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D Dromer

Publications and source records attributed to D Dromer.

4 recordsLinked to original sources
PubMed1991

[Mortality in the surgical unit of a general hospital. Study of 27 postoperative deaths among patients operated on during 1990-1492].

This study takes in account all post operative deaths during the year 1990 in one surgical Professorial unit of Lille academic hospital (France). During this year, 1492 consecutive patients underwent surgery. The mean age of deceased patients was 63.7 years. 15 died after emergency procedure and 12 after elective surgery. Lastly 2 patients died without any operation. The most common condition encountered in those cases was oesophageal carcinoma, thereafter gastric or duodenal complicated peptic ulcer, and finally colonic carcinoma and diverticular disease. 13 patients had neoplasia (45%). From a critical point of view, 14 patients died after surgical indication or procedure of questionable legitimacy. The comparison with a similar study conducted five years ago and the analysis of these charts allow us to reaffirm some basic principles of surgery.

Adult↗
PubMed1990

[Cancer of the upper cervico-thoracic esophagus].

Between 1984 and 1990, 90 operations were performed for carcinoma of cervical and cervicothoracic esophagus. All tumors were squamous cell carcinoma. Of these patients, 78 underwent esophagectomy, and 12 had had a gastric by pass. Visceral remplacements employed the whole stomach. Only one cervicothoraco-laparotomy was performed. The operative mortality was 6.6% (no difference between mortality rate associated with pharyngogastric anastomosis (5.3%) and that with cervical esogastric anastomosis (7.1%). The 78 resections included 55 esophagectomies for cure (70.5%) and palliative procedure for the 23 other patients. Post operative complication rate was 38% and 5-year survival rate was 12%. One study suggested that resectability and immediate post operative results of cervical or cervicothoracic esophagus cancer are not different from these of intrathoracic esophageal cancer. These results encouraged an aggressive surgical approach; whole gastric pull up seems to be the safest and most reliable method for cervical anastomosis as well as for pharyngeal anastomosis, difficulty of correct lymphadenectomy, low 5-year survival, advocated adjuvant radiotherapy and/or chemotherapy.

Adult↗