Cirugia Espanola最新文献

{"title":"¿Macroadenoma paratiroideo quístico o quiste de duplicación esofágico? Una presentación infrecuente de una patología habitual","authors":"","doi":"10.1016/j.ciresp.2024.03.005","DOIUrl":"10.1016/j.ciresp.2024.03.005","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140764905","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 prospectivo sobre la seguridad y la eficacia del tratamiento sin antibioterapia de los pacientes diagnosticados de diverticulitis aguda no complicada tras la puesta en marcha de un protocolo en un hospital de tercer nivel","authors":"Alba Correa Bonito,&nbsp;Carlos Cerdán Santacruz,&nbsp;Yaiza García del Álamo Hernández,&nbsp;Fernando Gijón Moya,&nbsp;Elena Bermejo Marcos,&nbsp;Ana Rodríguez Sánchez,&nbsp;Javier García Septiem,&nbsp;Elena Martín Pérez","doi":"10.1016/j.ciresp.2024.04.018","DOIUrl":"10.1016/j.ciresp.2024.04.018","url":null,"abstract":"<div><h3>Introduction</h3><p>The main objective of our study is to analyze the results in our hospital after launching a treatment protocol without antibiotic therapy for patients diagnosed with acute uncomplicated diverticulitis.</p></div><div><h3>Methods</h3><p>Our observational, prospective, single-center study was developed after launching a treatment protocol without antibiotic therapy for patients diagnosed with acute uncomplicated diverticulitis (AUD) in January 2021. The follow-up period was from January 1, 2021 to September 30, 2023. Variables evaluated by the study have included demographic and analytical variables, as well as those related to diagnosis and whether the patients needed to start antibiotic treatment, inpatient treatment, or surgical procedures.</p></div><div><h3>Results</h3><p>In total, 199 patients were diagnosed with AUD, 75 of whom were treated without antibiotic therapy as outpatients. Seven of these patients needed to start antibiotic treatment because of adverse evolution; none of these patients required surgical procedures. The need for inpatient treatment, urgent care, or surgical procedures is similar to the group of patients treated with antibiotics.</p><p>The main risk factor of failure of outpatient treatment without antibiotic therapy identified by the study was the presence of bacteriuria at diagnosis.</p></div><div><h3>Conclusions</h3><p>Our results confirm previous reports, observing that treatment without antibiotic therapy in selected patients with AUD is safe.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142135778","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 de la heterogeneidad en el metaanálisis","authors":"Guillermo Lillo-Albert ,&nbsp;Andrea Boscà i Robledo ,&nbsp;Salvador Pous-Serrano","doi":"10.1016/j.ciresp.2024.03.009","DOIUrl":"10.1016/j.ciresp.2024.03.009","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951517","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":"A comparison of whole-mount and conventional sections for pathological mesorectal extension and circumferential resection margin assessment after total mesorectal excision","authors":"Francisco Giner ,&nbsp;Matteo Frasson ,&nbsp;Hanna Cholewa ,&nbsp;Jorge Sancho-Muriel ,&nbsp;Enrique García-Gómez ,&nbsp;Josselyn A. Hernández ,&nbsp;Blas Flor-Lorente ,&nbsp;Eduardo García-Granero","doi":"10.1016/j.ciresp.2024.01.008","DOIUrl":"10.1016/j.ciresp.2024.01.008","url":null,"abstract":"<div><h3>Introduction</h3><p>The objective of the study is to compare 2 techniques for histological handling of rectal cancer specimens, namely whole-mount in a large block vs conventional sampling using small blocks, for mesorectal pathological assessment of circumferential resection margin status and depth of tumor invasion into the mesorectal fat.</p></div><div><h3>Methods</h3><p>This is a prospective study including 27 total mesorectal excision specimens of rectal cancer from patients treated for primary rectal carcinoma between 2020 and 2022 in a specialized multidisciplinary Colorectal Unit. For each total mesorectal excision specimen, 2 contiguous representative tumoral slices were selected and comparatively analyzed with whole-mount and small blocks macroscopic dissection techniques, enabling comparison between them in the same surgical specimen. The agreement between the 2 techniques to assess the distance of the tumor from the circumferential resection margin as well as the depth of tumor invasion was evaluated with the Student’s <em>t</em>-test for paired samples, Pearson’s correlation coefficient, and the Bland-Altman method comparison analysis.</p></div><div><h3>Results</h3><p>Complete mesorectal excision was observed in 8% of cases. Circumferential resection margin involvement was observed in only one case (4 %). The whole-mount and small block techniques obtained similar results when we assessed the distance to the circumferential resection margin (<em>t</em>-test <em>P</em> = 0.8, <em>r</em> = 0.92) and the depth of mesorectal infiltration (<em>t</em>-test <em>P</em> = 0.6, <em>r</em> = 0.95).</p></div><div><h3>Conclusions</h3><p>Both gross dissection techniques (whole-mount vs multiple small cassettes) are equivalent and reliable to assess the distance to circumferential resection margin and the depth of mesorectal infiltration in the mesorectal fat in rectal cancer staging.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0009739X24000368/pdfft?md5=6037b0fe9afcfd8e3f449aa88fe963a0&pid=1-s2.0-S0009739X24000368-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respuesta a «Mini-ALPPS híbrido laparoscópico usando embolización portal intraoperatoria transmesentérica en el tratamiento del colangiocarcinoma intrahepático localmente avanzado»","authors":"Luis Carlos Hinojosa Arco,&nbsp;Jorge Francisco Roldán de la Rua,&nbsp;Rocío Gómez Pérez,&nbsp;Miguel Ángel Suárez Muñoz","doi":"10.1016/j.ciresp.2024.04.019","DOIUrl":"10.1016/j.ciresp.2024.04.019","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141705513","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":"Tratamiento quirúrgico del síndrome del ligamento arcuato medio (SLAM) mediante plataforma robótica","authors":"Anna Vidal Carné,&nbsp;Alba Zárate Pinedo,&nbsp;Sara Sentí Farrarons,&nbsp;Esteban Cugat Andorrà","doi":"10.1016/j.ciresp.2024.05.015","DOIUrl":"10.1016/j.ciresp.2024.05.015","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951514","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":"Diez años prehabilitando: de la teoría a la práctica clínica","authors":"Marta Ubré ,&nbsp;Mar Montané-Muntané ,&nbsp;Iago Diéguez ,&nbsp;Graciela Martínez-Pallí","doi":"10.1016/j.ciresp.2024.04.007","DOIUrl":"10.1016/j.ciresp.2024.04.007","url":null,"abstract":"<div><p>In recent years, prehabilitation has generated high expectations as an innovative preoperative strategy to enhance clinical outcomes following surgery. Several studies have demonstrated that multimodal programs are effective in improving patients’ health status and cardiopulmonary reserve, allowing them to undergo surgery in better conditions and, consequently, reducing the incidence of postoperative complications.</p><p>Most publications describe proof-of-concept studies, and literature about their implementation is more limited. The implementation of these programs requires new resources and significant organizational effort.</p><p>In this paper, we share our experience implementing a multimodal prehabilitation program as a mainstream service at a tertiary hospital. Although there are still many unknowns regarding the optimal selection of patients, as well as the duration and components of the program, this article describes our journey in this field, aiming to provide insight for teams interested in developing a similar project.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841292","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":"A rare cause of acute abdominal pain: Perforation of a hepatic hydatid cyst into the peritoneum","authors":"Gökhan Tonkaz ,&nbsp;Cemre Akdeniz ,&nbsp;Mehmet Tonkaz ,&nbsp;Duygu Erkal Tonkaz ,&nbsp;Serdar Aslan","doi":"10.1016/j.ciresp.2024.02.008","DOIUrl":"10.1016/j.ciresp.2024.02.008","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951519","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":"Eventración estrangulada a través de orificio de catéter de diálisis peritoneal","authors":"","doi":"10.1016/j.ciresp.2024.03.002","DOIUrl":"10.1016/j.ciresp.2024.03.002","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141040077","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":"Comparación y combinación de tres fuentes de datos de la historia clínica para determinar la cuantificación óptima de la morbilidad posoperatoria según la Clasificación de Clavien Dindo y el Comprehensive Complication Index. Estudio prospectivo","authors":"","doi":"10.1016/j.ciresp.2024.03.013","DOIUrl":"10.1016/j.ciresp.2024.03.013","url":null,"abstract":"<div><h3>Introduction</h3><p>It is currently unknown which data sources from the clinical history, or combination thereof, should be evaluated to achieve the most complete calculation of postoperative complications (PC).</p></div><div><h3>Objective</h3><p>To analyze the morbidity and mortality of 200 consecutive patients undergoing major surgery, to determine which data sources or combination collect the maximum morbidity, and to determine the accuracy of the morbidity reflected in the discharge report.</p></div><div><h3>Methods</h3><p>Observational and prospective cohort study. The sum of all PC found in the combined review of medical notes, nursing notes, and a specific form was considered the gold standard. PC were classified according to the Clavien Dindo Classification and the Comprehensive Complication Index (CCI).</p></div><div><h3>Results</h3><p>The percentage of patients who presented PC according to the gold standard, medical notes, nursing notes and form were: 43.5%, 37.5%, 35% and 18.7% respectively.</p><p>The combination of sources improved CCI agreement by 8%-40% in the overall series and 39.1-89.7% in patients with PC. The correct recording of PC was inversely proportional to the complexity of the surgery, and the combination of sources increased the degree of agreement with the gold standard by 35%-67.5% in operations of greater complexity.</p><p>The CDC and CCI of the discharge report coincided with the <em>gold-standard</em> values in patients with PC by 46.8% and 18.2%, respectively.</p></div><div><h3>Conclusions</h3><p>The combination of data sources, particularly medical and nursing notes, considerably increases the quantification of PC in general, most notably in complex interventions.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141139133","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}