Cirugia Espanola最新文献_第2页

Strategic management and outcomes of surgical repair for ruptured abdominal aortic aneurysms in women: a systematic review and meta-analysis 女性腹主动脉瘤破裂手术修复的策略管理和结果：系统回顾和荟萃分析

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.11.019

Del Río-Solá M.ª Lourdes , Romero-Estrella M.ª Rosario , Roedan-Oliver Joan , Asensio-Rodriguez Sergio , Pérez-Fernández Sandra , Rial-Horcajo Rodrigo

{"title":"Strategic management and outcomes of surgical repair for ruptured abdominal aortic aneurysms in women: a systematic review and meta-analysis","authors":"Del Río-Solá M.ª Lourdes , Romero-Estrella M.ª Rosario , Roedan-Oliver Joan , Asensio-Rodriguez Sergio , Pérez-Fernández Sandra , Rial-Horcajo Rodrigo","doi":"10.1016/j.ciresp.2024.11.019","DOIUrl":"10.1016/j.ciresp.2024.11.019","url":null,"abstract":"<div><h3>Introduction</h3><div>The repair of ruptured abdominal aortic aneurysms (R-AAA) entails high mortality. This study aims to analyze differences in postoperative outcomes.</div></div><div><h3>Methods</h3><div>A meta-analysis was conducted of 8 studies involving 26 473 patients, evaluating 30-day mortality rates by comparing open surgical repair with endovascular repair and stratifying results by sex.</div></div><div><h3>Results</h3><div>The 30-day mortality rate was 23.0% in women versus 13.0% in men, with an odds ratio (OR) of 2.05. Women had higher rates of postoperative complications, such as stroke (6.0% vs. 4.0%) and renal failure (8.0% vs. 5.0%), as well as prolonged ICU stay (12.3 ± 6.4 days vs. 10.2 ± 5.7 days).</div></div><div><h3>Conclusion</h3><div>These findings highlight the importance of adjusting surgical approaches to improve outcomes in women with R-AAA. Continued prospective studies are recommended to optimize treatment protocols.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 5","pages":"Pages 257-267"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143901944","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

Comunicación asertiva: decir lo que hay que decir y no dañar en el intento 自信的沟通：说该说的话，在尝试中不伤害

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2025.02.001

Franco Marinello , José M. Balibrea

引用次数: 0

Tronco hepato-espleno-mesentérico, una variante anatómica infrecuente 肝脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾脾

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.11.015

Sandra Veleda Belanche, Francisco Javier Tejero Pintor, David Pacheco Sánchez

引用次数: 0

Factores predictores de curación de la apnea obstructiva del sueño en pacientes bariátricos 减肥患者阻塞性睡眠呼吸暂停治疗的预测因素

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.12.010

Sergio Navarro-Martínez , Jose Ángel Diez-Ares , Marina Carrasco-Llatas , Núria Peris-Tomás , Silvia Matarredona-Quiles , Ramón Trullenque-Juan , Carlos Domingo-del-Pozo

{"title":"Factores predictores de curación de la apnea obstructiva del sueño en pacientes bariátricos","authors":"Sergio Navarro-Martínez , Jose Ángel Diez-Ares , Marina Carrasco-Llatas , Núria Peris-Tomás , Silvia Matarredona-Quiles , Ramón Trullenque-Juan , Carlos Domingo-del-Pozo","doi":"10.1016/j.ciresp.2024.12.010","DOIUrl":"10.1016/j.ciresp.2024.12.010","url":null,"abstract":"<div><h3>Introduction</h3><div>Obstructive sleep apnea (OSA) is common among candidates for bariatric surgery and is often underdiagnosed. Given that obesity and OSA share comorbidities and mutually reinforce each other, it is important to identify factors that predict OSA resolution after bariatric surgery. However, studies on this topic are limited and offer contradictory results. The objective of the study was to identify predictors of OSA resolution one year after bariatric surgery.</div></div><div><h3>Methods</h3><div>A prospective study was conducted with bariatric surgery candidates aged 18 to 65. Patients underwent preoperative cardiorespiratory polygraphy (PR) and an otorhinolaryngological examination. A follow-up PR was performed one year after surgery. A multivariate analysis was conducted, examining anthropometric, metabolic, and upper airway anatomical variables to determine predictors of resolution.</div></div><div><h3>Results</h3><div>The prevalence of OSA was 75%. Predictors of resolution included preoperative body mass index (BMI), neck circumference and age. Each additional kg/m<sup>2</sup> in BMI reduced the probability of resolution by 14% (OR=0.86; <em>P</em>=.037), each additional centimeter of neck circumference reduced the probability by 16% (OR=0.84; <em>P</em>=.018), and each year of age reduced the probability by 11% (OR=0.89; <em>P</em>=.009).</div></div><div><h3>Conclusions</h3><div>The prevalence of OSA in bariatric patients is high, and BMI, neck circumference, and age are predictive factors of OSA resolution after bariatric surgery.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 5","pages":"Pages 295-301"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902001","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

Toma de decisiones, ¿cómo consigo tomar buenas decisiones? 做决定，我怎样才能做出好的决定？

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.10.014

Rocío Franco Herrera, María Dolores Pérez Díaz

引用次数: 0

Endoscopia digestiva intraoperatoria en cirugía bariátrica 减肥手术中的消化内窥镜检查

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.12.013

Maria Lapeña-Rodríguez , Rosa Martí-Fernández , Raquel Alfonso-Ballester , Norberto Cassinello-Fernández

引用次数: 0

Advances and stagnation in airway surgery: A historical perspective 气道外科的进步与停滞：一个历史的视角

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.12.006

Néstor J. Martínez-Hernández , Míriam Estors-Guerrero , José M. Galbis-Caravajal , Manuel Mata-Roig , Amparo Roig-Bataller

引用次数: 0

Resultados a corto plazo de la exploración laparoscópica de la vía biliar principal por coledocolitiasis en los pacientes de edad avanzada 对老年患者大肠结肠炎主要胆道进行腹腔镜检查的短期结果

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2025.01.002

Carlos Domingo-Del Pozo , Sergio Navarro-Martínez , Juan Carlos Sebastián-Tomás , Inés Domingo-Roig , Marta Córcoles-Córcoles , Amparo Martínez-Blasco , Inmaculada Ortiz-Tarín , Carmen Paya-Llorente

{"title":"Resultados a corto plazo de la exploración laparoscópica de la vía biliar principal por coledocolitiasis en los pacientes de edad avanzada","authors":"Carlos Domingo-Del Pozo , Sergio Navarro-Martínez , Juan Carlos Sebastián-Tomás , Inés Domingo-Roig , Marta Córcoles-Córcoles , Amparo Martínez-Blasco , Inmaculada Ortiz-Tarín , Carmen Paya-Llorente","doi":"10.1016/j.ciresp.2025.01.002","DOIUrl":"10.1016/j.ciresp.2025.01.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Laparoscopic common bile duct exploration (LCBDE) is an alternative to endoscopic retrograde cholangiopancreatography (ERCP) for the treatment of choledocholithiasis. However, its use in elderly patients has been limited, often avoided due to concerns about associated morbidity. This study aims to evaluate the success rate and outcomes of LCBDE in elderly patients.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted on patients with a confirmed diagnosis of choledocholithiasis via intraoperative cholangiography who underwent LCBDE from January 2009 to December 2022. Demographic, clinical, intraoperative, and postoperative data were collected. Patients were divided into two groups: those aged ≥70 years and those aged <70 years. Additionally, a subgroup analysis was performed on patients aged ≥80 years.</div></div><div><h3>Results</h3><div>A total of 330 patients were included (<70 years=168; ≥70 years=162). The success rate of LCBDE in patients aged ≥70 years was similar to that in patients aged <70 years (95.7 vs. 97%; <em>P</em>=.514). No statistically significant differences were found in intraoperative outcomes, short-term complications, or mortality between the two groups. These results were consistent in the subgroup analysis of patients aged ≥80 years (n=67) compared with those aged <70 years.</div></div><div><h3>Conclusion</h3><div>LCBDE is a safe and effective procedure for patients aged ≥70 years and could be considered a first-line therapeutic option for this group.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 5","pages":"Pages 279-286"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143901952","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

Laparoscopic approach for rectal cancer surgery: triumph of reason or necessity of evolution? 腹腔镜直肠癌手术：理性的胜利还是进化的必然？

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.11.020

Alessio Lucarini , Andrea Martina Guida , Yves Panis

{"title":"Laparoscopic approach for rectal cancer surgery: triumph of reason or necessity of evolution?","authors":"Alessio Lucarini , Andrea Martina Guida , Yves Panis","doi":"10.1016/j.ciresp.2024.11.020","DOIUrl":"10.1016/j.ciresp.2024.11.020","url":null,"abstract":"<div><div>The role of laparoscopy in rectal cancer surgery has evolved considerably since the early 2000s. Initial randomized trials, such as COLOR II and COREAN, indicated that laparoscopic approaches offered similar pathological outcomes with better postoperative recovery than open surgery. In contrast, trials like ACOSOG Z6051 and ALaCaRT suggested noninferiority could not be established. Variability in trial outcomes, focusing on either disease-free survival or pathological measures, initially hindered consensus. Long-term analyses have shown no significant difference in disease-free survival between laparoscopic and open approaches. Meta-analyses have reinforced the benefits of laparoscopic surgery, with reduced mortality and similar oncologic effectiveness to open surgery. However, new techniques like transanal TME (TaTME) and robotic approaches have introduced alternatives, though each presents unique challenges, from recurrence rates in TaTME to costs in robotics. While laparoscopy remains the preferred method due to accessibility and outcomes, robotic surgery is expected to gain traction in high-volume centers.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 5","pages":"Pages 328-334"},"PeriodicalIF":1.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143901982","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

New technique for graft procurement in abdominal wall transplantation 腹壁移植中移植物获取的新技术

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-05-01 DOI: 10.1016/j.ciresp.2024.12.007

Paola Peralta Fernández-Revuelta, Blanca Otero Torrón, Luis Carlos Jiménez Romero, Iago Justo Alonso

引用次数: 0