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Editorial on “Esophagectomy with lymphadenectomy guided by fluorescence imaging with indocyanine green in esophageal cancer” “吲哚菁绿荧光显像引导下食管癌食管切除术加淋巴结切除术”评论
Revista argentina de cirugia Pub Date : 2022-03-01 DOI: 10.25132/raac.v114.n1.edml
Maximiliano Loviscek
{"title":"Editorial on “Esophagectomy with lymphadenectomy guided by fluorescence imaging with indocyanine green in esophageal cancer”","authors":"Maximiliano Loviscek","doi":"10.25132/raac.v114.n1.edml","DOIUrl":"https://doi.org/10.25132/raac.v114.n1.edml","url":null,"abstract":"Esophageal cancer is one of the gastrointestinal cancers with the greatest incidence over the past years and is the eighth most common cancer worldwide, affecting more than 450 000 people per year1. Its treatment and prognosis depend on tumor stage, location, histological type, nutritional status and presence of comorbidities2. Although there have been significant advances in the field of oncology in recent years, esophagectomy with lymph node clearance remains the main curative treatment. Total esophagectomy with two-field or three-field lymphadenectomy plays a very important role in the locoregional control of the disease. In recent years, the technological advances and the development of minimally invasive surgical techniques have significantly reduced morbidity and mortality.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46532590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes of laparoscopic transabdominal (TAPP) inguinal hernia repair with single mesh in bilateral direct inguinal hernias 单补片腹腔镜下经腹腹股沟疝修补双侧腹股沟直疝的效果
Revista argentina de cirugia Pub Date : 2022-03-01 DOI: 10.25132/raac.v114.n1.1637
Barragán Francisco, Magdalena Díaz Pietrini, Pablo A. Cingolani, Fernando M. Iudica
{"title":"Outcomes of laparoscopic transabdominal (TAPP) inguinal hernia repair with single mesh in bilateral direct inguinal hernias","authors":"Barragán Francisco, Magdalena Díaz Pietrini, Pablo A. Cingolani, Fernando M. Iudica","doi":"10.25132/raac.v114.n1.1637","DOIUrl":"https://doi.org/10.25132/raac.v114.n1.1637","url":null,"abstract":"Background: The laparoscopic approach has clear advantages for repairing bilateral hernias and recurrent hernias. The use of a single mesh as an option in the laparoscopic treatment of direct bilateral inguinal hernias with the transabdominal preperitoneal (TAPP) technique, may reduce the recurrence rate and chronic pain. Objective: The aim of this study is to analyze the benefits of single mesh for the treatment of bilateral inguinal hernias with the TAPP technique. Material and methods: We conducted a retrospective analysis of patients with bilateral direct inguinal hernias undergoing laparoscopic hernia repair with the TAPP technique using a single mesh. Results: Between January 2016 and January 207 177 patients underwent inguinal hernia repair. Of the 93 patients with bilateral hernias, a single mesh was used in 39, which were included in this study. Conclusion: The use of a single mesh is a safe option for the laparoscopic treatment of direct bilateral inguinal hernias with the TAPP technique.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46502543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial on “Outcomes of laparoscopic transabdominal (TAPP) inguinal hernia repair with single mesh in bilateral direct inguinal hernias” 关于“腹腔镜经腹（TAPP）腹股沟疝修补术治疗双侧腹股沟直疝的效果”的社论
Revista argentina de cirugia Pub Date : 2022-03-01 DOI: 10.25132/raac.v114.n1.edsb
Bertone Santiago
{"title":"Editorial on “Outcomes of laparoscopic transabdominal (TAPP) inguinal hernia repair with single mesh in bilateral direct inguinal hernias”","authors":"Bertone Santiago","doi":"10.25132/raac.v114.n1.edsb","DOIUrl":"https://doi.org/10.25132/raac.v114.n1.edsb","url":null,"abstract":"In the article published in this issue, the authors propose the placement of a large preperitoneal mesh, which would have the benefit of less recurrence, thanks to the reduction of concentric retraction and the risk of the prosthetic material migration7. This technique reminds us of the Stoppa technique which, like all preperitoneal techniques via the anterior approach, fell into disuse with the advent of laparoscopy.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49528673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complementary evaluation of complicated gallstone disease and two-stage management of choledochal lithiasis 复杂胆结石疾病与胆总管结石两阶段治疗的互补评价
Revista argentina de cirugia Pub Date : 2021-12-01 DOI: 10.25132/raac.v113.n4.1600
Elena A. Fernández, Fernando D. Barrios Escubilla, M. Ruiz, Romina Maidana
{"title":"Complementary evaluation of complicated gallstone disease and two-stage management of choledochal lithiasis","authors":"Elena A. Fernández, Fernando D. Barrios Escubilla, M. Ruiz, Romina Maidana","doi":"10.25132/raac.v113.n4.1600","DOIUrl":"https://doi.org/10.25132/raac.v113.n4.1600","url":null,"abstract":"Background: Nowadays, the prevalence of gallstones ranges between 10 and 20% in Western world, and 7-16% of the patients also present choledocholithiasis. The preoperative diagnosis of choledocholithiasis is difficult. Objective: To establish our experience in the evaluation of complicated gallstone disease and twostage management of choledochal lithiasis as standard or care. Material and methods: This prospective and observational study included patients hospitalized with gallstone disease undergoing procedures in the Department of General Surgery of Hospital Vidal from June 30, 2019, to December 30, 2019. Results: Ultrasound of the liver, biliary tract and pancreas was specific, with accuracy of 80.9% and sensitivity of 50%. Magnetic resonance cholangiopancreatography (MRCP) had a sensitivity of 100%, accuracy of 84.6% and sensitivity of 67%. As for endoscopic retrograde cholangiopancreatography (ERCP), the diagnosis of choledocholithiasis was made in 100% of the cases during the first cholangiography while “control” cholangiography had a sensitivity of 0%, specificity of 100% and accuracy of 15.4%. The presence of a dilated cystic duct intraoperatively in association with abnormal biochemical parameters had a sensitivity of 100%, specificity of 90%, and accuracy of 93.6%. Conclusion: Intraoperative cholangiography (IOC) is the gold standard procedure for the management of complicated gallstone disease. The association of biochemical parameters and a dilated cystic duct has high predictive value for choledochal lithiasis.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48967857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary cervical hydatid cyst 原发性宫颈棘球蚴
Revista argentina de cirugia Pub Date : 2021-12-01 DOI: 10.25132/raac.v113.n4.1591
Lucila M. Olivera Whyte, Guadalupe García Mazaira, Ariel Eremeeff, Gastón Omeñuk
{"title":"Primary cervical hydatid cyst","authors":"Lucila M. Olivera Whyte, Guadalupe García Mazaira, Ariel Eremeeff, Gastón Omeñuk","doi":"10.25132/raac.v113.n4.1591","DOIUrl":"https://doi.org/10.25132/raac.v113.n4.1591","url":null,"abstract":"Cervical echinococcosis is a rare disease, even in endemic areas. The lesions usually present as painless slow-growing cystic lesion. We report the case of a 19-year-old female patient with a cystic lesion in the central cervical region that was initially interpreted as a thyroglossal duct cyst. The diagnosis should be suspected when the epidemiology is consistent, and ultrasound is the imaging method of choice. The sensitivity of serologic tests is low in extrahepatic locations. Surgery is the treatment of choice and the administration of albendalzole before surgery is indicated. The cyst must be handled with care to avoid rupture and leakage of cyst contents, which can cause anaphylaxis, recurrence and multiple echinococcosis. In patients with high surgical risk, medical treatment alone may be the option.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45580068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thoracic packing in thoracic emergencies 胸部紧急情况下的胸部填塞
Revista argentina de cirugia Pub Date : 2021-12-01 DOI: 10.25132/raac.v113.n4.1516
E. Moreira, S. Pose, Karenina Marino, J. Costa, Joaquín Bado
{"title":"Thoracic packing in thoracic emergencies","authors":"E. Moreira, S. Pose, Karenina Marino, J. Costa, Joaquín Bado","doi":"10.25132/raac.v113.n4.1516","DOIUrl":"https://doi.org/10.25132/raac.v113.n4.1516","url":null,"abstract":"Damage control is defined as an approach with 3 stages in patients with life-threatening injuries. Stage I: abbreviated laparotomy for hemorrhage and contamination control. Stage II: intensive care management to correct physiologic abnormalities; and stage III: definitive repair of injuries. Thoracic packing, an adaptation of abdominal packing, was described as a temporary procedure for hemostatic control. The aim of this study is to report our experience with thoracic packing and show its usefulness in thoracic damage control surgery. Traumatic chest injuries vary from minor trauma to life-threatening injuries. The decision to perform thoracic packing is made during the contact with a critically ill patient. In conclusion, packing is effective for bleeding control in critically ill patients who are not suitable for definitive treatment.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48478106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transperitoneal laparoscopic approach for retroperitoneal tumors in adults 经腹膜腹腔镜入路治疗成人腹膜后肿瘤
Revista argentina de cirugia Pub Date : 2021-12-01 DOI: 10.25132/raac.v113.n4.1615
Á. M. Minetti, Ignacio Pitaco, E. Gómez, Esteban Martínez
{"title":"Transperitoneal laparoscopic approach for retroperitoneal tumors in adults","authors":"Á. M. Minetti, Ignacio Pitaco, E. Gómez, Esteban Martínez","doi":"10.25132/raac.v113.n4.1615","DOIUrl":"https://doi.org/10.25132/raac.v113.n4.1615","url":null,"abstract":"Background: The retroperitoneal space contains organs, blood vessels, a rich network of lymphatic nodes, abundant connective tissue and neural tissue, and different types of embryonic remnants. Retroperitoneal tumors originate in these tissues and conventionally do not include those located in organs in the retroperitoneal space (kidneys, adrenal glands or pancreas). Material and methods: Patients undergoing retroperitoneal tumors by transperitoneal laparoscopic approach between 2008 and 2019 were included. Those cases with tumors with suspected malignancy, tumor recurrence, need for multivisceral resection and those < 18 years were excluded. Results: 9 patients were included; 55% (n = 5) were men; mean age was 42.3 years (19-62); body mass index (BMI) 28.3 kg/m2 (25-35.8). The tumor was located was below the third part of the duodenum in 1 patient, and in the inframesocolic space in 8: 3 on the right, 3 on the left, 2 intercavo-aortic tumors, and 1 para-aortic lesion. The mean size of the lesions was 13.05 cm (4-29 cm). Mean operative time was 184.4 minutes (110-330 min). Length of hospital stay was 3.33 days (2-6 d). Conversion: 1 (11.1%). The pathology examination reported well-differentiated liposarcoma (lipoma-like lesion) (n = 2); cystic lymphangioma (n = 2); hemangioma (n = 1); functioning paraganglioma (n = 1); schwannoma (n = 1); simple serous cyst (n = 1); and adipose tissue fibrosis (n = 1). Long-term follow-up was 30 months (12- 72 months). Conclusion: The transperitoneal laparoscopic approach for the management of retroperitoneal masses is feasible, with appropriate operative time and low rate of conversion and of complications. Future studies with a larger number of patients are necessary to obtain definite results.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44231649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
In memoriam: Dr. Frutos Enrique Ortiz
Revista argentina de cirugia Pub Date : 2021-12-01 DOI: 10.25132/raac.v113.n4.imfo
E. Hurtado Hoyo
{"title":"In memoriam: Dr. Frutos Enrique Ortiz","authors":"E. Hurtado Hoyo","doi":"10.25132/raac.v113.n4.imfo","DOIUrl":"https://doi.org/10.25132/raac.v113.n4.imfo","url":null,"abstract":"Frutos was born on December 13, 1926, in Coronel Brandsen, Province of Buenos Aires, where his parents, Spanish immigrants, had settled.He passed away on August 24, 2021, in the city of La Plata.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42076351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute gastric volvulus: an uncommon presentation 急性胃扭转：一种罕见的表现
Revista argentina de cirugia Pub Date : 2021-12-01 DOI: 10.25132/raac.v113.n4.1575
Sofía Tafernaberry, Agustín Steffani, Gonzalo Perrone, Martín Salvatierra, D. González
{"title":"Acute gastric volvulus: an uncommon presentation","authors":"Sofía Tafernaberry, Agustín Steffani, Gonzalo Perrone, Martín Salvatierra, D. González","doi":"10.25132/raac.v113.n4.1575","DOIUrl":"https://doi.org/10.25132/raac.v113.n4.1575","url":null,"abstract":"Acute gastric volvulus (AGV) is an uncommon condition with high mortality (up to 50%) and its diagnosis is based on high level of suspicion. Conservative management can be attempted in stable patients, but the surgical approach is indicated in unstable cases. We report the case of a patient with AGV and hemodynamic instability who underwent laparotomy with reduction of the volvulus but who died in the immediate postoperative period due to refractory shock.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43937099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spontaneous rupture of a simple liver cyst: success of a conservative approach 单纯性肝囊肿自发性破裂:保守入路的成功
Revista argentina de cirugia Pub Date : 2021-12-01 DOI: 10.25132/raac.v113.n4.1610
A. Sánchez Gollarte, L. Jiménez Álvarez, R. Marcos Hernández, D. C. Córdova García, I. Lasa Unzué, A. Gutiérrez Calvo
{"title":"Spontaneous rupture of a simple liver cyst: success of a conservative approach","authors":"A. Sánchez Gollarte, L. Jiménez Álvarez, R. Marcos Hernández, D. C. Córdova García, I. Lasa Unzué, A. Gutiérrez Calvo","doi":"10.25132/raac.v113.n4.1610","DOIUrl":"https://doi.org/10.25132/raac.v113.n4.1610","url":null,"abstract":"Simple liver cysts (SLC) are the most common liver tumors. They are usually asymptomatic but large cysts may produce symptoms. The aim of this article is to report a rare complication of SLC. We report the case of a 61-year-old woman with a history of multiple SLCs who sought medical care due to sudden abdominal pain not associated with trauma. A probable diagnosis of spontaneous rupture was made, and the patient underwent computed tomography (CT) scan of the abdomen which confirmed the suspicion. Conservative treatment was decided, with favorable outcome. After the acute episode the patient underwent surgery and the cysts were unroofed. Rupture of SLC is a rare complication that usually presents with abdominal pain. There is no standard of care due to the low incidence of this complication. The conservative approach is a good option in patients without signs of peritonitis, while emergency surgery is indicated in patients with acute abdomen","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44145266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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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