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Soluciones digitales y las ciencias de la salud 数字解决方案和健康科学
IF 1.3 4区 医学
Cirugia Espanola Pub Date : 2024-07-01 DOI: 10.1016/j.ciresp.2023.10.007
Julio Mayol
{"title":"Soluciones digitales y las ciencias de la salud","authors":"Julio Mayol","doi":"10.1016/j.ciresp.2023.10.007","DOIUrl":"10.1016/j.ciresp.2023.10.007","url":null,"abstract":"<div><p>Digitalization is the conversion of analog data and information to a digital format based on bits. Digitalization allows managing information in a simple and standardized way. Digital health solutions are technologies that use the digitalization of data and information to improve the health sector in various aspects, such as prevention, diagnosis, treatment, monitoring, research, innovation, training, management and evaluation of health services. These technologies range from mobile applications and telemedicine to artificial intelligence and blockchain, with advantages, barriers, and risks for their application in health care.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139012837","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
Gobierno del dato en la cirugía digital 数字化手术中的数据管理
IF 1.3 4区 医学
Cirugia Espanola Pub Date : 2024-07-01 DOI: 10.1016/j.ciresp.2023.10.006
María Asunción Acosta-Mérida
{"title":"Gobierno del dato en la cirugía digital","authors":"María Asunción Acosta-Mérida","doi":"10.1016/j.ciresp.2023.10.006","DOIUrl":"https://doi.org/10.1016/j.ciresp.2023.10.006","url":null,"abstract":"<div><p>Technological and computer advances have led to a «new era» of surgery called digital surgery. In it, the management of information is the key. The development of artificial intelligence requires Big Data to create its algorithms. The use of digital technology for the systematic capture of data from the surgical process raises ethical issues of privacy, property, and consent. The use of these out-of-control data creates uncertainty and can be a source of mistrust and refusal by surgeons to allow its use, requiring a framework for the correct management of them. This paper exposes the current situation of data governance in digital surgery, the challenges posed and the lines of action necessary to resolve the areas of uncertainty that have arisen in the process, in which the surgeon must play a relevant role.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141582650","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
Cirugía de la enfermedad inflamatoria intestinal en España: ¿cómo lo estamos haciendo? Resultados iniciales de un registro prospectivo nacional (Registro REIC) 西班牙的炎症性肠病手术：我们做得怎么样？全国前瞻性登记（REIC 登记）的初步结果
IF 1.3 4区 医学
Cirugia Espanola Pub Date : 2024-07-01 DOI: 10.1016/j.ciresp.2023.08.001
L. Sánchez-Guillén , F. Blanco-Antona , Á. Soler-Silva , M. Millán
{"title":"Cirugía de la enfermedad inflamatoria intestinal en España: ¿cómo lo estamos haciendo? Resultados iniciales de un registro prospectivo nacional (Registro REIC)","authors":"L. Sánchez-Guillén ,&nbsp;F. Blanco-Antona ,&nbsp;Á. Soler-Silva ,&nbsp;M. Millán","doi":"10.1016/j.ciresp.2023.08.001","DOIUrl":"10.1016/j.ciresp.2023.08.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Inflammatory bowel disease (IBD), which includes Crohn's disease (CD) and ulcerative colitis (UC), requires a multidisciplinary approach, and surgery is commonly needed. The aim of this study was to evaluate the types of surgery performed in these patients in a nationwide study by hospital type, global postoperative complications, and quality of life after surgery.</p></div><div><h3>Methods</h3><p>A prospective, multicenter, national observational study was designed to collect the results of surgical treatment of IBD in Spain. Demographic characteristics, medical-surgical treatments, postoperative complications and quality of life were recorded with a one-year follow-up. Data were validated and entered by a surgeon from each institution.</p></div><div><h3>Results</h3><p>A total of 1134 patients (77 centers) were included: 888 CD, 229 UC, and 17 indeterminate colitis. 1169 surgeries were recorded: 882 abdominal and 287 perianal. Before surgery, 81.6% of the patients were evaluated by a multidisciplinary committee, and the mean preoperative waiting time for elective surgery was 2.09<!--> <!-->±<!--> <!-->2 meses (<em>P</em>&gt;.05). Overall morbidity after one year of follow-up was 16%, and the major complication rate was 36.4%. Significant differences were observed among centers in complex CD surgeries. Overall quality of life improved after surgery.</p></div><div><h3>Conclusions</h3><p>There is heterogeneity in the surgical treatment of IBD among Spanish centers. Differences were observed in patients with highly complex surgeries. Overall quality of life improved with surgical treatment.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140518952","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
Duplication of the transverse colon: A rare cause of abdominal pain in an adult male 横结肠重复：成年男性腹痛的罕见病因
IF 1.3 4区 医学
Cirugia Espanola Pub Date : 2024-07-01 DOI: 10.1016/j.ciresp.2023.07.011
Chendong He , Wei Yang
{"title":"Duplication of the transverse colon: A rare cause of abdominal pain in an adult male","authors":"Chendong He ,&nbsp;Wei Yang","doi":"10.1016/j.ciresp.2023.07.011","DOIUrl":"https://doi.org/10.1016/j.ciresp.2023.07.011","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593755","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
Telecirugía y telementorización 远程手术和远程控制
IF 1.3 4区 医学
Cirugia Espanola Pub Date : 2024-07-01 DOI: 10.1016/j.ciresp.2024.01.014
Carmen Cagigas Fernandez , Marcos Gómez Ruiz
{"title":"Telecirugía y telementorización","authors":"Carmen Cagigas Fernandez ,&nbsp;Marcos Gómez Ruiz","doi":"10.1016/j.ciresp.2024.01.014","DOIUrl":"10.1016/j.ciresp.2024.01.014","url":null,"abstract":"<div><p>Telemedicine has revolutionized the field of surgery, with telemonitoring and telesurgery being 2 of its most promising applications. Telesurgery and telemonitoring are revolutionary applications that have the potential to change the way surgical operations are performed. These applications can allow surgeons to perform operations, enable surgeons to perform operations by assisting or supervising others through mentoring from a different location (telementoring).</p><p>Despite the potential benefits of telemedicine and telementoring, there are still challenges that must be overcome before they can be widely used in clinical practice. For example, latency in data transmission can be a problem in telemedicine, as even a small delay in data transmission can affect the accuracy of the operation. Additionally, a sophisticated and expensive technological infrastructure is required, which can limit their use in some clinical settings. Although we need to work on its development technologically, ethically and legally, it is a promising tool.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140402152","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
The use of mixed reality in the preoperative planning of colorectal surgery: Preliminary experience with a narrative review 在结直肠手术的术前规划中使用混合现实技术：初步经验与叙事回顾
IF 1.3 4区 医学
Cirugia Espanola Pub Date : 2024-07-01 DOI: 10.1016/j.ciresp.2024.01.004
Umberto Bracale , Biancamaria Iacone , Anna Tedesco , Antonio Gargiulo , Maria Michela Di Nuzzo , Daniele Sannino , Salvatore Tramontano , Francesco Corcione
{"title":"The use of mixed reality in the preoperative planning of colorectal surgery: Preliminary experience with a narrative review","authors":"Umberto Bracale ,&nbsp;Biancamaria Iacone ,&nbsp;Anna Tedesco ,&nbsp;Antonio Gargiulo ,&nbsp;Maria Michela Di Nuzzo ,&nbsp;Daniele Sannino ,&nbsp;Salvatore Tramontano ,&nbsp;Francesco Corcione","doi":"10.1016/j.ciresp.2024.01.004","DOIUrl":"https://doi.org/10.1016/j.ciresp.2024.01.004","url":null,"abstract":"<div><p>New advanced technologies have recently been developed and preliminarily applied to surgery, including virtual reality (VR), augmented reality (AR) and mixed reality (MR). We retrospectively review all colorectal cases in which we used holographic 3D reconstruction from February 2020 to December 2022. This innovative approach was used to identify vascular anomalies, pinpoint tumor locations, evaluate infiltration into neighboring organs and devise surgical plans for both training and educating trainee assistants. We have also provided a state-of-the-art analysis, briefly highlighting what has been stated by the scientific literature to date. VR facilitates training and anatomical assessments, while AR enhances training and laparoscopic performance evaluations. MR, powered by HoloLens, enriches anatomic recognition, navigation, and visualization. Successful implementation was observed in 10 colorectal cancer cases, showcasing the effectiveness of MR in improving preoperative planning and its intraoperative application. This technology holds significant promise for advancing colorectal surgery by elevating safety and reliability standards.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0009739X2400023X/pdfft?md5=f57d66bb5b013e1484478c10a6b91a7b&pid=1-s2.0-S0009739X2400023X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583226","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}
引用次数: 0
Applications of artificial intelligence in surgery: clinical, technical, and governance considerations 人工智能在外科手术中的应用：临床、技术和管理方面的考虑因素
IF 1.3 4区 医学
Cirugia Espanola Pub Date : 2024-07-01 DOI: 10.1016/j.ciresp.2024.04.006
Pietro Mascagni , Deepak Alapatt , Luca Sestini , Tong Yu , Sergio Alfieri , Salvador Morales-Conde , Nicolas Padoy , Silvana Perretta
{"title":"Applications of artificial intelligence in surgery: clinical, technical, and governance considerations","authors":"Pietro Mascagni ,&nbsp;Deepak Alapatt ,&nbsp;Luca Sestini ,&nbsp;Tong Yu ,&nbsp;Sergio Alfieri ,&nbsp;Salvador Morales-Conde ,&nbsp;Nicolas Padoy ,&nbsp;Silvana Perretta","doi":"10.1016/j.ciresp.2024.04.006","DOIUrl":"https://doi.org/10.1016/j.ciresp.2024.04.006","url":null,"abstract":"<div><p>Artificial intelligence (AI) will power many of the tools in the armamentarium of digital surgeons. AI methods and surgical proof-of-concept flourish, but we have yet to witness clinical translation and value. Here we exemplify the potential of AI in the care pathway of colorectal cancer patients and discuss clinical, technical, and governance considerations of major importance for the safe translation of surgical AI for the benefit of our patients and practices.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583229","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
Silent portobiliary fistula 无声门胆管瘘
IF 1.3 4区 医学
Cirugia Espanola Pub Date : 2024-07-01 DOI: 10.1016/j.ciresp.2024.01.018
Mohammad Saad Saumtally , Aymen Trigui , Amira Akrout , Salah Boujelben
{"title":"Silent portobiliary fistula","authors":"Mohammad Saad Saumtally ,&nbsp;Aymen Trigui ,&nbsp;Amira Akrout ,&nbsp;Salah Boujelben","doi":"10.1016/j.ciresp.2024.01.018","DOIUrl":"https://doi.org/10.1016/j.ciresp.2024.01.018","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593756","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
Assessment of postoperative morbidity in Spanish hospitals: Results from a national survey 西班牙医院术后发病率评估：全国调查的结果
IF 1.3 4区 医学
Cirugia Espanola Pub Date : 2024-07-01 DOI: 10.1016/j.ciresp.2024.03.008
Roberto de la Plaza Llamas , David Parés , Víctor Soria Aledó , Roger Cabezali Sánchez , Miguel Ruiz Marín , Ana Senent Boza , Manuel Romero Simó , Natalia Alonso Hernández , Helena Vallverdú-Cartié , Julio Mayol Martínez
{"title":"Assessment of postoperative morbidity in Spanish hospitals: Results from a national survey","authors":"Roberto de la Plaza Llamas ,&nbsp;David Parés ,&nbsp;Víctor Soria Aledó ,&nbsp;Roger Cabezali Sánchez ,&nbsp;Miguel Ruiz Marín ,&nbsp;Ana Senent Boza ,&nbsp;Manuel Romero Simó ,&nbsp;Natalia Alonso Hernández ,&nbsp;Helena Vallverdú-Cartié ,&nbsp;Julio Mayol Martínez","doi":"10.1016/j.ciresp.2024.03.008","DOIUrl":"https://doi.org/10.1016/j.ciresp.2024.03.008","url":null,"abstract":"<div><h3>Background</h3><p>The methodology used for recording, evaluating and reporting postoperative complications (PC) is unknown.</p><p>The aim of the present study was to determine how PC are recorded, evaluated, and reported in General and Digestive Surgery Services (GDSS) in Spain, and to assess their stance on morbidity audits.</p></div><div><h3>Methods</h3><p>Using a cross-sectional study design, an anonymous survey of 50 questions was sent to all the heads of GDSS at hospitals in Spain.</p></div><div><h3>Results</h3><p>The survey was answered by 67 out of 222 services (30.2%). These services have a reference population (RP) of 15 715 174 inhabitants, representing 33% of the Spanish population.</p><p>Only 15 services reported being requested to supply data on morbidity by their hospital administrators. Eighteen GDSS, with a RP of 3 241 000 (20.6%) did not record PC. Among these, 7 were accredited for some area of training. Thirty-six GDSS (RP 8 753 174 (55.7%) did not provide details on all PC in patients’ discharge reports. Twenty-four (37%) of the 65 GDSS that had started using a new surgical procedure/technique had not recorded PC in any way. Sixty-five GDSS were not concerned by the prospect of their results being audited, and 65 thought that a more comprehensive knowledge of PC would help them improve their results. Out of the 37 GDSS that reported publishing their results, 27 had consulted only one source of information: medical progress records in 11 cases, and discharge reports in 9.</p></div><div><h3>Conclusions</h3><p>This study reflects serious deficiencies in the recording, evaluation and reporting of PC by GDSS in Spain.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141595818","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
Arteria hepática derecha e izquierda accesorias en el donante hepático, un reto técnico para la reconstrucción vascular 肝脏捐献者的左右肝附属动脉--血管重建的技术挑战
IF 1.3 4区 医学
Cirugia Espanola Pub Date : 2024-07-01 DOI: 10.1016/j.ciresp.2023.10.015
Mercedes Bernaldo de Quirós Fernández , Alberto García Picazo , Iago Justo Alonso , Carmelo Loinaz Segurola
{"title":"Arteria hepática derecha e izquierda accesorias en el donante hepático, un reto técnico para la reconstrucción vascular","authors":"Mercedes Bernaldo de Quirós Fernández ,&nbsp;Alberto García Picazo ,&nbsp;Iago Justo Alonso ,&nbsp;Carmelo Loinaz Segurola","doi":"10.1016/j.ciresp.2023.10.015","DOIUrl":"10.1016/j.ciresp.2023.10.015","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458198","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
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