale closure, Rationale and design of the randomized AFLOAT study.

Eur Heart J Cardiovasc Pharmacother

May 2024

Sorbonne Université, ACTION Study Group, INSERM UMRS1166, ICAN-Institute of CardioMetabolism and Nutrition, Institut de Cardiologie, Hôpital Pitié-Salpêtrière (AP-HP), 75013 Paris, France.

Introduction: Atrial arrhythmia is the most common complication of patent foramen ovale (PFO) closure. The real incidence of post-PFO closure atrial arrhytmia and whether this complication can be prevented is unknown.

Methods/design: The Assessment of Flecainide to Lower the PFO closure risk of Atrial fibrillation or Tachycardia (AFLOAT) trial is a prospective, national, multicentre, randomized, open-label, superiority trial with a blind evaluation of all the endpoints (PROBE design).

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Mismatch repair deficiency (d-MMR)/microsatellite instability (MSI), , and mutational status are crucial for treating advanced colorectal cancer patients. Traditional methods like immunohistochemistry or polymerase chain reaction (PCR) can be challenged by artificial intelligence (AI) based on whole slide images (WSI) to predict tumor status. In this systematic review, we evaluated the role of AI in predicting MSI status, , and mutations in colorectal cancer.

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Background: The impact of adapted physical activity (APA) on health-related quality of life (HRQoL) in patients with advanced pancreatic ductal adenocarcinoma (aPDAC) is unknown. This study evaluated whether APA in addition to standard care improved HRQoL in patients who have aPDAC who are receiving first-line chemotherapy.

Patients And Methods: Patients with locally advanced/metastatic PDAC and an ECOG performance status of 0 to 2 were randomized (1:1) to receive standard care (standard arm) or standard care plus a home-based 16-week APA program (APA arm).

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Management and outcomes of hemorrhage after distal pancreatectomy: a multicenter study at high volume centers.

HPB (Oxford)

February 2024

Department of Digestive Surgical Oncology, Liver Transplantation Unit. CHU Besançon, Besançon, France. Electronic address:

Article Synopsis
  • The study focuses on clinically relevant post-pancreatectomy hemorrhage (CR-PPH) specifically after distal pancreatectomy (DP), as most existing data is based on pancreatoduodenectomy.
  • A total of 1188 patients were analyzed, revealing that 5.5% developed CR-PPH, which led to higher mortality, morbidity, and hospital stays compared to patients without CR-PPH.
  • Multivariable analysis indicated that longer surgery times and pre-existing postoperative pancreatic fistula (POPF) were significant risk factors for developing CR-PPH.
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Article Synopsis
  • The study explores the potential of precision medicine in managing anal squamous cell carcinoma (ASCC) by analyzing genetic changes in tumors from 158 patients.
  • Frequent mutations were identified in different pathways for HPV-positive and HPV-negative tumors, indicating distinct genetic profiles based on HPV status.
  • Pathogenic variants in PIK3CA and KMT2C were linked to worse survival outcomes in HPV-positive patients, highlighting the importance of genomic profiling for improved personalized treatment options.
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  • Systemic lupus erythematosus (SLE) often affects the lungs, and the study investigates the significance of diffusing capacity of the lungs for carbon monoxide (DLCO) in evaluating lung function in SLE patients.
  • A retrospective analysis of 232 SLE patients revealed that 66.4% experienced DLCO alterations, which were linked to factors such as smoking history, interstitial lung disease, and renal or neurological involvement.
  • The findings indicate that DLCO alterations may serve as a prognostic indicator for severe disease outcomes, including ICU admissions and increased mortality, suggesting a connection to SLE-related vascular damage.
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Article Synopsis
  • Cirrhosis is a common condition in patients with advanced intrahepatic cholangiocarcinoma (iCC), affecting approximately 28.6% of those studied.
  • Patients with cirrhosis experienced higher rates of severe side effects from chemotherapy and had a shorter overall survival (9.1 months) compared to those without cirrhosis (13.1 months).
  • The study suggests the need for incorporating cirrhosis assessment into treatment plans for patients with advanced iCC to improve management outcomes.
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