Cirugia espanola最新文献_第10页

Giant borderline phyllodes tumor: An uncommon but aggressive breast cancer 巨大交界性叶状瘤：一种罕见但侵袭性的乳腺癌。

Cirugia espanola Pub Date : 2025-05-01 DOI: 10.1016/j.cireng.2025.01.002

José L. Manzano Espín, Javier Alarcó Gómez, Concepción Gómez Jorge, Pilar González Álvarez

引用次数: 0

Patient safety, why is it important? 患者安全，为什么很重要？

Cirugia espanola Pub Date : 2025-05-01 DOI: 10.1016/j.cireng.2024.11.010

Javier García Septiem, Alba Correa Bonito

引用次数: 0

Strategic management and outcomes of surgical repair for ruptured abdominal aortic aneurysms in women: a systematic review and meta-analysis 女性腹主动脉瘤破裂手术修复的策略管理和结果：系统回顾和荟萃分析。

Cirugia espanola Pub Date : 2025-05-01 DOI: 10.1016/j.cireng.2024.11.019

Del Río-Solá M.ª Lourdes , Romero-Estrella M.ª Rosario , Roedan-Oliver Joan , Asensio-Rodriguez Sergio , Pérez-Fernández Sandra , Rial-Horcajo Rodrigo

{"title":"Strategic management and outcomes of surgical repair for ruptured abdominal aortic aneurysms in women: a systematic review and meta-analysis","authors":"Del Río-Solá M.ª Lourdes , Romero-Estrella M.ª Rosario , Roedan-Oliver Joan , Asensio-Rodriguez Sergio , Pérez-Fernández Sandra , Rial-Horcajo Rodrigo","doi":"10.1016/j.cireng.2024.11.019","DOIUrl":"10.1016/j.cireng.2024.11.019","url":null,"abstract":"<div><h3>Introduction</h3><div>The repair of ruptured abdominal aortic aneurysms (R-AAA) entails high mortality. This study aims to analyze differences in postoperative outcomes.</div></div><div><h3>Methods</h3><div>A meta-analysis was conducted of 8 studies involving 26 473 patients, evaluating 30-day mortality rates by comparing open surgical repair with endovascular repair and stratifying results by sex.</div></div><div><h3>Results</h3><div>The 30-day mortality rate was 23.0% in women versus 13.0% in men, with an odds ratio (OR) of 2.05. Women had higher rates of postoperative complications, such as stroke (6.0% vs. 4.0%) and renal failure (8.0% vs. 5.0%), as well as prolonged ICU stay (12.3 ± 6.4 days vs. 10.2 ± 5.7 days).</div></div><div><h3>Conclusion</h3><div>These findings highlight the importance of adjusting surgical approaches to improve outcomes in women with R-AAA. Continued prospective studies are recommended to optimize treatment protocols.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 5","pages":"Pages 257-267"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044042","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

Use of abdominal fascia transplantation for complex giant incisional hernia treatment 利用腹部筋膜移植治疗复杂的巨大切口疝。

Cirugia espanola Pub Date : 2025-04-01 DOI: 10.1016/j.cireng.2024.06.006

Iago Justo, Paola Peralta, Isabel Lechuga, Carlos Jiménez-Romero

引用次数: 0

Endoscopic axillary lymphadenectomy: Tips & tricks 内窥镜腋窝淋巴腺切除术：技巧与窍门。

Cirugia espanola Pub Date : 2025-04-01 DOI: 10.1016/j.cireng.2024.11.001

Lidia Blay , Itziar Larrañaga , Lorenzo Rabadán , Elisa York

引用次数: 0

Antithrombotic prophylaxis use and incidence of venous thromboembolism in lung cancer surgery: An observational retrospective study 肺癌手术中抗血栓预防使用和静脉血栓栓塞的发生率：一项观察性回顾性研究。

Cirugia espanola Pub Date : 2025-04-01 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":"10.1016/j.cireng.2024.11.018","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>Retrospective evaluation of a cohort of consecutive adult patients who had undergone lung cancer surgery. Patients were followed for 90 days after surgery.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 4","pages":"Pages 195-200"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","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

Bibliometric study of publications on pancreatic surgery carried out by spanish surgeons 西班牙外科医生胰腺外科出版物的文献计量学研究。

Cirugia espanola Pub Date : 2025-04-01 DOI: 10.1016/j.cireng.2024.12.015

Juan Jesús Rubio-García , Celia Villodre Tudela , Cándido Alcázar López , Silvia Carbonell Morote , Mariano Franco Campello , Paola Melgar Requena , Adrián Paredes Segura , José Manuel Ramia Ángel

{"title":"Bibliometric study of publications on pancreatic surgery carried out by spanish surgeons","authors":"Juan Jesús Rubio-García , Celia Villodre Tudela , Cándido Alcázar López , Silvia Carbonell Morote , Mariano Franco Campello , Paola Melgar Requena , Adrián Paredes Segura , José Manuel Ramia Ángel","doi":"10.1016/j.cireng.2024.12.015","DOIUrl":"10.1016/j.cireng.2024.12.015","url":null,"abstract":"<div><h3>Introduction</h3><div>Pancreatic pathology is a constant multidisciplinary challenge. It is a growing pathology and one of the main research topics. The aim of the study is to analyse the current situation in Spain in this field from a bibliometric perspective.</div></div><div><h3>Methods</h3><div>We conducted a systematic review following the PRISMA guidelines, utilizing the PubMed/Medline and sCIELO databases. The search strategy included the terms: ‘(pancreas OR pancreatectomy) AND surgery AND Spain.’ The publication period spanned from January 2019 to March 2024. Our inclusion criteria specified any article, in any language, where at least one participant was a surgeon in a hospital in Spain, and that had an impact factor (IF).</div></div><div><h3>Results</h3><div>The search yielded 522 citations, of which 133 articles were selected after applying our inclusion and exclusion criteria. The trend over time indicates a progressive increase in publications. Notably, 36.1% of the articles were published in Q1 journals, while 35.3% appeared in Q3 journals, with a mean impact factor of 4.07. Spanish authors accounted for 63.2% of publications. The most common types of articles were retrospective studies, case reports, and systematic reviews, with 35.3% being international multicenter studies. Key topics addressed included minimally invasive approaches, surgical techniques, and postoperative management. The journal Cirugía Española (Q3) published the highest number of papers (20.3%).</div></div><div><h3>Conclusion</h3><div>In recent years, Spain has experienced a significant increase in publications related to pancreatic surgery. However, when compared to leading countries in this field, the number of randomised clinical trials remains low.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 4","pages":"Pages 201-208"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485062","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

Non-technical skills: what are they and how are they measured? 非技术技能：它们是什么？如何衡量它们？

Cirugia espanola Pub Date : 2025-04-01 DOI: 10.1016/j.cireng.2024.11.013

Carlos Cerdán-Santacruz , Oscar Cano-Valderrama

引用次数: 0

The scientific publication as a referent of recognition. The pressure to publish 科学出版物作为认可的参考。出版的压力。

Cirugia espanola Pub Date : 2025-04-01 DOI: 10.1016/j.cireng.2024.11.015

Manuel López Cano , Josep M. García Alamino

引用次数: 0

How are non-technical skills learned? Importance of simulation and high-performance teams 如何学习非技术技能？模拟和高效团队的重要性。

Cirugia espanola Pub Date : 2025-04-01 DOI: 10.1016/j.cireng.2025.02.004

Ismail Hameed Mallick

引用次数: 0