(voir aussi 2004 2003 2002 2001 1999 1998 1997 1996 1995)
1.- CHAPITRES DE LIVRES sur invitations par Editeurs
2.- ARTICLES DANS REVUES INTERNATIONALES
3.- ARTICLES DANS REVUES NATIONALES.
4.- PRESENTATIONS DANS DES CONGRES INTERNATIONAUX
5.- CONFERENCES SUR INVITATION PAR UNIVERSITES ETRANGERES
6.- PRESENTATIONS CONGRES NATIONAUX
1.- CHAPITRES DE LIVRES sur invitations par Editeurs
ANTERIOR APPROACH TO SUPERIOR SULCUS LESION
Philippe DARTEVELLE and Paolo MACCHIARINI
in GENERAL THORACIC SURGERY fith edition. -(Edited by Thomas W
Shields, Joseph LoCicero III, Ronald B. Ponn) Ed. Lippincott Williams
& Wilkins, Philadelphia. Vol 1, 2000
USE OF PROSTHETIC GRAFTS FOR REPLACEMENT OF THE SUPERIOR VENA CAVA
Paolo MACCHIARINI and Philippe DARTEVELLE
in GENERAL THORACIC SURGERY fith edition. -(Edited by Thomas W
Shields, Joseph LoCicero III, Ronald B. Ponn) Ed. Lippincott Williams
& Wilkins, Philadelphia. Vol 2, 2000
2.- ARTICLES DANS REVUES INTERNATIONALES
EVALUATION AND OUTCOME OF DIFFERENT SURGICAL TECHNIQUES FOR POSTINTUBATION TRACHEOESOPHAGEAL FISTULAS
P. MACCHIARINI, J.P. VERHOYE, A. CHAPELIER, E. FADEL, P.
DARTEVELLE
J. Thorac Cardiovasc Surg 2000;119:268-276
OBJECTIVE: We evaluated the outcome of different surgical techniques for postintubation tracheoesophageal fistula. METHODS: Thirty-two consecutive patients aged 51 +/- 23 years had tracheoesophageal fistulas resulting from a median of 30 days of mechanical ventilation via endotracheal (n = 12) or tracheostomy (n = 20) tubes. Tracheoesophageal fistulas were 2.5 +/- 1.2 cm long and were associated with a tracheal (n = 10) or subglottic (n = 3) stenosis in 13 patients. RESULTS: All but 3 patients were weaned from respirators before repair. All operations were done through cervical incisions and included direct division and closure (n = 9), esophageal diversion (n = 3), muscle interposition (n = 6), or, more recently, tracheal or laryngotracheal resection and anastomosis with primary esophageal closure (n = 14). Nine thyrohyoid and two supralaryngeal releases reduced anastomotic tension. Twenty-three patients (74%) were extubated after the operation (n = 16) or within 24 hours (n = 7), and 7 required a temporary tracheotomy tube. One postoperative death (3%) was associated with recurrent tracheoesophageal fistula. Seven complications (22%) included recurrent tracheoesophageal fistula (n = 1), delayed tracheal stenosis (n = 2), dysphagia (n = 2), and recurrent nerve palsy (n = 2). Complications necessitated reoperation (n = 1), dilation (n = 2), definitive tracheostomy (n = 1),Montgomery T tubes (n = 1), and Teflon injection of the vocal cords (n = 1). Twenty-nine patients (93%) had excellent (n = 24) or good (n = 5) anatomic and functional long-term results. Complications have been less common (7% vs 38%) and long-term results better (93% vs 65%) recently with tracheal or laryngotracheal resection and anastomosis with primary esophageal closure as compared with previous procedures. CONCLUSIONS: Postintubation tracheoesophageal fistula is usually best treated with tracheal or laryngotracheal resection and anastomosis with primary esophageal closure even in the absence of tracheal damage.
TRANSCERVICAL-TRANSTRACHEAL ENDOLUMINAL REPAIR OF MEMBRANOUS TRACHEAL DISRUPTIONS
C. LANCELIN, AR. CHAPELIER, E. FADEL, P. MACCHIARINI, PG.
DARTEVELLE
Ann. Thorac. Surg. 2000;70(3): 984-986
Tracheal lacerations are rare and potentially hazardous complications of tracheal intubation. Surgical repair is the treatment of choice of tracheal injuries although nonoperative management is occasionally appropriate for well-selected patients. We describe our personal technique of anterior transcervical-transtracheal endoluminal suture of iatrogenic lacerations of the membranous trachea and our results with this approach in 8 patients. This method is less invasive than conventional cervical or transthoracic approaches.
USE OF EMBRYONIC HUMAN TRACHEA GROWN IN NUDE MICE TO PATCH-REPAIR CONGENITAL TRACHEAL STENOSIS
P. MACCHIARINI, JJ CANDELIER, P. COULLIN, N. GUERA, V. DE
MONTPREVILLE, P. DARTEVELLE, K. DUPREZ-ANGIOI, R. ORIOL
Transplantation 2000;70-11:1555-1559
BACKGROUND: Long congenital tracheal stenosis is a life-threatening condition, and the available surgical treatments do not give satisfactory long-term results. METHODS: Human embryonic tracheas were implanted in the abdominal cavities of nude mice until their differentiation was completed. These differentiated tracheas were used to patch-repair surgically induced tracheal stenosis in piglets. The human, mouse, or pig origin, of all the cells in the two successive xenotransplants in the nude mouse and the pig, was determined on tissue sections by in situ hybridization with species-specific DNA probes. RESULTS: The transplanted pigs thrived and reached normal adulthood, irrespective of the administration of immunosuppressive treatment. The human tracheal tissue developed in nude mice conserved human structures, with the exception of feeding capillaries, which were of mouse origin. The tracheal patch in the adult healthy pigs comprised only pig cells organized into a fibrous scar, which was covered by normal pig epithelium. CONCLUSIONS: Results suggest that human embryonic trachea grown in nude mice can be successfully used as patch tracheoplasty for long congenital tracheal stenosis without conventional immunosuppression.
SURGICAL TREATMENT OF PULMONARY ASPERGILLOMA : CURRENT OUTCOME
G. BABATASI, M. MASSETTI, A. CHAPELIER, E. FADEL, P. MACCHIARINI,
A. KHAYAT, P. DARTEVELLE,
J. Thorac. Cardiovasc Surg. 2000; 119:916-912
OBJECTIVE: This retrospective study was designed to confirm that aggressive pulmonary resection can provide effective long-term palliation of disease for patients with pulmonary aspergilloma. METHODS AND RESULTS: From 1959 to 1998, 84 patients underwent a total of 90 operations for treatment of pulmonary aspergilloma in the Marie-Lannelongue Hospital. The mean follow-up period was 9 years, and 83% of the patients were followed up for 5 years or until death, if the latter occurred earlier. The median age was 44 years. The most common indications were hemoptysis (66%) and sputum production (15%). Fifteen patients (18%) had no symptoms. Tuberculosis and lung abscess were the most common underlying causes of lung disease (65%). The procedures were 70 lobar or segmental resections, 8 cavernostomies, and 7 pneumonectomies. Five thoracoplasties were required after lobectomy (3 patients) or pneumonectomy (2 patients). The operative mortality rate was 4%. The major complications were bleeding (23 patients), prolonged air leak (31 patients), respiratory failure (10 patients), and empyema (5 patients). The actuarial survival curve showed 84% survival at 5 years and 74% survival at 10 years. During the first 2 years, death was related to the surgical procedure and the underlying disease. In contrast, 85% of the survivors had a good late result. CONCLUSION: Lobar resection in both the symptomatic and the asymptomatic patients was conducted in low-risk settings. For patients whose condition is unfit for pulmonary resection, cavernostomy may need to be undertaken despite the high operative risk. The better survival rate in this study may have been due to the selection of patients with better lung function and localized pulmonary disease.
ONE-STAGE APPROACH FOR RETROPERITONEAL AND MEDIASTINAL METASTATIC TESTICULAR TUMOR RESECTION.
E. FADEL, B. COURT, A.R.CHAPELIER, J.P. DROZ, P. DARTEVELLE
Ann Thorac Surg 2000;69:1717-1721
BACKGROUND: Eight percent of nonseminomatous germ cell tumors of the testis are associated with postchemotherapy residual masses in both the retroperitoneum and the posterior mediastinum. We describe a transabdominal transdiaphragmatic approach that allows simultaneous resection of these masses. METHODS: After standard retroperitoneal lymph node dissection through a midline laparotomy, an incision parallel to the right crus of the diaphragm was made and extended anteriorly through the muscular portion. Excellent exposure of the lower posterior mediastinum was obtained. Masses located higher than vertebra T8 were resected by extending this incision anteriorly and performing a partial sternal division. A complete median sternotomy can be done to allow subcarinal dissection, as well as pulmonary or anterior mediastinal mass resection. RESULTS: Between 1993 and 1999, 18 patients had simultaneous resection of retroperitoneal and posterior mediastinal masses with this approach. There were no perioperative deaths; 3 patients had minor postoperative complications. After a median follow-up of 3.2 years, the overall 5-year survival rate was 92%, and the 5-year disease-free survival rate was 87%. CONCLUSIONS: The transdiaphragmatic approach to the posterior mediastinum is less aggressive than the thoracoabdominal approach. It is safe and effective for simultaneous resection of postchemotherapy testicular nonseminomatous germ cell tumors located in the retroperitoneum and posterior mediastinum.
ENDOTHELIAL NITRIC OXIDE SYNTHASE FUNCTION IN PIG LUNG AFTER CHRONIC PULMONARY ARTERY OBSTRUCTION
E. FADEL, GM. MAZMANIAN, B. BAUDET, H. DETRUIT, JP VERHOYE, J.
CRON, S. FATTAL, P. DARTEVELLE, P. HERVE
Am. J Respir Crit Care Med, 2000;162:1429-1434
Because long-term pulmonary artery (PA) obstruction is associated with expansion of the systemic blood supply to the lung, chronic ischemia may not occur, and endothelium nitric oxide synthase (eNOS) function may be preserved in postobstructive pulmonary arteries. To test this hypothesis, we studied piglets 2 d or 5 wk after left PA ligation or a sham operation. We measured left lung ATP and lactate lung concentrations; calcium-dependent and calcium-independent NOS activities and eNOS protein; and left PA relaxations in response to acetylcholine, calcium ionophore, and sodium nitroprusside. Decreases in ATP and increases in lactate concentrations were significantly attenuated after 5 wk PA occlusion (p < 0.05 versus sham and 2-d ligation). Compared with sham and 2-d PA occlusion, calcium-dependent NOS activity and eNOS protein were lower in the long-term PA occlusion group. Calcium-independent NOS activity was unchanged. Acetylcholine and calcium ionophore relaxations were impaired after 5 wk, whereas only acetylcholine relaxation was impaired after 2-d PA occlusion. Relaxation to sodium nitroprusside remained unchanged. In conclusion, despite relative conservation of lung energy metabolism, prolonged PA occlusion decreased eNOS function and protein in postobstructive pulmonary arteries.
FACTORS AFFECTING LONG-TERM SURVIVAL AFTER EN-BLOC RESECTION OF LUNG CANCER INVADING LE CHEST WALL
A. CHAPELIER, E. FADEL, P. MACCHIARINI, B. LENOT, F. LE ROY
LADURIE, J. CERRINA, P. DARTEVELLE.
European Journal of Cardio-Thoracic Surgery. 2000;18:513-518
OBJECTIVE: Several reports emphasize the importance of en-bloc resection as the optimal surgical treatment of lung cancer with chest wall invasion. We investigated possible factors which could affect long-term survival following radical resection of these tumors. METHODS: Between 1981 and 1998, 100 patients (90 male; ten female), with a median age of 60 years (36-84), underwent radical en-bloc resection of non-small cell lung cancer (NSCLC) with chest wall involvement. Patients with superior sulcus tumors invading the thoracic inlet were excluded from this series. There were 43 squamous and 57 non-squamous tumors. The median number of resected ribs was three (1-5). Lung resection included 73 lobectomies, two bilobectomies, 18 pneumonectomies and seven segmentectomies. Chest wall resection also extended to the sternum in one patient, the transverse process in one, the costotransverse foramen and hemivertebrae in two. All patients had a complete resection. Sixty-three patients received postoperative radiotherapy and 12 received chemotherapy. Histological data, including differentiation and depth of chest wall invasion, were carefully reviewed. The effect of various factors on survival were studied. RESULTS: There were four in-hospital deaths. Lymph node involvement was negative on surgical specimens in 65 patients, and 28 patients had positive N1 nodes; the final histology revealed seven N2 diseases. Chest wall invasion was limited to the parietal pleura in 29 patients and included intercostal muscles, bones and extrathoracic muscles in 67, 24 and seven cases, respectively. The overall 2-year survival rate was 41%. The 5-year survival for patients with N0, N1 and N2 disease was 22, 9 and 0%, respectively. A local recurrence occurred in 13 patients, with four having a new resection and 45 patients developing systemic metastases. The nodal status (N0-1 vs. N2; P=0. 026) and the number of resected ribs(<2 vs. >2; P=0.03) were survival predictors in univariate analysis. By multivariate analysis, the two independent factors affecting long-term survival were the histological differentiation (well vs. poorly differentiated; P=0. 01) and the depth of chest wall invasion (parietal pleura vs. others; P=0.024). CONCLUSIONS: Histological differentiation and depth of chest wall involvement were the main factors affecting long-term survival in this series. The role of induction chemotherapy for tumors with poor prognosis should be investigated.
3.- ARTICLES DANS REVUES NATIONALES.
TRAITEMENT RADICAL DU CŒUR PULMONAIRE CHRONIQUE POST EMBOLIQUE PAR ENDARTERIECTOMIE PULMONAIRE VIDEO-ASSISTEE SOUS ARRET CIRCULATOIRE
P. DARTEVELLE. E. FADEL, G. SIMONNEAU
Actualités Thrombose. Février 2000;35:6-8
4.- PRESENTATIONS DANS DES CONGRES INTERNATIONAUX
TRAITEMENT CHIRURGICAL DE L'EMBOLIE PULMONAIRE AIGUE MASSIVE ET DU COEUR PULMONAIRE CHRONIQUE
G. SIMONNEAU, P. DARTEVELLE
Journées Francophones Multidisciplinaires de Médecine.
1ères Journées Franco-Libanaises de Pneumologie.
Beyrouth. 7-9 Avril 2000
TRANSPLANTATIONS PULMONAIRES ET CARDIO-PULMONAIRES. TECHNIQUES ET RESULTATS
P. DARTEVELLE
Journées Francophones Multidisciplinaires de Médecine.
1ères Journées Franco-Libanaises de Pneumologie.
Beyrouth. 7-9 Avril 2000
LARYNGOTRACHEAL RESECTION AND RECONSTRUCTION FOR POSTINTUBATION TRACHEAL STENOSIS EXTENDING TO THE SUBGLOTTIC REGION.
P. MACCHIARINI, J.P. VERHOYE,A. CHAPELIER, E. FADEL, P.
DARTEVELLE
The American Association for Thoracic Surgery. 80th Annual Meeting.
Toronto April 30-May 3, 2000
THE SURGICAL RESECTIONS OF CANCERS INVOLVING THE SUPERIOR VENA CAVA AND TRACHEOBRONCHIAL BIFURCATION.
P. DARTEVELLE
Meeting of the Canadian Association of Thoracic Surgeons. Toronto
June 3, 2000
LE BRONCHOPLASTICHE NELLA CHRURGIA DEL CARCINOMA POLMONARE
P. DARTEVELLE
2° Incontro Interdisciplinare di Patologia Toraco-Pulmonare -
Bologne 12 Maggio 2000
PRISE EN CHARGE D'UN TRAUMATISME GRAVE DU THORAX
. PRISE EN CHARGE DES LÉSIONS MEDIASTINALES. LE POINT DU VUE DU CHIRURGIEN
A. CHAPELIER
MAPAR 2000. Paris 26-27 Mai 2000
ENDOTHELIAL NITRIC OXIDE SYNTHASE FUNCTION IN PIG LUNG AFTER ACUTE OR CHRONIC PULMONARY ARTERY LIGATION
E FADEL, M MAZMANIAN, P DARTEVELLE, P HERVÈ.
World Congress on Lung Health and 10th ERS Annual Congress. Florence
30 August-3 September 2000
PULMONARY THROMBO-ENDARTERECTOMY FOR CHRONIC PULMONARY EMBOLISM
P. DARTEVELLE
4th.International Congress on Lung Transplantation. Paris 15
septembre 2000
THROMBOEMBOISMO PULMONAR. TERAPEUTICA CIRURGICA
P. DARTEVELLE
1as Jornadas Cardio-Pneumologicas - Lisboa 22-23 Setembro 2000
HIPERTENSAO PULMONAR. TRANSPLANTE CARDIO-PULMONAR
P. DARTEVELLE
1as Jornadas Cardio-Pneumologicas - Lisboa 22-23 Setembro 2000
5.- CONFERENCES SUR INVITATION PAR UNIVERSITES ETRANGERES
SURGERY FOR T3 AND T4 DISEASE
P. DARTEVELLE
Current Options in the Management of Stage III Lung Cancer. An
International Perspective - University of Toronto April 29, 2000
THE PEARSON LECTURE - SURGERY FOR PULMONARY HYPERTENSION
P. DARTEVELLE
27th Annual Toronto Thoracic Refresger Course - Faculty of Medicine.
University of Toronto June 1-2, 2000
EXPERIENCE WITH NON-LUNG TUMOURS OF THORACIC INLET
P. DARTEVELLE
27th Annual Toronto Thoracic Refresger Course - Faculty of Medicine.
University of Toronto June 1-2, 2000
EXTENDED PULMONARY RESECTIONS
P. DARTEVELLE, S. KESHAVJEE
27th Annual Toronto Thoracic Refresger Course - Faculty of Medicine.
University of Toronto June 1-2, 2000
TRACHEO-ESOPHAGEAL FILSTULA
P. DARTEVELLE
27th Annual Toronto Thoracic Refresger Course - Faculty of Medicine.
University of Toronto June 1-2, 2000
6.- PRESENTATIONS CONGRES NATIONAUX
LA CHIRURGIE ELARGIE DANS LES TUMEURS DE PANCOAST
P. DARTEVELLE
Congrès National de Chirurgie - Tunis 2-3 Janvier 2000
TRANSPLANTATION PULMONAIRE ET CARDIO-PULMONAIRE
P. DARTEVELLE
Congrès National de Chirurgie - Tunis 2-3 Janvier 2000
En hématologie et transplantation, dans quelles situations les patients sont-ils à risque d'aspergillose invasive ?
QUEL EST LE RISQUE PROPRE AU PATIENT EN TRANSPLANTATION D'ORGANE SOLIDE
F. PARQUIN
Conférence de Consensus "Prévention du risque
aspirgillaire chez les patients immunodéprimés"
Institut Pateur Paris 21 Mars 2000
TRAITEMENT CHIRURGICAL DE L'EMBOLIE PULMONAIRE AIGUE MASSIVE ET DU COEUR PULMONAIRE CHRONIQUE
G. SIMONNEAU, P. DARTEVELLE
Journées Francophones Multidisciplinaires de Médecine.
1ères JOURNÉES FRANCO-LIBANAISES DE PNEUMOLOGIE.
Beyrouth 7-9 avril 2000
TRANSPLANTATIONS PULMONAIRES ET CARDIO-PULMONAIRES. TECHNIQUES ET RESULTATS
P. DARTEVELLE
Journées Francophones Multidisciplinaires de Médecine.
1ères JOURNÉES FRANCO-LIBANAISES DE PNEUMOLOGIE.
Beyrouth 7-9 avril 2000
TRANSPLANTATION UNI OU BI-PULMONAIRE ; INDICATION DE LA CEC
E. FADEL
5èmes Journées Collège Français de
Perfusion. Paris La Villette 16-17 Juin 2000
RUPTURE TRACHEALE POST-INTUBATION : REPARATION PAR VOIE CERVICALE TRANSTRACHEALE.
C. LANCELIN, A. CHAPELIER, E. FADEL, P. DARTEVELLE
Chirurgie 2000. Congrès International de la Sté de
Chirurgie Thoracique et Cardiovasculaire de langue française.
Paris 26-28 Juin 2000
LES EXERESES ELARGIES DANS LE CANCER BRONCHIQUE. QUELLES LIMITES ?
P. DARTEVELLE
Seminaire De Cancerologie Et Reunion Du Golf - Marseille 2-5 Octobre
2000
QUELLES LIMITES A LA CHIRURGIE DU CANCER BRONCHIQUE DU SUJET AGE ?
P. DARTEVELLE
Symposium Pierre Fabre Oncologie. - Marseille 2 Octobre 2000
DIPLOME D'UNIVERSITE DE CARCINOLOGIE CERVICO-FACIAL - UFR Médicale de l'Université Paris-Sud - Institut Guastave Roussy
LES TUMEURS DE LA JONCTION CERVICO-THORACIQUE : P. DARTEVELLE
Etudes Médicales DCEM2 - Université Paris Sud
- TRAUMATISMES THORACIQUES : P. DARTEVELLE
- SYNDROMES MEDIASTINAUX : A CHAPELIER
DIPLOME D'UNIVERSITE ANGIO-ANATOMIE HUMAINE. Université Paris Sud : A. CHAPELIER
- L'AORTE THORACIQUE
- L'AORTE ABDOMINALE : APPLICATION A LA CHIRURGIE
- LES VAISSEAUX PULMONAIRES : ARTERE, VEINE PULMONAIRE, ARTERES BRONCHIQUES : APPLICATIONS A LA TRANSPLANTATION.
LA CHIRURGIE DES ANEVRISMES DE L'AORTE ABDOMINALE : E. FADEL
E.P.U. Centre Médical d'Evecquemont - Jeudi 16 Mars 2000
TRANSPLANTATION CARDIO-PULMONAIRE ET PULMONAIRE : SURVEILLANCE FONCTIONNELLE RESPIRATOIRE : J. CERRINA
Diplôme Inter Universitaire de Transplantation. Séminaire 3 Module Transplantation Cardiaque, Cardio-Pulmonaire et Pulmonaire. Paris (Paul Brousse), 4 Mai 2000
BILAN FONCTIONNEL D'OPERABILITE AVANT CHIRURGIE DES CANCERS BRONCHO-PULMONAIRES NON A PETITES CELLULES : LE POINT DE VUE DU CHIRURGIEN : E. FADEL
Association des Praticiens en Médecine Nucléaire d'Ile de France Paris, 16 Mai 2000
INDICATION DES THORACOTOMIES EN URGENCE : E. FADEL
Cours du Département d'Anesthésie-Réanimation CHU de Bicêtre. 5 Juin 2000
LA TROMBO-ENDARTERIECTOMIE : P.DARTEVELLE
Service de Cardiologie Centre Hospitalier de Longjumeau . 15 Juin 2000
TRAITEMENT CHIRURGICAL DE L'HTAP : P.DARTEVELLE
Service de Pneumologie Hôpital Tenon . 20 Juin 2000
LE TRAITEMENT CHIRURGICAL DE L'HYPERTENSION ARTERIELLE PULMONAIRE : P.DARTEVELLE
Staffs d'Actualités Médico-Chirurgicaux et Multidisciplinaires d'Oncologie. Hôpital Tenon. 20 Juin 2000
- POINTS ESSENTIELS DES TECHNIQUES DE PRELEVEMENT QUI INFLUENT SUR LA TRANSPLANTATION PULMONAIRE : A. CHAPELIER.
- POINTS ESSENTIELS DE LA TECHNIQUE DE TRANSPLANTATION CARDIO-PULMONAIRE, BIPULMONAIRE ET MONO-PULMONAIRE : A. CHAPELIER
- PRINCIPALES COMPLICATIONS CHIRURGICALES DE LA TRANSPLANTATION PULMONAIRE ET CARDIO-PULMONAIRE : A. CHAPELIER
Cycle d'Enseignement du Groupe Coopératif de Transplantation d'Ile de France "GCIF". Hôpital Paul Brousse 21 Juin 2000
BILAN DE 180 TRANSPLANTATIONS CARDIO-PULMONAIRES OU PULMONAIRES, ANTOINE BECLERE - MARIE LANNELONGUE
A. CHAPELIER, P. DARTEVELLE, G. SIMONNEAU
12ème Journée de Bicêtre.
Prélèvements d'Organes en vue de Transplantation. 22
Juin 2000
TRAITEMENT DU SYNDROME DE PANCOAST ET TOBIAS
P. DARTEVELLE
Journées de Pneumologie Pierre Bourgeois. PARIS 24-25 Novembre
2000