Cirugia Espanola最新文献

{"title":"Shock hemorrágico por causa poco frecuente: varices yeyunales","authors":"Gema Martínez Izquierdo, Ana Belén Menéndez Corteguera, Sandra Sanz Navarro, Lourdes Sanz Álvarez","doi":"10.1016/j.ciresp.2023.08.010","DOIUrl":"10.1016/j.ciresp.2023.08.010","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":"140520307","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":"Comparison of abdominal adipose tissue versus body mass index (BMI) as a predictor of complications and survival in liver transplantation","authors":"Enrique Toledo ,&nbsp;Gema Canal ,&nbsp;Sara Sánchez ,&nbsp;Juan Echeverri ,&nbsp;Roberto Fernández ,&nbsp;Mª del Mar Achalandabaso ,&nbsp;Edward J. Anderson ,&nbsp;Federico Castillo ,&nbsp;Juan Carlos Rodríguez","doi":"10.1016/j.ciresp.2024.02.011","DOIUrl":"https://doi.org/10.1016/j.ciresp.2024.02.011","url":null,"abstract":"<div><h3>Introduction</h3><p>Because of the obesity epidemic, more obese patients are on liver transplant (LT) waiting lists. The diseases associated with obesity may increase complications and limit survival after LT. However, there is no established measure or cut-off point to determine this impact and aid decision making. The aim of the present study is to evaluate obesity in patients undergoing LT via BMI and CT-based measurement of adipose tissue (AAT). These parameters will be used to predict the risk of postoperative complications and 5-year survival.</p></div><div><h3>Methods</h3><p>A retrospective, single-center study was carried out at a tertiary Spanish hospital, including all patients who received LT between January 2012 and July 2019 (n = 164).</p><p>The patients were adults who underwent LT using the ‘piggyback’ technique, preserving the recipient vena cava. Visceral adipose tissue (VAT) and BMI were calculated to examine correlations with postoperative complications and 5-year survival.</p></div><div><h3>Results</h3><p>No significant association was found between postoperative complications by Comprehensive Complication Index, BMI, AAT/height, subcutaneous fat/height and VAT/height.</p><p>Kaplan-Meier curves for 5-year survival compared LT recipients with BMI &lt; 30.45 versus ≥30.45, with an estimated survival of 58.97 months versus 43.11 months, respectively (<em>P</em> &lt; .001) (Fig. 3) and for LT recipients with an AAT/height &lt;27.35 mm versus ≥27.35 mm, with an estimated survival of 57.69 months versus 46.34 months (<em>P</em> = .001).</p></div><div><h3>Conclusions</h3><p>This study does not show a higher rate of postoperative complications in obese patients. There is a significantly lower long-term survival in patients with AAT/height ≥27.35 mm and BMI ≥ 30.45. BMI is a valid estimate of obesity and is predictive of survival.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294644","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":"Actualización de nuestro protocolo de cribado de la displasia anal","authors":"Clara Galán Martínez,&nbsp;M. Pilar Hernández Casanovas,&nbsp;Anna Sánchez López,&nbsp;Eduardo M. Targarona Soler","doi":"10.1016/j.ciresp.2024.02.007","DOIUrl":"10.1016/j.ciresp.2024.02.007","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140407797","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 evolution of the treatment of esophageal achalasia. Chronicle of a 35-year journey","authors":"Marco G. Patti ,&nbsp;Fernando A. Herbella","doi":"10.1016/j.ciresp.2024.01.016","DOIUrl":"https://doi.org/10.1016/j.ciresp.2024.01.016","url":null,"abstract":"<div><p>Over the last few decades, significant improvement has been made in both the evaluation and treatment of esophageal achalasia. The Chicago classification, today in version 4.0, is now the standard for diagnosis of achalasia, providing a classification into 3 subtypes with important therapeutic and prognostic implications. Therapy, which was at first mostly limited to pneumatic dilatation, today includes minimally invasive surgery and peroral endoscopic myotomy, allowing for a more tailored approach to patients and better treatment of recurrent symptoms. This review chronicles my personal experience with achalasia over the last 35 years, describing the progress made in the treatment of patients with achalasia.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294646","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":"La revisión sistemática y el metaanálisis como herramientas de la medicina basada en la evidencia","authors":"Marina Iniesta-Sepúlveda ,&nbsp;Antonio Ríos","doi":"10.1016/j.ciresp.2024.04.003","DOIUrl":"https://doi.org/10.1016/j.ciresp.2024.04.003","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294755","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":"Cornada envainada: una lesión por asta de toro infrecuente","authors":"Ana Benítez Riesco,&nbsp;María del Carmen Fernández Moreno,&nbsp;Claudia Gil Alfosea,&nbsp;David Casado Rodrigo","doi":"10.1016/j.ciresp.2023.10.013","DOIUrl":"10.1016/j.ciresp.2023.10.013","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139457102","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":"Reparación transabdominal retromuscular de segunda recidiva de hernia umbilical","authors":"Génesis Parra-Eslava,&nbsp;José Carlos Vaqué Alcázar,&nbsp;Elena Martínez Guerrero,&nbsp;Jetzabel Soria Estrems","doi":"10.1016/j.ciresp.2024.03.001","DOIUrl":"10.1016/j.ciresp.2024.03.001","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140781532","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":"¿Cómo saber si se debe realizar un metaanálisis en un campo donde ya se han realizado metaanálisis previos?","authors":"Juan Botella ,&nbsp;Julio Sánchez-Meca","doi":"10.1016/j.ciresp.2024.03.007","DOIUrl":"10.1016/j.ciresp.2024.03.007","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030342","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":"Tumor sólido pseudopapilar de páncreas: un estudio retrospectivo en la Comunidad Valenciana","authors":"Xiomara Duque Alvarez ,&nbsp;Cándido Fernando Alcázar ,&nbsp;Ana Hernando Sanz ,&nbsp;Isabel Mora Oliver ,&nbsp;Laura Granel ,&nbsp;José A. Barreras ,&nbsp;Alicia Calero ,&nbsp;Silvia Carbonell Morote ,&nbsp;Carlos Domingo ,&nbsp;Rafael Estevan ,&nbsp;Israel Oliver ,&nbsp;Rafael López Andujar ,&nbsp;Luis Sabater ,&nbsp;Antonio Compañ ,&nbsp;José M. Ramia","doi":"10.1016/j.ciresp.2023.11.015","DOIUrl":"10.1016/j.ciresp.2023.11.015","url":null,"abstract":"<div><h3>Introduction</h3><p>Solid pseudopapillary tumors (SPT) of the pancreas are rare exocrine neoplasms of the pancreas. Correct preoperative diagnosis is not always feasible. The treatment of choice is surgical excision. These tumors have a good prognosis with a high disease-free survival rate.</p></div><div><h3>Objective</h3><p>To describe the clinicopathological and radiological characteristics as well as short- and long-term follow-up results of patients who have undergone SPT resection.</p></div><div><h3>Methods</h3><p>Multicenter retrospective observational study in patients with SPT who had undergone surgery from January 2000-January 2022. We have studied preoperative, intraoperative, and postoperative variables as well as the follow-up results (mean 28<!--> <!-->months).</p></div><div><h3>Results</h3><p>Twenty patients with histological diagnosis of SPT in the surgical specimen were included. 90% were women; mean age was 33.5<!--> <!-->years (13-67); 50% were asymptomatic. CT was the most used diagnostic test (90%). The most frequent location was body-tail (60%). Preoperative biopsy was performed in 13 patients (65%), which was correct in 8 patients. Surgeries performed: 7 distal pancreatectomies, 6 pancreaticoduodenectomies, 4 central pancreatectomies, 2 enucleations, and 1 total pancreatectomy. The R0 rate was 95%. Four patients presented major postoperative complications (Clavien-Dindo<!--> <!-->&gt;<!--> <!-->II). Mean tumor size was 81<!--> <!-->mm. Only one patient received adjuvant chemotherapy. With a mean follow-up of 28<!--> <!-->months, 5-year disease-free survival was 95%.</p></div><div><h3>Conclusion</h3><p>SPT are large, usually located in the body-tail of the pancreas, and more frequent in women. The R0 rate obtained in our series is very high (95%). The oncological results are excellent.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277536","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":"Aplicación en la práctica clínica quirúrgica de las revisiones sistemáticas y los metaanálisis","authors":"Antonio Ríos ,&nbsp;Marina Iniesta-Sepúlveda","doi":"10.1016/j.ciresp.2024.03.011","DOIUrl":"10.1016/j.ciresp.2024.03.011","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141026082","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}