Cirugia Espanola最新文献

{"title":"Cuando evitamos nombrar la muerte","authors":"María Jesús Gómez Ramos , Francisco Miguel González Valverde","doi":"10.1016/j.ciresp.2025.800281","DOIUrl":"10.1016/j.ciresp.2025.800281","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 3","pages":"Article 800281"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147400072","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":"Valor en cirugía: de la calidad técnica a la calidad de vida","authors":"Carles Illa","doi":"10.1016/j.ciresp.2026.800291","DOIUrl":"10.1016/j.ciresp.2026.800291","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 3","pages":"Article 800291"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146191178","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":"Neoadyuvancia y estrategia Watch and Wait en cáncer de recto diagnosticado tras cirugía de reasignación de sexo","authors":"Noelia Ibáñez , Jesús Abrisqueta , Juan Antonio Encarnación , Quiteria Hernández","doi":"10.1016/j.ciresp.2026.800299","DOIUrl":"10.1016/j.ciresp.2026.800299","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 3","pages":"Article 800299"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146191180","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":"The effect of Roux-en-Y gastric bypass on uric acid levels: a meta-analysis","authors":"Tannaz Jamialahamdi ,&nbsp;Elaheh Mirhadi ,&nbsp;Željko Reiner ,&nbsp;Wael Almahmeed ,&nbsp;Saheem Ahmad ,&nbsp;Bodor Bin Sheeha ,&nbsp;Safia Obaidur Rab ,&nbsp;Khalid Al-Rasadi ,&nbsp;Sepideh Salehabadi ,&nbsp;Amirhossein Sahebkar","doi":"10.1016/j.ciresp.2026.800284","DOIUrl":"10.1016/j.ciresp.2026.800284","url":null,"abstract":"<div><h3>Objective</h3><div>Obesity is an important, modifiable, independent risk factor for elevated serum uric acid (SUA) levels. A number of studies have shown that weight loss can lead to a decrease in SUA concentrations. However, the existing evidence regarding the effect of a particular type of bariatric surgery (Roux-en-Y gastric bypass, RYGB) on SUA levels is limited and not fully understood. Therefore, the aim of this meta-analysis was to evaluate the effect of RYGB on circulating uric acid levels.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted across databases including Embase, PubMed, Web of Science, and Scopus. The overall effect size was assessed through a random-effects meta-analysis and by employing a leave-one-out analytical method.</div></div><div><h3>Results</h3><div>The random-effects meta-analysis of 18 trials including 1312 individuals confirmed a significant reduction in uric acid following RYGB (WMD: −1.090 mg/dL, 95% CI: −1.429, −0.752, <em>P</em> &lt; .001). In sub-analyses analyzing the duration of follow up, there was a significant reduction in uric acid after ≥12 months (WMD: −1.168, 95% CI: −1.663, −0.673, <em>P</em> &lt; .001), and &lt;12 months (WMD: −0.941, 95% CI: −1.379, −0.503, <em>P</em> &lt; .001). There was no significant change in circulating uric acid concentrations based on the duration of follow-up.</div></div><div><h3>Conclusion</h3><div>The RYGB type of bariatric surgery significantly decreases SUA levels. This result was not related to the length of follow-up period following bariatric surgery.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 3","pages":"Article 800284"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147400074","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":"In memoriam: Francisco Barreiro Morandeira","authors":"Salustiano González Vinagre","doi":"10.1016/j.ciresp.2026.800292","DOIUrl":"10.1016/j.ciresp.2026.800292","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 3","pages":"Article 800292"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146191181","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":"IA en el diagnóstico y manejo del adenocarcinoma gástrico: revisión sistemática","authors":"Ismael Gómez Giménez ,&nbsp;Juan Jesús Rubio Garcia ,&nbsp;Silvia Carbonell Morote ,&nbsp;José Manuel Ramia Ángel","doi":"10.1016/j.ciresp.2025.800276","DOIUrl":"10.1016/j.ciresp.2025.800276","url":null,"abstract":"<div><div>Gastric cancer (GC) has high mortality due to late diagnosis from nonspecific symptoms. Advances in diagnostics and artificial intelligence (AI) promise earlier detection through greater sensitivity and specificity. This study reviews literature, including meta-analyses and systematic reviews, on AI in gastric adenocarcinoma (GA). In December 2024, following PRISMA, we searched PubMed, Web of Science, and Cochrane. Seventeen of 228 articles met inclusion criteria, comparing AI with other diagnostic or therapeutic approaches. Findings indicate AI may enhance imaging, histological assessment, endoscopy techniques, and surgical procedures. Progressive hospital implementation could significantly transform GA diagnosis, treatment, and prognosis.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 3","pages":"Article 800276"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146081417","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":"Factores psicosociales y conductuales asociados a la experiencia alimentaria tras cirugía bariátrica: un estudio transversal en pacientes españoles","authors":"David Peña-Otero ,&nbsp;Ma Alexandra Gualdrón-Romero ,&nbsp;María Eguillor-Mutiloa ,&nbsp;Francisco José Gracia-Cordero ,&nbsp;Jaione Beristain-Larrucea","doi":"10.1016/j.ciresp.2026.800286","DOIUrl":"10.1016/j.ciresp.2026.800286","url":null,"abstract":"<div><h3>Introduction</h3><div>Food satisfaction and relationship with food are key determinants of quality of life after bariatric surgery; however, the factors that modulate them remain poorly defined. The objective of this study was to analyze the eating experience of bariatric surgery patients and identify the clinical, behavioral, and psychosocial factors that influence it.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 63 patients (71.4% women; age 42.6<!--> <!-->±<!--> <!-->9.7 years) who underwent gastric <em>bypass</em> or gastric sleeve surgery (25.3<!--> <!-->±<!--> <!-->17.2 months). Sociodemographic data, postoperative time, and self-reported variables were collected: eating satisfaction (Likert 1–5), relationship with food (VAS 1–10), self-esteem, physical activity, and eating patterns. ANOVA and multiple linear regression (α<!--> <!-->=<!--> <!-->0.05) were applied.</div></div><div><h3>Results</h3><div>47.6% reported being able to eat any food. These patients showed greater food satisfaction than those reporting restrictions (4.20<!--> <!-->±<!--> <!-->0.68 vs. 3.48<!--> <!-->±<!--> <!-->0.87; F<!--> <!-->=<!--> <!-->12.96; p &lt;<!--> <!-->0.001; η² &lt;<!--> <!-->p &lt;<!--> <!-->/ sub<!--> <!-->&gt;<!--> <!-->=<!--> <!-->0.18). The timing of the main meal was associated with the relationship with food (F<!--> <!-->=<!--> <!-->3.49; p<!--> <!-->=<!--> <!-->0.037): lunch (7.62<!--> <!-->±<!--> <!-->1.89)<!--> <!-->&gt; dinner (5.38<!--> <!-->±<!--> <!-->2.77). The multivariate model explained 45% of the variance in the relationship with food (R² <!-->=<!--> <!-->0.454): self-esteem (β<!--> <!-->=<!--> <!-->0.53; p &lt;<!--> <!-->0.001) and physical activity (β<!--> <!-->=<!--> <!-->0.23; p<!--> <!-->=<!--> <!-->0.043) were independent predictors, while postoperative time was not significant (p<!--> <!-->=<!--> <!-->0.232).</div></div><div><h3>Conclusions</h3><div>Perceived dietary flexibility, self-esteem, and regular physical activity are the main determinants of a satisfactory eating experience after bariatric surgery, above and beyond the mere passage of time. These results support the inclusion of psychological interventions and structured physical exercise in multidisciplinary postoperative follow-up.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 3","pages":"Article 800286"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146191179","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":"Impacto clínico y económico sostenido de la gastrectomía vertical. Más allá de la pérdida de peso","authors":"Ibabe Villalabeitia Ateca ,&nbsp;Oihane Gutiérrez Grijalba ,&nbsp;Iker Ustarroz Aguirre ,&nbsp;Maria Teresa Acaiturri Ayesta ,&nbsp;Alvaro Andrés Bilbao ,&nbsp;Gaizka Errazti Olartekoetxea ,&nbsp;Aingeru Sarriugarte Lasarte","doi":"10.1016/j.ciresp.2026.800287","DOIUrl":"10.1016/j.ciresp.2026.800287","url":null,"abstract":"<div><h3>Introduction</h3><div>Obesity represents a growing public health problem with significant clinical and economic implications. Sleeve gastrectomy is currently the most widely performed bariatric procedure worldwide. This study evaluates its clinical effectiveness and its impact on healthcare resource utilization in a referral hospital.</div></div><div><h3>Methods</h3><div>Retrospective study of a prospective series of 321 patients who underwent sleeve gastrectomy between 2011 and 2020, with a minimum follow-up of 5 years. Anthropometric variables, comorbidities, and healthcare resource utilization were analyzed. For the economic evaluation, 42 patients with complete data were included, applying a bottom-up real-costing approach. Comparisons were stratified by age, sex, and baseline BMI.</div></div><div><h3>Results</h3><div>The percentage of excess BMI loss at 5 years was 62.4%. Significant remission was observed in metabolic syndrome (64%), type 2 diabetes (63.5%), and hypertension (52.7%), with a lower impact on dyslipidemia. The economic analysis showed a mean reduction of 1.6 primary care visits, 2.7 hospital visits, and an average saving of €<!--> <!-->673 per patient per year. In multimorbid patients, savings reached €<!--> <!-->1,262 per year.</div></div><div><h3>Conclusions</h3><div>Sleeve gastrectomy is an effective and safe intervention, providing sustained clinical benefits and a significant reduction in healthcare expenditure, particularly among patients with multiple comorbidities. These findings support its inclusion in public health strategies aimed at ensuring the sustainability of the healthcare system.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 3","pages":"Article 800287"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147400073","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":"Abordaje robótico real para la hemihepatectomía izquierda extendida al caudado con resección de vena porta por colangiocarcinoma hiliar extrahepático de Klatskin tipo Bismuth IIIb","authors":"Jordi Navinés-López,&nbsp;Alba Zárate Pinedo,&nbsp;Francisco Espin Alvarez,&nbsp;Esteban Cugat Andorrà","doi":"10.1016/j.ciresp.2025.800267","DOIUrl":"10.1016/j.ciresp.2025.800267","url":null,"abstract":"<div><div>This article provides a detailed description of the robotic approach used to perform an extended left hepatectomy with venous resection in a 65-year-old female patient with a Bismuth-Corlette tumour type 3b infiltrating the portal confluence. A Glissonean pedicle approach was used to achieve total prehepatic vascular control and resection of the left portal confluence, followed by transverse reconstruction according to the Heineke-Mikulicz technique. The parenchymal transection, including the entire caudate lobe, was performed robotically, with left hanging manoeuvre after complete piggybacking of the vena cava. The final pathological result was G3 pT2bN1M0 (2/11) signet ring cell adenocarcinoma. The robotic approach enabled adjuvant treatment to be initiated immediately. No major complications were recorded within 90 days, and the patient was discharged on the 5th day.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 3","pages":"Article 800267"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146191227","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":"Definiendo límites de seguridad en la donación de órganos: el donante de riesgo no estándar","authors":"Antonio Ríos ,&nbsp;Beatriz Mahíllo ,&nbsp;Beatriz Domínguez-Gil","doi":"10.1016/j.ciresp.2025.800277","DOIUrl":"10.1016/j.ciresp.2025.800277","url":null,"abstract":"<div><div>The transmission of diseases through organ transplantation is an inherent risk to the transfer of biological material between individuals. This risk must be minimized, while also avoiding the unnecessary loss of organs suitable for transplantation obtained from donors with a history of a condition that may affect organ function or may be transmitted to the recipient—such donors are referred to as non-standard risk donors. The final decision to transplant organs from these donors must be made following a thorough risk/benefit assessment.</div><div>To this end, the approach in Spain has been based on the provision of targeted support to transplant teams through the development and adoption of reference documents, a second-opinion system, and the generation of evidence through the prospective follow-up of recipients of organs trasplanted from this type of donors.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 3","pages":"Article 800277"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146057541","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}