Cirugia Espanola最新文献

{"title":"Carcinoma adrenocortical sarcomatoide: una variante histológica excepcional","authors":"Alfonso Sánchez-Mayoral , Arkaitz Perfecto Valero , Katherine Goncalves Villarreal , Mikel Gastaca Mateo","doi":"10.1016/j.ciresp.2025.800122","DOIUrl":"10.1016/j.ciresp.2025.800122","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800122"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633926","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":"Comunicación con los pacientes y sus familiares: cómo dar malas noticias","authors":"Miriam Abellán Lucas , Marc Vallve-Bernal","doi":"10.1016/j.ciresp.2025.800107","DOIUrl":"10.1016/j.ciresp.2025.800107","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800107"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633600","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":"Estudio de los cambios morfológicos observados en TC de abdomen en el tratamiento preoperatorio con toxina botulínica tipo A en pacientes con hernias incisionales localizadas en línea media o con componente lateral","authors":"Salvador Argudo Garijo ,&nbsp;Félix Javier Jiménez Jiménez ,&nbsp;Jessie Ramírez Calderón ,&nbsp;Ariel Christian Jullien Petrelli ,&nbsp;Javier del Corral Rodríguez ,&nbsp;Miguel Hernández García ,&nbsp;María García-Conde Delgado ,&nbsp;Alfredo Alonso Poza","doi":"10.1016/j.ciresp.2025.800117","DOIUrl":"10.1016/j.ciresp.2025.800117","url":null,"abstract":"<div><h3>Introduction</h3><div>Preoperative treatment with botulinum toxin is very common in complex incisional hernias, although it lacks clear indications.</div></div><div><h3>Methods</h3><div>Between July 2019 and May 2022, measurements of the thickness and length of the lateral abdominal wall, transverse diameter of the abdomen and diameter of the hernia defect were taken from patient CT scans both pre- and post-treatment with botulinum toxin at our hospital. In order to establish differences between patients with lateral and midline hernias, a logistic regression analysis was performed.</div></div><div><h3>Results</h3><div>The study included 23 patients: 17 had midline hernias, and 6 had lateral hernias (4 right and 2 bilateral). We observed increased length of the right wall (1.15<!--> <!-->±<!--> <!-->1.64<!--> <!-->cm; <em>P</em> <!-->=<!--> <!-->.0029), left wall (1.96<!--> <!-->±<!--> <!-->1.74<!--> <!-->cm; <em>P</em> <!-->&lt;<!--> <!-->.0001) and transverse abdominal diameter (2.85<!--> <!-->±<!--> <!-->4.83<!--> <!-->cm; <em>P</em> <!-->&lt;<!--> <!-->.0001), and a reduction in the thickness of the right (−0.54<!--> <!-->±<!--> <!-->0.53<!--> <!-->cm; <em>P</em> <!-->&lt;<!--> <!-->.0001) and left walls (−0.58<!--> <!-->±<!--> <!-->0.42<!--> <!-->cm; <em>P</em> <!-->&lt;<!--> <!-->.0001). There were no differences in the transverse diameter of the defect (−0.01<!--> <!-->±<!--> <!-->1.37<!--> <!-->cm; <em>P</em> <!-->=<!--> <!-->.4593). After logistic regression, increased right wall length (OR 14.99; 95%CI 1.58-142.12) and transverse abdominal diameter (OR 9.33; 95%CI 1.13-76.68) was more likely to be observed in patients with midline hernias than in those with lateral locations.</div></div><div><h3>Conclusions</h3><div>Preoperative treatment with botulinum toxin appears to be more effective in patients with midline hernias than in those with lateral locations.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800117"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633608","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":"Premios Nobel y cirugía","authors":"Julio Cesar Alfaro Varela","doi":"10.1016/j.ciresp.2025.800123","DOIUrl":"10.1016/j.ciresp.2025.800123","url":null,"abstract":"<div><div>The Nobel Prize is an international recognition awarded to individuals who have made significant contributions to humanity. The areas that are recognized are Physics, Chemistry, Physiology or Medicine, Literature, and Peace. With more than 100 years of existence, only 10 surgeons have been recipients of this recognition. Their contributions range from cardiac catheterization, the discovery of insulin to the beginning of the modern era of organ transplantation. These surgeons through their research have greatly contributed to modern medicine, saving, and improving quality of life of millions of human beings. This article will describe a brief history of the surgeons and their contribution to medical advances that allowed them to be recognized with the Nobel Prize in physiology or medicine.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800123"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633611","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":"Drenaje de vía biliar mediante colecistoduodenostomía endoscópica como puente a duodenopancreatectomía por ictericia obstructiva de origen maligno","authors":"Jasone Larrea Oleaga ,&nbsp;Aingeru Sarriugarte Lasarte ,&nbsp;Hector Marín Ortega ,&nbsp;Miguel Durá Gil ,&nbsp;Ignacio Casado Morentin ,&nbsp;Rul Saa Álvarez","doi":"10.1016/j.ciresp.2025.800152","DOIUrl":"10.1016/j.ciresp.2025.800152","url":null,"abstract":"<div><div>A series of 6 cases was analyzed in which endoscopic ultrasound-guided cholecystoduodenostomy was performed because biliary stent placement by ERCP was not possible for the treatment of malignant obstructive jaundice prior to pancreaticoduodenectomy. The Hot-Axios® device was used in combination with a coaxial pigtail. No complications were reported related to the procedure or associated with pancreaticoduodenectomy. Endoscopic ultrasound-guided cholecystoduodenostomy has been shown to be a safe and effective procedure for preoperative improvement of jaundice in these patients. The fact that it can be performed simultaneously with the failed ERCP, without delaying surgery, and the absence of complications or worsening prognosis makes it an effective and safe alternative to percutaneous transhepatic biliary drainage.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800152"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633925","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":"Aloinjerto arterial criopreservado para la reconstrucción de la vena mesentérica superior tras duodenopancreatectomía cefálica con resección venosa","authors":"Robert Memba Ikuga,&nbsp;Alba Varona Mancilla,&nbsp;Mihai C Pavel,&nbsp;Rosa Jorba-Martín","doi":"10.1016/j.ciresp.2025.800148","DOIUrl":"10.1016/j.ciresp.2025.800148","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800148"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633928","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":"Hacia la ambulatorización de la apendicectomía: lecciones aprendidas durante la pandemia","authors":"Rebeca González Peredo ,&nbsp;Víctor Jacinto Ovejero Gómez ,&nbsp;Patrizio Petrone ,&nbsp;Corrado P Marini ,&nbsp;María Dolores Prieto Salceda ,&nbsp;José Manuel Bernal Marco ,&nbsp;Dieter Morales-García","doi":"10.1016/j.ciresp.2025.800127","DOIUrl":"10.1016/j.ciresp.2025.800127","url":null,"abstract":"<div><h3>Background</h3><div>Acute appendicitis is the most common abdominal surgical emergency worldwide. Researchers from various countries have evaluated the impact of the COVID-19 pandemic on its diagnosis and treatment, as well as a possible change in its management, such as outpatient treatment. The objective of this study was to describe the characteristics of acute appendicitis treated during the COVID-19 State of Emergency (SOE) and to assess whether it could be included in an ambulatory surgery program.</div></div><div><h3>Methods</h3><div>Retrospective observational study involving patients treated at public hospitals for appendix diseases (K35–K38). We collected sociodemographic and clinical data. The influence of the lockdown on each variable was evaluated with a multivariate analysis.</div></div><div><h3>Results</h3><div>201 patients were included. The SOE period group comprised 78 patients, and the pre-SOE period (control) included 123 patients who met the same inclusion criteria. The risk of complicated acute appendicitis increased by 1.015 times with age (<em>P</em>=.000). The longer surgery time was associated with a 7.265 times higher risk of postsurgical complications (<em>P</em>=.000). No differences were observed with respect to drain placement (<em>P</em>=.281), although the percentage was higher in 2020 (13.9% vs 19.7%). The length of hospital stay decreased significantly during the lockdown (<em>P</em>=.017).</div></div><div><h3>Conclusion</h3><div>The lockdown did not influence the outcome of complicated acute appendicitis from the standpoint of morbidity and mortality, reducing the hospital stay, facilitating the path towards outpatient treatment.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 7","pages":"Article 800127"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633610","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 asistida por robot combinada con reconstrucción inmediata con implante prepectoral","authors":"Manuel García García,&nbsp;Carlos Roberto Estrada López,&nbsp;José Manuel Domínguez Carrera,&nbsp;Lucía Rigueiro López,&nbsp;Purificación Fernández Souto","doi":"10.1016/j.ciresp.2025.800113","DOIUrl":"10.1016/j.ciresp.2025.800113","url":null,"abstract":"<div><div>Robot-assisted sparing mastectomy combined with immediate reconstruction using a prepectoral breast implant is a novel technique that provides good aesthetic results and high patient satisfaction. It was described for the first time by Antonio Toesca in 2015. In Spain, it is currently carried out in very few places. The results of this technique have been reported in multiple studies with low conversion and complication rates. It is indicated in patients with genetic risk and in patients with early breast cancer presenting no evidence of skin, chest wall or nipple-areolar complex involvement. In order to advocate the robotic approach, we give a step-by-step explanation so that it can be reproduced safely. However, we are aware that the technique entails a long learning curve and requires the availability of robotic equipment as well as experience in open breast cancer surgery.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 6","pages":"Article 800113"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144261295","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":"Ventajas del abordaje robótico en el manejo de complicaciones biliares tardías tras el trasplante hepático","authors":"Víctor López-López,&nbsp;Pedro Cascales-Campos,&nbsp;Francisco Sánchez-Bueno,&nbsp;Pablo Ramírez,&nbsp;Ricardo Robles-Campos","doi":"10.1016/j.ciresp.2025.800102","DOIUrl":"10.1016/j.ciresp.2025.800102","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 6","pages":"Article 800102"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144261291","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":"Evaluación del PreopScore® en pacientes trasplantados hepáticos por carcinoma hepatocelular","authors":"Adrián Paredes ,&nbsp;Celia Villodre ,&nbsp;Paola Melgar ,&nbsp;Sonia Pascual ,&nbsp;José M. Ramia","doi":"10.1016/j.ciresp.2025.800104","DOIUrl":"10.1016/j.ciresp.2025.800104","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 6","pages":"Article 800104"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262008","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}