Cirugia Espanola最新文献

{"title":"Invaginación intestinal secundaria a metástasis de melanoma","authors":"Sara Peidro Parres , Javier Cortés Climent , Antonio Boluda Sánchez , Ma de los Lirios Ferri Candela","doi":"10.1016/j.ciresp.2025.800269","DOIUrl":"10.1016/j.ciresp.2025.800269","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 2","pages":"Article 800269"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145972951","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 modified Federle score is superior to injury grade in predicting the need for splenectomy in patients with isolated blunt splenic trauma","authors":"Corrado P. Marini ,&nbsp;Patrizio Petrone ,&nbsp;Francesca Izzo ,&nbsp;David A. Lieb II ,&nbsp;Srinivas H. Reddy ,&nbsp;John McNelis","doi":"10.1016/j.ciresp.2025.800262","DOIUrl":"10.1016/j.ciresp.2025.800262","url":null,"abstract":"<div><h3>Background</h3><div>This study assessed whether there is a correlation between the grade of splenic injury and the semiquantitative assessment of the amount of the hemoperitoneum (HP) by a modified Federle score (mFS), and which of the 2 factors is more predictive of the need for intervention in adult patients with isolated blunt splenic injury (iBSI).</div></div><div><h3>Methods</h3><div>Retrospective cohort study of patients admitted (1/1/2019−12/31/2022) with iBSI. Continuous data are presented as means ± standard deviation and non-parametric data as frequencies with percentages. A test-retest analysis for intra- and inter-class reliability of HP assessment was done in a 10-patient subgroup.</div></div><div><h3>Results</h3><div>Among the 62 patients, 47 (75.8%) were managed nonoperatively (23 observation, 24 splenic artery embolization [SAE]), and 15 underwent splenectomy. The grade of splenic injury and mFS scores were 3.6 ± 1.3 and 4.1 ± 1.9, respectively. The 22 patients who underwent SAE were more severely injured in terms of grade of splenic injury (4.0 ± 1.2 vs 2.6 ± 1.1), amount of HP by mFS (4.1 ± 1.8 vs 3.1 ± 1.7) and ISS (21 ± 11 vs 15 ± 12) compared to the observed patients (<em>P</em> &lt; .05). Mortality was 8%. SAE and splenectomy groups differed only by the quantity of HP (4.1 ± 1.8 vs 5.5 ± 1.3). While there was a correlation between AAST grade and mFS, only mFS was predictive of splenectomy.</div></div><div><h3>Conclusion</h3><div>The quantity of HP as assessed by mFS may be more predictive than the grade of splenic injury regarding the need for splenectomy in patients with iBSI.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 1","pages":"Article 800262"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090622","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 impact of microsatellite instability and tumor characteristics on survival of patients with right-sided colon cancer","authors":"Ozgur Ekinci ,&nbsp;Ataturk Nurullayev ,&nbsp;Muhammet Ali Aydemir ,&nbsp;Aysegul Ergun ,&nbsp;Tunc Eren ,&nbsp;Orhan Alimoglu","doi":"10.1016/j.ciresp.2025.800272","DOIUrl":"10.1016/j.ciresp.2025.800272","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to explore the clinical and pathological differences between microsatellite instability-high (MSI-H) and microsatellite stable (MSS) tumors in right-sided colon cancer patients, as well as to evaluate the prognostic significance of MSI status on survival outcomes.</div></div><div><h3>Methods</h3><div>Historical records of patients who underwent surgery for right-sided colon cancer between 2016 and 2024 were evaluated retrospectively. Immunohistochemistry was used for the determination of MSI status, and data on tumor characteristics, lymph node metastasis, carcinoembryonic antigen (CEA) levels, and survival outcomes were analyzed. Comparisons were performed to assess differences between the MSI-H and MSS groups, where <em>P</em> &lt; .05 was considered statistically significant.</div></div><div><h3>Results</h3><div>The study included 100 patients, consisting of 52 men and 48 women with a median age of 72 (range: 63–79). Tumors with MSI-H status were significantly larger (median: 6.50 cm vs 4.50 cm; <em>P</em> &lt; .001) and demonstrated higher rates of mucinous carcinoma (52.9% vs 24.2%; <em>P</em> = .008) compared to MSS tumors. Poor differentiation was more common in MSI-H tumors (20.6% vs 3.03%: <em>P</em> = .003). Overall survival (OS) and disease-free survival (DFS) did not differ significantly between MSI-H and MSS groups (<em>P</em> = .466 and <em>P</em> = .337, respectively). Elevated postoperative CEA levels at 6, 12, 18 and 24 months were significantly associated with poorer survival outcomes (<em>P</em> &lt; .01).</div></div><div><h3>Conclusion</h3><div>Right-sided colon cancers with MSI-H status were associated with larger tumor size, mucinous histology, and poor differentiation but did not significantly affect survival outcomes. Postoperative CEA monitoring provides critical prognostic information. Further large-scale studies are required to confirm these findings and refine therapeutic approaches.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 1","pages":"Article 800272"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090689","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":"PEComa gigante retroperitoneal: una neoplasia extraordinariamente rara","authors":"Fátima Aguilar del Castillo,&nbsp;Daniel Aparicio-Sánchez,&nbsp;Carlos González de Pedro,&nbsp;Jaime Alonso Gómez,&nbsp;Daniel Diaz Gómez","doi":"10.1016/j.ciresp.2025.800251","DOIUrl":"10.1016/j.ciresp.2025.800251","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 1","pages":"Article 800251"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693738","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":"Prevalence and clinical significance of appendiceal diverticulosis: An 11-year retrospective study","authors":"Ramazan Serdar Arslan ,&nbsp;Resad Beyoglu ,&nbsp;Yavuz Savas Koca ,&nbsp;Ahmet Emre Yenipazar","doi":"10.1016/j.ciresp.2025.800263","DOIUrl":"10.1016/j.ciresp.2025.800263","url":null,"abstract":"<div><h3>Background</h3><div>Appendiceal diverticulosis is a rare and often underdiagnosed entity with significant clinical implications. Limited data are available regarding its incidence, clinicopathological features, and optimal management strategies.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed 6836 appendectomy specimens at our institution between January 2013 and December 2024. Cases diagnosed with appendiceal diverticulosis were identified, and their demographic, clinical, radiological, and pathological data were analyzed. The incidence, presentation, complications, and association with neoplasms were assessed.</div></div><div><h3>Results</h3><div>Nineteen cases (0.27%) of appendiceal diverticulosis were identified, with a male predominance (68.4%) and a mean age of 49.7 ± 16.8 years. Preoperative diagnosis of AD was challenging; ultrasonography and computed tomography often failed to differentiate AD from conventional appendicitis. The perforation rate in AD cases was 26.3%, significantly higher than typical appendicitis. Neoplastic lesions were observed in 10.5% of AD specimens, although no malignancies were detected during the follow-up period. All patients underwent appendectomy, including those with incidentally discovered AD.</div></div><div><h3>Conclusions</h3><div>Appendiceal diverticulosis is a rare but clinically significant condition associated with increased risk of perforation and potential neoplastic transformation. Early surgical intervention is recommended for all cases, including incidental findings, to prevent complications. Our findings contribute to the limited body of literature on AD and highlight the importance of routine histopathological examination of appendectomy specimens.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 1","pages":"Article 800263"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077316","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":"Baja tasa de recurrencia del hepatocarcinoma en pacientes sometidos a trasplante hepático durante el periodo transicional de indicación según criterios de Milán al modelo alfafetoproteína","authors":"Arkaitz Perfecto ,&nbsp;Mikel Prieto ,&nbsp;Alfonso Sánchez-Mayoral ,&nbsp;Álex Bausela ,&nbsp;Mikel Gastaca","doi":"10.1016/j.ciresp.2025.800242","DOIUrl":"10.1016/j.ciresp.2025.800242","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 1","pages":"Article 800242"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624549","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":"Manejo laparoscópico de laceración esplénica iatrogénica. Reporte de un caso","authors":"María Ramón-Baviera Martínez,&nbsp;Ramón Gómez Contreras,&nbsp;Antonio Melero Abellán,&nbsp;Ezequiel Enrique Irigoytia Gutiérrez","doi":"10.1016/j.ciresp.2025.800271","DOIUrl":"10.1016/j.ciresp.2025.800271","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 1","pages":"Article 800271"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883562","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":"«Siewert tipo IV»: una enfermedad del siglo XXI con un tratamiento quirúrgico del siglo XX","authors":"David Ruiz de Angulo,&nbsp;Vicente Munitiz Ruiz","doi":"10.1016/j.ciresp.2025.800236","DOIUrl":"10.1016/j.ciresp.2025.800236","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 1","pages":"Article 800236"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145486046","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":"Preservación del órgano en cáncer de recto: fundamentos clínicos de la estrategia watch-and-wait","authors":"Rosa M. Jimenez-Rodriguez ,&nbsp;Fátima Aguilar-del-Castillo ,&nbsp;Felipe Quezada-Diaz ,&nbsp;Julio García-Aguilar","doi":"10.1016/j.ciresp.2025.800248","DOIUrl":"10.1016/j.ciresp.2025.800248","url":null,"abstract":"<div><div>Locally advanced rectal cancer has traditionally been treated with neoadjuvant chemoradiotherapy, followed by total mesorectal excision (TME)—a technique that is effective but associated with high morbidity and functional impairment. The identification of patients with a clinical complete response (cCR) after treatment has driven the adoption of the “Watch-and-Wait” (W&amp;W) strategy, aimed at avoiding surgery without compromising oncologic safety. Current evidence, drawn from international series, multicenter registries, and clinical trials, supports that W&amp;W offers overall survival and disease-free survival rates comparable to those of radical surgery, with clear advantages in organ preservation and quality of life. However, this strategy requires careful patient selection, standardized reevaluation protocols, and intensive follow-up in specialized centers. In summary, W&amp;W has become a valid and safe alternative to surgical treatment in selected patients with rectal cancer following neoadjuvant therapy.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 1","pages":"Article 800248"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976210","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":"Resección anatómica robótica del segmento I hepático","authors":"Pablo Beltrán Miranda,&nbsp;Marcos Alba Valmorisco,&nbsp;Maria Teresa Moreno Asencio,&nbsp;Rafael Balongo García","doi":"10.1016/j.ciresp.2025.800250","DOIUrl":"10.1016/j.ciresp.2025.800250","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 1","pages":"Article 800250"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693739","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}