L Votron

Publications (2)2.98 Total impact

• Article: [The French preliminary experience of the use of a seed-projector for exclusive iodine 125 prostate brachytherapy: feasibility and acute toxicity].

  P Pommier, M Delannes, O LeFloch, V Bernier, M-H Baron, L Thomas, C Malet, J Bonnet, P Louisot, P Aletti, [......], F Chirat, S Lebivic, X Montbarbon, J-M Bachaud, L Votron, O Lasbareilles, O Desmettre, G Bringeon, F Gassa, D Peiffert
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  ABSTRACT: To analyse a new technique for prostate brachytherapy with permanent Iodine implants characterized by the use of a seed projector after a 3D dosimetric peroperative treatment planning (FIRST technique). 395 patients have been treated in France with this technique in six radiotherapy centres between November 2002 and December 2005 for a localized prostate cancer. Thirteen patients (3.3%) developped a urinary retention, and respectively 7.8 and 26.5% an acute RTOG grade 3 and 2 toxicity. The 6-weeks IPSS score was equal or lower to 15 in 73% with a 11 median IPSS value. A failure of the loading with the seed-projector, leading to a manual loading of the seeds, occurred in 9 patients (2.3%) in two centres, directly related to the loading procedure with the seed-projector in 5 cases. The median duration of the procedure was reduced by 30 minutes for the patients treated in 2005. This multicenter study establishes the feasibility of the routine use of a seed projector for permanent iodine 125 prostate implants with an initial tolerance similar to the best results published for other implants techniques.
  Cancer/Radiothérapie 01/2007; 10(8):559-64. · 1.49 Impact Factor
• Article: [The patient care experience in radiotherapy: perspectives for better patient support].

  J M Dilhuydy, H Hoarau, B Fontanet Délices, N Bonichon, C Laporte, M Minsat, N Pontet, L Votron
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  ABSTRACT: This paper reports the patient care experience during the course of the radiotherapy. Plights are multiple. Patients are confronted with a complex and unknown distressing space, an irrelavant information, a banalization of side effects, an isolation with a frequent inadequate support of their family or the caregivers team, with the fear of a definitive abandonment at the end of the treatment without comforting follow-up. It is imperative to state a real policy in order to improve the patient support. Sensibilization and training of the caregivers, in spite of a frequent overbooking technical work, is required in a pluridisciplinary approach to provide a relevant reception with the collaboration of psychologists, social workers and self care groups and associations. The personal implication of the physicians and technologists is also essential. The simple smile is the intangible proof of the reliable emotional support.
  Cancer/Radiothérapie 12/2002; 6 Suppl 1:196s-206s. · 1.49 Impact Factor