Cirugia espanola最新文献

Assessing improvements in quality using textbook outcomes in colorectal surgery: A systematic review. 使用教科书结果评估结直肠手术质量的改善：一项系统综述。

Cirugia espanola Pub Date : 2025-10-10 DOI: 10.1016/j.cireng.2025.800223

Luis Hurtado-Pardo, Zutoia Balciscueta Coltell, Janine Tabet Almeida, Mº Carmen Martin Diéguez, Manuel López Bañeres, Natalia Uribe Quintana

{"title":"Assessing improvements in quality using textbook outcomes in colorectal surgery: A systematic review.","authors":"Luis Hurtado-Pardo, Zutoia Balciscueta Coltell, Janine Tabet Almeida, Mº Carmen Martin Diéguez, Manuel López Bañeres, Natalia Uribe Quintana","doi":"10.1016/j.cireng.2025.800223","DOIUrl":"https://doi.org/10.1016/j.cireng.2025.800223","url":null,"abstract":"<p><p>Textbook outcome is a composite measure of several clinically important perioperative outcomes that are included in the definition of ideal surgical care. The aim of this study is to summarize the different definitions concerning textbook outcome in colorectal surgery. A systematic review of the literature according to PRISMA guidelines was carried out until April 2025. Primary studies on adult patients undergoing colon or rectal resection and assessing the textbook outcomes of the procedure were included. Twenty-one studies were included for review. Textbook outcomes achieved varied from 41.8% to 80.8%. The most prevalent variables were \"no mortality\" and \"length of stay\" (85.7%). The variable that contributed mostly to not meeting the definition of textbook outcome was \"no complications\" (42.9%), with 6 possible definitions. As a result of the variability described, a consensus is to be reached in order to validate the extension of this tool. The proposed definition for textbook outcomes in colorectal surgery would be the following: no complications (>III Clavien-Dindo), length of stay (<75<sup>th</sup> percentile), no readmissions (<30 days), no mortality (<30 days), and oncological surgery (R0 resection and >12 lymph nodes).</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800223"},"PeriodicalIF":0.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145282205","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

The current status of immunotherapy in colorectal cancer: A systematic review. 免疫治疗在结直肠癌中的现状：一项系统综述。

Cirugia espanola Pub Date : 2025-10-09 DOI: 10.1016/j.cireng.2025.800225

Cholewa Hanna, Guerrero-Antolino Pablo, Quevedo David, Sancho-Muriel Jorge, Frasson Matteo, Flor-Lorente Blas

引用次数: 0

Comparison of weight loss and metabolic syndrome parameters between sleeve gastrectomy and Roux-en-Y gastric bypass: A propensity score analysis. 袖式胃切除术和Roux-en-Y胃旁路术的体重减轻和代谢综合征参数比较：倾向评分分析。

Cirugia espanola Pub Date : 2025-10-09 DOI: 10.1016/j.cireng.2025.800226

María Asunción Acosta-Mérida, Raquel Bañolas-Suárez, Julia Díaz-Dávila, Pedro Saavedra-Santana, Joaquín Marchena-Gómez

{"title":"Comparison of weight loss and metabolic syndrome parameters between sleeve gastrectomy and Roux-en-Y gastric bypass: A propensity score analysis.","authors":"María Asunción Acosta-Mérida, Raquel Bañolas-Suárez, Julia Díaz-Dávila, Pedro Saavedra-Santana, Joaquín Marchena-Gómez","doi":"10.1016/j.cireng.2025.800226","DOIUrl":"https://doi.org/10.1016/j.cireng.2025.800226","url":null,"abstract":"<p><strong>Introduction: </strong>Although laparoscopic sleeve gastrectomy (LSG) has positioned itself as the leading bariatric technique worldwide, surpassing laparoscopic Roux-en-Y gastric bypass (LRYGB), its possible inferiority in terms of weight and metabolic results remains controversial. The of this study was to compare the response of both techniques in terms of weight loss and obesity-related metabolic complications.</p><p><strong>Methods: </strong>We conducted a retrospective study of all patients who had undergone LSG and LRYGB in our center from 2013 to 2022. Patient characteristics, postoperative complications, postoperative weight loss and evolution of comorbidities were recorded. Propensity score matching (1:1) was performed to homogenize the 2 intervention groups for body mass index (BMI) and preoperative metabolic syndrome.</p><p><strong>Results: </strong>Out of the 354 patients who met the selection criteria, 309 patients were ultimately included in the study (172 LSG and 137 LRYGB); mean age was 45.8 ± 9.5 years; 205 were women (66.3%). Median BMI was 47 (interquartile range = 42.8 - 52.9). After propensity score matching, 118 patients remained in each group. BMI trajectories during the first 3 years of follow-up after the 2 types of surgery showed no significant differences (P = .693). One month after treatment, there were also no differences in postoperative metabolic syndrome parameters or complication rates (P = .866).</p><p><strong>Conclusions: </strong>Our data suggest that sleeve gastrectomy provides a similar weight and metabolic response to Roux-en-Y gastric bypass in patients with similar BMI and metabolic syndrome characteristics.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800226"},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276978","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

A true case of gastrointestinal duplicity. 肠胃口是心非的真实案例。

Cirugia espanola Pub Date : 2025-10-09 DOI: 10.1016/j.cireng.2025.800224

Paola Peralta Fernández-Revuelta, Luis Carlos Jiménez Romero, Esperanza Ulloa Márquez, Iago Justo Alonso

引用次数: 0

Management of inguinoscrotal hernia in Spain: Results of a national survey. 西班牙腹股沟腹股沟疝的治疗：一项全国调查的结果。

Cirugia espanola Pub Date : 2025-09-22 DOI: 10.1016/j.cireng.2025.800210

Luisana Riba-Combatti, Alejandro Bravo-Salvá, Montserrat Juvany-Gómez, José Antonio Pereira Rodríguez

{"title":"Management of inguinoscrotal hernia in Spain: Results of a national survey.","authors":"Luisana Riba-Combatti, Alejandro Bravo-Salvá, Montserrat Juvany-Gómez, José Antonio Pereira Rodríguez","doi":"10.1016/j.cireng.2025.800210","DOIUrl":"10.1016/j.cireng.2025.800210","url":null,"abstract":"<p><strong>Introduction: </strong>Inguinoscrotal hernia (ISH) represents an advanced form of inguinal hernia, with greater technical complexity and higher risk of complications. Despite its significant prevalence, its management remains heterogeneous in Spain. This study evaluates clinical practice and adherence to the recommendations of the European Hernia Society (EHS).</p><p><strong>Methods: </strong>A cross-sectional observational study was conducted through an online survey distributed among members of the Spanish Association of Surgery (AEC). Demographic variables and specific data on the diagnostic and therapeutic management of ISH were collected. Subgroup analyses were performed based on age and specialization in abdominal wall surgery.</p><p><strong>Results: </strong>Out of 3014 surveys distributed, 392 complete responses were obtained (13%). While 60.2% had an Abdominal Wall Unit, only 11.7% centralized all inguinal hernia cases. Open surgery remains the most frequent approach (96.4%). In ISH cases, the use of minimally invasive surgery (MIS) is lower (38.6%), with TAPP being the predominant technique. Surgeons specialized in abdominal wall procedures used more posterior and endoscopic techniques. Adherence to EHS guidelines was partial (58.8%).</p><p><strong>Conclusions: </strong>The treatment of ISH in Spain lacks proper centralization in specialized units, which limits the adoption of advanced techniques and adherence to international guidelines. Promoting specific training, European certification, and the creation of specialized units could improve clinical outcomes and the quality of life for these patients.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800210"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139750","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

Impact of an abdominal wall surgery specialist on incisional hernia outcomes: A registry-based analysis. 腹壁外科专家对切口疝结果的影响：一项基于登记的分析。

Cirugia espanola Pub Date : 2025-09-17 DOI: 10.1016/j.cireng.2025.800211

Manuel López-Cano, Carles Olona Casas, Pilar Hernández-Granados, José A Pereira Rodriguez

{"title":"Impact of an abdominal wall surgery specialist on incisional hernia outcomes: A registry-based analysis.","authors":"Manuel López-Cano, Carles Olona Casas, Pilar Hernández-Granados, José A Pereira Rodriguez","doi":"10.1016/j.cireng.2025.800211","DOIUrl":"10.1016/j.cireng.2025.800211","url":null,"abstract":"<p><strong>Introduction: </strong>General surgery is undergoing progressive super-specialization with conditions previously managed by general surgeons now being treated by super-specialists (SS). No universal criteria currently exist to define abdominal wall surgery super-specialization (AWS-SS), and the designation remains a self-reported classification. The aim of our paper is to evaluate the outcomes of incisional hernia (IH) procedures in the context of super-specialization or not, focusing on complications and recurrence rates.</p><p><strong>Methods: </strong>All patients who underwent elective and emergency IH repair with mesh between 2017 and 2022 were included in the Spanish IH registry (EVEREG database). At the time of data inclusion, surgeons self-identified as either super-specialists or not (SS vs NSS), using no predefined criteria. Patients were divided into 2 groups: those performed by SS or NSS. Using a 1:1 matched analysis, differences in the incidence of complications and recurrence rates within 30 days, 6 months, one year, or 2 years of follow up were compared.</p><p><strong>Results: </strong>A total of 6231 IH procedures were analyzed, 3441 (55.2%) of which were recorded as having been performed in the presence of a super-specialist. After matching, 4680 IH procedures were included in the final analysis. IH repairs performed in the presence of a super-specialist were associated with a lower incidence of surgical site occurrences (SSO), reduced recurrence rates within the first 2 years of follow-up, and lower rates of bulging and overall complications.</p><p><strong>Conclusions: </strong>Involvement of a super-specialist in the repair of an IH can be associated with lower complication rates and reduced recurrence.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800211"},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093147","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

Conditioning of the abdominal wall with progressive pneumoperitoneum in hernias with loss of domain. A consensus proposal. 腹壁的调节与进行性气腹疝丧失领域。协商一致的建议。

Cirugia espanola Pub Date : 2025-09-17 DOI: 10.1016/j.cireng.2025.800212

Salvador Pous-Serrano, Jose Bueno-Lledó, Jesús Martínez-Hoed, Omar Carreño-Sáenz, Providencia García-Pastor, Santiago Bonafé-Diana, Belén Porrero Guerrero, Guillermo Lillo-Albert

引用次数: 0

Intestinal obstruction secondary to uterine broad ligament hernia 子宫宽韧带疝继发肠梗阻。

Cirugia espanola Pub Date : 2025-09-01 DOI: 10.1016/j.cireng.2025.800154

Lucas Rodríguez-Carreño Díaz, Luis Cadaval Moreno, Ismael Mora-Guzmán

引用次数: 0

Esophageal advancement jejunoplasty (JAE) in the treatment of cervical esophageal strictures 食管前移空肠成形术治疗颈段食管狭窄。

Cirugia espanola Pub Date : 2025-09-01 DOI: 10.1016/j.cireng.2025.800195

Leandre Farran Teixidó , Mònica Miró Martín , Anna López Ojeda , Cristóbal Cañete Cabanillas , Fernando Estremiana García , Oriol Bermejo Segu , Humberto Aranda Danso , Joan Gornals Soler

{"title":"Esophageal advancement jejunoplasty (JAE) in the treatment of cervical esophageal strictures","authors":"Leandre Farran Teixidó , Mònica Miró Martín , Anna López Ojeda , Cristóbal Cañete Cabanillas , Fernando Estremiana García , Oriol Bermejo Segu , Humberto Aranda Danso , Joan Gornals Soler","doi":"10.1016/j.cireng.2025.800195","DOIUrl":"10.1016/j.cireng.2025.800195","url":null,"abstract":"<div><h3>Introduction</h3><div>Cervical esophageal stenosis is a complex surgical problem when endoscopic treatment fails. The distance between the stenosis and the dental arch (AD) determines the need for a longer flap, with an increased risk of ischemia.</div><div>Our group proposed the use of an esophageal advancement jejunoplasty (JAE) in patients with esophageal stenosis less than 17 cm from the AD to “lengthen” the residual esophagus and, in a second stage, complete the reconstruction of digestive transit with a gastroplasty or coloplasty.</div></div><div><h3>Material and method</h3><div>Descriptive and retrospective analysis of a prospective database of patients who had esophageal stenosis less than 17 cm from the dental arch (DA), who were indicated a JAE between November 2020 and May 2024.</div></div><div><h3>Results</h3><div>A total of 16 patients with a mean age of 52 years were included. In 13 cases the stenosi was secundary to càustics and 3 to radiotherapy; the mean distance between AD and stenosis was 14 cm. Five cases were reoperated and two esophageal-jejunal fistulas were diagnosed. There was no mortality.</div><div>The second stage of reconstruction was completed in 10 patients (5 gastroplasties and 5 coloplasties). Two jejuno-ileal stenosis and one esophageal-jejunal stenosis were diagnosed. Functionally, 5 patients are exclusively nourished orally, 2 through a mixed diet and 3 exclusively enterally.</div></div><div><h3>Conclusion</h3><div>We believe that JAE can be a technically feasible option, with acceptable morbidity, in patients with upper esophageal stenosis to minimize the risk of ischemia that involves a longer flap.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 9","pages":"Article 800195"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812797","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

Severe bacterial soft tissue infection in the chest due to S. pyogenes: A case series 由化脓性链球菌引起的胸部严重细菌性软组织感染：一个病例系列。

Cirugia espanola Pub Date : 2025-09-01 DOI: 10.1016/j.cireng.2025.800187

Leonidas Alejandro Landero Ascencio, Raúl Guerrero Lopez, Marc Perez Xaus, Sara Fernandez Planas, Hellena Vallverdú Cartié

引用次数: 0