Cirugia Espanola最新文献

Resección local exclusiva sin tratamiento adyuvante como estrategia de preservación de órgano en cáncer de recto precoz: protocolo de estudio observacional prospectivo 作为早期直肠癌的一种保全器官策略，只进行局部切除而不进行辅助治疗：一项前瞻性观察研究方案

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.04.009

{"title":"Resección local exclusiva sin tratamiento adyuvante como estrategia de preservación de órgano en cáncer de recto precoz: protocolo de estudio observacional prospectivo","authors":"","doi":"10.1016/j.ciresp.2024.04.009","DOIUrl":"10.1016/j.ciresp.2024.04.009","url":null,"abstract":"<div><h3>Introduction</h3><p>Local resection (LR) is an alternative to total mesorectal excision (TME) that avoids its associated morbidity to the detriment of oncological radicality in early stages of rectal cancer. There are several conditioning factors for the success of this strategy, such as poor prognosis histological factors (PPHF), involvement of resection margins, clinical under staging, or complications that may lead to the indication for radical surgery with TME.</p></div><div><h3>Patients and method</h3><p>An international multicenter prospective observational open-label study has been designed. Consecutive patients diagnosed with early rectal cancer (cT1N0 on MRI±endorectal ultrasound) whose lower limit is a maximum of 2cm proximal to the ano-rectal junction will be included. The primary objective of the study is to determine the overall prevalence of PPHF after LR and requiring TME or postoperative radio-chemotherapy.</p></div><div><h3>Discussion</h3><p>The prevalence of PPHF conditioning the success of LR in early distal rectal cancer has been scarcely studied in the literature, and there are very few prospective data. Considering the increasing interest in the watch and wait strategy in rectal cancer and its possible application in early-stage tumors, it seems necessary to know this information.</p><p>The results of this study will help guide clinical practice in patients with early distal rectal cancer. It will also provide quality information for the design of future comparative studies to improve organ preservation success in these patients.</p><p>Trial registration number: NCT05927584.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142135781","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}

引用次数: 0

Manejo quirúrgico de hernia intraparietal recurrente tras disrupción de la línea semilunar por incisión pararectal 通过直肠旁切口破坏月骨线后复发性顶叶内疝的手术治疗方法

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.05.012

引用次数: 0

Laparoscopic TAPP repair of inguinal tubo-ovarian hernia: an uncommon presentation of inguinal hernia in adult women 腹腔镜 TAPP 修补术治疗腹股沟输卵管卵巢疝：成年女性腹股沟疝的一种罕见表现形式

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.01.013

引用次数: 0

Clinical trial on nurse training through virtual reality simulation of an operating room: assessing satisfaction and outcomes 通过虚拟现实模拟手术室进行护士培训的临床试验：评估满意度和成果

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.04.016

{"title":"Clinical trial on nurse training through virtual reality simulation of an operating room: assessing satisfaction and outcomes","authors":"","doi":"10.1016/j.ciresp.2024.04.016","DOIUrl":"10.1016/j.ciresp.2024.04.016","url":null,"abstract":"<div><h3>Introduction</h3><p>Virtual reality (VR) provides a firsthand active learning experience through varying degrees of immersion. The aim of this study is to evaluate the use of VR as a potential tool for training operating room nurses to perform thoracic surgery procedures.</p></div><div><h3>Methods</h3><p>This is an open parallel-group randomized clinical trial. One group received basic formation followed by an assessment module. The experimental group received the same basic formation, followed by thoracic surgery training and an assessment module.</p></div><div><h3>Results</h3><p>Fifty-six nurses participated in the study (51 females), with a mean age of 41.6 years. Participants achieved a median evaluation mode score of 480 points (IQR = 32 points). The experimental group (520 points) achieved an overall higher score than the control group (440 points; <em>P</em> = .04). Regarding age, women in the second quartile of age among the participants (35–41 years) achieved significantly better results than the rest (<em>P</em> = .04). When we evaluated the results based on the moment of practice, exercises performed in the last 10 min obtained better results than those performed in the first 10 min (1064 points versus 554 points; <em>P</em> < .001). Regarding adverse effects blurred vision was the most frequent. The overall satisfaction rating with the experience was 8.5 out of 10.</p></div><div><h3>Conclusion</h3><p>Virtual reality is a useful tool for training operating room nurses. Clinical trial with ISRCTN16864726 registered number.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142135777","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}

引用次数: 0

Fístula aortoentérica, aún continúa siendo un reto diagnóstico 肠主动脉瘘，仍是诊断难题

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.03.004

引用次数: 0

Estandarización de la definición de los tipos de colectomía oncológica. Método Delphi para consenso de expertos de la Asociación Española de Cirujanos 肿瘤结肠切除术类型定义的标准化。西班牙外科医生协会通过德尔菲法达成专家共识。

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.05.009

{"title":"Estandarización de la definición de los tipos de colectomía oncológica. Método Delphi para consenso de expertos de la Asociación Española de Cirujanos","authors":"","doi":"10.1016/j.ciresp.2024.05.009","DOIUrl":"10.1016/j.ciresp.2024.05.009","url":null,"abstract":"<div><p>There is no international consensus on the definition of the type of oncological resection that corresponds to each of the colectomies existing in the current literature.</p><p>The objective is to define for each colectomy described in the literature: embryological dissection plane, vascular pedicles in which to perform central ligation, the extent of the colectomy and the need for resection of the greater omentum.</p><p>A consensus of experts is carried out through the Delphi methodology through two rounds from the Coloproctology Section of the Spanish Association of Surgeons. Study period: November 2021-January 2023. 120 experts were surveyed.</p><p>Degrees of consensus: Very strong: >90%, strong: 80-90%, moderate: 50-80%, non-consensus: <50%.</p><p>The definition for each oncological colectomy was established by very strong and strong recommendations.</p><p>Each oncological colectomy was established by right hemicolectomy (RHC), RHC with D3 lymphadenectomy, extended-RHC, transverse colon segmentary colectomy, splenic flexure segmentary colectomy, subtotal colectomy, total, left hemicolectomy (LHC), extended-LHC, sigmoidectomy.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710727","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}

引用次数: 0

Interpretación y lectura crítica de una revisión sistemática y/o metaanálisis 解读和批判性阅读系统综述和/或荟萃分析

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.04.004

引用次数: 0

Neurofibroma del nervio vago como hallazgo incidental durante linfadenectomía laterocervical por cáncer papilar de tiroides 甲状腺乳头状癌颈后淋巴结切除术中偶然发现的迷走神经神经纤维瘤

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2023.12.003

引用次数: 0

Uso de la revisión sistemática y el metaanálisis en cirugía. Calidad, áreas deficitarias y puntos de mejora 在外科手术中使用系统综述和荟萃分析。质量、薄弱环节和有待改进之处

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2024-09-01 DOI: 10.1016/j.ciresp.2024.04.002