Cirugia Y Cirujanos最新文献_第10页

Current status of pancreatic cancer with oligometastasis. 胰腺癌寡转移的现状。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000364

Óscar Chapa-Azuela, María J Corona-Torres, Edwin A Ayala-Moreno, Paola S Arroyo-Paredes, Eduardo Pérez-Torres, Alejandro Rodríguez-Báez, Eduardo E Montalvo-Javé

{"title":"Current status of pancreatic cancer with oligometastasis.","authors":"Óscar Chapa-Azuela, María J Corona-Torres, Edwin A Ayala-Moreno, Paola S Arroyo-Paredes, Eduardo Pérez-Torres, Alejandro Rodríguez-Báez, Eduardo E Montalvo-Javé","doi":"10.24875/CIRU.22000364","DOIUrl":"10.24875/CIRU.22000364","url":null,"abstract":"Background: Pancreatic cancer is the seventh leading cause of death worldwide, with ductal adenocarcinoma as the most frequent neoplasm. Half of the patients who are diagnosed have metastases at the time of diagnosis.Objective: A review of the treatment of resectable pancreatic adenocarcinoma with oligometastatic disease was carried out in order to present an overview of the existing evidence.Method: A bibliographic search was carried in PubMed/Medline, Clinical Key and Index Medicus vhith MESH terms, from the year 1993 to 2022.Results: Patients with liver or lung metastases due to pancreatic ductal adenocarcinoma who undergo surgery and chemotherapy have a longer survival in carefully selected patients.Conclusions: The evidence regarding surgery in patients with pancreatic ductal adenocarcinoma and oligometastasis is limited and further randomized controlled trials are needed for both scenarios. As well as established criteria that help the selection of patients who can receive this type of treatment.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 2","pages":"262-267"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9423744","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

Infectious endocarditis without intracardiac devices or underlying structural heart disease. 感染性心内膜炎，无心内装置或潜在的结构性心脏病。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000666

Abelardo Flores-Morales, Andrés Jacobo-Ruvalcaba, Ariana C Acevedo-Meléndez, María J Fernández-Muñoz, Héctor A Carmona-Ruiz, Gabriela Borrayo-Sánchez, Alberto Chaparro-Sánchez, Óscar Orihuela-Rodríguez

{"title":"Infectious endocarditis without intracardiac devices or underlying structural heart disease.","authors":"Abelardo Flores-Morales, Andrés Jacobo-Ruvalcaba, Ariana C Acevedo-Meléndez, María J Fernández-Muñoz, Héctor A Carmona-Ruiz, Gabriela Borrayo-Sánchez, Alberto Chaparro-Sánchez, Óscar Orihuela-Rodríguez","doi":"10.24875/CIRU.21000666","DOIUrl":"https://doi.org/10.24875/CIRU.21000666","url":null,"abstract":"Objective: To describe clinical, microbiological and echocardiographic aspects of endocarditis in a specific group of patients without intracardiac devices or underlying structural heart disease.Method: Retrospective study, clinical records and echocardiographic reports were reviewed during the period 1997 to 2020. Duke's modified criteria were applied. Statistical analysis: univariate expressed in frequencies, using measures of dispersion and central tendency.Results: 30,000 echocardiographic reports were reviewed, only 1350 had infectious endocarditis as a reason for sending, of which 248 cases were selected. The mean age was 48.1 ± 16.7 years. 140 men (56%) and 108 women (44%). The most frequent echocardiographic sign was vegetation, in 278 (93.60%), and most common location was mitral (35.55%), with a higher number of cases in the right ventricle than expected. The most common systemic disease was kidney disease, in 135 (41.08%). A case of Streptococcus thoraltensis not previously reported in Mexico was identified.Conclusions: The presence of infectious endocarditis has increased due to invasive in-hospital and drug procedures. Due to their complexity, multidisciplinary teams are indispensable.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 4","pages":"535-541"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199836","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 safety and efficacy of percutaneous transforaminal endoscopic discectomy and fenestration discectomy in the treatment of lumbar disc herniation. 经皮经椎间孔内镜椎间盘切除术和开窗椎间盘切除术治疗腰椎间盘突出症的安全性和有效性。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000774

Tiantian Zhao, Yang Liu, Feng Li, Yang Zhang, Shuai Zhang, Bin Zhang, Junmao Gao

{"title":"The safety and efficacy of percutaneous transforaminal endoscopic discectomy and fenestration discectomy in the treatment of lumbar disc herniation.","authors":"Tiantian Zhao, Yang Liu, Feng Li, Yang Zhang, Shuai Zhang, Bin Zhang, Junmao Gao","doi":"10.24875/CIRU.21000774","DOIUrl":"https://doi.org/10.24875/CIRU.21000774","url":null,"abstract":"Background: The aim of the study was to explore the safety and efficacy of percutaneous transforaminal endoscopic discectomy (PTED) and fenestration discectomy (FD) in the treatment of lumbar disc herniation (LDH).Material and methods: The complete clinical data from 87 patients with LDH from our hospital were retrospectively analyzed. Patients were divided into a control group (n = 39, treated with FD) and a research group (n = 48, treated with PTED) according to the prescribed treatments. The basic operation conditions were compared across the two groups. Surgical outcomes were assessed. The incidences of complications and the life quality of patients were evaluated 1 year after surgery.Results: The patients in both groups completed the operation. The visual analog scale and Oswestry Disability Index score of patients in the research group was significantly lower while the Orthopaedic Association Score was significantly higher after surgery. The success rate of the operation in the research group which was significantly higher and the rate of complications was significantly lower. No statistical differences in the quality of life were observed between the patients (p > 0.05).Conclusions: PTED and FD are effective in the treatment of LDH. However, our study showed that PTED has a higher rate of treatment success, faster recovery times and is safer than FD.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 2","pages":"153-161"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9775249","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

Does neoadjuvant chemotherapy provide any benefit for surgical de-escalation in luminal B, HER2(-) breast cancers? 新辅助化疗对腔内B型、HER2(-)型乳腺癌的手术缓解有任何益处吗?

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000277

Aysegul Aktas, Meryem Gunay-Gurleyik, Fugen Aker, Yasar Kaan-Akgok, Elif Atag

{"title":"Does neoadjuvant chemotherapy provide any benefit for surgical de-escalation in luminal B, HER2(-) breast cancers?","authors":"Aysegul Aktas, Meryem Gunay-Gurleyik, Fugen Aker, Yasar Kaan-Akgok, Elif Atag","doi":"10.24875/CIRU.22000277","DOIUrl":"https://doi.org/10.24875/CIRU.22000277","url":null,"abstract":"Background: The use of neoadjuvant chemotherapy (NAC) in less aggressive breast cancer (BC) is controversial.Objective: To investigate the effect of neoadjuvant chemotherapy in HER2 negative luminal B breast cancer.Patients and methods: Patients between January 2016 and December 2021 were retrospectively evaluated.Results: A total of 128 patients were included in the study. Patients with pathological complete response (pCR) were younger and had higher ki67 levels. Cutoff levels for ki67 based on pCR and ypT status were ≤ 40% and ≤ 35%, respectively. According to pre-NAC magnetic resonance imaging findings, only mastectomy was viable in 90 patients, but after NAC breast-conserving surgery (BCS) was possible in 29 (32%). Moreover, 68.5% became eligible for sentinel lymph node biopsy (SLNB) after NAC. Since SLNB was positive in 45 (54.2%), axillary lymph node dissection (ALND) was performed and the remainder, 38 (31.4%), avoided ALND.Conclusion: In patients with Luminal B, HER2(-) BC a low pCR rate should not discourage the use of NAC. The ki67 level is a guide for individualizing treatment. Especially in young patients with high ki67 levels, NAC increases the chance of breast-conserving surgery and may spare patients from ALND.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 2","pages":"186-194"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9791017","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

Two pandemics to fight: metabolic surgery and its effects on COVID-19 and obesity. 需要对抗的两大流行病:代谢手术及其对COVID-19和肥胖的影响。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000206

Enrique Cervantes-Pérez, Gabino Cervantes-Guevara, Alejandro González-Ojeda, Clotilde Fuentes-Orozco, Sol Ramírez-Ochoa, Guillermo A Cervantes-Cardona, Blanca M Torres-Mendoza, Gabino Cervantes-Pérez, Eduardo Gómez-Sánchez

引用次数: 0

Aprendizaje en las residencias quirúrgicas durante la pandemia de COVID-19 en México. 在墨西哥COVID-19大流行期间在手术室学习。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000294

María N Gómez-Herrera, Celina Cuéllar-Aguirre, María E Baridó-Murguía, Irma Sánchez-Montes, María C Barradas-Guevara, Gloria González-Uribe

{"title":"Aprendizaje en las residencias quirúrgicas durante la pandemia de COVID-19 en México.","authors":"María N Gómez-Herrera, Celina Cuéllar-Aguirre, María E Baridó-Murguía, Irma Sánchez-Montes, María C Barradas-Guevara, Gloria González-Uribe","doi":"10.24875/CIRU.22000294","DOIUrl":"https://doi.org/10.24875/CIRU.22000294","url":null,"abstract":"Objective: To bring up which was the surgical resident's perception about their learning experience during COVID-19 pandemic and if it interfered or not with their classes.Method: Cross-sectional observational study through an anonymous survey conducted among surgical residents. The Mexican Association of General Surgery, through its Women in Surgery Committee, created a questionnaire that included 40 questions.Results: 465 participants were included in the survey: 225 women (48.3%), 240 men (51.7%); of 32 entities, only 26 participated. A great part of them said their skills and abilities were affected because elective surgeries were called off. While 303 residents stayed at hybrid hospitals, while a third of them were at 100% Covid facilities. Residents who were on call worked at COVID-19 units. They continued attending class through online platforms and only 134 were able to practice their skills using simulators. 71% of the residents were infected with COVID-19, all were tested to confirm it, and the number of asymptomatic cases was unknown.Conclusions: COVID-19 pandemic has affected the learning process of surgical residents in Mexico.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 3","pages":"381-387"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9811339","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 demographic and socioeconomic factors in patients with advanced colorectal cancer. 评估晚期结直肠癌患者的人口统计学和社会经济因素。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000068

Mario Trejo-Avila, Danilo Solórzano-Vicuña, Omar Vergara-Fernández

{"title":"Assessing demographic and socioeconomic factors in patients with advanced colorectal cancer.","authors":"Mario Trejo-Avila, Danilo Solórzano-Vicuña, Omar Vergara-Fernández","doi":"10.24875/CIRU.22000068","DOIUrl":"https://doi.org/10.24875/CIRU.22000068","url":null,"abstract":"Background: The aim of the study was to determine the socioeconomic and demographic factors associated with advanced colorectal cancer (CRC) presentation at our institution.Methods: From January 2009 to January 2018, patients that underwent CRC surgery at our institution were included and retrospectively analyzed. Univariate and multivariate logistic regression were used to determine independent risk factors for presenting with advanced CRC.Results: A total of 277 patients were included, 53.5% presented with advanced CRC. The multivariate analysis identified that living in a rural area (odds ratio [OR] = 5.25; 95% confidence interval [95% CI]: 2.27-12-10; p < 0.001), weight loss (OR = 2.33; 95% CI: 1.35-4.09; p = 0.002), needing emergency surgery (OR = 4.68; 95% CI: 1.25-17.49; p = 0.022), location in the rectum in comparison with colon (OR = 2.66; 95% CI: 1.44-4.91; p = 0.002), and location in the mid rectum (OR = 6.10; 95% CI: 2.31-16.12; p < 0.001) were associated with higher odds of advanced CRC stage at presentation.Conclusions: Patients with lower socioeconomic status, with symptoms, and needing emergency surgery were associated with advanced CRC stage at presentation. Special interventions to improve access to care in this population should be planned to enhance CRC outcomes.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 3","pages":"312-318"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9811340","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

Comparison of the effectiveness of laser and crystallized phenol in the treatment of sacrococcygeal pilonidal sinus. 激光与结晶苯酚治疗骶尾椎毛窦的疗效比较。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000461

Ali K Taşkin, Bülent Özçetin

引用次数: 0

Fenotipos de la enfermedad por reflujo gastroesofágico: una visión basada en su fisiopatología. 胃食管反流病的表型:基于其病理生理学的观点。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000495

Julio C Soto-Pérez, Juan M Abdo-Francis

引用次数: 0

Are YouTube videos on smell dysfunction a good source of information for patients seeking a cure for their illness? YouTube上关于嗅觉功能障碍的视频对寻求治疗方法的患者来说是一个很好的信息来源吗?

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000325

Sumeyra Doluoglu, Elif K Celik

{"title":"Are YouTube videos on smell dysfunction a good source of information for patients seeking a cure for their illness?","authors":"Sumeyra Doluoglu, Elif K Celik","doi":"10.24875/CIRU.22000325","DOIUrl":"https://doi.org/10.24875/CIRU.22000325","url":null,"abstract":"Objective: To conduct unbiased research into the quality and reliability of videos published on YouTube on the subject of smell dysfunction and treatment through two Ear, Nose, and Throat (ENT) specialists using three different tools.Methods: The videos were separated into two groups (reliable: Group 1; non-reliable: Group 2) according to whether or not the content was scientifically reliable, proven, accurate, and useful, as determined by two ENT specialist physicians. The DISCERN reliability tool, Global quality scale (GQS), and JAMA scoring system were used as video scoring tools in the evaluations.Results: Group 1 included 173 videos, and Group 2, 16 videos. The GQS (First ENT specialist) points were 3 (2-5) and GQS (Second ENT specialist) points were 3 (2-5) in Group 1, and 2 (2-3) and 2 (1-3) in Group 2, respectively (p = 0.0001). The points in the DISCERN and JAMA scoring systems were found to be higher in Group 1 than in Group 2 (p = 0.0001).Conclusion: Although the majority of videos on YouTube related to smell dysfunction are reliable, the number of unreliable videos is not inconsiderable. When videos related to medical information are accepted onto YouTube, weighting should be given to videos which include scientifically proven evidence uploaded by specialist professionals and institutions.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 4","pages":"468-473"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10198262","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