Cirugia espanola最新文献

{"title":"Failure to rescue in intrahepatic cholangiocarcinoma. SPAIC project.","authors":"Jose M Ramia, Celia Villodre, Beatriz Villota-Tamayo, Cándido Alcazar, Mariano Franco","doi":"10.1016/j.cireng.2024.11.006","DOIUrl":"https://doi.org/10.1016/j.cireng.2024.11.006","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856029","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":"Combined endoscopic and laparoscopic surgery (CELS) for the treatment of benign colonic polyps: Case report and description of the surgical technique.","authors":"Pablo Ezequiel Finno, Cristina Viyuela García, David Navarro Fajardo, Ignacio Valverde Núñez","doi":"10.1016/j.cireng.2024.11.008","DOIUrl":"10.1016/j.cireng.2024.11.008","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857361","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":"Coexistence of papillary thyroid cancer and benign giant primary mediastinal ectopic thyroid tissue.","authors":"Yener Aydin, Erdem Karadeniz, Onur Ceylan","doi":"10.1016/j.cireng.2024.11.007","DOIUrl":"10.1016/j.cireng.2024.11.007","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831229","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 team experience on robot-assisted surgery for rectal cancer: A comparative study.","authors":"Ernesto Barzola, Pere Planellas, Lidia Cornejo, Nuria Gómez, David Julià, Kelly-Ann Bobb, Ramón Farrés, Marcos Gómez","doi":"10.1016/j.cireng.2024.10.009","DOIUrl":"10.1016/j.cireng.2024.10.009","url":null,"abstract":"<p><strong>Introduction: </strong>The robotic surgical team in the operating room plays an important role in determining the outcome of a robotic approach. This study aimed to compare the outcomes of 2 hospitals with different levels of expertise in robot-assisted rectal cancer surgery.</p><p><strong>Methods: </strong>This retrospective study analyzed 195 patients who underwent robot-assisted rectal resection at 2 referral centers for the treatment of rectal cancer between March 2018 and December 2021.</p><p><strong>Results: </strong>In total, 195 patients had undergone robotic rectal cancer surgery: 95 performed by an expert team, and 100 by a novel team. The expert team performed more low anterior resections (55.8%) than the novel team (33%) (P = 0.001), and the total operative time varied significantly between the groups (P < 0.001). The novel team's operative time was 135 min longer than the expert team's. The expert team had no conversions to open surgery, while the novel team had an 8% conversion rate (P = 0.007). In this study, overall morbidity was 45.3% among patients treated by the expert team versus 38% among those treated by the novice team (P = 0.304). Severe complications (Clavien-Dindo grade >IIIB) occurred at a rate of 10% in both groups. Incomplete mesorectal excision was observed in 3.2% of the expert team's patients versus 4.2% of the novice team's (P = 0.65).</p><p><strong>Conclusion: </strong>The expert team achieved a shorter operative time and less conversion to open surgery. However, the morbidity and pathological outcomes were comparable between the teams. The introduction of robotic surgery in a team with early-stage surgical experience was safe.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831231","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":"Primary suppurative thyroiditis in a non-immunocompromised patient.","authors":"Maria Magdalena Llompart Coll, Martí Manyalich Blasi, Marta Bodro, Oscar Vidal","doi":"10.1016/j.cireng.2024.11.009","DOIUrl":"10.1016/j.cireng.2024.11.009","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831233","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":"International surgical cooperation: Challenges and future perspectives","authors":"Itziar Larrañaga ,&nbsp;Jesús Bollo","doi":"10.1016/j.cireng.2024.05.003","DOIUrl":"10.1016/j.cireng.2024.05.003","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"102 12","pages":"Pages 631-632"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141057029","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":"Embolize, supercharge, resect: Embolization to enhance hepatic vascularization prior to en-bloc pancreas and arterial resection","authors":"Juli Busquets ,&nbsp;Luis Secanella ,&nbsp;Thiago Carnaval ,&nbsp;Maria Sorribas ,&nbsp;Mónica Serrano-Navidad ,&nbsp;Esther Alba ,&nbsp;Elena Escalante ,&nbsp;Sandra Ruiz-Osuna ,&nbsp;Núria Peláez ,&nbsp;Juan Fabregat","doi":"10.1016/j.cireng.2024.08.001","DOIUrl":"10.1016/j.cireng.2024.08.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Embolization could increase the resectability of pancreatic tumors by supercharging visceral arterial perfusion prior to pancreatic surgery with arterial <em>en-bloc</em> resection. Its indications, however, are controversial.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed the results of a single-center database of patients undergoing pancreatic surgery with arterial resection (AR) after preoperative arterial embolization (PAE) to increase hepatic vascular flow and spare arterial reconstruction.</div></div><div><h3>Results</h3><div>PAE was planned in 15 patients with arterial involvement due to pancreatic tumors. Three patients were excluded due to the finding of irresectable disease during surgery. Twelve cases were resected because of pancreatic cancer (10), distal cholangiocarcinoma (1), and pancreatic neuroendocrine tumor (1). Arterial involvement in these cases required embolization of the substitute right hepatic artery (RHA) (5), left hepatic artery (1), and common hepatic artery (CHA) (6) to enhance liver vascularization. Two patients presented migration of the vascular plug after PAE. Six pancreatoduodenectomies and 6 distal pancreatectomies were performed, the latter associated with <em>en-bloc</em> celiac trunk and CHA resection. R0 was achieved in 7 out of 12 patients, and pathological vascular involvement was confirmed in 8. Postoperative complications included one patient who developed gastric ischemia and underwent gastrectomy, and one patient who underwent reoperation for acute cholecystitis with liver abscesses.</div></div><div><h3>Conclusion</h3><div>Preoperative arterial embolization before pancreatic surgery with hepatic arterial resection enables surgeons to precondition hepatic vascularization and prevent hepatic ischemia. In addition, this avoids having to perform arterial anastomosis in the presence of pancreatic suture.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"102 12","pages":"Pages 633-641"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303397","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":"Relationship between hepatic subcapsular hematoma, peliosis and anabolic steroid use","authors":"Angélica Blanco Rodríguez ,&nbsp;Irene Aguirrezabalga Martínez ,&nbsp;Dora Gómez Pasantes ,&nbsp;José Igenacio Rivas Polo","doi":"10.1016/j.cireng.2024.09.009","DOIUrl":"10.1016/j.cireng.2024.09.009","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"102 12","pages":"Pages 682-683"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483162","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":"Specific training in coloproctology: cross-sectional cohort study through the Young Group of the Spanish Association of Coloproctology","authors":"Tamara Fernández-Miguel ,&nbsp;Óscar Cano-Valderrama ,&nbsp;Marta Paniagua García-Señorans ,&nbsp;Alba Correa Bonito ,&nbsp;Emilio Peña Ros ,&nbsp;María Luisa Reyes-Díaz ,&nbsp;Carlos Cerdán-Santacruz","doi":"10.1016/j.cireng.2024.09.011","DOIUrl":"10.1016/j.cireng.2024.09.011","url":null,"abstract":"<div><h3>Introduction</h3><div>Specific training at surgical super-specialities and its objective evaluation is a challenge nowadays in order to measure the potential benefits that it might add.</div></div><div><h3>Material and methods</h3><div>An online survey addressed by the “Grupo Joven de la Asociación Española de Coloproctología” has been performed in order to evaluate the level of formation achieved specifically at colorectal surgery.</div></div><div><h3>Results</h3><div>128 surgeons participated, representing 81 colorectal surgery units. Mean satisfaction after the period of formation was moderate to high in 84% of the ones polled. The main points of improvement were the realization of advanced surgical techniques (52%) and academic questions (45%). The big part of the respondents has performed simple proctologic procedures (98%) and oncological open colic resections (100%) during their training period, observing the scarcity of related pelvic floor procedures (20%) and diagnosis techniques (10–45%). Scientific production (31,5%) and presentation of studies at congresses (82,8%) have been moderated. No differences between accredited units and non-accredited units have been observed.</div></div><div><h3>Conclusions</h3><div>Specific formation in colorectal surgery is appropriate, with a high level of simple procedures and open surgery performed by personal at formation. In view of these results, it seems logical to think that even though is necessary a progress in the formation of minimal invasive and diagnosis techniques.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"102 12","pages":"Pages 658-666"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483164","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":"Patient-Reported Outcome Measures (PROMs) in colorectal cancer surgery","authors":"Romina Pena ,&nbsp;Marta Pascual","doi":"10.1016/j.cireng.2024.10.001","DOIUrl":"10.1016/j.cireng.2024.10.001","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"102 12","pages":"Pages 669-671"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483159","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}