Cirugia Espanola最新文献

Consensus document for the transcystic approach to choledocholithiasis with ultrathin flexible choledochoscope 超薄柔性胆道镜经囊入路治疗胆总管结石的共识文献

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2026-04-01 Epub Date: 2026-04-09 DOI: 10.1016/j.ciresp.2025.800259

Alejandra García-Botella , Juan Pablo Arjona Trujillo , Sofía de la Serna , Pedro José Gil Vázquez , Santos Jiménez-Galanes Marchán , Erik Llàcer-Millán , Ana Belén Martín Arnau , David Martínez-Cecilia , Alba Zárate Pinedo , Alberto Martínez-Isla

{"title":"Consensus document for the transcystic approach to choledocholithiasis with ultrathin flexible choledochoscope","authors":"Alejandra García-Botella , Juan Pablo Arjona Trujillo , Sofía de la Serna , Pedro José Gil Vázquez , Santos Jiménez-Galanes Marchán , Erik Llàcer-Millán , Ana Belén Martín Arnau , David Martínez-Cecilia , Alba Zárate Pinedo , Alberto Martínez-Isla","doi":"10.1016/j.ciresp.2025.800259","DOIUrl":"10.1016/j.ciresp.2025.800259","url":null,"abstract":"<div><div>The transcystic laparoscopic approach to manage choledocholithiasis using ultrathin flexible choledochoscopes is aimed at reducing complications linked to ERCP and transductal techniques when treating common bile duct stones with gallbladder in situ. Despite their advantages, transcystic techniques are not being widely adopted, highlighting the need for structured protocols, a multidisciplinary approach, and adequate resource allocation to optimize outcomes.</div><div>This consensus document addresses key issues to standardize the approach, based on the responses to the 25 questions posed to the panel of experts.</div><div>The recommendations issued, based on the evidence and expert opinion, cover the key factors for the success of the technique, including appropriate patient selection, technical characteristics of the approach, advanced equipment required, etc.</div><div>This comprehensive guide aims to standardize the technique in order to improve patient outcomes and ensure safe, effective treatment of choledocholithiasis.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 4","pages":"Article 800259"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147650028","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

Can we decrease the risk of complex liver surgery with the new GLP1 and GIP analogues? 我们可以用新的GLP1和GIP类似物降低复杂肝脏手术的风险吗？

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2026-04-01 Epub Date: 2026-04-09 DOI: 10.1016/j.ciresp.2025.800264

Iago Justo , María Calatayud , Javier Salamanca , María Camara , Alvaro García-Sesma , Carmelo Loinaz

引用次数: 0

A huge exophytic leiomyoma of the rectum 直肠巨大的外生性平滑肌瘤

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2026-04-01 Epub Date: 2026-04-09 DOI: 10.1016/j.ciresp.2025.800247

Wei Yang , Chendong He

引用次数: 0

Structured outpatient cholecystectomy protocol leads to improving results and expanding indications 有组织的门诊胆囊切除术方案改善了结果，扩大了适应症

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2026-04-01 Epub Date: 2026-04-09 DOI: 10.1016/j.ciresp.2026.800301

Pablo Ezequiel Finno , Santiago González-Ayora , María Fraile Vilarrasa , Tihomir Georgiev-Hristov

{"title":"Structured outpatient cholecystectomy protocol leads to improving results and expanding indications","authors":"Pablo Ezequiel Finno , Santiago González-Ayora , María Fraile Vilarrasa , Tihomir Georgiev-Hristov","doi":"10.1016/j.ciresp.2026.800301","DOIUrl":"10.1016/j.ciresp.2026.800301","url":null,"abstract":"<div><h3>Background</h3><div>Outpatient laparoscopic cholecystectomy has become increasingly common, yet criteria for patient selection remain conservative. We aimed to assess the long-term outcomes of implementing a structured outpatient cholecystectomy protocol in a secondary hospital and explore its applicability in traditionally high-risk populations.</div></div><div><h3>Materials and methods</h3><div>1024 consecutive elective cholecystectomy patients were retrospectively analyzed for initial indication for outpatient procedure, unplanned admission rate and complications since 2018, when our outpatient cholecystectomy protocol was established. Patient factors and operative parameters were assessed.</div></div><div><h3>Results</h3><div>In 822 patients, the cholecystectomy was initially planned as an outpatient procedure, which was achieved in 673 (81.9%). Both the indication and success rates improved over time (<em>P</em> < .001). Unplanned admissions occurred mainly due to surgical complexity, social factors and timing of the procedure. Age > 70 years of age, BMI > 30, ASA III and complicated cholelithiasis were (except for prior acute cholecystitis) not found to increase the unplanned admission rate, and the indication for outpatient cholecystectomy in these groups rose over time without significant complications. 90-day readmission and complication rates (mostly Clavien-Dindo grade I–II and no mortality) remained low (1.3% and 3.6%, respectively; <em>P</em> < .001).</div></div><div><h3>Conclusion</h3><div>A structured protocol enables safe and effective expansion of outpatient cholecystectomy to higher-risk groups, optimizing resource utilization without compromising patient outcomes.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 4","pages":"Article 800301"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147650047","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

Applications of radiomics in thoracic surgery: Enhancing precision and personalization of treatment 放射组学在胸外科中的应用：提高治疗的精确性和个性化

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2026-04-01 Epub Date: 2026-04-09 DOI: 10.1016/j.ciresp.2025.800245

Alberto Cabañero Sánchez , Luis Gorospe Sarasúa , Nicolás Moreno Mata

引用次数: 0

Cuando evitamos nombrar la muerte 当我们避免命名死亡

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2026-03-01 Epub Date: 2026-02-17 DOI: 10.1016/j.ciresp.2025.800281

María Jesús Gómez Ramos , Francisco Miguel González Valverde

引用次数: 0

Valor en cirugía: de la calidad técnica a la calidad de vida 外科手术的价值：从技术质量到生活质量

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.ciresp.2026.800291

Carles Illa

引用次数: 0

Neoadyuvancia y estrategia Watch and Wait en cáncer de recto diagnosticado tras cirugía de reasignación de sexo 对性别重置手术后诊断的直肠癌的新辅助和观望战略

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.ciresp.2026.800299

Noelia Ibáñez , Jesús Abrisqueta , Juan Antonio Encarnación , Quiteria Hernández

引用次数: 0

The effect of Roux-en-Y gastric bypass on uric acid levels: a meta-analysis Roux-en-Y胃旁路术对尿酸水平的影响：荟萃分析

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2026-03-01 Epub Date: 2026-03-05 DOI: 10.1016/j.ciresp.2026.800284

Tannaz Jamialahamdi , Elaheh Mirhadi , Željko Reiner , Wael Almahmeed , Saheem Ahmad , Bodor Bin Sheeha , Safia Obaidur Rab , Khalid Al-Rasadi , Sepideh Salehabadi , Amirhossein Sahebkar

{"title":"The effect of Roux-en-Y gastric bypass on uric acid levels: a meta-analysis","authors":"Tannaz Jamialahamdi , Elaheh Mirhadi , Željko Reiner , Wael Almahmeed , Saheem Ahmad , Bodor Bin Sheeha , Safia Obaidur Rab , Khalid Al-Rasadi , Sepideh Salehabadi , Amirhossein Sahebkar","doi":"10.1016/j.ciresp.2026.800284","DOIUrl":"10.1016/j.ciresp.2026.800284","url":null,"abstract":"<div><h3>Objective</h3><div>Obesity is an important, modifiable, independent risk factor for elevated serum uric acid (SUA) levels. A number of studies have shown that weight loss can lead to a decrease in SUA concentrations. However, the existing evidence regarding the effect of a particular type of bariatric surgery (Roux-en-Y gastric bypass, RYGB) on SUA levels is limited and not fully understood. Therefore, the aim of this meta-analysis was to evaluate the effect of RYGB on circulating uric acid levels.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted across databases including Embase, PubMed, Web of Science, and Scopus. The overall effect size was assessed through a random-effects meta-analysis and by employing a leave-one-out analytical method.</div></div><div><h3>Results</h3><div>The random-effects meta-analysis of 18 trials including 1312 individuals confirmed a significant reduction in uric acid following RYGB (WMD: −1.090 mg/dL, 95% CI: −1.429, −0.752, <em>P</em> < .001). In sub-analyses analyzing the duration of follow up, there was a significant reduction in uric acid after ≥12 months (WMD: −1.168, 95% CI: −1.663, −0.673, <em>P</em> < .001), and <12 months (WMD: −0.941, 95% CI: −1.379, −0.503, <em>P</em> < .001). There was no significant change in circulating uric acid concentrations based on the duration of follow-up.</div></div><div><h3>Conclusion</h3><div>The RYGB type of bariatric surgery significantly decreases SUA levels. This result was not related to the length of follow-up period following bariatric surgery.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 3","pages":"Article 800284"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147400074","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

In memoriam: Francisco Barreiro Morandeira 纪念：弗朗西斯科·巴雷罗·莫兰德拉

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2026-03-01 Epub Date: 2026-02-12 DOI: 10.1016/j.ciresp.2026.800292

Salustiano González Vinagre

引用次数: 0