Cirugia Espanola最新文献

{"title":"Anastomosis en el cáncer de recto inferior: técnicas, indicaciones y resultados funcionales","authors":"Ana Gálvez ,&nbsp;Caterina Foppa ,&nbsp;Antonino Spinelli ,&nbsp;Sebastiano Biondo","doi":"10.1016/j.ciresp.2025.800129","DOIUrl":"10.1016/j.ciresp.2025.800129","url":null,"abstract":"<div><div>Surgery for lower rectal cancer poses a significant challenge because avoiding a permanent colostomy requires technically complex low anastomosis. This article reviews the different anastomotic techniques following total mesorectal excision, with particular emphasis on the Turnbull-Cutait (T-C) technique and transanal transection with single-stapled anastomosis (TTSS). The T-C technique enables a two-stage coloanal anastomosis without the need for a protective ileostomy, thereby reducing stoma-related morbidity. Meanwhile, TTSS improves precision in distal resection and reduces the incidence of anastomotic leakage. Appropriate patient selection is key to determining the most suitable surgical strategy. Despite technical advances, the incidence of low anterior resection syndrome remains high in this patient group. Surgical decisions should be individualized, taking into account each patient’ profile and the anticipated oncological and functional outcomes.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800129"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633602","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}

{"title":"Cómo transmitir de manera efectiva el conocimiento","authors":"Ana Senent Boza ,&nbsp;Salvador Morales Conde","doi":"10.1016/j.ciresp.2025.800109","DOIUrl":"10.1016/j.ciresp.2025.800109","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800109"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633601","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}

{"title":"Síndrome del ligamento arcuato medio: liberación quirúrgica robótica paso a paso","authors":"Leire Otalora Mazuela,&nbsp;Lara Pérez Corbal,&nbsp;María Artime Rial,&nbsp;Alberto Parajó Calvo","doi":"10.1016/j.ciresp.2025.800120","DOIUrl":"10.1016/j.ciresp.2025.800120","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800120"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633604","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}

{"title":"Factores relacionados con hemorragia tras pancreatectomía izquierda (proyecto SPANDISPAN)","authors":"Marta Ruiz de la Cuesta ,&nbsp;Celia Villodre ,&nbsp;Mario Serradilla ,&nbsp;Emilio Ruiz de la Cuesta ,&nbsp;Cándido Alcazar ,&nbsp;José M. Ramia ,&nbsp;miembros proyecto SPANDISPAN","doi":"10.1016/j.ciresp.2025.800105","DOIUrl":"10.1016/j.ciresp.2025.800105","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800105"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633605","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}

{"title":"Carcinoma papilar familiar de tiroides. La importancia de la historia clínica","authors":"Antonio Ríos ,&nbsp;en representación del Grupo de Investigación del Proyecto Nacional Español sobre el Carcinoma Papilar Familiar avalado por la Sección de Cirugía Endocrina de la Asociación Española de Cirujanos (CPFT-AEC Ríos)","doi":"10.1016/j.ciresp.2025.800128","DOIUrl":"10.1016/j.ciresp.2025.800128","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800128"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633606","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}

{"title":"Desarrollo y validación de algoritmo predictivo de la longitud total del intestino delgado con técnicas de inteligencia artificial para su aplicación en cirugía bariátrica","authors":"José Fernando Trebolle ,&nbsp;Jorge Solano Murillo ,&nbsp;Jesús Lobo Cobo ,&nbsp;Carmen Pellicer Lostao ,&nbsp;Mónica Valero Sabater ,&nbsp;Gabriel Tirado Anglés ,&nbsp;Irene Cantarero Carmona ,&nbsp;María José Luesma Bartolomé","doi":"10.1016/j.ciresp.2025.800124","DOIUrl":"10.1016/j.ciresp.2025.800124","url":null,"abstract":"<div><h3>Objective</h3><div>To develop a predictive model of the total length of the small intestine to be applied in bariatric surgery, allowing for the individualization of surgery for each patient.</div></div><div><h3>Methods</h3><div>Two Excel® tables were generated from a FileMaker file. Python was used through a Notebook format in Google™ Collaborator. The methodology included data transformation and scaling (MinMaxScaler), clustering (unsupervised machine learning with KMeans), data interpolation (oversampling machine learning technique SMOTE), modeling (PyCaret model - XGBoost), and validation.</div></div><div><h3>Results</h3><div>The study sample included 1090 cases. Three clusters were obtained to categorize the dataset: low, medium, and high length. The algorithm detected patients in cluster c0 with 62% accuracy and 74% sensitivity, in cluster c1 with 63% accuracy and 50% sensitivity, and in cluster c2 with 86% accuracy and 87% sensitivity. Validation was conducted with a new sample of 54 cases, showing results of 50% accuracy and 42% sensitivity for cluster c0, 58% accuracy and 61% sensitivity for cluster c1, and 30% accuracy and 43% sensitivity for cluster c2.</div></div><div><h3>Conclusions</h3><div>The development of a predictive algorithm for estimating the total length of the small intestine using clustering and machine learning techniques, along with XGBoost classification, is feasible, applicable, and potentially improvable with more data, both in terms of patient numbers and variables to consider.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800124"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633609","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}

{"title":"Síndrome de Takotsubo secundario a colecistitis aguda enfisematosa","authors":"Benjamin Thorpe ,&nbsp;Manuel Paz ,&nbsp;Guillermo Gallego Latorre ,&nbsp;Purificación Parada González","doi":"10.1016/j.ciresp.2025.800149","DOIUrl":"10.1016/j.ciresp.2025.800149","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800149"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633603","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}

{"title":"Fístula periprotésica secundaria a drenaje colecisto-gástrico endoscópico","authors":"Benjamin Thorpe Plaza,&nbsp;Paula Espiñeira,&nbsp;Purificación Parada","doi":"10.1016/j.ciresp.2025.800147","DOIUrl":"10.1016/j.ciresp.2025.800147","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800147"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633927","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}

{"title":"Recidiva de un pólipo fibrovascular gigante esofágico: ¿qué hemos aprendido?","authors":"Ángela Alcaraz Solano ,&nbsp;Eduardo Ortiz ,&nbsp;David Ruiz de Angulo ,&nbsp;Ana Conesa Plá ,&nbsp;Vicente Munitiz Ruiz ,&nbsp;Ana Isabel Gutiérrez","doi":"10.1016/j.ciresp.2025.800118","DOIUrl":"10.1016/j.ciresp.2025.800118","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800118"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633599","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}

{"title":"Análisis de las variables predictoras de respuesta tumoral completa tras la terapia sistémica primaria en el cáncer de mama","authors":"Sonia Martinez Alcaide ,&nbsp;Izaskun Balciscueta Coltell ,&nbsp;Ricardo Bou Monterde ,&nbsp;Maria Jose Enguix Soriano ,&nbsp;Pedro Juan Gonzalez Noguera ,&nbsp;Francisco Javier del Pino Porres","doi":"10.1016/j.ciresp.2025.800112","DOIUrl":"10.1016/j.ciresp.2025.800112","url":null,"abstract":"<div><h3>Introduction</h3><div>Primary systemic therapy in breast cancer is an effective tool for increasing pathological complete response prior to surgery and improving patient survival. The main objective of this study was to analyze the predictive variables for complete tumor response after neoadjuvant therapy.</div></div><div><h3>Material and methods</h3><div>Data from 146 breast cancer patients treated with primary systemic therapy at La Ribera Hospital between 2018 and 2022 were reviewed. Statistical methods were employed using SPSS 23 software to identify factors predicting tumor response to treatment.</div></div><div><h3>Results</h3><div>Among the patients analyzed, 22.6% presented complete response according to magnetic resonance imaging, and 31.5% showed no residual tumor in the surgical specimen. In the univariate analysis, variables associated with higher presence of residual tumor included lymphovascular invasion (<em>P</em>=0; 95% <span>C</span>I: 2.361-45.390), Luminal B subtype (<em>P</em>=.039; 95%CI: 1.028-5.826), and sentinel node involvement or positive axillary nodes in axillary lymphadenectomy (<em>P</em>=.031; 95%CI: 1.006-72.361). Conversely, tumors smaller than 2<!--> <!-->cm (<em>P</em>=.002; 95% CI: 1.567-7.535) and the Her2⁺ subtype (<em>P</em>=.004; 95% CI: 0.086-0.667) were associated with a higher likelihood of no residual tumor. In the multivariate analysis, lymphovascular invasion was the only statistically significant factor associated with the presence of residual tumor (<em>P</em>=.021; 95% CI: 0.037-0.760).</div></div><div><h3>Conclusions</h3><div>Lymphovascular invasion was identified as a predictor of lack of response to neoadjuvant treatment. Additionally, the Her2⁺ subtype demonstrated the best response to preoperative therapy. These findings suggest that, to improve therapeutic outcomes, it is crucial to consider these variables when personalizing patient treatment.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800112"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633607","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}