Cirugia espanolaPub Date : 2025-01-22DOI: 10.1016/j.cireng.2025.01.002
José L Manzano Espín, Javier Alarcó Gómez, Concepción Gómez Jorge, Pilar González Álvarez
{"title":"Giant Borderline Phyllodes Tumor: An uncommon but aggressive breast cancer.","authors":"José L Manzano Espín, Javier Alarcó Gómez, Concepción Gómez Jorge, Pilar González Álvarez","doi":"10.1016/j.cireng.2025.01.002","DOIUrl":"https://doi.org/10.1016/j.cireng.2025.01.002","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":"143043940","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}
Cirugia espanolaPub Date : 2025-01-22DOI: 10.1016/j.cireng.2024.11.019
M ª Lourdes Del Río-Solá, Romero-Estrella M ª Rosario, Roedan-Oliver Joan, Sergio Asensio-Rodriguez, 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":"M ª Lourdes Del Río-Solá, Romero-Estrella M ª Rosario, Roedan-Oliver Joan, Sergio Asensio-Rodriguez, Pérez-Fernández Sandra, Rial-Horcajo Rodrigo","doi":"10.1016/j.cireng.2024.11.019","DOIUrl":"https://doi.org/10.1016/j.cireng.2024.11.019","url":null,"abstract":"<p><strong>Introduction: </strong>The repair of ruptured abdominal aortic aneurysms (R-AAA) entails high mortality. This study aims to analyze differences in postoperative outcomes.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</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":"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}
Cirugia espanolaPub Date : 2025-01-21DOI: 10.1016/j.cireng.2024.11.013
Carlos Cerdán-Santacruz, Oscar Cano-Valderrama
{"title":"Non-technical skills: what are they and how are they measured?","authors":"Carlos Cerdán-Santacruz, Oscar Cano-Valderrama","doi":"10.1016/j.cireng.2024.11.013","DOIUrl":"https://doi.org/10.1016/j.cireng.2024.11.013","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030487","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}
Cirugia espanolaPub Date : 2025-01-21DOI: 10.1016/j.cireng.2024.11.014
Sandra Veleda Belanche, Francis Javier Tejero Pintor, David Pacheco Sánchez
{"title":"Hepato-splenic-mesenteric trunk, an uncommon anatomical variation.","authors":"Sandra Veleda Belanche, Francis Javier Tejero Pintor, David Pacheco Sánchez","doi":"10.1016/j.cireng.2024.11.014","DOIUrl":"https://doi.org/10.1016/j.cireng.2024.11.014","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030473","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}
Cirugia espanolaPub Date : 2025-01-21DOI: 10.1016/j.cireng.2024.11.015
Manuel López Cano, Josep M García Alamino
{"title":"The scientific publication as a referent of recognition. The pressure to publish.","authors":"Manuel López Cano, Josep M García Alamino","doi":"10.1016/j.cireng.2024.11.015","DOIUrl":"10.1016/j.cireng.2024.11.015","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030495","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}
Cirugia espanolaPub Date : 2025-01-21DOI: 10.1016/j.cireng.2024.12.008
María Asunción Acosta-Mérida, Luis Sánchez-Guillén, Mario Álvarez Gallego, Xavier Barber, Juan Antonio Bellido Luque, Ana Sánchez Ramos
{"title":"National survey on data governance and digital surgery: Challenges and opportunities for surgeons in the era of artificial intelligence.","authors":"María Asunción Acosta-Mérida, Luis Sánchez-Guillén, Mario Álvarez Gallego, Xavier Barber, Juan Antonio Bellido Luque, Ana Sánchez Ramos","doi":"10.1016/j.cireng.2024.12.008","DOIUrl":"https://doi.org/10.1016/j.cireng.2024.12.008","url":null,"abstract":"<p><strong>Introduction: </strong>This study evaluates the knowledge of Spanish surgeons regarding data governance and Digital Surgery, their usage, errors, and training deficiencies, as well as differences in knowledge between those who perform robotic surgery and those who do not.</p><p><strong>Methods: </strong>A descriptive study was conducted using a closed survey promoted by the Minimally Invasive Surgery and Technological Innovation Section of the Spanish Association of Surgeons, directed at its members between February and March 2024.</p><p><strong>Results: </strong>Out of 1,086 surgeons contacted, 396 responded (36.46%). While 98.3% use electronic medical records, 45.4% lack organized data recording systems. Although 55.9% have access to robotic technology, 70.6% do not use it directly. Surgeons who perform robotic surgery show a higher general knowledge of Digital Surgery terms (7.2 vs 6.619; p = 0.215) and specifically of \"Artificial Intelligence\" (57.14% compared to less than 25% for other terms), although these differences are not significant. However, there are significant differences in interest in digital technology between those who perform robotic surgery and those who do not (p = 0.023). Additionally, surgeons who support training in digital technology during residency are nearly twice as likely to research Digital Surgery.</p><p><strong>Conclusion: </strong>Surgeons are crucial for the digital transformation in surgery, but many are poorly prepared and insufficiently involved. Those who practice robotic surgery have more knowledge and interest in digital technology, highlighting the need for improved training and governance frameworks to better integrate surgeons into the digital era.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030484","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}
Cirugia espanolaPub Date : 2025-01-21DOI: 10.1016/j.cireng.2024.12.007
Carmen Gutiérrez Sánchez, Marta Nieto Sánchez, Miriam Menéndez Jiménez de Zadava Lisson, Marcos Bruna Esteban
{"title":"Ex vivo intravascular methylene blue instillation in oesophagectomy and gastrectomy specimens and its implication in tumour histopathological assessment.","authors":"Carmen Gutiérrez Sánchez, Marta Nieto Sánchez, Miriam Menéndez Jiménez de Zadava Lisson, Marcos Bruna Esteban","doi":"10.1016/j.cireng.2024.12.007","DOIUrl":"10.1016/j.cireng.2024.12.007","url":null,"abstract":"<p><p>Surgical resection and lymphadenectomy are the mainstay of curative treatment for oesophagogastric cancer. In this study we evaluate the results of intravascular methylene blue injection into oesophagectomy and gastrectomy specimens as a tool to increase lymph node detection. A prospective and descriptive study was run on 24 patients (11 oesophagus, 13 stomach cases). The most frequent histological type was adenocarcinoma (oesophagus 29.2%, stomach 90.9%). All patients with oesophageal cancer received neoadjuvant treatment, compared to 8 with gastric cancer. The anatomopathological analysis of oesophagectomies showed a median of 42 isolated nodes, compared to 46 in gastrectomies. In oesophageal cancer, a total of 8 (72.7%) patients did not show lymphatic involvement, whereas, in gastric cancer patients, 76.9% of patients had lymph nodes, with a median number of positive nodes of 3 (RIC = 0.5-7). Instillation of methylene blue enables a large number of nodes to be analysed and could therefore improve staging, treatment and prognosis for patients with oesophagogastric cancer.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030463","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}
Cirugia espanolaPub Date : 2025-01-01Epub Date: 2024-10-18DOI: 10.1016/j.cireng.2024.10.002
Pedro Antonio Parra Baños, Nuria Martínez Sanz, Francisco Miguel González Valverde, Jorge Alejandro Benavides Buleje, Miguel Ruiz Marín, Emilio Peña Ros, Carmen Martínez Sanz, Mari Fe Candel Arenas
{"title":"Short-term results of unroofing and marsupialization compared to the Karydakis technique in the treatment of pilonidal sinus. A randomized prospective study.","authors":"Pedro Antonio Parra Baños, Nuria Martínez Sanz, Francisco Miguel González Valverde, Jorge Alejandro Benavides Buleje, Miguel Ruiz Marín, Emilio Peña Ros, Carmen Martínez Sanz, Mari Fe Candel Arenas","doi":"10.1016/j.cireng.2024.10.002","DOIUrl":"10.1016/j.cireng.2024.10.002","url":null,"abstract":"<p><strong>Introduction: </strong>The treatment of pilonidal sinus (PS) is usually surgical, but no procedure is considered the gold standard. The Karydakis (K) technique is widely used, and unroofing and marsupialization (UM) is a simple surgery with good results.</p><p><strong>Primary objective: </strong>To evaluate early postoperative complications (EPC) 30 days after UM surgery compared to the K technique.</p><p><strong>Secondary objectives: </strong>To evaluate surgical time, postoperative pain, patient satisfaction, return to daily activity and early recurrence within 3 months.</p><p><strong>Method: </strong>Prospective, single-center, randomized study in patients who underwent surgery for primary PS with no abscess between June 2016 and November 2017. They were randomized using a computer-generated block method. To analyze the main objective, a non-inferiority analysis was performed.</p><p><strong>Results: </strong>122 patients with symptomatic primary PS were randomized: 60 in the K group and 62 in the UM group. Both groups were homogeneous. There were statistically significant differences between surgery and postoperative complications at 15 and 30 days in favor of UM. There were also differences in favor of UM in surgical time and return to daily activity. During the 90-day follow-up, there were 3 recurrences in the UM group and 0 in the K group.</p><p><strong>Conclusions: </strong>UM is a simple, minimally invasive, easily reproducible technique that has a lower rate of early complications, with a shorter operative time and an earlier return to daily activity.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"25-33"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483163","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}
Cirugia espanolaPub Date : 2025-01-01Epub Date: 2024-08-31DOI: 10.1016/j.cireng.2024.07.007
Marc Fradera, Xavier Serra-Aracil
{"title":"Statistical Analysis Plan (SAP): What is it and how to develop it?","authors":"Marc Fradera, Xavier Serra-Aracil","doi":"10.1016/j.cireng.2024.07.007","DOIUrl":"10.1016/j.cireng.2024.07.007","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"45-48"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121325","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}
Cirugia espanolaPub Date : 2025-01-01Epub Date: 2024-02-17DOI: 10.1016/j.cireng.2024.01.010
Sergi Sanchez-Cordero, Julio Mayol
{"title":"Evaluation of ChatGPT in surgical research.","authors":"Sergi Sanchez-Cordero, Julio Mayol","doi":"10.1016/j.cireng.2024.01.010","DOIUrl":"10.1016/j.cireng.2024.01.010","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139907067","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}