Cirugia Espanola最新文献

{"title":"Usefulness of extended inflammatory parameters related to neutrophil activation reported by Sysmex XN-1000 hematology analyzer for predicting complicated acute appendicitis. Comparison with canonical inflammatory laboratory tests","authors":"María Isabel Díaz López ,&nbsp;Elena Crespo Álvarez ,&nbsp;Álvaro Martínez Manzano ,&nbsp;Eloísa Urrechaga ,&nbsp;Manuel Tomás Orgaz Morales ,&nbsp;Mercedes González Morales ,&nbsp;Elena Martín García ,&nbsp;Luis García de Guadiana-Romualdo","doi":"10.1016/j.ciresp.2023.11.014","DOIUrl":"https://doi.org/10.1016/j.ciresp.2023.11.014","url":null,"abstract":"<div><h3>Aim</h3><p>Accurate diagnosis of complicated appendicitis is of importance to ensure that patients receive early and effective treatment, minimizing the risk of postoperative complications to promote successful recovery. Biochemical markers are a promising tool to identify complicated appendicitis. We aimed to evaluate the potential role of novel parameters related with neutrophil activation, known as “<em>Extended Inflammation Parameters</em>” (EIP), included in blood cell count reported by Sysmex XN-Series analyzers, compared to other canonical biomarkers in identifying complicated appendicitis.</p></div><div><h3>Method</h3><p>Prospective observational study including patients with confirmed diagnosis of acute appendicitis. C-reactive protein (CRP), procalcitonin, cell blood count, including white blood cell (WBC), absolute neutrophil (ANC) and immature granulocyte (IG) count and EIP (neutrophil reactivity [NEUT-RI] and granularity intensity [NEUT-GI]) were analyzed before surgery. Their accuracy to diagnose complicated appendicitis was tested in an ROC curve analysis.</p></div><div><h3>Results</h3><p>Our population study included 119 patients, and appendicitis was complicated in 58 (48.7%). NLR, CRP and procalcitonin levels, ANC and IG count and NEUT-RI and NEUT-GI were higher in patients with complicated appendicitis. Regarding accuracy for complicated appendicitis, CRP was the biomarker with the highest performance (ROC AUC: 0.829), with an optimal cutoff of 73.1 mg/L (sensitivity: 63.8%, specificity: 88.5%). NEUT-RI and NEUT-GI achieved both significant but poor accuracy, with ROC AUC of 0.606 and 0.637, respectively.</p></div><div><h3>Conclusions</h3><p>Novel laboratory tests reported by Sysmex XN-Series analyzers have poor accuracy for identifying complicated appendicitis. In this study, CRP was the biomarker with the highest performance and may be useful as predictor of the severity of acute appendicitis.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 6","pages":"Pages 300-306"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294476","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":"Magnetic liver retraction in bariatric surgery: Is it possible?","authors":"Guillermo Borjas,&nbsp;Ali Urdaneta,&nbsp;Eduardo Ramos,&nbsp;Andrés Maldonado","doi":"10.1016/j.ciresp.2024.02.010","DOIUrl":"https://doi.org/10.1016/j.ciresp.2024.02.010","url":null,"abstract":"<div><p>One of the recent advances in bariatric surgery is the use of magnetic devices. This research paper describes magnetic liver retraction in morbidly obese patients during bariatric surgery. A descriptive, prospective and observational study was carried out, analyzing 100 patients in whom magnetic retraction was used. Mean and SD body mass index was 46.1 ± 5.09 kg/m². The magnetic system was successfully used for liver retraction in 95% of cases; in only 5% of cases was its use not possible due to hepatomegaly and severe hepatic steatosis. According to the results, magnetic liver retraction can be safe and used in bariatric surgery, regardless of body mass index and with a low percentage of complications.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 6","pages":"Pages 331-334"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294645","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":"Economic impact of outpatient follow-up using telemedicine vs in-person visits for patients in general surgery: A secondary analysis of a randomized clinical trial","authors":"Georgina Ferret ,&nbsp;Manel Cremades ,&nbsp;Lídia Cornejo ,&nbsp;Francesc Guillem-López ,&nbsp;Ramon Farrés ,&nbsp;David Parés ,&nbsp;Joan-Francesc Julian","doi":"10.1016/j.ciresp.2024.01.017","DOIUrl":"https://doi.org/10.1016/j.ciresp.2024.01.017","url":null,"abstract":"<div><h3>Introduction</h3><p>Innovation in internet connectivity and the Covid 19 pandemic have caused a dramatic change in the management of patients in the medical field, boosting the use of telemedicine. A comparison of clinical outcomes and satisfaction between conventional face-to-face and telemedicine follow-up in general surgery, an economic evaluation is mandatory.</p><p>The aim of the present study was to compare the differences in economic costs between these two outpatient approaches in a designed randomized controlled trial (RCT).</p></div><div><h3>Methods</h3><p>A RCT was conducted enrolling 200 patients to compare conventional in-person vs. digital health follow-up using telemedicine in the outpatient clinics in patients of General Surgery Department after their planned discharge. After a demonstration that no differences were found in clinical outcomes and patient satisfaction, we analyzed the medical costs, including staff wages, initial investment, patent’s transportation and impact on social costs.</p></div><div><h3>Results</h3><p>After an initial investment of 7527.53€, the costs for the Medical institution of in-person conventional follow-up were higher (8180.4€) than those using telemedicine (4630.06€). In relation to social costs, loss of productivity was also increased in the conventional follow-up.</p></div><div><h3>Conclusion</h3><p>The use of digital Health telemedicine is a cost-effective approach compared to conventional face-to-face follow-up in patients of General Surgery after hospital discharge.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 6","pages":"Pages 314-321"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294643","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 pulmonar asociado a quiste aéreo: importancia del seguimiento para el diagnóstico temprano","authors":"Julio Ricardo Torres Bermúdez ,&nbsp;Cora Andrea Sampedro Salinas ,&nbsp;Sonia Gatius Calderó ,&nbsp;Carlos A. Rombolá","doi":"10.1016/j.ciresp.2023.10.014","DOIUrl":"10.1016/j.ciresp.2023.10.014","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 6","pages":"Page 350"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139636481","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 arterio-entérica en paciente con trasplante pancreato-renal","authors":"Renan Carlo Colombari ,&nbsp;María Fernández Martínez ,&nbsp;Fernando García Boyano ,&nbsp;Álvaro Morales Taboada","doi":"10.1016/j.ciresp.2023.09.006","DOIUrl":"10.1016/j.ciresp.2023.09.006","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 6","pages":"Page 347"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455086","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":"Lipoblastoma retroperitoneal del adulto: una entidad poco frecuente con presentación atípica","authors":"Montiel Jiménez Fuertes,&nbsp;Víctor Domínguez Prieto,&nbsp;Siyuan Qian,&nbsp;Pablo Pastor Riquelme,&nbsp;Pedro Villarejo Campos","doi":"10.1016/j.ciresp.2023.09.007","DOIUrl":"https://doi.org/10.1016/j.ciresp.2023.09.007","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 6","pages":"Page 348"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294475","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":"¿Hemos mejorado los resultados posoperatorios y a largo plazo de la hepatectomía por metástasis de cáncer colorrectal? Análisis de 1.736 hepatectomías realizadas a lo largo de tres décadas en un solo centro","authors":"Kristel Mils ,&nbsp;Laura Lladó ,&nbsp;Josefina Lopez-Dominguez ,&nbsp;Oriana Barrios ,&nbsp;David Leiva ,&nbsp;Cristina Santos ,&nbsp;Teresa Serrano ,&nbsp;Emilio Ramos","doi":"10.1016/j.ciresp.2023.11.012","DOIUrl":"10.1016/j.ciresp.2023.11.012","url":null,"abstract":"<div><h3>Introduction</h3><p>Surgery is the only potentially curative treatment for colorectal cancer liver metastases (CRCLM) and its indication and results have varied in the last 30 years.</p></div><div><h3>Methods</h3><p>All patients operated on for CRCLM in our center from 1990 to 2021 were prospectively collected, establishing three subgroups based on the year of the first surgery: group A 1990–1999, group B 2000–2010, group C 2011–2021. Clinical characteristics and the results of survival, recurrence and prognostic factors were compared.</p></div><div><h3>Results</h3><p>One thousand seven hundred thirty-six hepatectomies were included (Group A <em>n</em> <!-->=<!--> <!-->208; Group B <em>n</em> <!-->=<!--> <!-->770; Group C <em>n</em> <!-->=<!--> <!-->758). Patients in group C had better survival at 5 and 10 years (A 40.5%/28.2%; B 45.9%/32.2%; C 51.6%/33.1%, <em>p</em> <!-->=<!--> <!-->0.013), although there were no differences between groups in overall recurrence at 5 and 10 years (A 73%/75.7%; B 67.6%/69.2%, and C 63.9%/66%, <em>p</em> <!-->=<!--> <!-->0.524), nor in liver recurrence (A 46.4%/48.2%; B 45.8%/48.2%; and C 44.4%/48.4%, <em>p</em> <!-->=<!--> <!-->0.899). An improvement was observed in median survival after recurrence, being 19 months, 23 months, and 31 months (groups A, B and C respectively). Prognostic factors of long-term survival changed over the three study periods. The only ones that remained relevant in the last decade were the presence of &gt; 4 liver metastasis, extrahepatic disease at the time of hepatectomy, and intraoperative blood transfusion.</p></div><div><h3>Conclusions</h3><p>Survival after surgery for CRCLM has improved significantly, although this cannot be explained by a reduction in overall and hepatic recurrence, but rather by an improvement in post-recurrence survival. Involvement of the resection margin has lost prognostic value in the last decade.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 5","pages":"Pages 243-251"},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139827670","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":"Diagnóstico diferencial de tumor retroperitoneal: hematoma crónico suprarrenal, un diagnóstico infrecuente","authors":"Álvaro Soler-Silva,&nbsp;Verónica Aranaz-Ostáriz,&nbsp;Sandra Lario Pérez,&nbsp;José Antonio Barreras","doi":"10.1016/j.ciresp.2023.09.005","DOIUrl":"10.1016/j.ciresp.2023.09.005","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 5","pages":"Page 295"},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139637309","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":"Cephalic duodenopancreatectomy in a patient with preduodenal portal vein and SADI-S bypass","authors":"Enrique Rojo Villardón ,&nbsp;Víctor Domínguez Prieto ,&nbsp;Siyuan Qian Zhang ,&nbsp;Santos Jiménez-Galanes Marchán","doi":"10.1016/j.ciresp.2023.10.012","DOIUrl":"https://doi.org/10.1016/j.ciresp.2023.10.012","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 5","pages":"Page 293"},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140822859","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":"Resultados durante la curva de aprendizaje de la exploración laparoscópica de la vía biliar por coledocolitiasis","authors":"Marina Vila Tura ,&nbsp;Ana Maria Ciscar Bellés ,&nbsp;Ainoa Benavides dos Santos ,&nbsp;Iva Borisova ,&nbsp;Neus Torra ,&nbsp;Ernest Bombuy ,&nbsp;Sandra López Gordo","doi":"10.1016/j.ciresp.2024.02.004","DOIUrl":"10.1016/j.ciresp.2024.02.004","url":null,"abstract":"<div><h3>Objectives</h3><p>To analyze the results obtained in terms of efficacy and safety during the learning curve of a surgical team in the technique of laparoscopic common bile duct exploration with cholecystectomy (LCBDE<!--> <!-->+<!--> <!-->LC) using choledochoscopy for the treatment of patients with cholelithiasis and choledocolithiasis (CLD).</p></div><div><h3>Methods</h3><p>Single-center prospective analysis of patients treated with LCBDE<!--> <!-->+<!--> <!-->LC during the first 4 years of implementation of the technique. A descriptive and comparative analysis was carried out between groups according to the transcystic (TCi) or transcolecocal (TCo) approach, and also evolutionary by periods. The effectiveness of the technique was evaluated using the variable <em>success rate</em> and safety through the analysis of the <em>overall complication rate</em> and the <em>bile leak rate</em> as the most frequent adverse effect.</p></div><div><h3>Results</h3><p>A total of 78 patients were analyzed. The most frequent approach was TCo (62%). The overall success rate was 92%. The TCi group had a shorter operating time, a lower overall complications rate and a shorter hospital stay. The TCo approach was related to a higher rate of clinically relevant bile leak (8%). Complex cases increased significantly during the learning curve without effect on the overall results.</p></div><div><h3>Conclusions</h3><p>LCBDE<!--> <!-->+<!--> <!-->CL is an effective and safe technique during the learning curve. Its results are comparable to those published by more experienced groups and do not present significant differences related to the evolution during learning period.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 5","pages":"Pages 257-264"},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140401252","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}