Cirugia Y Cirujanos最新文献_第2页

[Evaluation of post-surgical complications between "Rendez-vous" technique vs. standard care in patients with choledocholithiasis]. [评估 "Rendez-vous "技术与标准疗法在胆总管结石患者中的术后并发症]。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-05-11 DOI: 10.24875/CIRU.21000192

Osvaldo C Barraza-Leones, Juan F Coronado-Sarmiento, Eduardo Valdivieso-Rueda, Óscar J Barrera-León, Enrique C Ramos-Clason

{"title":"[Evaluation of post-surgical complications between \"Rendez-vous\" technique vs. standard care in patients with choledocholithiasis].","authors":"Osvaldo C Barraza-Leones, Juan F Coronado-Sarmiento, Eduardo Valdivieso-Rueda, Óscar J Barrera-León, Enrique C Ramos-Clason","doi":"10.24875/CIRU.21000192","DOIUrl":"10.24875/CIRU.21000192","url":null,"abstract":"Background: \"Rendez-vous\" (RV) technique is a mixed-technique which uses both laparoscopic and endoscopic skills; however, the evidence is contradictory regarding the implementation of this technique or the 2-step sequential technique (endoscopic retrograde cholangiopancreatography [ERCP] followed by laparoscopic cholecystectomy [LC]) in the management of cholecysto-choledocholitiasis.Objective: To estimate the association between the implementation of RV technique and the presence of post-surgical complications as primary outcome, using as comparator the 2-step sequential technique.Method: An observational, analytical, retrospective study was conducted, using as exposed cohort the medical records from patients with a diagnosis of cholelithiasis, cholecystitis, or mild biliary pancreatitis. The exposed cohort underwent RV technique, while the unexposed cohort were those which underwent two step technique.Results: There was a lower post-surgical complication rate in the RV group (0%) compared with the 10.1% (p = 0.3617) in the control group. Also, RV technique showed a lesser hospitalization time (p = 0.0377) and a lesser post-surgical hospitalization time (p < 0.0001).Conclusions: RV technique is superior when compared with the 2-step sequential technique (ERCP followed by LC), based on a better surgical success rate, a fewer complications rate and less hospitalization time.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":" ","pages":"331-337"},"PeriodicalIF":0.5,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9448343","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

Intracranial Rosai Dorfman disease - A rare differential diagnosis of multiple meningiomas: a case report. 颅内罗赛-多夫曼病--多发性脑膜瘤的罕见鉴别诊断：病例报告。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-05-08 DOI: 10.24875/CIRU.21000784

José L Navarro-Olvera, Gustavo Parra-Romero, Antonio Cruz-Cruz, Erick Gómez-Apo, Laura Chávez-Macias, José D Carrillo-Ruiz

引用次数: 0

Risk factors and clinical significances for retropancreatic lymph node metastasis in gastric cancer patients. 胃癌胰后淋巴结转移的危险因素及临床意义。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-05-08 DOI: 10.24875/CIRU.22000270

Aydin Yavuz, Huseyin Gobut, Kursat Dikmen, Hasan Bostanci, Ahmet Cagri Buyukkasap, Osman Yuksel

{"title":"Risk factors and clinical significances for retropancreatic lymph node metastasis in gastric cancer patients.","authors":"Aydin Yavuz, Huseyin Gobut, Kursat Dikmen, Hasan Bostanci, Ahmet Cagri Buyukkasap, Osman Yuksel","doi":"10.24875/CIRU.22000270","DOIUrl":"https://doi.org/10.24875/CIRU.22000270","url":null,"abstract":"Background: The incidence of retropancreatic lymph node metastasis in gastric cancer patients is not negligible.Aim: The aim of present study was to determine the risk factors for retropancreatic lymph node (LN) metastasis and to investigate its clinical significance.Patients and methods: Clinical pathologic data of 237 patients with gastric cancer between June 2012 and June 2017 were analyzed retrospectively.Results: 14 patients (5.9%) had retropancreatic LN metastases. The median survival of patients with and without retropancreatic LN metastasis was 13.1 and 25.7 months. According to univariate analysis; tumor size ≥ 8 cm, Bormann type III/IV, undifferentiated type, presence of angiolymphatic invasion, depth of invasion (pT4), N3 stage, No. 3, No. 7, No. 8, No. 9, and No. 12p LN metastasis was found to be associated with retropancreatic LN metastasis. According to multivariate analysis; tumor size ≥ 8 cm, Bormann type III/IV, undifferentiated type, pT4, N3 stage, No. 9 LN metastasis, and No. 12p LN metastasis were found to be independent prognostic variables for retropancreatic LN metastasis.Conclusion: Retropancreatic LN metastasis is a poor prognostic factor for gastric cancer. Tumor size (≥ 8 cm), Bormann type III/IV, undifferentiated tumor, pT4, N3 stage, and No. 9 and No. 12p LN metastasis are risk factors for metastasis to retropancreatic lymph node.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9487255","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

[Tele-rehabilitation program in patients with distal radius fracture: a controlled clinical trial]. 桡骨远端骨折患者远程康复方案:一项对照临床试验

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-05-08 DOI: 10.24875/CIRU.22000328

Roberto C Pech-Argüelles, Yetlanezi J Miranda-Ortiz, Hector E Velázquez-Hernández, Rafael Domínguez-Cordero, Cecilia Ruiz-PachecoJuan, Juan Figueroa-García, David Rojano-Mejía

{"title":"[Tele-rehabilitation program in patients with distal radius fracture: a controlled clinical trial].","authors":"Roberto C Pech-Argüelles, Yetlanezi J Miranda-Ortiz, Hector E Velázquez-Hernández, Rafael Domínguez-Cordero, Cecilia Ruiz-PachecoJuan, Juan Figueroa-García, David Rojano-Mejía","doi":"10.24875/CIRU.22000328","DOIUrl":"https://doi.org/10.24875/CIRU.22000328","url":null,"abstract":"Background: Distal radius fractures are very frequent fractures in the world, so it is necessary to establish new rehabilitation strategies.Objective: To determine the effectiveness of tele rehabilitation versus supervised treatment in the functional recovery of patients with distal radius fracture.Method: A randomized clinical trial was conducted that included 91 patients with distal radius fractures grades AO23 A and AO23B, which were randomly assigned to a treatment group, the supervised rehabilitation group received for two weeks a program of 10 treatment sessions and the tele rehabilitation group received through the Moodle platform instructions to carry out the rehabilitation program. Outcome measures (functionality, active range of motion, hand grip strength, quality of life and pain) were measured at the time of admission to rehabilitation and at 1, 3 and 6 months.Results: In both treatment groups at 6 months, statistically significant intragroup differences in functionality were demonstrated, with no intergroup differences.Conclusions: At 6 months, both rehabilitation programs increase functionality, range of motion, quality of life and decrease pain, without statistically significant differences intergroup.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9433580","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

Prediction of short-term results after laparoscopic right hemicolectomy. Is sarcopenia superior to other methods? 腹腔镜右半结肠切除术后短期效果的预测。腹腔镜右半结肠切除术优于其他方法吗？

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-05-08 DOI: 10.24875/CIRU.22000573

Kamil Erözkan, Safa Vatansever, Selim Tamam, Ali E Ünal

{"title":"Prediction of short-term results after laparoscopic right hemicolectomy. Is sarcopenia superior to other methods?","authors":"Kamil Erözkan, Safa Vatansever, Selim Tamam, Ali E Ünal","doi":"10.24875/CIRU.22000573","DOIUrl":"10.24875/CIRU.22000573","url":null,"abstract":"Background: Complication treatment in colorectal cancer can be carried out quickly with the prediction and early diagnosis. However, there is no apparent predictive factor for this.Objective: We aimed to determine the factors that predict early mortality and morbidity in patients who underwent laparoscopic right hemicolectomy and their superiority over each other.Method: Demographic data, age-adjusted Charlson Comorbidity Index, American Society of Anesthesiologists Score, body mass index, modified-Glasgow Prognostic Score (mGPS), stage of disease, and sarcopenia were evaluated in patients who underwent right hemicolectomy between 2010-2022. Their superiority in predicting short-term outcomes was compared.Results: 78 patients were included in the study. The complication rate was higher in sarcopenic patients (p = 0.002). A high mGPS score was associated with increased mortality risk (p = 0.012). Other methods were not found to be related to short-term results.Conclusion: Sarcopenia is useful for the prediction of complications, and the mortality rate can be estimated by the mGPS score. These are superior to the other short-term results prediction methods. However, randomized controlled studies are needed.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":" ","pages":"379-387"},"PeriodicalIF":0.5,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9433583","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

Modified stent for the treatment of tracheomegaly combined with a tracheoesophageal fistula: a case reportStent. 改良支架治疗气管肿大合并气管食管瘘1例

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-03-22 DOI: 10.24875/CIRU.22000285

Ya-Fang Wang, En-Guo Chen

引用次数: 0

[Pancreatic metastasis from undifferentiated pleomorphic sarcoma. An extremely rare entity]. [未分化多形性肉瘤的胰腺转移。极为罕见]。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-04 DOI: 10.24875/CIRU.21000717

Ester Alonso-Batanero, Lorena Solar-García, Patricia Morales-Del Burgo, Alberto Miyar-de León

引用次数: 0

Post-COVID-19 in Latin America: a call for research and public policies. 后covid -19时代的拉丁美洲:呼吁开展研究和制定公共政策。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000251

Miguel Gallegos, Nelson Portillo

引用次数: 0

Fracture treatment in atrophic mandible. 萎缩性下颌骨骨折的治疗。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000281

Ricardo Cienfuegos

{"title":"Fracture treatment in atrophic mandible.","authors":"Ricardo Cienfuegos","doi":"10.24875/CIRU.21000281","DOIUrl":"https://doi.org/10.24875/CIRU.21000281","url":null,"abstract":"Background: Fractures of the atrophic mandible have been historically treated in various ways, from intermaxillary fixation to internal fixation, some cases require bone grafts. Besides, the Luhr classification serves as a guide to select the type of treatment.Objective: To show the treatment of fractures in atrophic mandible with plates and screws, and the potential indications of bone graft in this type of fractures.Method: We presented a serie of 17 patients with atrophic mandible treated with plates and screws, some of them no blocked system and other with locked screws. For patients in luhr classes II and III cancellous bone grafts were used, looking for best osteogenic response, harvesting for the proximal third of the tibia.Results: Postoperative progress was generally uneventful. Oral intake with purees was resumed 24 hours after surgery, as well as ambulation. Fracture healing at 6 months was seen in 17 patients. One patient died before the 6-month time point as the result of a stroke. Delayed union was diagnosed 3 months after surgery in another patient, who refused secondary treatment.Conclusions: Treatment of fractures in atrophic mandibles with plates and screws is a reliable procedure. Luhr classification provide useful guidance regarding the use of bone grafts for best osteogenic response in the fracture. This treatment allows a quick restart of the feeding by mouth and movilization of the patients.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 2","pages":"240-246"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9477331","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

Giant paratubal cyst: report of a case in second level public hospital. 公立二级医院巨大输卵管旁囊肿1例报告。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000692

Edgar S Salas-Ochoa, Alfredo López-Rocha, Edilia N Arce-Sánchez

引用次数: 0