General, gastroenterological and sarcoma surgery

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Outpatient consultations

Secretaries

  • Opening hours: from Monday to Friday, 9am to 5pm
  • Telephone: +33(0)2 31 45 50 11
  • Location: 1st floor

Hospitalisation

Department missions

Care

  • Oncological gastrointestinal surgery: by laparotomy, coelioscopy, robot-assisted technique
  • Peritoneal surgery (primary tumour of the peritoneum and peritoneal carcinosis): HIPEC ‘hyperthermic intraperitoneal chemotherapy’, PIPAC ‘pressurised intraperitoneal aerosol chemotherapy
  • Surgery of soft tissue sarcoma and visceral sarcoma
  • General surgery for new patients in oncological care.

The department ensures standard and specialised medical and surgical care, including an on-call surgical service for all patients cared for at the centre, within the framework of their cancer care. Surgical care is part of the overall care path and is organised in a collegial manner within multidisciplinary teams (including all digestive cancer care specialists: gastroenterologist, medical oncologists, radiation oncologists, nuclear medicine specialist, pathologist, etc.).

Prevention

Gastrointestinal care is integrated within our oncogeriatric rehabilitation (in concertation with the supportive care department), enhanced recovery after surgery (ERAS), early consultation after rectal surgery including ileostomy (STOMROB protocol – stomy after robot-assisted or coelio-assisted surgery, with a half-day admission for multidisciplinary consultation), etc.

The department contributes towards public health action, prevention and patient therapeutic education, together with public information campaigns via coordinated action with the teaching and supportive care departments.

Participation in committees and groups: pain management team, food and nutrition liaison committee, nosocomial infection control committee (NICC) and experience feedback group, ethics group, quality department, IT department, pharmacy and COMEDIMS (medication and sterile medical devices committee), etc.

Teaching

The surgery department and the centre’s teaching department, in partnership with the CHU, the Caen university faculty of medicine and training institutions, is actively involved in medical an paramedical training. It hosts students (medical externs and interns) throughout the year.

In gastrointestinal surgery, a specialised intern is hosted every semester.

Research

Participation in research projects and ongoing studies within the centre, opened by the MDT and the clinical research department, work on theses and dissertations, participation in research projects in partnership with other healthcare establishments, etc.

The team

Digestive surgeons

GUILLOIT Jean-Marc, Dr
GUILLOIT Jean-Marc, Dr
Médecin : Chirurgien
+

Spécialités

  • Chirurgie digestive et générale
  • Chirurgie des sarcomes

Fonctions exercées au CFB

  • Chirurgien (praticien spécialiste)
  • Chef de service de l’Hospitalisation conventionnelle de Chirurgie – 1er étage

Domaines d’expertise

  • Chirurgie du péritoine : Chimio hyperthermie intra péritonéale ; PIPAC
  • Chirurgie robotique colorectale
  • Chirurgie des sarcomes

Enseigne

au Centre François Baclesse :

  • Cours aux internes, externes (Sarcomes, tumeurs endocrines, sémiologie…) et paramédicaux
  • Cours aux internes du DES d’oncologie

Membre de…

Au niveau national :

  • Réseau national des tumeurs rares du péritoine : RENAPE
  • Groupe sarcome français et des tumeurs osseuses: GSF-GETO
  • Société française de chirurgie digestive : SFCD
  • Fédération française de cancérologie digestive : FFCD
GUILLOIT Jean-Marc, Dr
General, gastrointestinal, sarcoma surgery
Conventional Hospitalisation Surgery – 1st floor
VARATHARAJAH Sharmini, Dr
VARATHARAJAH Sharmini, Dr
Médecin : Chirurgienne
+

Spécialités

  • Chirurgie digestive et générale
  • Chirurgie des sarcomes

Fonctions exercées au CFB

  • Chirurgien (praticien spécialiste) : Service de Chirurgie
  • Responsable de l’UCP Sarcomes

Domaines d’expertise

  • Chirurgie colorectale (laparotomie, coelioscopie, technique robot assistée)
  • Carcinose péritonéale (cytoréduction, CHIP, PIPAC)
  • Chirurgie des sarcomes
  • DES de Chirurgie générale
  • DU de Coelioscopie
  • DESC de Chirurgie digestive

Enseigne

au Centre François Baclesse :

  • Cours aux internes, externes (Sarcomes, tumeurs endocrines, sémiologie…)
  • Cours aux infirmiers ; aux médecins généralistes (Réhabilitation améliorée après chirurgie…)

En France :

  • Tutorat chirurgical IRCAD Strasbourg ; Initiation à la chirurgie coelioscopique digestive et générale. Depuis 2018 tutorat limité à la chirurgie colorectale coelioscopique.

Membre de…

Au Centre François Baclesse :

  • Participe aux RCP : Digestif ; Sarcomes ; Soins de support
  • Membre du GRE (Groupe de réflexion éthique)
  • Membre du CLAN
  • Membre du groupe DxCare (dossier médical informatisé)

Au niveau national :

  • Association française de chirurgie
  • Groupe tumeurs endocrines
  • Fédération francophone de chirurgie digestive
  • Réseau National de prise en charge des Tumeurs Rares du Péritoine (RENAPE)
  • Sarcomes des tissus mous et des viscères (NETSARC)
VARATHARAJAH Sharmini, Dr
General, gastrointestinal, sarcoma surgery
  • Head nurse: Sébastien Jaffré
  • Medical assistants: Pauline Passerel, Sandrine Sede
  • For the operating theatre, surgery department and IMC: > 12 state-qualified nurse anaesthetists > 10 state-qualified surgical nurses > 5 state-qualified nurses > 4 nursing auxiliaries

Expertise

  • Salvage surgery in multi-operated fragile patients
  • Peritoneal surgery (primary tumour of the peritoneum and carcinosis): cytoreduction, HIPEC ‘hyperthermic intraperitoneal chemotherapy’, PIPAC ‘pressurised intraperitoneal aerosol chemotherapy’
  • Pelvic salvage surgery
  • Surgery of soft-tissue and visceral sarcoma
  • Mini-invasive surgery: coelioscopy, robot-assisted surgery
  • Enhanced Recovery After Surgery (ERAS): global peri-operative care aimed at reducing complications and offering faster recovery after surgery
  • Oncogeriatric preoperative rehabilitation (currently under development): global preoperative care (nutrition, physical exercise, respiratory physiotherapy, existing pathologies, etc.) aimed at facilitating surgical care for elderly patients
  • Patient blood management: prevention of pre-, peri- and post-operative anaemia
  • Green Bloc: sustainable development approach within the operating theatre, spurred by nurse anaesthetists and followed by all theatre staff
  • Individual HAS (French national authority for health) accreditation approach

The department’s equipment and facilities

  • IMC (Intermediate Care Unit): oscilloscopes, ventilators, defibrillators
  • Operating theatre, post-operative recovery room, interventional radiology room, brachytherapy room
    • fibrilloscopes
    • ventilators
    • defibrillators
    • ultrasound
    • virtual reality headset
    • depth of anaesthesia monitor and analgesia monitor
    • curarisation monitors
    • fluid warmers and heated blankets
    • oesophageal doppler
    • Pulsioflex haemodynamic monitor
    • High-definition coelioscopy column
    • Da Vinci X robot and X control console

Research themes / Projects

  • E-consult: visual and interactive assistance for providing the patient with information on gastrointestinal surgery during consultation
  • Enhanced Recovery After Surgery approach to be evaluated for its continued improvement
  • Oncogeriatric preoperative rehabilitation to be developed and extended to include all surgery for elderly patients
  • Patient therapeutic education for stomy bag users
  • Continue work on patient information sheets for each patient entering the department

Partnerships

  • Regional level: CHU and Caen University for the hosting of interns and nursing students and participation in research projects
  • National level: with other CLCC cancer centres within the framework of sarcoma and peritoneal carcinosis (in particular with the Institut Curie, Institut Gustave Roussy Campus, Centre Léon Bérard, Institut de cancérologie de l’Ouest etc.).

Dispensed training

  • Initial training: lectures to medical externs and interns
  • Continuing education (general practitioners, surgical nurses):
    • Training for department staff: a weekly class on the hospitalised patient care path
    • Surgical tutoring at the IRCAD (research institute on digestive cancers) in Strasbourg
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