Cirugia Espanola最新文献

Impacto de la angiografía con verde de indocianina en la tasa de dehiscencia anastomótica en cirugía colorrectal. Revisión sistemática y metaanálisis de estudios aleatorizados 绿色靛蓝素血管造影对结肠直肠手术中闭合扩张率的影响。对随机研究的系统审查和荟萃分析

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.05.002

Zutoia Balciscueta Coltell , Izaskun Balciscueta Coltell , Natalia Uribe Quintana

{"title":"Impacto de la angiografía con verde de indocianina en la tasa de dehiscencia anastomótica en cirugía colorrectal. Revisión sistemática y metaanálisis de estudios aleatorizados","authors":"Zutoia Balciscueta Coltell , Izaskun Balciscueta Coltell , Natalia Uribe Quintana","doi":"10.1016/j.ciresp.2024.05.002","DOIUrl":"10.1016/j.ciresp.2024.05.002","url":null,"abstract":"<div><div>Anastomotic dehiscence, a feared complication in colorectal surgery, motivates the search for effective strategies to mitigate its risk. This meta-analysis encompasses all published randomized trials investigating and comparing the impact of indocyanine green (ICG) angiography on this complication. With four studies and 1,109 patients, the intraoperative ICG angiography group demonstrated a significant reduction in the overall rate of anastomotic dehiscence compared to the non-angiography group (7.3% vs. 11.5%; OR: 0.6; 95%=.03). These differences were maintained in rectal surgery subgroup, with no prolongation of surgical time or increase in morbidity and mortality. There were no differences in the left colon surgery group. The evidence provided by this meta-analysis would support the effectiveness of ICG angiography in reducing the incidence of anastomotic leakage in colorectal surgery, advocating for its integration into routine surgical practice.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 5","pages":"Pages 268-278"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143901951","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

Giant borderline phyllodes tumor: An uncommon but aggressive breast cancer 巨大交界性叶状瘤：一种罕见但侵袭性的乳腺癌

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.11.017

José L. Manzano Espín, Javier Alarcó Gómez, Concepción Gómez Jorge, Pilar González Álvarez

引用次数: 0

Exéresis gran lesión adenovellosa (cuatro cuadrantes) con perforación peritoneal por TEO. Estrategia quirúrgica paso a paso 大的腺泡损伤（四个象限），腹膜穿孔。循序渐进的手术策略

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.12.008

Xavier Serra-Aracil , Jesus Badia-Closa

引用次数: 0

Seguridad del paciente, ¿por qué es importante? 为什么病人安全很重要？

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.11.006

Javier García Septiem, Alba Correa Bonito

引用次数: 0

¿Cómo construir y cuidar al equipo? 如何建立和维护设备？

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.11.013

María José Gómez-Jurado, Mónica Millán

引用次数: 0

¿Stent o no stent para el cáncer de colon obstructivo? La controversia ha finalizado 支架是否用于阻塞性结肠癌？争议的结束

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2025.01.004

Oscar Cano-Valderrama , Sebastiano Biondo

引用次数: 0

Linfadenectomía axilar endoscópica en 10 pasos 腋窝内镜淋巴结切除术10步

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.10.005

Itziar Larrañaga , Lidia Blay , Lorenzo Rabadán , Elisa York

引用次数: 0

Profesor David E. R. Sutherland (1940-2025) David E. R. Sutherland教授（1940-2025）

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2025.03.002

Daniel Casanova , Vassilios Papalois

引用次数: 0

Resultados preliminares de la implementación de un área del paciente quirúrgico complejo como herramienta para mejorar la calidad asistencial 实施复杂外科患者区作为提高护理质量工具的初步结果

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2025.01.003

Mihai-Calin Pavel , Ana Ferre , Lucia Garcia-Huete , Iban Oliva , Lluisa Guillem , Ignacio Tomas , Marcela Renzulli , Rosa Jorba-Martin

{"title":"Resultados preliminares de la implementación de un área del paciente quirúrgico complejo como herramienta para mejorar la calidad asistencial","authors":"Mihai-Calin Pavel , Ana Ferre , Lucia Garcia-Huete , Iban Oliva , Lluisa Guillem , Ignacio Tomas , Marcela Renzulli , Rosa Jorba-Martin","doi":"10.1016/j.ciresp.2025.01.003","DOIUrl":"10.1016/j.ciresp.2025.01.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Given the increasing complexity of surgical patients, their evaluation within a Complex Surgical Patient Area (APQC) is essential. This study aims to present the functioning of the APQC and analyze its outcomes.</div></div><div><h3>Methods</h3><div>Between 2022 and 2024, 73 patients were evaluated, with a mean age of 72.8±10 years. Of these, 97.3% were ASA≥ III and 41.1% had a Clinical Frailty Score ≥4. The evaluation centered on a multidisciplinary committee responsible for determining the patient's operability and guiding the intrahospital circuit. During postoperative evolution, patient follow-up was carried out by 2complementary teams in continuous communication. Failure to Rescue (FTR) was defined as the death of a patient following one or more serious complications.</div></div><div><h3>Results</h3><div>The main reason for including patients in the CSPA was multimorbidity in 53.4% of cases and a specific pathology in 28.8%. In 31.5% of cases, the intervention was ruled out, with one-year survival below 40%. Among the 35 operated patients, the Comprehensive Complication Index (CCI) was 18.034±21.94, the average hospital stay was 14.34±20.15 days, and the readmission rate was 25.7%. The FTR rate was 12.5%.</div></div><div><h3>Conclusions</h3><div>Current data suggest a positive impact of the APQC on the evolution of complex patients. A larger patient sample is needed for a detailed analysis of the factors where APQC activities may have the greatest influence.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 5","pages":"Pages 287-294"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143901997","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

Hallazgo incidental de fístula arteriovenosa pulmonar en paciente con palpitaciones de años de evolución. Un informe de caso 心悸患者的肺静脉动脉瘤的偶然发现。案例报告

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.06.007

Verónica Albarrán Vidal , Lidia Sotillo Valenzuela , Paula Hernández Mateo , Elena Fernández Martín

引用次数: 0