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4 results on '"M. Zheng"'

1. [Locoregional recurrence of breast cancer. Long-term course of 49 cases treated by excision and omentoplasty]

Author

H, Calderoli, S, Rohr, C, Bachellier, M, Zheng, C, Meyer, L F, Hollender, and R, Keiling

Subjects
Time Factors, Humans, Breast Neoplasms, Female, Postoperative Period, Middle Aged, Neoplasm Recurrence, Local, Omentum, Aged
Abstract

Extensive local recurrence of breast cancer may require wide parietal resection, demanding the use of other tissues to compensate for the loss of substance. We preferably resort to omentoplasty when the defect is larger than 300 cm2. A group of 49 patients with recurrence of the tumor in the breasts (treated with omentoplasty) has been studied, with special emphasis on long-term results. In our series, 86% of the patients were followed up for more than 4 years, with an actuarial survival rate of 46% after 7 years. It thus appears that this procedure can be advocated for slow-developing cancers, the local recurrence of which is extensive and usually isolate for various reasons (most often a deficient initial local treatment).

Published
1989

2. [Colonic occlusion. Apropos of a surgical series of 63 cases]

Author

C, Meyer, H, Eynard, S, Rohr, M, Zheng, and L F, Hollender

Subjects
Adult, Aged, 80 and over, Male, Colonic Diseases, Postoperative Complications, Adolescent, Humans, Female, Middle Aged, Intestinal Obstruction, Aged, Retrospective Studies
Abstract

63 colonic occlusions were operated on from 1975 to 1988. Cancer and stenotic diverticular sigmoiditis were found to be the main causes of colonic obstruction in respectively 36 cases (55%) and 8 cases (13%). Other etiologies were represented by neoplasic gynecologic diseases (9.5%). The rectosigmoid was involved in 50% of the cases (31) while transverse colon and caecum were respectively concerned in 25% and 17%. The 2 main therapeutical procedures used were colic resection (35 cases-55%) with immediate anastomosis in 1 case out of 3 and derivation (26 cases 41%) mostly in the proper from of a colostomy (20 cases). Operation was undertaken during the first 48 hours in 65% of the cases. Death occurred in 8 patients (12.5%). Related to etiology the death rate was 11% in cancers and 25% in stenotic diverticulitis. Where linked to treatment this mortality rate reached 27% in derivations and 3% in colic resections. 38% of non lethal complications were recorded, two-third being due to the bad general conditions of the patients. Several times operations, such as first colostomy or resection without anastomosis, should remain the basic rule one should not depart from without great carefulness. However a new interesting trend toward one time surgery with intraoperative colonic lavage is taking shape.

Published
1989

3. [Colonic occlusion. Apropos of a surgical series of 63 cases].

Author

Meyer C, Eynard H, Rohr S, Zheng M, and Hollender LF

Subjects
Adolescent, Adult, Aged, Aged, 80 and over, Colonic Diseases mortality, Female, Humans, Intestinal Obstruction mortality, Male, Middle Aged, Postoperative Complications epidemiology, Retrospective Studies, Colonic Diseases surgery, Intestinal Obstruction surgery
Abstract

63 colonic occlusions were operated on from 1975 to 1988. Cancer and stenotic diverticular sigmoiditis were found to be the main causes of colonic obstruction in respectively 36 cases (55%) and 8 cases (13%). Other etiologies were represented by neoplasic gynecologic diseases (9.5%). The rectosigmoid was involved in 50% of the cases (31) while transverse colon and caecum were respectively concerned in 25% and 17%. The 2 main therapeutical procedures used were colic resection (35 cases-55%) with immediate anastomosis in 1 case out of 3 and derivation (26 cases 41%) mostly in the proper from of a colostomy (20 cases). Operation was undertaken during the first 48 hours in 65% of the cases. Death occurred in 8 patients (12.5%). Related to etiology the death rate was 11% in cancers and 25% in stenotic diverticulitis. Where linked to treatment this mortality rate reached 27% in derivations and 3% in colic resections. 38% of non lethal complications were recorded, two-third being due to the bad general conditions of the patients. Several times operations, such as first colostomy or resection without anastomosis, should remain the basic rule one should not depart from without great carefulness. However a new interesting trend toward one time surgery with intraoperative colonic lavage is taking shape.

Published
1989

4. [Locoregional recurrence of breast cancer. Long-term course of 49 cases treated by excision and omentoplasty].

Author

Calderoli H, Rohr S, Bachellier C, Zheng M, Meyer C, Hollender LF, and Keiling R

Subjects
Aged, Female, Humans, Middle Aged, Omentum surgery, Postoperative Period, Time Factors, Breast Neoplasms surgery, Neoplasm Recurrence, Local surgery
Abstract

Extensive local recurrence of breast cancer may require wide parietal resection, demanding the use of other tissues to compensate for the loss of substance. We preferably resort to omentoplasty when the defect is larger than 300 cm2. A group of 49 patients with recurrence of the tumor in the breasts (treated with omentoplasty) has been studied, with special emphasis on long-term results. In our series, 86% of the patients were followed up for more than 4 years, with an actuarial survival rate of 46% after 7 years. It thus appears that this procedure can be advocated for slow-developing cancers, the local recurrence of which is extensive and usually isolate for various reasons (most often a deficient initial local treatment).

Published
1989

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