Cirugia Espanola最新文献_第7页

“Current Use and Clinical Applications of Intraoperative Radiotherapy in Soft Tissue Sarcomas: Insights from a National Survey in Spain” 术中放疗在软组织肉瘤中的应用现状及临床应用：来自西班牙全国调查的见解

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2026-01-01 Epub Date: 2026-01-24 DOI: 10.1016/j.ciresp.2025.800244

Paula Muñoz-Muñoz , Irene López-Rojo , Amaia Ilundain-Idoate , Pedro Bretcha-Boix , Rosa M. Cañon , Felipe A. Calvo , Jose Manuel Asencio-Pascual

{"title":"“Current Use and Clinical Applications of Intraoperative Radiotherapy in Soft Tissue Sarcomas: Insights from a National Survey in Spain”","authors":"Paula Muñoz-Muñoz , Irene López-Rojo , Amaia Ilundain-Idoate , Pedro Bretcha-Boix , Rosa M. Cañon , Felipe A. Calvo , Jose Manuel Asencio-Pascual","doi":"10.1016/j.ciresp.2025.800244","DOIUrl":"10.1016/j.ciresp.2025.800244","url":null,"abstract":"<div><div>Soft tissue sarcomas (STS) require a multidisciplinary approach that balances oncologic control with functional preservation. Adjuvant external beam radiotherapy (EBRT) improves local control but is often limited by its toxicity. Intraoperative radiotherapy (IORT) allows for precise delivery of a single high dose during surgery, minimizing radiation exposure to adjacent tissues. This study reviews the role of IORT to treat sarcoma in the extremities and retroperitoneum, while also evaluating current clinical applications, prognosis and usage trends in Spain, based on a national survey that collected responses from all centers currently using IORT. IORT is employed in STS treatment in 11 Spanish hospitals (mostly electron-based systems), but the volume of patients treated is very low (63.6% use IORT in ≤10 cases per year). Despite favorable local control rates and reduced morbidity, access to IORT remains inconsistent at sarcoma referral centers. Broader integration and standardized protocols are needed, alongside future prospective studies on neoadjuvant EBRT and IORT.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"104 1","pages":"Article 800244"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090623","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}

引用次数: 0

Anomalous pulmonary vein drainage into the innominate vein diagnosed by 3D reconstruction prior to vats lobectomy 大桶肺叶切除术前三维重建诊断异常肺静脉引流至无名静脉

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2026-01-01 Epub Date: 2026-01-24 DOI: 10.1016/j.ciresp.2025.800258

Cristina Rivas Duarte , Clara Forcada Barreda , Oscar Colmenares Mendoza , María Teresa Gómez Hernández

引用次数: 0

Relevo generacional en el trasplante hepático: desafíos y oportunidades tras una encuesta nacional 肝脏移植的代际变迁：全国调查后的挑战和机遇

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-12-01 Epub Date: 2025-11-21 DOI: 10.1016/j.ciresp.2025.800238

Víctor López-López , Cándido Alcázar , Ricardo Robles Campos , Jose Manuel Ramia , Pablo Ramírez

引用次数: 0

Gangrena gaseosa hepática 肝气态坏疽

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-12-01 Epub Date: 2025-11-22 DOI: 10.1016/j.ciresp.2025.800241

María del Mar Gómez Cisneros , Cristina Méndez García , Jesús Cañete Gómez , Pablo Parra Membrives

引用次数: 0

Hernia inguinoescrotal con herniación vesical y ureterohidronefrosis 腹膜疝气伴膀胱疝气和尿道缺水

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-12-01 Epub Date: 2025-11-17 DOI: 10.1016/j.ciresp.2025.800243

Gema Cabanillas Vera , Alejandro Rodriguez Caballero , Alberto Hernández Matías , Sara Gortázar de las Casas

引用次数: 0

¿Influye la obtención de textbook outcome en la supervivencia de los pacientes intervenidos por hepatocarcinoma? 获得教科书结果对接受肝癌手术的患者的生存有影响吗？

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-12-01 Epub Date: 2025-11-22 DOI: 10.1016/j.ciresp.2025.800239

Jose M Ramia , Adrian Paredes , Cándido Alcazar , Silvia Carbonell-Morote , Paola Melgar , Celia Villodre

引用次数: 0

Daño administrativo en la práctica clínica: más allá de la burocracia 临床实践中的行政损害：超越官僚主义

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-12-01 Epub Date: 2025-10-29 DOI: 10.1016/j.ciresp.2025.800232

Manuel López Cano , Josep M García-Alamino

引用次数: 0

Comparison of weight loss and metabolic syndrome parameters between sleeve gastrectomy and Roux-en-Y gastric bypass: A propensity score analysis 袖式胃切除术和Roux-en-Y胃旁路术的体重减轻和代谢综合征参数比较：倾向评分分析

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-12-01 Epub Date: 2025-12-05 DOI: 10.1016/j.ciresp.2025.800226

María Asunción Acosta-Mérida , Raquel Bañolas-Suárez , Julia Díaz-Dávila , Pedro Saavedra-Santana , Joaquín Marchena-Gómez

{"title":"Comparison of weight loss and metabolic syndrome parameters between sleeve gastrectomy and Roux-en-Y gastric bypass: A propensity score analysis","authors":"María Asunción Acosta-Mérida , Raquel Bañolas-Suárez , Julia Díaz-Dávila , Pedro Saavedra-Santana , Joaquín Marchena-Gómez","doi":"10.1016/j.ciresp.2025.800226","DOIUrl":"10.1016/j.ciresp.2025.800226","url":null,"abstract":"<div><h3>Introduction</h3><div>Although laparoscopic sleeve gastrectomy (LSG) has positioned itself as the leading bariatric technique worldwide, surpassing laparoscopic Roux-en-Y gastric bypass (LRYGB), its possible inferiority in terms of weight and metabolic results remains controversial. The of this study was to compare the response of both techniques in terms of weight loss and obesity-related metabolic complications.</div></div><div><h3>Methods</h3><div>We conducted a retrospective study of all patients who had undergone LSG and LRYGB in our center from 2013 to 2022. Patient characteristics, postoperative complications, postoperative weight loss and evolution of comorbidities were recorded. Propensity score matching (1:1) was performed to homogenize the 2 intervention groups for body mass index (BMI) and preoperative metabolic syndrome.</div></div><div><h3>Results</h3><div>Out of the 354 patients who met the selection criteria, 309 patients were ultimately included in the study (172 LSG and 137 LRYGB); mean age was 45.8 ± 9.5 years; 205 were women (66.3%). Median BMI was 47 (interquartile range = 42.8–52.9). After propensity score matching, 118 patients remained in each group. BMI trajectories during the first 3 years of follow-up after the 2 types of surgery showed no significant differences (<em>P</em> = .693). One month after treatment, there were also no differences in postoperative metabolic syndrome parameters or complication rates (<em>P</em> = .866).</div></div><div><h3>Conclusions</h3><div>Our data suggest that sleeve gastrectomy provides a similar weight and metabolic response to Roux-en-Y gastric bypass in patients with similar BMI and metabolic syndrome characteristics.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 12","pages":"Article 800226"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684595","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}

引用次数: 0

Assessing improvements in quality using textbook outcomes in colorectal surgery: A systematic review 使用教科书结果评估结直肠手术质量的改善：一项系统综述

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-12-01 Epub Date: 2025-12-05 DOI: 10.1016/j.ciresp.2025.800223

Luis Hurtado-Pardo, Zutoia Balciscueta Coltell, Janine Tabet Almeida, Mº Carmen Martin Diéguez, Manuel López Bañeres, Natalia Uribe Quintana

{"title":"Assessing improvements in quality using textbook outcomes in colorectal surgery: A systematic review","authors":"Luis Hurtado-Pardo, Zutoia Balciscueta Coltell, Janine Tabet Almeida, Mº Carmen Martin Diéguez, Manuel López Bañeres, Natalia Uribe Quintana","doi":"10.1016/j.ciresp.2025.800223","DOIUrl":"10.1016/j.ciresp.2025.800223","url":null,"abstract":"<div><div>Textbook outcome is a composite measure of several clinically important perioperative outcomes that are included in the definition of ideal surgical care. The aim of this study is to summarize the different definitions concerning textbook outcome in colorectal surgery. A systematic review of the literature according to PRISMA guidelines was carried out until April 2025. Primary studies on adult patients undergoing colon or rectal resection and assessing the textbook outcomes of the procedure were included. Twenty-one studies were included for review. Textbook outcomes achieved varied from 41.8% to 80.8%. The most prevalent variables were “no mortality” and “length of stay” (85.7%). The variable that contributed mostly to not meeting the definition of textbook outcome was “no complications” (42.9%), with 6 possible definitions. As a result of the variability described, a consensus is to be reached in order to validate the extension of this tool. The proposed definition for textbook outcomes in colorectal surgery would be the following: no complications (>III Clavien-Dindo), length of stay (<75th percentile), no readmissions (<30 days), no mortality (<30 days), and oncological surgery (R0 resection and >12 lymph nodes).</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 12","pages":"Article 800223"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684702","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}

引用次数: 0

Factores humanos en la práctica quirúrgica: estudio nacional 外科手术中的人为因素：国家研究

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2025-12-01 Epub Date: 2025-11-24 DOI: 10.1016/j.ciresp.2025.800257

Mireia Verdaguer-Tremolosa, Víctor Rodrigues-Gonçalves, Pilar Martínez-López, Manuel López Cano

{"title":"Factores humanos en la práctica quirúrgica: estudio nacional","authors":"Mireia Verdaguer-Tremolosa, Víctor Rodrigues-Gonçalves, Pilar Martínez-López, Manuel López Cano","doi":"10.1016/j.ciresp.2025.800257","DOIUrl":"10.1016/j.ciresp.2025.800257","url":null,"abstract":"<div><h3>Introduction</h3><div>In the surgical setting, stress, burnout and the non-technical skills are increasingly recognized as factors influencing quality of care, workplace well-being and economic costs. However, these issues have been scarcely studied among general and digestive surgery in Spain. This study aims to assess burnout, stress and non-cognitive aspects in this specific professional group in Spain.</div></div><div><h3>Methods</h3><div>A 28-item survey was designed to evaluate different dimensions of burnout and non-cognitive factors. Participation was voluntary and it was distributed through the Spanish association of surgeons (Asociación Española de Cirugía).</div></div><div><h3>Results</h3><div>A total of 325 surgeons completed the survey. Women accounted for 57.5% of respondents and 95.1% worked in public hospitals. Up to 21.8% habitually experienced anxiety in daily situations, and 63% indicated a lack of training in these areas. Moreover, 22.8% acknowledged seeking professional assistance for related issues occasionally or frequently. Nearly 48% reported regularly exceeding their standard working hours, 69% experienced difficulties in achieving work-life balance, and a marked perception of insufficient institutional support was noted. These issues were significantly more prevalent among women and younger surgeons.</div></div><div><h3>Conclusions</h3><div>The prevalence of anxiety, burnout, work-life balance difficulties and perceived lack of institutional support is high among general and digestive surgeons. These findings underscore the need to develop targeted strategies addressing these factors within the specialty.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 12","pages":"Article 800257"},"PeriodicalIF":1.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617784","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}

引用次数: 0