Revista Argentina de Cirugía最新文献

The age of artificial intelligence and its impact on learning surgical skills: is it the future of surgery? 人工智能时代及其对学习外科技能的影响：它是外科手术的未来吗？

Revista Argentina de Cirugía Pub Date : 2024-06-01 DOI: 10.25132/raac.v115.n2.1782

María H. Gaitán Buitrago, Marcela Velásquez Salazar, J. A. Montes Cardona, Luis F. Mosquera Solano

引用次数: 0

Microsurgery for phallic reconstruction 阴茎重建显微手术

Revista Argentina de Cirugía Pub Date : 2024-06-01 DOI: 10.25132/raac.v116.n2.1678

Claudio Brandi, Carlos Giudice

引用次数: 0

From a neuropsychiatric disorder to the correct diagnosis of insulinoma resolved by major pancreatic resection 从神经精神障碍到通过胰腺大部切除术治愈的胰岛素瘤的正确诊断

Revista Argentina de Cirugía Pub Date : 2024-06-01 DOI: 10.25132/raac.v116.n2.1721

Mateo Poupard, Juan P. Beligoy, Ruth A. Zamudio Parry, Enrique L. Icardo, Gustavo E. Schmidt

引用次数: 0

Computed tomography scan after major abdominal surgery 腹部大手术后的计算机断层扫描

Revista Argentina de Cirugía Pub Date : 2024-06-01 DOI: 10.25132/raac.v116.n2.1763

Sol C. Cordo Giovino, Alvaro V. Garat, María C. du Plessis, Martín A. De Salvo, Giuliano A. Corbatta, Mateo Frederick, Tomás Curutchet, Ignacio Espeche Maritano, Enrique J. Petracchi, C. Canullán

{"title":"Computed tomography scan after major abdominal surgery","authors":"Sol C. Cordo Giovino, Alvaro V. Garat, María C. du Plessis, Martín A. De Salvo, Giuliano A. Corbatta, Mateo Frederick, Tomás Curutchet, Ignacio Espeche Maritano, Enrique J. Petracchi, C. Canullán","doi":"10.25132/raac.v116.n2.1763","DOIUrl":"https://doi.org/10.25132/raac.v116.n2.1763","url":null,"abstract":"Background: Major abdominal surgeries may present serious postoperative complications that require early diagnosis. Objective: The aim of this study was to determine the usefulness of computed tomography (CT) for the early diagnosis of major abdominal surgery complications. Material and methods: We conducted a retrospective, observational and descriptive study using data obtained from the medical records of patients undergoing major abdominal surgery in a private hospital. Patients were divided into two groups according to the presence or absence of symptoms suggesting a postoperative complication. Patients with symptoms were classified into 3 groups: without CT, with CT with positive findings and with CT without abnormal findings. Results: A total of 154 patients were analyzed; mean age was 61.3 ± 12.5 years and 83 (54%) were male. Of 48 patients (31%) with symptoms suggestive of complications, 6 had very evident symptoms and were re-operated without CT, 7 had positive findings on CT and CT was negative in 14/41. All the patients had findings that supported the decision to re-operate. There were 27 cases (17.5%) with grade 3b complications of the Clavien-Dindo classification and 3 patients (2%) died. Conclusion: Computed tomography was useful to confirm a complication, but not to rule it out. Clinical parameters remain of utmost importance in patients with symptoms and absence of abnormal findings in post-operative CT.","PeriodicalId":201340,"journal":{"name":"Revista Argentina de Cirugía","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nodular fasciitis as cause of lateral neck tumor 结节性筋膜炎是颈侧肿瘤的病因

Revista Argentina de Cirugía Pub Date : 2024-06-01 DOI: 10.25132/raac.v116.n2.1561

Manuel R. Montesinos, M. F. Montesinos, Alejandro Iotti

引用次数: 0

New perspectives in the management of low-risk thyroid cancer. Experience with thyroid lobectomy in a cohort of 114 patients 低风险甲状腺癌治疗的新视角。114例患者的甲状腺叶切除术经验

Revista Argentina de Cirugía Pub Date : 2024-06-01 DOI: 10.25132/raac.v116.n2.1780

Pedro A. Saco, A. Voogd, Alejandro M. Beguerí Buquet, Pedro Valde, Gerardo Russier, María E. Matsuda, Nicolás Seffino, Jorgelina Guerra

{"title":"New perspectives in the management of low-risk thyroid cancer. Experience with thyroid lobectomy in a cohort of 114 patients","authors":"Pedro A. Saco, A. Voogd, Alejandro M. Beguerí Buquet, Pedro Valde, Gerardo Russier, María E. Matsuda, Nicolás Seffino, Jorgelina Guerra","doi":"10.25132/raac.v116.n2.1780","DOIUrl":"https://doi.org/10.25132/raac.v116.n2.1780","url":null,"abstract":"Background: The treatment of low-risk differentiated thyroid cancer (DTC) is still a matter of debate. Over the past few decades, there has been a shift towards a more personalized approach, tailored to the individual risks of each patient and tumor. The current practice guidelines recommend lobectomy in selected patients, with low risk of recurrence. Objective: To describe the results of thyroid lobectomy in a cohort of patients with DTC with low risk of recurrence. Material and methods: We conducted a descriptive and observational study. The medical records of patients with DTC who underwent thyroid lobectomy between January 2015 and April 2023 were retrospectively reviewed. Results: A total of 114 patients were operated on; mean age was 44 ± 12 years and 90 (79%) were women. The median tumor size was 9.4 mm (IQR 25-75% 7-13 mm), and 103 nodules (90%) were solid on ultrasound. Only 2 patients with vascular invasion involving > 4 vessels required completion thyroidectomy. There were no major complications and only one patient developed temporary recurrent laryngeal palsy. There were no locoregional or distant recurrences during mean follow-up of 33.4 months. Conclusion: Thyroid lobectomy for low-risk DTC had low morbidity and no recurrences in the series presented. The rigorous selection of patients and the interaction of a multidisciplinary team are considered essential for the successful implementation of this therapeutic approach.","PeriodicalId":201340,"journal":{"name":"Revista Argentina de Cirugía","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141393279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Isolated splenic hydatid disease 孤立性脾包虫病

Revista Argentina de Cirugía Pub Date : 2024-06-01 DOI: 10.25132/raac.v116.n2.1742

José R. Varela, Enrique J. Petracchi, Héctor Posada, Magalí Muthular, Julián Azar, C. Canullán

引用次数: 0

Liver resection in monolobar Caroli’s disease 单叶卡洛里氏病的肝切除术

Revista Argentina de Cirugía Pub Date : 2024-06-01 DOI: 10.25132/raac.v116.n2.1768

L. Mollard, R. Gasque, Magalí Chahdi Beltrame, Marcelo E. Lenz, F. Mattera, E.G. Quiñonez

引用次数: 0

Initial experience in hepatectomies in Corrientes 科连特斯肝切除术的初步经验

Revista Argentina de Cirugía Pub Date : 2024-06-01 DOI: 10.25132/raac.v116.n2.1770

José R. Segovia, M. S. Pozo

{"title":"Initial experience in hepatectomies in Corrientes","authors":"José R. Segovia, M. S. Pozo","doi":"10.25132/raac.v116.n2.1770","DOIUrl":"https://doi.org/10.25132/raac.v116.n2.1770","url":null,"abstract":"Background: Liver surgery has evolved over time. There are no prior publications on the experience of liver surgery in the province of Corrientes. Our work group operates in both the public and private sectors. Objective: The aim of this study was to describe the initial results of a consecutive series of patients undergoing different types of liver resections, performed by the same surgical team. Material and methods: We conducted a retrospective, observational, and descriptive study based on data from the medical records and operating room records of patients undergoing liver resection at public and private institutions from September 2019 to January 2023. Results: A total of 27 patients were operated on; mean age was 53 years (25-72) and 16 were women. We used the conventional approach in 25 cases and laparoscopy in 2. Four procedures were major liver resections and 23 were minor liver resections, The diagnoses were cancer in 22 cases and benign conditions in 5. Survival at 90 days was 96.2% One patient died (3.7%). The complications included postoperative liver abscesses in 2 patients (7.4%) and re-operation due to bleeding in 2 patients (7.4%), who had a subsequent favorable course and were discharged from the hospital. Conclusion: The morbidity and mortality in the described series were similar to those reported by other authors","PeriodicalId":201340,"journal":{"name":"Revista Argentina de Cirugía","volume":"17 5‐6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analytical observational studies 分析观察研究

Revista Argentina de Cirugía Pub Date : 2024-06-01 DOI: 10.25132/raac.v116.n2.cymvsm

Victoria Santa María

引用次数: 0