Cirugia Espanola最新文献

{"title":"Necesidad de un protocolo de tratamiento antibiótico perioperatorio dirigido para pacientes con drenaje biliar preoperatorio intervenidos de duodenopancreatectomía cefálica","authors":"Judith Camps-Lasa ,&nbsp;María Isabel García-Domingo ,&nbsp;Eric Herrero Fonollosa ,&nbsp;María Luisa Galaviz Sosa ,&nbsp;María Galofré Recasens ,&nbsp;Aurora Rodríguez Campos ,&nbsp;Xavier Serra-Aracil ,&nbsp;Esteban Cugat Andorrá","doi":"10.1016/j.ciresp.2024.09.001","DOIUrl":"10.1016/j.ciresp.2024.09.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the bacterobilia in patients undergoing pancreaticoduodenectomy (PD) based on whether they carry a preoperative biliary drainage or not and to analyse if a targeted perioperative antibiotic treatment based on the expected microbiology leads in no differences in Surgical Site Infections (SSI) between the groups.</div></div><div><h3>Methods</h3><div>Retrospective observational single-center study of patients undergoing pancreaticoduodenectomy with preoperative biliary stent (group P, Prosthesis) and without stent (group NP, No Prosthesis). Postoperative complications including SSI and its subtypes were analyzed after applying a targeted perioperative antibiotic treatment protocol with cefotaxime and metronidazole (group NP) and piperacillin-tazobactam (group P).</div></div><div><h3>Results</h3><div>Between January 2014 and December 2021, 127 patients were treated (84 in group NP and 43 in group P). Intraoperative cultures were positive in 16.7% (group NP) vs 76.7% (group P, <em>P</em>&lt;<!--> <!-->.01). Microorganisms isolated in group NP included <em>Enterobacterales</em> (10.7%) and <em>Enterococcus</em> spp. (7.1%) with no <em>Candida</em> detected. In group P: <em>Enterobacterales</em> (51.2%), <em>Enterococcus</em> spp. (48.8%), and <em>Candida</em> (16.3%) were higher (<em>P</em>&lt;<!--> <!-->.01%). No differences in morbidity and mortality were observed between the groups. SSI rate was 17.8% in group NP and 23.2% in group P (ns).</div></div><div><h3>Conclusion</h3><div>Bacterobilia differs in patients with biliary drainage, showing a higher presence of <em>Enterobacterales, Enterococcus</em> spp. and <em>Candida</em>. There were no differences in SSI incidence after applying perioperative antibiotic treatment tailored to the expected microorganisms in each group. This raises the need to reconsider conventional surgical prophylaxis in patients with biliary stent.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 10","pages":"Pages 540-547"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142425626","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":"Nueva utilidad de las mallas biológicas. Refuerzo en anastomosis pancreatoyeyunal ducto-mucosa","authors":"","doi":"10.1016/j.ciresp.2024.01.006","DOIUrl":"10.1016/j.ciresp.2024.01.006","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 10","pages":"Page 561"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140469559","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":"Nuevas técnicas y estrategias quirúrgicas para la enfermedad de Crohn: resultados frente a expectativas","authors":"","doi":"10.1016/j.ciresp.2024.04.014","DOIUrl":"10.1016/j.ciresp.2024.04.014","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 10","pages":"Pages 552-554"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141141257","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":"Paciente con hiperplasia difusa idiopática de células neuroendocrinas de pulmón (DIPNECH) y nódulos bilaterales: dilema terapéutico","authors":"Eric Gutiérrez Pérez,&nbsp;Carlos Alberto Rombolá","doi":"10.1016/j.ciresp.2024.05.013","DOIUrl":"10.1016/j.ciresp.2024.05.013","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 10","pages":"Pages 568-569"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142425624","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 biliobronquial como complicación infrecuente tras el manejo intervencionista de las complicaciones biliares","authors":"","doi":"10.1016/j.ciresp.2024.01.009","DOIUrl":"10.1016/j.ciresp.2024.01.009","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 10","pages":"Page 562"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277562","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":"Seguridad y factibilidad de un nuevo rectoscopio en la cirugía por cáncer de recto. Primer ensayo clínico","authors":"Mario Álvarez Gallego ,&nbsp;Sara Gortázar de las Casas ,&nbsp;Esteban Díaz Serrano ,&nbsp;Isabel Pascual Migueláñez","doi":"10.1016/j.ciresp.2024.07.003","DOIUrl":"10.1016/j.ciresp.2024.07.003","url":null,"abstract":"<div><div>We present a first in human clinical trial of a new rectoscope that shows, by means of transillumination, the optimal point of transection of the rectum in oncologic surgery. The device was developed together with a team of engineers and was manufactured by 3<!--> <!-->D printing. Eighteen patients with a mean age of 71 years and a mean distance from the tumor to the anal margin measured by colonoscopy of 10.4<!--> <!-->±<!--> <!-->3.9<!--> <!-->cm and by MRI of 10<!--> <!-->±<!--> <!-->2.4<!--> <!-->cm were included in the trial. Transillumination was feasible in all cases, and the use of the rectoscope was safe, as no adverse events due to its use were recorded.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 10","pages":"Pages 548-551"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426251","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":"Fusión hepatolienal, un hallazgo extremadamente infrecuente","authors":"","doi":"10.1016/j.ciresp.2024.01.010","DOIUrl":"10.1016/j.ciresp.2024.01.010","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 10","pages":"Page 563"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140269708","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 local exclusiva sin tratamiento adyuvante como estrategia de preservación de órgano en cáncer de recto precoz: protocolo de estudio observacional prospectivo","authors":"Rodrigo Tovar Pérez ,&nbsp;Carlos Cerdán-Santacruz ,&nbsp;Óscar Cano-Valderrama ,&nbsp;Fernando Jiménez Escovar ,&nbsp;Blas Flor Lorente ,&nbsp;Rodrigo O Perez ,&nbsp;Javier García-Septiem","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 2<!--> <!-->cm 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":"102 9","pages":"Pages 506-512"},"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}

{"title":"Laparoscopic TAPP repair of inguinal tubo-ovarian hernia: an uncommon presentation of inguinal hernia in adult women","authors":"Cecilia Meliga,&nbsp;Siyuan Qian Zhang,&nbsp;Manuel Escanciano Escanciano,&nbsp;Víctor Domínguez Prieto","doi":"10.1016/j.ciresp.2024.01.013","DOIUrl":"10.1016/j.ciresp.2024.01.013","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 9","pages":"Page 495"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142135779","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":"Manejo quirúrgico de hernia intraparietal recurrente tras disrupción de la línea semilunar por incisión pararectal","authors":"Jose Carlos Vaqué Alcázar,&nbsp;Elena Martinez Guerrero,&nbsp;Genesis Para Eslava,&nbsp;Jetzabel Soria Estrems,&nbsp;Natalia Uribe Quintana","doi":"10.1016/j.ciresp.2024.05.012","DOIUrl":"10.1016/j.ciresp.2024.05.012","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 9","pages":"Pages 504-505"},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141704374","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}