Cirugia espanola最新文献_第2页

PROFUGO study protocol: Predictive model for the early diagnosis of anastomotic leak after esophagectomy and gastrectomy. PROFUGO 研究方案：食管切除术和胃切除术后吻合口漏早期诊断的预测模型。

Cirugia espanola Pub Date : 2024-09-02 DOI: 10.1016/j.cireng.2024.06.012

Rocío Pérez Quintero, Marcos Bruna Esteban, Antonio José Serrano López

引用次数: 0

Non-inferiority clinical trial. Features and practical considerations. 非劣效性临床试验。特点和实际考虑因素。

Cirugia espanola Pub Date : 2024-09-02 DOI: 10.1016/j.cireng.2024.07.008

Xavier Serra-Aracil, Marc Fradera

引用次数: 0

Clinical trial on nurse training through virtual reality simulation of an operating room: assessing satisfaction and outcomes 通过虚拟现实模拟手术室进行护士培训的临床试验：评估满意度和成果

Cirugia espanola Pub Date : 2024-09-01 DOI: 10.1016/j.cireng.2024.04.012

{"title":"Clinical trial on nurse training through virtual reality simulation of an operating room: assessing satisfaction and outcomes","authors":"","doi":"10.1016/j.cireng.2024.04.012","DOIUrl":"10.1016/j.cireng.2024.04.012","url":null,"abstract":"<div><h3>Introduction</h3><p>Virtual reality (VR) provides a firsthand active learning experience<span> through varying degrees of immersion. The aim of this study is to evaluate the use of VR as a potential tool for training operating room nurses to perform thoracic surgery procedures.</span></p></div><div><h3>Methods</h3><p>This is an open parallel-group randomized clinical trial<span>. One group received basic formation followed by an assessment module. The experimental group received the same basic formation, followed by thoracic surgery training and an assessment module.</span></p></div><div><h3>Results</h3><p>Fifty-six nurses participated in the study (51 females), with a mean age of 41.6 years. Participants achieved a median evaluation mode score of 480 points (IQR = 32 points). The experimental group (520 points) achieved an overall higher score than the control group (440 points; <em>P</em> = .04). Regarding age, women in the second quartile of age among the participants (35–41 years) achieved significantly better results than the rest (<em>P</em> = .04). When we evaluated the results based on the moment of practice, exercises performed in the last 10 min obtained better results than those performed in the first 10 min (1064 points versus 554 points; <em>P</em><span> < .001). Regarding adverse effects blurred vision was the most frequent. The overall satisfaction rating with the experience was 8.5 out of 10.</span></p></div><div><h3>Conclusion</h3><p>Virtual reality is a useful tool for training operating room nurses. Clinical trial with ISRCTN16864726 registered number.</p></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141056158","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

Prospective study about the security and efficacy of treatment without antibiotic therapy of patients diagnosed with acute uncomplicated diverticulitis after launching a protocol at a tertiary hospital 一项前瞻性研究，探讨在一家三级医院启动一项方案后，对确诊为急性无并发症憩室炎的患者进行无抗生素治疗的安全性和有效性。

Cirugia espanola Pub Date : 2024-09-01 DOI: 10.1016/j.cireng.2024.04.019

{"title":"Prospective study about the security and efficacy of treatment without antibiotic therapy of patients diagnosed with acute uncomplicated diverticulitis after launching a protocol at a tertiary hospital","authors":"","doi":"10.1016/j.cireng.2024.04.019","DOIUrl":"10.1016/j.cireng.2024.04.019","url":null,"abstract":"<div><h3>Introduction</h3><p><span>The main objective of our study is to analyze the results in our hospital after launching a treatment protocol without antibiotic therapy for patients diagnosed with acute uncomplicated </span>diverticulitis.</p></div><div><h3>Methods</h3><p>Our observational, prospective, single-center study was developed after launching a treatment protocol without antibiotic therapy for patients diagnosed with acute uncomplicated diverticulitis (AUD) in January 2021. The follow-up period was from January 1, 2021 to September 30, 2023. Variables evaluated by the study have included demographic and analytical variables, as well as those related to diagnosis and whether the patients needed to start antibiotic treatment, inpatient treatment, or surgical procedures.</p></div><div><h3>Results</h3><p>In total, 199 patients were diagnosed with AUD, 75 of whom were treated without antibiotic therapy as outpatients. Seven of these patients needed to start antibiotic treatment because of adverse evolution; none of these patients required surgical procedures. The need for inpatient treatment, urgent care, or surgical procedures is similar to the group of patients treated with antibiotics.</p><p>The main risk factor of failure of outpatient treatment without antibiotic therapy identified by the study was the presence of bacteriuria at diagnosis.</p></div><div><h3>Conclusions</h3><p>Our results confirm previous reports, observing that treatment without antibiotic therapy in selected patients with AUD is safe.</p></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185053","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

Standardization of the definition of the types of oncological colectomy. Delphi method for consensus of experts of the Spanish Association of Surgeons 肿瘤结肠切除术类型定义的标准化。西班牙外科医生协会专家通过德尔菲法达成共识。

Cirugia espanola Pub Date : 2024-09-01 DOI: 10.1016/j.cireng.2024.05.012

{"title":"Standardization of the definition of the types of oncological colectomy. Delphi method for consensus of experts of the Spanish Association of Surgeons","authors":"","doi":"10.1016/j.cireng.2024.05.012","DOIUrl":"10.1016/j.cireng.2024.05.012","url":null,"abstract":"<div><p>There is no international consensus on the definition of the type of oncological resection that corresponds to each of the colectomies existing in the current literature.</p><p>The objective is to define for each colectomy described in the literature: embryological dissection plane, vascular pedicles in which to perform central ligation, the extent of the colectomy, and the need for resection of the greater momentum.</p><p>A consensus of experts is carried out through the Delphi methodology through two rounds from the Coloproctology Section of the Spanish Association of Surgeons. Study period: November 2021-January 2023. 120 experts were surveyed.</p><p>Degrees of consensus: Very strong: >90%, Strong: 80%–90%, Moderate: 50%–80%, No consensus: <50%.</p><p>The definition for each oncological colectomy was established by very strong, and strong recommendations.</p><p>Each oncological colectomy was established as Right hemicolectomy (RHC), RHC with D3 lymphadenectomy, Extended-RHC, transverse colon segmental colectomy, splenic flexure segmental colectomy, subtotal colectomy, total colectomy, left hemicolectomy (LHC), extended-LHC, sigmoidectomy.</p></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294058","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

Surgical management of recurrent intraparietal hernia following disruption of the semilunar line by pararectus incision 副肛门切开术破坏半月线后复发性顶叶内疝的手术治疗。

Cirugia espanola Pub Date : 2024-09-01 DOI: 10.1016/j.cireng.2024.05.017

引用次数: 0

Interpretation and critical appraisal of a systematic review and/or meta-analysis 解释和批判性阅读系统综述和/或荟萃分析。

Cirugia espanola Pub Date : 2024-09-01 DOI: 10.1016/j.cireng.2024.04.007

引用次数: 0

Local Excision for organ preservation in early REctal cancer with No Adjuvant treatment (LORENA Trial): prospective observational study protocol 无辅助治疗的早期直肠癌保留器官局部切除术（LORENA 试验）：前瞻性观察研究方案。

Cirugia espanola Pub Date : 2024-09-01 DOI: 10.1016/j.cireng.2024.04.013

{"title":"Local Excision for organ preservation in early REctal cancer with No Adjuvant treatment (LORENA Trial): prospective observational study protocol","authors":"","doi":"10.1016/j.cireng.2024.04.013","DOIUrl":"10.1016/j.cireng.2024.04.013","url":null,"abstract":"<div><h3>Introduction</h3><p><span><span>Local resection (LR) is an alternative to </span>total mesorectal excision (TME) that avoids its associated morbidity to the detriment of oncological radicality in early stages of </span>rectal cancer. There are several conditioning factors for the success of this strategy, such as poor prognosis histological factors (PPHF), involvement of resection margins, clinical under staging, or complications that may lead to the indication for radical surgery with TME.</p></div><div><h3>Patients and method</h3><p>An international multicenter prospective observational open-label study has been designed. Consecutive patients diagnosed with early rectal cancer (cT1N0 on MRI +/− endorectal ultrasound) whose lower limit is a maximum of 2 cm proximal to the ano-rectal junction will be included. The primary objective of the study is to determine the overall prevalence of PPHF after LR and requiring TME or postoperative radio-chemotherapy.</p></div><div><h3>Discussion</h3><p>The prevalence of PPHF conditioning the success of LR in early distal rectal cancer has been scarcely studied in the literature, and there are very few prospective data. Considering the increasing interest in the watch and wait strategy in rectal cancer and its possible application in early-stage tumors, it seems necessary to know this information.</p><p>The results of this study will help guide clinical practice in patients with early distal rectal cancer. It will also provide quality information for the design of future comparative studies to improve organ preservation success in these patients.</p><p>Trial registration number: NCT05927584.</p></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066559","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

Neurofibroma of the vagus nerve as an incidental finding during left modified radical neck dissection for papillary thyroid cancer 甲状腺乳头状癌左侧改良根治性颈部切除术中偶然发现的迷走神经神经纤维瘤。

Cirugia espanola Pub Date : 2024-09-01 DOI: 10.1016/j.cireng.2023.12.004

引用次数: 0

Use of systematic review and meta-analysis in surgery: Quality assessment, identification of deficient areas, and points for improvement 在外科手术中使用系统综述和荟萃分析：质量评估、确定不足之处和改进要点。

Cirugia espanola Pub Date : 2024-09-01 DOI: 10.1016/j.cireng.2024.04.005

引用次数: 0