Cirugia Espanola最新文献

{"title":"Umbrella reviews","authors":"Marta Roqué i Figuls , Marta Sabater-Martos , Ivan Solà","doi":"10.1016/j.ciresp.2024.05.004","DOIUrl":"10.1016/j.ciresp.2024.05.004","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142425627","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":"Esplenectomía robótica: ¿el nuevo patrón oro?","authors":"Jose M Ramia , Cándido Alcazar , Beniamino Pascotto , Paola Melgar , Juan Santiago Azagra","doi":"10.1016/j.ciresp.2024.07.002","DOIUrl":"10.1016/j.ciresp.2024.07.002","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142425623","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":"Etapas para la realización de una revisión sistemática con metaanálisis","authors":"Josep M Garcia-Alamino , Manuel López-Cano","doi":"10.1016/j.ciresp.2024.05.010","DOIUrl":"10.1016/j.ciresp.2024.05.010","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142425628","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":"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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}