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Cirugia espanola最新文献

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New technique for graft procurement in abdominal wall transplantation.
Cirugia espanola Pub Date : 2025-01-24 DOI: 10.1016/j.cireng.2025.01.003
Paola Peralta Fernández-Revuelta, Blanca Otero Torrón, Luis Carlos Jiménez Romero, Iago Justo Alonso
{"title":"New technique for graft procurement in abdominal wall transplantation.","authors":"Paola Peralta Fernández-Revuelta, Blanca Otero Torrón, Luis Carlos Jiménez Romero, Iago Justo Alonso","doi":"10.1016/j.cireng.2025.01.003","DOIUrl":"https://doi.org/10.1016/j.cireng.2025.01.003","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048653","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
Advances and stagnation in airway surgery: A historical perspective.
Cirugia espanola Pub Date : 2025-01-24 DOI: 10.1016/j.cireng.2024.12.011
Néstor J Martínez-Hernández, Míriam Estors-Guerrero, José M Galbis-Caravajal, Manuel Mata-Roig, Amparo Roig-Bataller
{"title":"Advances and stagnation in airway surgery: A historical perspective.","authors":"Néstor J Martínez-Hernández, Míriam Estors-Guerrero, José M Galbis-Caravajal, Manuel Mata-Roig, Amparo Roig-Bataller","doi":"10.1016/j.cireng.2024.12.011","DOIUrl":"https://doi.org/10.1016/j.cireng.2024.12.011","url":null,"abstract":"<p><p>Airway pathology is a complex and incompletely mastered field. Historically, its management was rudimentary, with tracheostomies performed in ancient Egypt, and progress remained stagnant for millennia. Significant advances began in the late 19<sup>th</sup> century, followed by notable surgical and anesthetic progress in the mid-20<sup>th</sup> century. The 1952 polio epidemic spurred further development, with tracheal resection and anastomosis as the first major milestone, later extending to the larynx and carina. All significant advances in airway surgery ended in the latter half of the 20<sup>th</sup> century, with minimal progress since. This article analyzes its atypical evolution of an initial step that awaited millennia for subsequent advances, only to halt again in recent times.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048698","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 build and care for the team?
Cirugia espanola Pub Date : 2025-01-23 DOI: 10.1016/j.cireng.2024.11.021
M J Gomez-Jurado, M Millan
{"title":"How to build and care for the team?","authors":"M J Gomez-Jurado, M Millan","doi":"10.1016/j.cireng.2024.11.021","DOIUrl":"https://doi.org/10.1016/j.cireng.2024.11.021","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044032","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
Rupture of a liver mucinous cystic neoplasm: An exceptional clinical entity.
Cirugia espanola Pub Date : 2025-01-23 DOI: 10.1016/j.cireng.2024.12.010
Jose M Ramia, Celia Villodre, Paola Melgar, Mariano Franco, Cándido Alcazar
{"title":"Rupture of a liver mucinous cystic neoplasm: An exceptional clinical entity.","authors":"Jose M Ramia, Celia Villodre, Paola Melgar, Mariano Franco, Cándido Alcazar","doi":"10.1016/j.cireng.2024.12.010","DOIUrl":"10.1016/j.cireng.2024.12.010","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044041","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
Antithrombotic prophylaxis use and incidence of venous thromboembolism in lung cancer surgery: An observational retrospective study.
Cirugia espanola Pub Date : 2025-01-22 DOI: 10.1016/j.cireng.2024.11.018
Tomás Rubio, María Ibáñez, Clara Fernández-Arias, Manuel Carrasco, Alma Queralt, María Rodríguez, Pedro Ruiz-Artacho, Ramón Lecumberri
{"title":"Antithrombotic prophylaxis use and incidence of venous thromboembolism in lung cancer surgery: An observational retrospective study.","authors":"Tomás Rubio, María Ibáñez, Clara Fernández-Arias, Manuel Carrasco, Alma Queralt, María Rodríguez, Pedro Ruiz-Artacho, Ramón Lecumberri","doi":"10.1016/j.cireng.2024.11.018","DOIUrl":"https://doi.org/10.1016/j.cireng.2024.11.018","url":null,"abstract":"<p><strong>Introduction: </strong>Extended thromboprophylaxis with low-molecular-weight heparin (LMWH) for 28 days is recommended in patients undergoing major abdominal or pelvic cancer surgery, but the evidence for thoracic cancer surgery is weak. We aimed to evaluate the use of pharmacological thromboprophylaxis and incidence of venous thromboembolism (VTE) in adult patients undergoing lung cancer surgery in daily clinical practice.</p><p><strong>Methods: </strong>Retrospective evaluation of a cohort of consecutive adult patients who had undergone lung cancer surgery. Patients were followed for 90 days after surgery.</p><p><strong>Results: </strong>From 2000 to 2023, 405 patients were included (69% males; mean age 63.5 ± 10.1 years). Overall, 97.3% of the patients received LMWH thromboprophylaxis, with a median duration of 6 days (range, 1-30 days). Thromboprophylaxis use increased over time (from 94.9% in the period 2000-2012 to 99.1% in the period 2013-2023). During follow-up, 6 patients (1.5%) developed a VTE event: 3 isolated lower-limb deep vein thrombosis, and 3 non-fatal pulmonary embolism. Median time between surgery and the thrombotic event was 17.5 days (range, 4-78 days). Concomitant epidural analgesia and shorter hospital stay were associated with a lower risk of VTE. Three patients (0.7%) died during follow-up, none of them due to a VTE event.</p><p><strong>Conclusions: </strong>While extended thromboprophylaxis could be considered for certain high-risk thoracic surgery cancer patients, our results do not support its widespread use due to the low rate of VTE after lung cancer surgery. More studies are needed to identify subgroups of patients that could benefit from tailored thromboprophylaxis strategies.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043939","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
Magnetic liver retraction in bariatric surgery: Is it possible?
Cirugia espanola Pub Date : 2025-01-22 DOI: 10.1016/j.cireng.2024.12.009
Gilberto Ungson-Beltrán
{"title":"Magnetic liver retraction in bariatric surgery: Is it possible?","authors":"Gilberto Ungson-Beltrán","doi":"10.1016/j.cireng.2024.12.009","DOIUrl":"10.1016/j.cireng.2024.12.009","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044039","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
Indocyanine green for axillary sentinel lymph node biopsy in patients with breast cancer (INSEAN study).
Cirugia espanola Pub Date : 2025-01-22 DOI: 10.1016/j.cireng.2024.11.017
Sandra López Gordo, Iva Borisova, Neus Ruiz-Edo, David López-Cano, Marta De la Iglésia, Mario Giner Pichel, Maite Salcedo-Pujantell, Cristina Serra-Serra
{"title":"Indocyanine green for axillary sentinel lymph node biopsy in patients with breast cancer (INSEAN study).","authors":"Sandra López Gordo, Iva Borisova, Neus Ruiz-Edo, David López-Cano, Marta De la Iglésia, Mario Giner Pichel, Maite Salcedo-Pujantell, Cristina Serra-Serra","doi":"10.1016/j.cireng.2024.11.017","DOIUrl":"10.1016/j.cireng.2024.11.017","url":null,"abstract":"<p><strong>Introduction: </strong>Sentinel lymph node (SLN) detection is the technique of choice for staging early-stage breast cancer (BC). The preferred technique for SLN detection is labelling with the radioisotope Technetium-99 (Tc-99). Other methods have been evaluated, including methylene blue, magnetic tracers, iodine seeds, or fluorescent substances. Various studies have shown the non-inferiority of indocyanine green (ICG) for SLN detection; however, inclusion criteria are selective and restrictive.</p><p><strong>Main and secondary hypotheses: </strong>Main hypotheses: SLN detection using ICG provides results that are not inferior to those obtained with Tc-99. Secondary hypotheses: METHODS AND DESIGN: This is a multicenter, prospective, observational study in BC patients undergoing primary or post-neoadjuvant surgery with SLN detection. INSEAN study (NCT: 06378944).</p><p><strong>Inclusion criteria: </strong>Patients of both sexes with cN0 BC undergoing primary surgery or cN1 with good axillary response post-neoadjuvant. The detected nodes will be classified according to the detection method used as \"Tc,\" \"Tc + ICG,\" or \"ICG.\" Final anatomopathological (AP) analysis will be conducted for comparison.</p><p><strong>Discussion: </strong>The SLN detection rates will be compared across techniques, along with potential adverse effects, definitive AP results, and costs between the two techniques.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044037","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
Local resection in rectal cancer: When, who and how?
Cirugia espanola Pub Date : 2025-01-22 DOI: 10.1016/j.cireng.2024.11.016
Jesus Badia-Closa, Juan Pablo Campana, Gustavo Leandro Rossi, Xavier Serra-Aracil
{"title":"Local resection in rectal cancer: When, who and how?","authors":"Jesus Badia-Closa, Juan Pablo Campana, Gustavo Leandro Rossi, Xavier Serra-Aracil","doi":"10.1016/j.cireng.2024.11.016","DOIUrl":"10.1016/j.cireng.2024.11.016","url":null,"abstract":"<p><p>Local resection (LR) in rectal cancer is indicated in stage T1N0M0 without unfavorable pathological factors, achieving oncologically satisfactory outcomes through transanal endoscopic surgery techniques. However, the initial step involves accurate staging and selection of these tumors through specific tests conducted in specialized colorectal units. For T2N0M0 tumors and T1 tumors with poor prognostic factors, the standard treatment is total mesorectal excision (TME), a procedure associated with high postoperative morbidity and mortality, functional impairments, and reduced quality of life. Therefore, new organ-preservation strategies are being explored as alternatives to TME. These include neoadjuvant therapy combined with LR, which has shown promising results, and neoadjuvant therapy followed by a \"Watch and Wait\" approach -where patients with complete clinical response are selected for strict surveillance- as an ideal future treatment, although there are still current challenges to be addressed.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030478","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
Laparoscopic approach for rectal cancer surgery: Triumph of reason or necessity of evolution?
Cirugia espanola Pub Date : 2025-01-22 DOI: 10.1016/j.cireng.2024.11.020
Alessio Lucarini, Andrea Martina Guida, Yves Panis
{"title":"Laparoscopic approach for rectal cancer surgery: Triumph of reason or necessity of evolution?","authors":"Alessio Lucarini, Andrea Martina Guida, Yves Panis","doi":"10.1016/j.cireng.2024.11.020","DOIUrl":"https://doi.org/10.1016/j.cireng.2024.11.020","url":null,"abstract":"<p><p>The role of laparoscopy in rectal cancer surgery has evolved considerably since the early 2000s. Initial randomized trials, such as COLOR II and COREAN, indicated that laparoscopic approaches offered similar pathological outcomes with better postoperative recovery than open surgery. In contrast, trials like ACOSOG Z6051 and ALaCaRT suggested noninferiority could not be established. Variability in trial outcomes, focusing on either disease-free survival or pathological measures, initially hindered consensus. Long-term analyses have shown no significant difference in disease-free survival between laparoscopic and open approaches. Meta-analyses have reinforced the benefits of laparoscopic surgery, with reduced mortality and similar oncologic effectiveness to open surgery. However, new techniques like transanal TME (TaTME) and robotic approaches have introduced alternatives, though each presents unique challenges, from recurrence rates in TaTME to costs in robotics. While laparoscopy remains the preferred method due to accessibility and outcomes, robotic surgery is expected to gain traction in high-volume centers.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044038","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
And after surgery, what's new for the rectal cancer survivor?
Cirugia espanola Pub Date : 2025-01-22 DOI: 10.1016/j.cireng.2025.01.001
Arturo Cirera de Tudela, Franco Marinello, Eloy Espín Basany
{"title":"And after surgery, what's new for the rectal cancer survivor?","authors":"Arturo Cirera de Tudela, Franco Marinello, Eloy Espín Basany","doi":"10.1016/j.cireng.2025.01.001","DOIUrl":"10.1016/j.cireng.2025.01.001","url":null,"abstract":"<p><p>Low anterior resection syndrome is a common but underestimated complication after rectal cancer surgery that significantly impacts the quality of life of the surviving patient. It is characterised by symptoms such as faecal incontinence and voiding dysfunction and affects up to 90% of patients undergoing low anterior rectal resection. The aetiology of the syndrome is multifactorial with no clear determining factor. It includes the use of preoperative radiotherapy, the indication for a protective ileostomy, sphincteric lesions, nerve damage to the rectal autonomic plexuses, and changes in left colon motor function. Although various therapeutic modalities have been shown to be effective in the management of the symptoms of the syndrome, there is still no standard treatment or patient selection pattern. In this article, a critical review of the therapeutic possibilities for patients who have survived rectal surgery will be made.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043937","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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