Cirugia EspanolaPub Date : 2025-04-01DOI: 10.1016/j.ciresp.2024.12.011
Fátima María Sánchez-Cabezudo Noguera , Jose Luis Muñoz de Nova , Mariana Garcia Virosta , Álvaro Valdés de Anca , Maria Antonia Vaquero Pérez , Elena Martin Perez , Antonio Luis Picardo Nieto
{"title":"Influencia del resultado cosmético de la cicatriz de tiroidectomía en la calidad de vida de los pacientes","authors":"Fátima María Sánchez-Cabezudo Noguera , Jose Luis Muñoz de Nova , Mariana Garcia Virosta , Álvaro Valdés de Anca , Maria Antonia Vaquero Pérez , Elena Martin Perez , Antonio Luis Picardo Nieto","doi":"10.1016/j.ciresp.2024.12.011","DOIUrl":"10.1016/j.ciresp.2024.12.011","url":null,"abstract":"<div><h3>Introduction</h3><div>This study in a Spanish population evaluates patient concerns about an anterior cervicotomy scar due to thyroid surgery, both before and after surgery.</div></div><div><h3>Methods</h3><div>This prospective, observational study included consecutive patients proposed for thyroidectomy who completed, prior to surgery, an adapted Dermatology Life Quality Index (DLQI) questionnaire regarding the expected results in relation to their scar. Six months after surgery, they completed the questionnaire again, with an additional evaluation of the scar using the Vancouver Scar Scale (VSS). Changes in the score were analyzed, as well as the possible influence of demographic and surgical factors on the results obtained.</div></div><div><h3>Results</h3><div>90 patients were included (78.9% women). Preoperative concern was generally low (DLQI 4.68), although the score for moderate preoperative concern was 16.7%. Female sex was associated with greater preoperative concern regarding the future outcome of the scar, and age had an inverse correlation with the DLQI score. After surgery, no patient had a significant impact. Age was inversely related to the impact of the scar on quality of life 6 months after surgery.</div></div><div><h3>Conclusions</h3><div>Patients who are scheduled to undergo conventional thyroid surgery show limited concern about the aesthetic result of their scar. The most concerned patients are young women. The aesthetic distress due to scars in Asian populations does not seem to transfer to our environment.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 4","pages":"Pages 209-216"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cirugia EspanolaPub Date : 2025-04-01DOI: 10.1016/j.ciresp.2024.12.005
Gilberto Ungson-Beltrán
{"title":"Magnetic liver retraction in bariatric surgery: Is it possible?","authors":"Gilberto Ungson-Beltrán","doi":"10.1016/j.ciresp.2024.12.005","DOIUrl":"10.1016/j.ciresp.2024.12.005","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 4","pages":"Pages 235-236"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cirugia EspanolaPub Date : 2025-04-01DOI: 10.1016/j.ciresp.2025.03.001
Víctor Soria-Aledo , Kenneth Walker
{"title":"Habilidades No Técnicas: Un pilar para el liderazgo y la seguridad del paciente","authors":"Víctor Soria-Aledo , Kenneth Walker","doi":"10.1016/j.ciresp.2025.03.001","DOIUrl":"10.1016/j.ciresp.2025.03.001","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 4","pages":"Pages 179-181"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cirugia EspanolaPub Date : 2025-04-01DOI: 10.1016/j.ciresp.2024.12.014
Carlos Manterola , Josue Rivadeneira
{"title":"Peritonitis aguda de origen biliar secundaria a la rotura de equinococosis quística hepática complicada. Serie de casos con seguimiento","authors":"Carlos Manterola , Josue Rivadeneira","doi":"10.1016/j.ciresp.2024.12.014","DOIUrl":"10.1016/j.ciresp.2024.12.014","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 4","pages":"Pages 228-230"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cirugia EspanolaPub Date : 2025-04-01DOI: 10.1016/j.ciresp.2024.11.014
Jesus Badia-Closa , Juan Pablo Campana , Gustavo Leandro Rossi , Xavier Serra-Aracil
{"title":"Resección local en cáncer de recto: ¿cuándo, a quién y cómo?","authors":"Jesus Badia-Closa , Juan Pablo Campana , Gustavo Leandro Rossi , Xavier Serra-Aracil","doi":"10.1016/j.ciresp.2024.11.014","DOIUrl":"10.1016/j.ciresp.2024.11.014","url":null,"abstract":"<div><div>Local resection (LR) in rectal cancer is indicated in stage T1N0M0 without unfavorable pathological factors, achieving oncologically satisfactory outcomes through transanal endoscopic surgery techniques. However, the initial step involves accurate staging and selection of these tumors through specific tests conducted in specialized colorectal units.</div><div>For T2N0M0 tumors and T1 tumors with poor prognostic factors, the standard treatment is total mesorectal excision (TME), a procedure associated with high postoperative morbidity and mortality, functional impairments, and reduced quality of life. Therefore, new organ-preservation strategies are being explored as alternatives to TME. These include neoadjuvant therapy combined with LR, which has shown promising results, and neoadjuvant therapy followed by a “Watch and Wait” approach —where patients with complete clinical response are selected for strict surveillance— as an ideal future treatment, although there are still current challenges to be addressed.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 4","pages":"Pages 244-253"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cirugia EspanolaPub Date : 2025-04-01DOI: 10.1016/j.ciresp.2024.08.004
Luz Divina Juez , Ana del Carmen Ortega , Pablo Priego , Juan Carlos García Pérez , José María Fernández-Cebrián , Jose I. Botella-Carretero
{"title":"Impact of sarcopenic obesity on surgical complications and oncologic outcomes of upper gastrointestinal tumors: a systematic review and meta-analysis","authors":"Luz Divina Juez , Ana del Carmen Ortega , Pablo Priego , Juan Carlos García Pérez , José María Fernández-Cebrián , Jose I. Botella-Carretero","doi":"10.1016/j.ciresp.2024.08.004","DOIUrl":"10.1016/j.ciresp.2024.08.004","url":null,"abstract":"<div><div>Sarcopenic obesity (SO) is a new entity whose definition encompasses the diagnosis of overweight in malnourished patients. The aim of the review was to assess the impact of body composition in patients with esophago-gastric tumors (EGT) on perioperative and oncological outcomes. This systematic review was conducted under the PRISMA guidelines. MEDLINE (PubMed), Embase, Web of Science and SCOPUS databases were searched until January 2024. Sixteen articles were identified for analysis analyzing 5,378 patients. The prevalence of SO was 10% (95%CI: 6–16; I<sup>2</sup> = 94%). Preoperative diagnosis of SO was associated with a twofold increased risk of severe postoperative complications (OR 2.32 [95%CI 1.41–3.82] I<sup>2</sup> = 70%). Meta-analysis of overall survival outcomes identified that SO was associated with worse overall survival (HR 2.30; 95%CI 1.46–3.61).</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 4","pages":"Pages 182-194"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cirugia EspanolaPub Date : 2025-04-01DOI: 10.1016/j.ciresp.2024.11.011
Arturo Cirera de Tudela, Franco Marinello, Eloy Espín Basany
{"title":"Y después de la cirugía, ¿qué hay de nuevo para el superviviente de cáncer de recto?","authors":"Arturo Cirera de Tudela, Franco Marinello, Eloy Espín Basany","doi":"10.1016/j.ciresp.2024.11.011","DOIUrl":"10.1016/j.ciresp.2024.11.011","url":null,"abstract":"<div><div>Low anterior resection syndrome is a common but underestimated complication after rectal cancer surgery that significantly impacts the quality of life of the surviving patient. It is characterized by symptoms such as fecal incontinence and voiding dysfunction and affects up to 90% of patients undergoing low anterior rectal resection. The etiology of the syndrome is multifactorial with no clear determining factor. It includes the use of preoperative radiotherapy, the indication for a protective ileostomy, sphincteric lesions, nerve damage to the rectal autonomic plexuses, and changes in left colon motor function. Although various therapeutic modalities have been shown to be effective in the management of the symptoms of the syndrome, there is still no standard treatment or patient selection pattern. In this article, a critical review of the therapeutic possibilities for patients who have survived rectal surgery will be made.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 4","pages":"Pages 237-243"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}