Cirugia Espanola最新文献

{"title":"Reconstrucciones 3 D en cáncer de recto. Nuevas herramientas para un mejor diagnóstico y planificación operatoria","authors":"Álvaro García-Granero , Sebastián Jerí-McFarlane , Aina Ochogavía , Margarita Gamundí-Cuesta , Eduardo Garcia-Granero , Francisco Xavier González-Argenté","doi":"10.1016/j.ciresp.2025.800198","DOIUrl":"10.1016/j.ciresp.2025.800198","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 9","pages":"Article 800198"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049951","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":"Cirugía por cáncer de recto más allá del mesorrecto: indicaciones, preparación límites y resultados","authors":"Blas Flor-Lorente,&nbsp;Mario Javier de Miguel Valencia","doi":"10.1016/j.ciresp.2025.800202","DOIUrl":"10.1016/j.ciresp.2025.800202","url":null,"abstract":"<div><div>Pelvic exenteration (PE) is a potentially curative surgical option for patients with locally advanced rectal cancer (LARC) or locally recurrent rectal cancer (LRRC) involving multivisceral structures. Originally conceived as a palliative procedure, advancements in surgical techniques and multidisciplinary management have broadened its indications, enabling R0 resections in over 60% of cases. Appropriate patient selection, based on advanced imaging and comprehensive functional assessment, is essential to optimize oncologic outcomes. Currently, the surgical indication is primarily determined by the reasonable possibility of achieving an R0 resection with acceptable morbidity in a suitable candidate, which may translate into high survival rates.</div><div>Surgical planning should follow a compartmental approach and require close collaboration among colorectal, urologic, gynecologic, vascular, orthopedic, plastic, and reconstructive surgeons. Urinary, gynecologic, vascular, osseous, and soft tissue reconstructions are tailored to the tumor's extent and the patient's individual needs. In selected cases, PE may be performed with palliative intent. Intraoperative radiotherapy (IORT) and minimally invasive approaches have emerged as valuable adjuncts.</div><div>Long-term oncologic and functional outcomes are closely linked to the achievement of negative margins. While postoperative morbidity remains significant, mortality rates have declined in high-volume centers. Postoperative quality of life has become a key outcome, with increasing emphasis on patient-reported outcome measures (PROMs) to guide clinical decision-making. PE continues to challenge traditional limits of resectability, offering renewed hope to carefully selected patients.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 9","pages":"Article 800202"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049952","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":"Hemorragia digestiva secundaria a múltiples GIST duodeno-yeyunales en un paciente con neurofibromatosis tipo 1","authors":"Franciso Castillejos Ibañez ,&nbsp;María Carmen Fernández-Moreno ,&nbsp;Carolina Martinez Ciarpaglini ,&nbsp;Ricardo Gadea Mateo ,&nbsp;María Eugenia Barrios Carvajal","doi":"10.1016/j.ciresp.2025.800191","DOIUrl":"10.1016/j.ciresp.2025.800191","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 9","pages":"Article 800191"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145050669","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":"Coexistence of Morgagni and Bochdalek hernias in an asymptomatic adult","authors":"Yener Aydin,&nbsp;Ali Bilal Ulas,&nbsp;Atilla Eroglu","doi":"10.1016/j.ciresp.2025.800188","DOIUrl":"10.1016/j.ciresp.2025.800188","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 9","pages":"Article 800188"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049944","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":"Neuropatía pudenda por cistoadenoma apocrino: revisión de la literatura","authors":"Belén Hernández Roca ,&nbsp;María Jesús Segura Jiménez ,&nbsp;Vidina Rodrigo Amador ,&nbsp;Enrique Fernández Rodríguez ,&nbsp;José Manuel Ramia Angel","doi":"10.1016/j.ciresp.2025.800193","DOIUrl":"10.1016/j.ciresp.2025.800193","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 9","pages":"Article 800193"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049949","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":"Intestinal obstruction secondary to uterine broad ligament hernia","authors":"Lucas Rodríguez-Carreño Díaz,&nbsp;Luis Cadaval Moreno,&nbsp;Ismael Mora-Guzmán","doi":"10.1016/j.ciresp.2025.800154","DOIUrl":"10.1016/j.ciresp.2025.800154","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 9","pages":"Article 800154"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049892","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":"Mastectomía preservadora de piel y pezón asistida por endoscopia y reconstrucción inmediata con implante prepectoral. Estudio prospectivo para la evaluación de la viabilidad y seguridad de la técnica, calidad de vida y secuelas cosméticas. Código Promotor: VideoBreast-24","authors":"Benigno Acea-Nebril,&nbsp;Alejandra García-Novoa,&nbsp;Sergio Sierra Fernández","doi":"10.1016/j.ciresp.2025.800159","DOIUrl":"10.1016/j.ciresp.2025.800159","url":null,"abstract":"<div><div>Skin-sparing or nipple-skin-sparing mastectomy (NSSM) with immediate reconstruction with a prepectoral implant is the procedure of choice for women with breast cancer or high risk for breast cancer who require a mastectomy. This procedure can be performed with endoscopic or robotic assistance, however, the complexity of the technique, the increase in surgical time and costs, as well as the lack of prospective studies with long-term follow-up have limited its implementation. The present study aims to evaluate the non-inferiority of NSSM with endoscopic support compared to open NSSM in terms of feasibility and safety of the technique, oncological safety and cosmetic sequelae.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 9","pages":"Article 800159"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049950","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":"Yeyunoplastia de avance esofágico en el tratamiento de las estenosis esofágicas cervicales","authors":"Leandre Farran Teixidó ,&nbsp;Mónica Miró Martín ,&nbsp;Anna López Ojeda ,&nbsp;Cristóbal Cañete Cabanillas ,&nbsp;Fernando Estremiana García ,&nbsp;Oriol Bermejo Segu ,&nbsp;Humberto Aranda Danso ,&nbsp;Joan Gornals Soler","doi":"10.1016/j.ciresp.2025.800195","DOIUrl":"10.1016/j.ciresp.2025.800195","url":null,"abstract":"<div><h3>Introduction</h3><div>Cervical esophageal stenosis is a complex surgical problem when endoscopic treatment fails. The distance between the stenosis and the dental arch (DA) determines the need for a longer flap, with an increased risk of ischemia.</div><div>Our group proposed the use of an esophageal advancement jejunoplasty (JAE) in patients with esophageal stenosis less than 17 centimeters from the DA to «lengthen» the residual esophagus and, in a second stage, complete the reconstruction of digestive transit with a gastroplasty or coloplasty.</div></div><div><h3>Method</h3><div>Descriptive and retrospective analysis of a prospective database of patients who had esophageal stenosis less than 17 centimeters from the DA, who were indicated a JAE between November 2020 and May 2024.</div></div><div><h3>Results</h3><div>A total of 16 patients with a mean age of 52 years were included. In 13 cases the stenosi was secundary to càustics and 3 to radiotherapy; the mean distance between AD and stenosis was 14<!--> <!-->cm. Five cases were reoperated and 2<!--> <!-->esophageal-jejunal fístulas were diagnosed. There was no mortality. The second stage of reconstruction was completed in 10 patients (5 gastroplasties and 5 coloplasties). Two jejuno-ileal stenosis and one esophageal-jejunal stenosis were diagnosed. Functionally, 5 patients are exclusively nourished orally, 2 through a mixed diet and 3 exclusively enterally.</div></div><div><h3>Conclusion</h3><div>We believe that JAE can be a technically feasible option, with acceptable morbidity, in patients with upper esophageal stenosis to minimize the risk of ischemia that involves a longer flap.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 9","pages":"Article 800195"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049946","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":"Eficacia del mapeo linfático guiado por verde de indocianina en la linfadenectomía por cáncer gástrico: impacto de la quimioterapia neoadyuvante","authors":"Andrea Carlota Lizarralde Capelastegui,&nbsp;Javier Sánchez González,&nbsp;Pablo Marcos Santos,&nbsp;Martín Bailón Cuadrado,&nbsp;Sandra Veleda Belanche,&nbsp;María Luz Martín Esteban,&nbsp;David Pacheco Sánchez,&nbsp;Miguel Toledano Trincado","doi":"10.1016/j.ciresp.2025.800158","DOIUrl":"10.1016/j.ciresp.2025.800158","url":null,"abstract":"<div><h3>Background</h3><div>Indocyanine green (ICG) fluorescence has recently been introduced as an imaging technique to enhance lymphatic mapping in gastric cancer (GC) surgery. This study analyzes the efficacy of this tool in gastric cancer lymphadenectomy and the influence of neoadjuvant chemotherapy (NAC) on its application.</div></div><div><h3>Material and methods</h3><div>This study analyzes seventy-two patients from a Spanish center with gastric adenocarcinoma who underwent gastrectomy between October 2018 and December 2023. Two groups were compared: patients undergoing oncologic gastrectomy with ICG-guided lymphadenectomy versus patients with conventional lymphadenectomy. Primary outcomes were the number of lymph nodes (LN) retrieved and adequate lymphadenectomy rates (≥<!--> <!-->16<!--> <!-->LN).</div></div><div><h3>Results</h3><div>The study population comprised 72 patients, of whom 36 belonged to the ICG group and 36 to the non-ICG group. Both groups had similar mean age, BMI, sex ratios, comorbidities, and staging. The rate of adequate lymphadenectomy was significantly higher after intraoperative ICG guidance (86.1% vs. 58.3%; <em>P</em> <!-->=<!--> <!-->.009), although this association was not significant after NAC. There were no differences in the mean number of lymph nodes retrieved. A greater number of postoperative complications was observed in the ICG group, although no statistically significant differences were found. None of these complications were directly related to ICG instillation. There were also no differences in the length of hospital stay between the two groups.</div></div><div><h3>Conclusion</h3><div>ICG-guided lymphatic mapping appears to be a safe and effective tool for achieving adequate lymphadenectomy in gastric cancer compared to conventional lymphadenectomy. However, NAC may limit the effectiveness of the technique.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 9","pages":"Article 800158"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049945","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":"Resección robótica de un adenoma paratiroideo ectópico mediastínico en el espacio aortopulmonar guiada por una planificación con modelo 3D","authors":"Anna Vidal Carné ,&nbsp;Pau Moreno Santabárbara ,&nbsp;Elisenda Garsot Savall ,&nbsp;José María Balibrea del Castillo","doi":"10.1016/j.ciresp.2025.800153","DOIUrl":"10.1016/j.ciresp.2025.800153","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 9","pages":"Article 800153"},"PeriodicalIF":1.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049948","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}