Yohan Kerbage

Yohan Kerbage
Université de Lille · Faculty of Medicine

Doctor of Medicine PhD
Senior fellow gynécologie-oncologie CHUM de Montréal

About

46
Publications
2,331
Reads
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122
Citations
Additional affiliations
November 2021 - November 2022
Centre hospitalier de l'Université de Montréal (CHUM)
Position
  • MD
November 2012 - present
Centre Hospitalier Régional Universitaire de Lille
Position
  • MD PhD

Publications

Publications (46)
Article
Introduction Desire to homogenize advanced stage ovarian cancer management has led to a debate on the need to centralize cares. The aim was to assess current practices to compare them with centralization motivation and to overview possible perspectives of evolution. Methods An anonymous questionnaire of 57 questions has been submitted from August...
Article
Full-text available
Introduction: Borderline ovarian tumours (BOT) represent 10-20% of epithelial tumours of the ovary. Although their prognosis is excellent, the recurrence rate can be as high as 30%, and recurrence in the infiltrative form accounts for 3% to 5% of recurrences. Affecting, in one third of cases, women of childbearing age, the surgical strategy with o...
Article
Because of the peak incidence of cervical cancer between the ages of 35 and 44 and the increasing age of first pregnancy, the issue of fertility preservation in cases of early-stage cervical cancer in women in this reproductive age category arises. Early-stage cervical cancer patients have a good prognosis and are surgically treated in cases of mil...
Article
Objective To assess the surgical management and survival of severely obese patients with high-risk endometrial cancer. Materials and Methods Data from 269 patients with high-risk endometrial cancer who were treated between 2001 and 2018 were collected from a multicenter database (11 centers). We classified the patients according to their BMI and c...
Article
Background This study compares morbidity and mortality associated with retroperitoneal and transperitoneal para-aortic lymphadenectomy (PAAL) for pretherapeutic nodal staging of locally advanced cervical cancers (FIGO IB3–IVA). Methods Pre-, per- and postoperative data of patients treated for locally advanced stage cervical cancer between 1999 and...
Article
Full-text available
Objective This study aimed at assessing perioperative results of robot-assisted laparoscopy (RAL) in the context of deep infiltrating endometriosis (DIE). Methods This retrospective French multicentric study included all patients with DIE who underwent surgical treatment managed by RAL (Da Vinci® System). From November 2008 to June 2019, patients...
Article
Full-text available
Surgical treatment is standard for the treatment of small breast cancers. Due to the pain and esthetic sequelae that can follow surgery, minimally invasive treatments are under investigation. Our aim was to conduct a dosimetry study of laser interstitial thermotherapy. Turkey tissue was used as an ex vivo model, and mammary glands from ewes were us...
Article
Objective We aimed to evaluate the usefulness of a new multimedia tool, a video on pregnancy and a video on physiological labor, for the initial and continuous training of general practitioners and the education of pregnant women. Method This is a qualitative study for which we conducted semi-structured individual interviews with general practitio...
Article
Objective Cystic adenomyoma is a lesion located within the myometrium. It is lined with endometrium and has hemorrhagic content. This rare entity has been described as a focal form of adenomyosis. However, it is poorly understood, and the management of symptomatic patients is not codified. Our objective is to evaluate the effectiveness of treatment...
Article
Full-text available
Background: The aim of this study was to assess current French practices in the management of patients with advanced epithelial ovarian cancer. Method: a 58-question electronic survey was distributed anonymously to the members of the SFOG (French Society of Gynaecological Oncology), GINECO-ARCAGY (National Investigators Group for Ovarian and Bre...
Article
Full-text available
Objective: The aim of this study was to develop a new diagnostic tool to predict lymph node metastasis (LNM) in patients with advanced epithelial ovarian cancer undergoing primary cytoreductive surgery. Materials and method: The FRANCOGYN group's multicenter retrospective ovarian cancer cohort furnished the patient population on which we develop...
Conference Paper
Full-text available
Introduction: The aim of this study was to investigate the current surgical and non-surgical therapeutic management of advanced epithelial ovarian cancer (AEOC) cases worldwide, using the data from an internationally lounged survey. Methodology: After the validation of a 58-item survey regarding diagnostic and pathological data, as well as surg...
Conference Paper
Full-text available
Introduction: The management of ovarian cancer has rapidly become more complex in recent years due to surgical and medical advances. The aim of this study was to assess French current practice in management of patients with advanced epithelial ovarian cancer. Methodology: An anonymous survey was sent to the SFOG, GINECO-ARCAGY and FRANCOGYN mem...
Conference Paper
Full-text available
Introduction/Background* The management of ovarian cancer has rapidly become more complex in recent years due to surgical and medical advances. The aim of this study was to assess French current practice in management of patients with advanced epithelial ovarian cancer. Methodology An anonymous survey was sent to the SFOG, GINECO-ARCAGY and FRANCO...
Article
Resume Objectif : Déterminer l’intérêt ou non de la réalisation de certains gestes prophylactiques en association à une procédure chirurgicale gynécologique. Conception : Un comité de consensus de 19 experts a été constitué. Une politique de déclaration et de suivi des liens d’intérêts a été appliquée et respectée durant tout le processus de réalis...
Article
Objective To provide guidelines from the French College of Obstetricians and Gynecologists (CNGOF), based on the best currently available evidence, for the prophylactic procedures associated with gynecological surgery for benign disease such as superficial endometriosis lesions and adhesions. Methods The CNGOF has decided to adopt the AGREE II and...
Article
Introduction Node involvement is one of the main prognostic factors for cervical cancer. Para-aortic lymph node (PALN) assessment is crucial for treating advanced cervical cancer, to define irradiation fields. Objective of this study was to develop a score predicting para-aortic lymph node involvement in patients with advanced cervical cancer. Pat...
Thesis
Full-text available
Introduction : Les carcinomes mammaires de moins de 10 mm représentent 31,6% des cancers détectés par mammographie dans le cadre du dépistage organisé. L’augmentation de l’incidence de ces cancers du sein de faible risque amène à considérer les thérapies focales comme une alternative à la chirurgie. Le traitement par laser interstitiel consiste à u...
Article
Objective Post-operative CRP on postoperative day 4 (POD) is used for the early detection of complications after colorectal surgery for cancer, but there is no evidence yet that justifies the use of this marker for bowel resection in case of endometriosis. Study design We retrospectively included 66 consecutive patients who underwent bowel resecti...
Article
Full-text available
Introduction The coronavirus SARS-CoV-2 (COVID-19) pandemic has put tremendous pressure on the French healthcare system. Almost all hospital departments have had to profoundly modify their activity to cope with the crisis. In this context, the surgical management of cancers has been a topic of debate as care strategies were tailored to avoid any de...
Article
Objective In order to be able to develop surgical training of residents through simulation, we carried out a descriptive study, evaluating the satisfaction of participating residents and the benefit of the workshops offered during the 4 th Junior Master Class, free annual training organized in 2017 in Lille University Hospital. It is dedicated to o...
Article
Full-text available
The standard of care for patients with advanced cervical cancer (ACC) includes platinum-based chemotherapy. The concept of platinum sensitivity is a major prognostic factor for patients with ovarian cancer. The aim of this study was to validate the applicability of the platinum sensitivity concept to ACC patients, and to estimate its prognostic int...
Article
Full-text available
Background and objective: according to the latest ESMO-ESGO recommendations, laparotomy is the standard surgical approach to treat and stage patients with presumed early stage epithelial ovarian cancer (EOC). A few studies have investigated the efficacy and the safety of laparoscopy for the staging of early stage EOC, and this question is still in...
Article
Objectives To evaluate the performances of systematic posttreatment pelvic magnetic resonance imaging (PPMRI) in predicting prognosis of patients treated with chemoradiation therapy (CRT) for locally advanced cervical cancer (LACC). Materials and methods Multi-institutional data from 216 patients presenting FIGO IB2-IIB cervical cancer for which P...
Article
Background The outcomes of paraaortic lymphadenectomy were compared for the treatment of gynecological malignancies to identify the most appropriate surgical approach.Methods Our retrospective, multicentric study included 1304 patients who underwent paraaortic lymphadenectomy for gynecological malignancies. The patients were categorized into the fo...
Article
Introduction Well-being and quality of life (QoL) in the workplace have become a priority in all professions. Both academic studies and the media seek to assess how physicians feel. Nonetheless, few studies have focused on the specific situation of surgeons in terms of their work/life balance and their satisfaction at work. These observations led u...
Article
Objectives To evaluate the performances of posttreatment FEDG-PET to predict the prognosis of patients treated with concurrent chemoradiotherapy (CT/RT) for locally advanced cervical cancer. Materials and methods The medical records of 131 patients treated in 9 French academic institutions for IB2-IIB cervical cancer and for which a posttherapy FE...
Article
Introduction: Our aim was to identify risk factors for failed induction in morbidly obese patients undergoing the induction of labor at term. Material and methods: This was a retrospective multicenter study on a cohort of 235 patients with a body mass index greater than 40 kg/m2 and giving birth to a singleton in cephalic presentation, who had a...
Conference Paper
Introduction/Background Para-aortic lymphadenectomy is currently not systematized in the pre-treatment management of advanced cervical cancer (FIGO IB3-IVA). However, metastatic lymph has prognostic and therapeutic importance. We compared morbidity and mortality of retroperitoneal para-aortic lymphadenectomy with transperitoneal approach, in the pr...
Article
Understanding the biology and progression mechanisms of peritoneal metastases in ovarian epithelial cancers (EOC) is important because peritoneal carcinomatosis is present or will occur during surveillance of a majority of patients. Despite the clinical remission achieved after complete macroscopic cytoreductive surgery and platinum-based chemother...
Article
Full-text available
Image-guided surgery is a relevant way to reduce surgical morbidity and maximize cytoreductive surgery approach especially in ovarian cancer. Sentinel lymph node detection is a promising approach to avoid radical lymph node dissection and is slightly becoming standard in daily practice in endometrial and cervical cancer surgery even if it needs to...
Poster
Full-text available
Aims Despite clinical remission after the completion of complete macroscopic cytoreductive surgery and platinum-based chemotherapy, 60% of patient treated for ovarian cancer will develop peritoneal recurrences. This suggests that microscopic lesions may be present that are not eradicated by conventional surgery, not controlled by systemic chemother...
Article
Full-text available
Background: Despite being linked to improving patient outcomes and limiting costs, the use of vaginal hysterectomy is on the wane. Although a combination of reasons might explain this trend, one cause is a lack of practical training. An appropriate teaching model must therefore be devised. Currently, only low-fidelity simulators exist. Ewes provid...
Article
While breast specialists debate on therapeutic de-escalation in breast cancer, the treatment of benign lesions is also discussed in relation to new percutaneous ablation techniques. The purpose of these innovations is to minimize potential morbidity. Laser Interstitial ThermoTherapy (LITT) is an option for the ablation of targeted nodules. This rev...
Article
Introduction and hypothesisThe objective was to evaluate the ewe as an animal model for teaching and training in vaginal surgery. Methods Twenty-nine postgraduate surgeons attended a training course on vaginal prolapse surgery. After a review of human and sheep anatomy, the participants performed transvaginal meshes, vaginal hysterectomy, SSLF (Ric...
Article
Context: Hysteroscopy is one of the most common gynaecological procedure. Training for diagnostic and operative hysteroscopy can be achieved through numerous previously described models like animal models or virtual reality simulation. We present our novel combined model associating virtual reality and bovine uteruses and bladders. Study design:...
Article
Understanding biology and progression mechanisms of peritoneal metastases of epithelial ovarian cancer (EOC) is a cornerstone in the knowledge and the comprehensive management of the disease. Despite clinical remission after the association of complete cytoreductive surgery and platinum-based chemotherapy, peritoneal recurrence still occurs in 60%...
Article
Modern surgery tends to the improvement of minimally invasive strategies. Laparoscopy, rooted in practices for years, supplanted laparotomy in many directions. Regarding the extraction of large uterus, morcellation is currently the only way to externalize surgical specimens (myomas, uterine), without increasing the skin opening while allowing to re...
Article
Objective: Description of the aims, the framework and the results of a postpartum hemorrhage surgery workshop for residents. Study design: This article is the first publication to describe a simulation workshop for the surgical management of maternal hemorrhage. Training was divided into both theoretical and practical workshops. Four obstetricia...
Article
Objective: Analysis of litigation in gynecological surgery in the French university hospital of Lille. Methods: It is a longitudinal and retrospective study. We collected all cases of complaints between November 1997 and August 2015 concerning the department of gynecological surgery, university hospital of Lille. Medical data were obtained using...

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