Cirugia espanola最新文献

{"title":"Competency development, continuous training, and performance evaluation in surgical practice.","authors":"Víctor Soria-Aledo, José Luis Aguayo-Albasini","doi":"10.1016/j.cireng.2025.800200","DOIUrl":"10.1016/j.cireng.2025.800200","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800200"},"PeriodicalIF":0.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805392","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}

{"title":"Decision-making in surgical practice: Informed consent and shared decision-making strategies.","authors":"Roger Cabezali-Sanchez","doi":"10.1016/j.cireng.2025.800196","DOIUrl":"10.1016/j.cireng.2025.800196","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800196"},"PeriodicalIF":0.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805393","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}

{"title":"Benchmarking in surgery: The comparison to achieve excellence in results.","authors":"Clara Gené-Škrabec, David Parés","doi":"10.1016/j.cireng.2025.800201","DOIUrl":"10.1016/j.cireng.2025.800201","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800201"},"PeriodicalIF":0.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805391","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}

{"title":"Delayed gastric emptying after distal pancreatectomy: A systematic review of the literature","authors":"Ana Belén Hernández-Ferriz ,&nbsp;Belén Hernández-Roca ,&nbsp;Jordi Seguí-Orejuela ,&nbsp;Assumpta Hernández-Santiago ,&nbsp;María José Gil-Torregrosa ,&nbsp;Carlos Felipe Campo-Betancourth ,&nbsp;Celia Villodre-Tudela ,&nbsp;Silvia Carbonell-Morote ,&nbsp;José Manuel Ramia-Ángel","doi":"10.1016/j.cireng.2025.800151","DOIUrl":"10.1016/j.cireng.2025.800151","url":null,"abstract":"<div><div>Most studies on delayed gastric emptying (DGE) after pancreatic surgery have been carried out after pancreatoduodenectomy. Information on DGE after left or distal pancreatectomy (DP) and the factors that cause it is very scarce.</div><div>We have conducted a systematic review in accordance with PRISMA guidelines using the descriptors “delayed gastric emptying” AND “distal pancreatectomy”, with no language limitations and date until December 31, 2024. To evaluate the quality of the non-randomized studies, we used the Newcastle-Ottawa Scale.</div><div>A total of 121 articles were obtained. Upon review, only 4 articles were relevant. They included 2549 patients, 52.9% of whom were women. A total of 228 presented DGE after DP, representing an incidence of 8.9%. The only factor related to DGE present in all series was the existence of a postoperative pancreatic fistula. The presence of abdominal collections, laparotomy approach used, multivisceral resection, older patients, tumor vascular involvement, and drains have been related to DGE after DP in some of the 4 articles studied.</div><div>The incidence of DGE after DP is close to 10%. Therefore, it should be systematically evaluated in any DP series. Among the factors associated with DGE, postoperative pancreatic fistula is the only confirmed factor contributing to its development. More studies are needed to evaluate these factors and thus reduce their incidence.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 8","pages":"Article 800151"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337352","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}

{"title":"Impact of anesthetic technique on time to discharge of patients undergoing proctological surgery in major outpatient surgery","authors":"Armando Cuesta Amigo ,&nbsp;Nazrin Bakhshaliyeva ,&nbsp;Javier García Septiem ,&nbsp;Enrique Alday Muñoz","doi":"10.1016/j.cireng.2025.800157","DOIUrl":"10.1016/j.cireng.2025.800157","url":null,"abstract":"<div><h3>Introduction</h3><div>The present study aims to compare the length of postoperative stay in outpatient surgery (OS) setting of patients undergoing anorectal surgery in four different anaesthetic techniques: local anaesthesia with deep sedation (LA + DS), low-dose spinal anaesthesia (LDSA) (less than 5 mg of hyperbaric bupivacaine or less than 20 mg of hyperbaric prilocaine), high-dose spinal anaesthesia (HDSA), and general anaesthesia (GA). Secondary outcomes include analysing postoperative complications and their relationship with the chosen anaesthetic technique.</div></div><div><h3>Methods</h3><div>Retrospective observational study of patients who underwent scheduled proctological surgery between January 2018 and September 2021. Patients were classified into four groups according to the anaesthetic technique used. The primary outcomes were the length of stay in AS, the need for postoperative opioids, postoperative nausea and vomiting, acute urinary retention, and failure to complete the AS regimen (unscheduled admission to the ward or visit to the emergency room in the first 24 h with or without hospital admission).</div></div><div><h3>Results</h3><div>Out of 337 patients, 137 (40.4%) received HDSA, 68 (20.5%) LDSA, 106 (31.3%) GA, and 26 (7.7%) LA + DS. The longest median stay (226 min) was associated with HDSA (p &lt; 0.001). The shortest time was recorded with LA + DS (121 min). Around 2% required opioids. 71% of them were operated under GA (p = 0.06). AUR occurred in 4% of patients, with no significant differences between groups. The rate of PONV was 74% in the GA group compared to 7–19% in the rest of the groups. A higher OS failure rate (15%) was observed in afternoon shifts compared to 5% in morning shifts.</div></div><div><h3>Conclusions</h3><div>In ambulatory proctological surgery, spinal anaesthesia with doses less than 5 mg of bupivacaine or 20 mg of hyperbaric prilocaine is effective and reduces postoperative stay times. General anaesthesia is associated with a higher incidence of nausea, vomiting, and increased need for postoperative opioids.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 8","pages":"Article 800157"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628104","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}

{"title":"Elective versus non-elective surgery in the treatment of giant paraoesophageal hiatal hernia","authors":"Ana María Fuentes Zaplana,&nbsp;José Ruiz Pardo,&nbsp;Pedro Antonio Sánchez Fuentes,&nbsp;Elisabet Vidaña Márquez,&nbsp;Luis Candil Valero,&nbsp;Daniel González Sánchez,&nbsp;Ricardo Belda Lozano,&nbsp;Ángel Reina Duarte","doi":"10.1016/j.cireng.2025.800126","DOIUrl":"10.1016/j.cireng.2025.800126","url":null,"abstract":"<div><h3>Introduction</h3><div>There are few studies comparing elective surgery (ES) and non-elective surgery (NES) in the treatment of giant paraoesophageal hiatal hernia (GPHH). The aim of this study is to analyze and compare the results in terms of morbidity, mortality and recurrences of ES and NES in the treatment of GPHH.</div></div><div><h3>Methods</h3><div>Retrospective study whose study population consisted of patients with GPHH (types II, III and IV with &gt;30% of the herniated stomach in the thorax) who underwent surgery. Patients with a complete clinical history and a minimum follow-up of 6 months were included. Patients under 15 years old, those with hiatal hernia (HH) type I and those with recurrent HH were excluded. Two groups were compared: patients with GPHH in whom ES was performed and patients with GPHH in whom NES was performed.</div></div><div><h3>Results</h3><div>The ES group was composed of 31 patients and the NES group of 13 patients. There were no differences in terms of age and sex. Patients in the NES group had a lower percentage of laparoscopic approach (100% vs. 38.5%; <em>P</em> &lt; .001), a higher percentage of complications (9.7% vs. 53.8%; <em>P</em> = .003) and a longer hospital stay (4.8 ± 7.8 vs. 14.3 ± 10.4 days; <em>P</em> &lt; .001). There were no differences between the two groups in terms of recurrence and mortality.</div></div><div><h3>Conclusions</h3><div>Repair of GPHH by NES presents greater morbidity and hospital stay compared to repair by ES, however, there are no differences in terms of recurrences and mortality.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 8","pages":"Article 800126"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251279","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}

{"title":"Large portal aneurysm as an incidental finding in an asymptomatic patient: Diagnosis and management","authors":"Alejandro Hueso Mor,&nbsp;Adriá Rosat Rodrigo,&nbsp;Ayaya Alonso Alvarado,&nbsp;Javier Padilla Quintana","doi":"10.1016/j.cireng.2025.800155","DOIUrl":"10.1016/j.cireng.2025.800155","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 8","pages":"Article 800155"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487443","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}

{"title":"Predictive pre-surgical factors for failure of sleeve gastrectomy as an obesity surgery","authors":"Ibabe Villalabeitia Ateca ,&nbsp;Aingueru Sarriugarte Lasarte ,&nbsp;Borja Santos Zorrozua ,&nbsp;Oihane Gutiérrez Grijalba ,&nbsp;Patricia Mifsut Porcel ,&nbsp;Gaizka Errazti Olartekoetxea","doi":"10.1016/j.cireng.2025.800125","DOIUrl":"10.1016/j.cireng.2025.800125","url":null,"abstract":"<div><h3>Introduction</h3><div>Sleeve gastrectomy (SG) is the most commonly performed bariatric procedure. However, long-term outcomes are heterogeneous due to the influence of multiple factors. The aim of this study was to analyse the effect of various psychosocial and demographic factors on medium-term weight loss outcomes.</div></div><div><h3>Materials and methods</h3><div>A retrospective study of a prospective, single-centre series of patients who underwent GV surgery between 2011 and 2020, with a minimum follow-up of 5 years; Failure was defined as EBMIL% &lt;65%. Univariate and multivariate logistic regression models were developed to identify potential predictors of poor outcomes. A predictive nomogram was designed.</div></div><div><h3>Results</h3><div>A total of 324 patients were analysed, 74% were women. Most patients were married (64.1%), had medium or higher education levels (73%), and belonged to a low-to-middle socioeconomic class (64.26%). High vulnerability (64.13%) and low physical activity levels (97.44%) were common. Anxiety/depressive syndrome was more prevalent in women (55.88% vs. 36.49%; p &lt; 0.05), whereas metabolic syndrome was more frequent in men (43.9% vs. 28.51%; p = 0.015). Factors associated with weight loss failure included marital status, socioeconomic level, vulnerability, and metabolic syndrome (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>SG achieves significant weight loss at 5 years post-surgery. Psychosocial factors such as socioeconomic status, marital status, and vulnerability significantly influence surgical outcomes. Pre-surgical evaluation is essential to identify patients at higher risk of failure, enabling targeted therapies to improve success rates.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 8","pages":"Article 800125"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251281","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}

{"title":"Minimally invasive repair of intrathoracic gastric volvulus: A delayed surgical complication after peritonectomy and HIPEC","authors":"Leire Otalora Mazuela ,&nbsp;Marta Vicente López ,&nbsp;Eugenio Licardie Bolaños ,&nbsp;Salvador Morales-Conde","doi":"10.1016/j.cireng.2025.800156","DOIUrl":"10.1016/j.cireng.2025.800156","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 8","pages":"Article 800156"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487444","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}

{"title":"Communication as the origin of safety problems, and how to avoid them","authors":"José Francisco Noguera Aguilar ,&nbsp;Juan José Sánchez Rodriguez","doi":"10.1016/j.cireng.2025.800121","DOIUrl":"10.1016/j.cireng.2025.800121","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 8","pages":"Article 800121"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096126","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}