Centres de soins tertiaires : Questions médicales fréquentes
Nom anglais: Tertiary Care Centers
Descriptor UI:D062606
Tree Number:N02.278.421.830
Termes MeSH sélectionnés :
Robotics
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"description": "Comment sont diagnostiquées les maladies complexes ?\nQuels tests sont utilisés en soins tertiaires ?\nQuel rôle joue la génétique dans le diagnostic ?\nComment les consultations multidisciplinaires aident-elles ?\nQu'est-ce qu'un diagnostic différentiel ?",
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"description": "Comment prévenir les maladies complexes ?\nQuel rôle joue l'éducation à la santé ?\nLes vaccinations sont-elles importantes ?\nComment le dépistage précoce aide-t-il ?\nQuels conseils de mode de vie peuvent aider ?",
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"description": "Quelles sont les complications possibles des traitements ?\nComment gérer les complications ?\nLes complications sont-elles prévisibles ?\nQuel impact les complications ont-elles sur le patient ?\nComment les complications influencent-elles le traitement ?",
"url": "https://questionsmedicales.fr/mesh/D062606?mesh_terms=Robotics&page=1000#section-complications"
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"description": "Quels sont les facteurs de risque des maladies complexes ?\nComment l'environnement influence-t-il la santé ?\nLe mode de vie affecte-t-il les risques ?\nLes antécédents familiaux sont-ils importants ?\nComment le stress impacte-t-il la santé ?",
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"@type": "Question",
"name": "Comment sont diagnostiquées les maladies complexes ?",
"position": 1,
"acceptedAnswer": {
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"text": "Les maladies complexes sont diagnostiquées par des tests spécialisés, imageries et consultations multidisciplinaires."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés en soins tertiaires ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests avancés comme l'IRM, la biopsie et les tests génétiques sont couramment utilisés."
}
},
{
"@type": "Question",
"name": "Quel rôle joue la génétique dans le diagnostic ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "La génétique aide à identifier des maladies héréditaires et à personnaliser les traitements."
}
},
{
"@type": "Question",
"name": "Comment les consultations multidisciplinaires aident-elles ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elles permettent d'obtenir des avis d'experts de différentes spécialités pour un diagnostic précis."
}
},
{
"@type": "Question",
"name": "Qu'est-ce qu'un diagnostic différentiel ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "C'est le processus d'élimination d'autres maladies ayant des symptômes similaires."
}
},
{
"@type": "Question",
"name": "Quels symptômes nécessitent un soin tertiaire ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes graves ou persistants comme des douleurs intenses, des troubles neurologiques."
}
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{
"@type": "Question",
"name": "Comment reconnaître une urgence médicale ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes comme la difficulté à respirer, la perte de conscience ou des douleurs thoraciques."
}
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{
"@type": "Question",
"name": "Les symptômes varient-ils selon les spécialités ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, chaque spécialité peut présenter des symptômes spécifiques selon les pathologies traitées."
}
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{
"@type": "Question",
"name": "Quels symptômes sont liés aux maladies rares ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes atypiques ou non spécifiques, souvent mal compris ou mal diagnostiqués."
}
},
{
"@type": "Question",
"name": "Comment les symptômes évoluent-ils dans le temps ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils peuvent s'aggraver, se stabiliser ou s'améliorer selon le traitement et la maladie."
}
},
{
"@type": "Question",
"name": "Comment prévenir les maladies complexes ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "La prévention passe par des dépistages réguliers, un mode de vie sain et des vaccinations."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'éducation à la santé ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'éducation à la santé informe les patients sur les risques et les comportements à adopter."
}
},
{
"@type": "Question",
"name": "Les vaccinations sont-elles importantes ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles protègent contre certaines maladies graves et réduisent les complications."
}
},
{
"@type": "Question",
"name": "Comment le dépistage précoce aide-t-il ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il permet de détecter les maladies à un stade précoce, augmentant les chances de traitement efficace."
}
},
{
"@type": "Question",
"name": "Quels conseils de mode de vie peuvent aider ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Adopter une alimentation équilibrée, faire de l'exercice et éviter le tabac et l'alcool."
}
},
{
"@type": "Question",
"name": "Quels traitements sont offerts en soins tertiaires ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des traitements avancés comme la chirurgie spécialisée, la chimiothérapie et la radiothérapie."
}
},
{
"@type": "Question",
"name": "Comment les traitements sont-ils personnalisés ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils sont adaptés selon le profil génétique et les caractéristiques spécifiques du patient."
}
},
{
"@type": "Question",
"name": "Quel est le rôle des essais cliniques ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les essais cliniques testent de nouveaux traitements et améliorent les options disponibles."
}
},
{
"@type": "Question",
"name": "Comment la réhabilitation est-elle intégrée ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "La réhabilitation est essentielle pour aider les patients à retrouver leur autonomie après un traitement."
}
},
{
"@type": "Question",
"name": "Quels traitements sont utilisés pour les maladies chroniques ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des traitements à long terme comme les médicaments, la thérapie physique et le suivi régulier."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles des traitements ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications peuvent inclure des infections, des effets secondaires et des rechutes."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "La gestion implique un suivi régulier, des ajustements de traitement et un soutien psychologique."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles prévisibles ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines complications peuvent être anticipées, d'autres surviennent de manière imprévisible."
}
},
{
"@type": "Question",
"name": "Quel impact les complications ont-elles sur le patient ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elles peuvent affecter la qualité de vie, nécessiter des soins supplémentaires et prolonger la maladie."
}
},
{
"@type": "Question",
"name": "Comment les complications influencent-elles le traitement ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elles peuvent nécessiter des modifications du traitement initial pour éviter des risques supplémentaires."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque des maladies complexes ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'hérédité, l'âge, le mode de vie et certaines conditions médicales."
}
},
{
"@type": "Question",
"name": "Comment l'environnement influence-t-il la santé ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'exposition à des toxines, la pollution et le stress peuvent augmenter le risque de maladies."
}
},
{
"@type": "Question",
"name": "Le mode de vie affecte-t-il les risques ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des habitudes comme le tabagisme, l'inactivité physique et une mauvaise alimentation augmentent les risques."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux sont-ils importants ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux de maladies peuvent indiquer un risque accru pour les individus."
}
},
{
"@type": "Question",
"name": "Comment le stress impacte-t-il la santé ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le stress chronique peut affaiblir le système immunitaire et augmenter le risque de maladies."
}
}
]
}
]
}
Minimally invasive liver resections (MILR) offer potential benefits such as reduced blood loss and morbidity compared with open liver resections. Several studies have suggested that the impact of cirr...
A total of 2534 patients undergoing minimally invasive major hepatectomies (MIMH) for primary malignancies across 58 centers worldwide were retrospectively reviewed. Propensity score (PSM) and coarsen...
A total of 1353 patients (53%) had no cirrhosis, 1065 (42%) had Child-Pugh A and 116 (4%) had Child-Pugh B cirrhosis. Matched comparison between non-cirrhotics vs Child-Pugh A cirrhosis demonstrated c...
The presence and severity of cirrhosis affected the difficulty and impacted the outcomes of MIMH, resulting in higher blood transfusion rates, increased postoperative morbidity, and longer hospitaliza...
The surgical resection of rectal carcinoma is associated with a high risk of permanent stoma rate. Primary anastomosis rate is suggested to be higher in robot-assisted and transanal total mesorectal e...
Patients undergoing total mesorectal excision for MRI-defined rectal cancer between 2015 and 2017 in 11 centers highly experienced in laparoscopic, robot-assisted or transanal total mesorectal excisio...
In total, 1198 patients were included. Permanent stoma rate after low anterior resection (with anastomosis or with an end colostomy) was 40.1% in patients undergoing laparoscopic surgery, 21.3% in pat...
The robot-assisted and transanal techniques are associated with a lower permanent stoma rate in patients who underwent a low anterior resection....
Children with cerebral palsy (CP) classified as gross motor function classification system (GMFCS) levels III-IV demonstrate impaired sitting and reaching control abilities that hamper their overall f...
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NCT04897347; clinicaltrials.gov....
Robotic-assisted minimally invasive esophagectomy (RAMIE) was first introduced in 2003 and has since then shown to significantly improve the postoperative course. Previous studies have shown that a st...
All patients undergoing RAMIE performed by two experienced surgeons for esophageal cancer since the introduction of the robotic technique in 2017 was included in this analysis. Intraoperative outcomes...
From 06/2017 to 03/2022, a total of 154 patients underwent RAMIE at our facility and were included in the analysis. An advancement in performance level was observed for total operating time after 70 c...
Our data and analysis showed the progression from proficient to expert performance levels during the implementation of RAMIE at a European high-volume center. Further analysis of surgeons, especially ...
The aim was to assess the surgical outcomes in obese women with endometrial cancer following robotic surgery introduction in a London tertiary gynaecological cancer unit....
Data was prospectively collected for 281 women undergoing endometrial cancer surgery in 2016, 2018 and 2019 (robotic surgery was introduced in November 2017)....
The proportion of obese and morbidly obese patients undergoing minimally invasive surgery (MIS) significantly increased following robotic surgery introduction from 43.8% to 69.6% (p < 0.001). Overall ...
Robotic surgery led to a significant rise in MIS and improved surgical outcomes for obese and morbidly obese women with endometrial cancer within 12 months of its introduction....
To compare the outcomes of robotic limited liver resections (RLLR) versus laparoscopic limited liver resections (LLLR) of the posterosuperior segments....
Both laparoscopic and robotic liver resections have been used for tumors in the posterosuperior liver segments. However, the comparative performance and safety of both approaches have not been well ex...
This is a post hoc analysis of a multicenter database of 5,446 patients who underwent RLLR or LLLR of the posterosuperior segments (I, IVa, VII and VIII) at 60 international centers between 2008 and 2...
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To evaluate the efficacy and safety of robotic-assisted thoracic surgery (RATS) and video assisted thoracic surgery (VATS) for non-small cell lung cancer (NSCLC)....
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To compare the safety and accuracy of cannulated pedicle screw placement using a robotic-navigation technique, O-arm-based navigation technique, or freehand technique....
This study analyzed 106 consecutive patients who underwent scoliosis surgery. Thirty-two patients underwent robotic-navigation-assisted pedicle screw insertion (Group 1), 34 patients underwent O-arm-b...
A total of 2035 cannulated pedicle screws were implanted in 106 patients. The accuracy rate of the first pedicle screw placement during operation was significantly greater in Group 1 (94.7%) than in G...
The robotic-navigation and O-arm-based navigation techniques effectively increased the accuracy and safety of pedicle screw insertion alternative to the freehand technique in scoliosis surgery. Compar...
The purpose of this study was to compare radiographic and clinical outcomes of robotic-assisted and conventional manual techniques in restricted kinematically aligned TKA....
Patients who underwent either manual or robotic-assisted restricted kinematically aligned TKA between 2019 and 2020 were included in this retrospective comparative study. Radiographic outcomes compris...
The manual group consisted of 46 patients (38 females, eight males) with a mean age of 68.1 years, and the robotic group consisted of 70 patients (58 females, 12 males) with a mean age of 65.7 years (...
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Level III (Retrospective cohort study)....
Human-robot collaboration with traditional industrial robots is a cardinal step towards agile manufacturing and re-manufacturing processes. These processes require constant human presence, which resul...