Cirugia espanola最新文献

Recurrence of a giant fibrovascular polyp of the esophagus: what have we learned? 食道巨大纤维血管息肉复发：我们学到了什么？

Cirugia espanola Pub Date : 2025-05-21 DOI: 10.1016/j.cireng.2025.800118

Ángela Alcaraz Solano, Eduardo Ortiz, David Ruiz de Angulo, Ana Conesa Plá, Vicente Munitiz Ruiz, Ana Isabel Gutiérrez

引用次数: 0

Advantages of the robotic approach for managing late biliary complications in liver transplantation. 机器人治疗肝移植晚期胆道并发症的优势。

Cirugia espanola Pub Date : 2025-05-16 DOI: 10.1016/j.cireng.2025.800102

Victor López-López, Pedro Cascales-Campos, Francisco Sánchez-Bueno, Pablo Ramirez, Ricardo Robles-Campos

引用次数: 0

Robotics in rectal cancer: advantages for surgeons or for patients? 机器人治疗直肠癌：对外科医生有利还是对患者有利？

Cirugia espanola Pub Date : 2025-05-16 DOI: 10.1016/j.cireng.2025.800115

M Gómez Ruiz, E Epin Basany

引用次数: 0

Median arcuate ligament syndrome: Step-by-step robot-assisted surgical release. 正中弓状韧带综合征：一步一步机器人辅助手术松解。

Cirugia espanola Pub Date : 2025-05-16 DOI: 10.1016/j.cireng.2025.800120

Leire Otalora Mazuela, Lara Pérez Corbal, María Artime Rial, Alberto Parajó Calvo

引用次数: 0

Communication with patients and families: How to break bad news. 与患者及家属沟通：如何传达坏消息。

Cirugia espanola Pub Date : 2025-05-16 DOI: 10.1016/j.cireng.2025.800107

Miriam Abellán-Lucas, Marc Vallve-Bernal

引用次数: 0

How to create solid scientific collaboration networks? 如何建立稳固的科学合作网络？

Cirugia espanola Pub Date : 2025-05-16 DOI: 10.1016/j.cireng.2025.800103

Gianluca Pellino, Nicolas Avellaneda

引用次数: 0

Robot-assisted mastectomy combined with immediate reconstruction with prepectoral implant. 机器人辅助乳房切除术联合乳房前植体即刻重建。

Cirugia espanola Pub Date : 2025-05-16 DOI: 10.1016/j.cireng.2025.800113

Manuel García García, Carlos Roberto Estrada López, Manuel Domínguez Carrera, Lucía Rigueiro López, Purificación Fernández Souto

引用次数: 0

Retrospective study on the Delta Shock Index associated with age and the Glasgow Coma Score (dSIAG) as a prognostic scale for mortality in polytrauma patients. Delta休克指数与年龄和格拉斯哥昏迷评分（dSIAG）作为多重创伤患者死亡率的预后量表的回顾性研究。

Cirugia espanola Pub Date : 2025-05-16 DOI: 10.1016/j.cireng.2025.800111

Ana Victoria Juárez San Juan, Paula Juárez San Juan, Manuel Artiles Armas, Laura Cano Contreras, Paula Beltrán Calero, Carlos Jorge Ripper, Pedro Rodriguez Suárez, Jorge L Freixinet Gilart

{"title":"Retrospective study on the Delta Shock Index associated with age and the Glasgow Coma Score (dSIAG) as a prognostic scale for mortality in polytrauma patients.","authors":"Ana Victoria Juárez San Juan, Paula Juárez San Juan, Manuel Artiles Armas, Laura Cano Contreras, Paula Beltrán Calero, Carlos Jorge Ripper, Pedro Rodriguez Suárez, Jorge L Freixinet Gilart","doi":"10.1016/j.cireng.2025.800111","DOIUrl":"https://doi.org/10.1016/j.cireng.2025.800111","url":null,"abstract":"Introduction: This study aims to analyze differences between the prognostic scales in the initial assessment of severe trauma, SIAG ((Shock Index × Age) / Glasgow Coma Scale) upon arrival at the hospital and at the scene of the trauma (dSIAG). It has been compared with other prognostic scales, including the Shock Index (SI), RTS (Revised Trauma Score) and ISS (Injury Severity Score), given that these scales may underestimate the risk of mortality in some polytrauma patients.Methods: We have conducted a retrospective, observational study with a cohort of patients admitted to the Critical Care Unit of a tertiary center with a diagnosis of trauma from 2018-2020. The SI, dSI, SIAG, dSIAG, RTS and ISS scales were calculated. The AUC-ROC (area under the receiver operating characteristic curve) of each one was compared for M24 (mortality in the first 24 hours) and HM (hospital mortality).Results: Out of the 113 patients included, 11 died (9.7%), 9 in the first 24 h (8%). All scores were related to mortality. The dSIAG had the best AUC-ROC for M24 (0.88; 95%CI 0.80-0.96) and MH (0.84; 95%CI 0.71-0.96), although the results between dSIAG and SIAG were similar. The dSIAG value of 0.3 points showed a sensitivity of 77% and specificity of 78% for HM and 89% and 77% for M24. The AUC-ROC of the dSIAG for HM was higher than the classic RTS and ISS scores.Conclusion: The dSIAG is similar to the SIAG and higher than the classic ISS and RTS scores as a predictor of HM in the initial assessment of polytrauma patients.","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800111"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096251","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

How to effectively transmit knowledge. 如何有效地传递知识。

Cirugia espanola Pub Date : 2025-05-16 DOI: 10.1016/j.cireng.2025.800109

Ana Senent Boza, Salvador Morales Conde

引用次数: 0

Study of morphological changes observed on abdominal CT scan after preoperative treatment with botulinum toxin type a in patients with midline incisional hernias or lateral component. a型肉毒毒素术前治疗中线切口疝或外侧疝后腹部CT形态改变的研究。

Cirugia espanola Pub Date : 2025-05-16 DOI: 10.1016/j.cireng.2025.800117

S Argudo Garijo, F J Jiménez Jiménez, J Ramírez Calderón, A Jullien Petrelli, J Del Corral, M Hernández García, M García-Conde Delgado, A Alonso-Poza

{"title":"Study of morphological changes observed on abdominal CT scan after preoperative treatment with botulinum toxin type a in patients with midline incisional hernias or lateral component.","authors":"S Argudo Garijo, F J Jiménez Jiménez, J Ramírez Calderón, A Jullien Petrelli, J Del Corral, M Hernández García, M García-Conde Delgado, A Alonso-Poza","doi":"10.1016/j.cireng.2025.800117","DOIUrl":"https://doi.org/10.1016/j.cireng.2025.800117","url":null,"abstract":"Introduction: Preoperative treatment with botulinum toxin (BT) is very common in complex incisional hernias, although it lacks clear indications.Methods: Between July 2019 and May 2022, measurements of the thickness and length of the lateral abdominal wall, transverse diameter of the abdomen and diameter of the hernia defect were taken from patient CT scans both pre- and post-treatment with BT at our hospital. In order to establish differences between patients with lateral and midline hernias, a logistic regression analysis was performed.Results: The study included 23 patients: 17 had midline hernias, and 6 had lateral hernias (4 right and 2 bilateral). We observed increased length of the right wall (1.15 ± 1.64 cm; P = .0029), left wall (1.96 ± 1.74 cm; P < .0001) and transverse abdominal diameter (2.85 ± 4.83 cm; P < .0001), and a reduction in the thickness of the right (-0.54 ± 0.53 cm; P < .0001) and left walls (-0.58 ± 0.42 cm; P < .0001). There were no differences in the transverse diameter of the defect (-0.01 ± 1.37 cm; P = .4593). After logistic regression, increased right wall length (OR 14.99; 95%CI 1.58 - 142.12) and transverse abdominal diameter (OR 9.33; 95%CI 1.13 - 76.68) was more likely to be observed in patients with midline hernias than in those with lateral locations.Conclusions: Preoperative treatment with BT appears to be more effective in patients with midline hernias than in those with lateral locations.","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800117"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096181","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