{"id":5195,"date":"2015-02-17T10:52:53","date_gmt":"2015-02-17T09:52:53","guid":{"rendered":"http:\/\/chu-poitiers.ovh\/?p=5195"},"modified":"2015-09-16T14:30:10","modified_gmt":"2015-09-16T12:30:10","slug":"questions-a-pierre-olivier-delpech","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/questions-a-pierre-olivier-delpech\/","title":{"rendered":"Questions \u00e0&#8230; Pierre-Olivier Delpech, urologue"},"content":{"rendered":"<p><strong>Vous \u00eates praticien hospitalier en urologie. Quelles sont vos interventions les plus fr\u00e9quentes ?<br \/>\n<\/strong>J\u2019interviens essentiellement en urologie g\u00e9n\u00e9rale et en canc\u00e9rologie pour des actes chirurgicaux et du suivi en consultation. Nous pratiquons fr\u00e9quemment des cytoprostatectomies (retrait de la vessie et de la prostate) avec mise en place d\u2019un bricker ou d\u2019une n\u00e9o-vessie, des prostatectomies (retrait de la prostate), des n\u00e9phrectomies (ablation d\u2019un rein) et des greffes de reins \u00e0 partir de donneurs vivants. Nous sommes aussi amen\u00e9s \u00e0 r\u00e9aliser beaucoup d\u2019interventions endoscopiques, c\u2019est-\u00e0-dire \u00e0 travers les orifices naturels, par exemple pour des probl\u00e8mes de calculs r\u00e9naux ou de prostate.<\/p>\n<p><strong>Le CHU s\u2019est distingu\u00e9 en 2013 avec sa 1000e greffe de rein. Qu\u2019en est-il\u00a0aujourd\u2019hui\u00a0?<br \/>\n<\/strong>L\u2019\u00e9tablissement est en attente d\u2019un accord pour devenir centre pilote dans le pr\u00e9l\u00e8vement et la transplantation r\u00e9nale \u00e0 partir de donneurs d\u00e9c\u00e9d\u00e9s par arr\u00eat cardiaque Maastricht III. Cela concerne des donneurs dont les soins ont \u00e9t\u00e9 arr\u00eat\u00e9s et ayant pu \u00eatre pr\u00e9lev\u00e9s dans les trois heures suivant le d\u00e9c\u00e8s, et implique une collaboration \u00e9troite et une grande r\u00e9activit\u00e9 des services de r\u00e9animation, de chirurgie cardio-thoracique, de n\u00e9phrologie et d\u2019urologie, avec la coordination des pr\u00e9l\u00e8vements d\u2019organes. L\u2019objectif est d\u2019accro\u00eetre le pool de donneurs au sein du CHU.<\/p>\n<p><strong>Pr\u00e9l\u00e8vements et transplantations d\u2019organes sont aussi le centre de vos projets de recherche.<\/strong>Depuis mon externat, je collabore \u00e0 des projets men\u00e9s par le Pr Thierry Hauet au sein du laboratoire U1082 et de la plate-forme de chirurgie exp\u00e9rimentale sur le site du Magneraud (17). Dans le cadre de ma th\u00e8se de sciences sur l\u2019h\u00e9moglobine de ver marin, j\u2019y conduis actuellement des recherches sur l\u2019autogreffe \u00e0 partir de mod\u00e8les de porcs. L\u2019h\u00e9moglobine de ver marin est un transporteur d\u2019oxyg\u00e8ne : les essais pr\u00e9cliniques ont montr\u00e9 son efficacit\u00e9 pour am\u00e9liorer la conservation des organes. Avec le Dr Antoine Thierry, n\u00e9phrologue, nous allons participer au protocole de recherche national (PHRC) lanc\u00e9 par le CHU de Brest pour commencer \u00e0 mener des essais sur l\u2019homme. En parall\u00e8le, je travaille avec le laboratoire de simulation de la facult\u00e9 de m\u00e9decine et de pharmacie sur un mod\u00e8le de dissection des corps pour le pr\u00e9l\u00e8vement multi-organes, avec les Prs Jean-Pierre Richer, Denis Oriot, Jean-Pierre Faure et le Dr Cyril Breque. Nous pr\u00e9parons les corps de mani\u00e8re \u00e0 ce qu\u2019ils se rapprochent au plus des mod\u00e8les vivants. Ils devraient \u00e0 terme pouvoir \u00eatre utilis\u00e9s dans l\u2019enseignement de la chirurgie en g\u00e9n\u00e9ral. Nous participons au projet de cr\u00e9ation d\u2019une \u00e9cole francophone de pr\u00e9l\u00e8vement multi-organes (EFPMO), dirig\u00e9e par le Pr Beno\u00eet Barrou \u00e0 La Piti\u00e9-Salp\u00eatri\u00e8re.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pierre-Olivier Delpech est \u00ab un Poitevin pure souche \u00bb : de l\u2019externat au clinicat, il effectue l\u2019ensemble de son cursus \u00e0 la facult\u00e9 de m\u00e9decine\u2026","protected":false},"author":1,"featured_media":5196,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1,52],"tags":[],"class_list":["post-5195","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","category-urologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Questions \u00e0... 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Il d\u00e9cide de se tourner vers l\u2019urologie apr\u00e8s un stage d\u2019externat au CHU dans le service alors dirig\u00e9 par le Pr Bertrand Dor\u00e9 et aujourd\u2019hui par le Pr Irani, r\u00e9put\u00e9 pour la qualit\u00e9 de la prise en charge des \u00e9tudiants. Au cours de son internat, il encha\u00eene les stages \u00e0 Poitiers, Niort et Angoul\u00eame, et profite d\u2019un inter-CHU pour approfondir ses connaissances dans le domaine de la transplantation r\u00e9nale \u00e0 l\u2019h\u00f4pital de La Piti\u00e9-Salp\u00eatri\u00e8re \u00e0 Paris, aupr\u00e8s du Pr Beno\u00eet Barrou. Les pr\u00e9l\u00e8vements et transplantations et d\u2019organes, en particulier du rein, sont aujourd\u2019hui sa sp\u00e9cialit\u00e9.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.chu-poitiers.fr\/questions-a-pierre-olivier-delpech\/\" \/>\n<meta property=\"og:site_name\" content=\"Site du CHU de Poitiers\" \/>\n<meta property=\"article:published_time\" content=\"2015-02-17T09:52:53+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2015-09-16T12:30:10+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/2015\/02\/delpech_pierre_olivier_WebChu.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"533\" \/>\n\t<meta property=\"og:image:height\" content=\"800\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"ChuPoitiers\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"ChuPoitiers\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"NewsArticle\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/questions-a-pierre-olivier-delpech\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/questions-a-pierre-olivier-delpech\\\/\"},\"author\":{\"name\":\"ChuPoitiers\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#\\\/schema\\\/person\\\/08e92cc802383a84a4efc3b8a6a6658c\"},\"headline\":\"Questions \u00e0&#8230; Pierre-Olivier Delpech, urologue\",\"datePublished\":\"2015-02-17T09:52:53+00:00\",\"dateModified\":\"2015-09-16T12:30:10+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/questions-a-pierre-olivier-delpech\\\/\"},\"wordCount\":494,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/questions-a-pierre-olivier-delpech\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/wp-content\\\/uploads\\\/2015\\\/02\\\/delpech_pierre_olivier_WebChu.jpg\",\"articleSection\":{\"1\":\"Urologie\"},\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/questions-a-pierre-olivier-delpech\\\/\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/questions-a-pierre-olivier-delpech\\\/\",\"name\":\"Questions \u00e0... 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