Cirugia espanolaPub Date : 2025-07-01DOI: 10.1016/j.cireng.2025.800152
J. Larrea Oleaga , A. Sarriugarte Lasarte , H. Marín Ortega , M. Durá Gil , I. Casado Morentin , R. Saa Álvarez
{"title":"Bile duct drainage by endoscopic cholecystoduodenostomy as a bridge to pancreaticoduodenectomy for malignant obstructive jaundice","authors":"J. Larrea Oleaga , A. Sarriugarte Lasarte , H. Marín Ortega , M. Durá Gil , I. Casado Morentin , R. Saa Álvarez","doi":"10.1016/j.cireng.2025.800152","DOIUrl":"10.1016/j.cireng.2025.800152","url":null,"abstract":"<div><div>A series of 6 cases was analyzed in which endoscopic ultrasound-guided cholecystoduodenostomy (EUS-CD) was performed because biliary stent placement by ERCP was not possible for the treatment of malignant obstructive jaundice prior to pancreaticoduodenectomy (PD). The Hot-Axios® device was used in combination with a coaxial pigtail. No complications were reported related to the procedure or associated with PD. EUS-CD has been shown to be a safe and effective procedure for preoperative improvement of jaundice in these patients. The fact that it can be performed simultaneously with the failed ERCP, without delaying surgery, and the absence of complications or worsening prognosis makes it an effective and safe alternative to percutaneous transhepatic biliary drainage (PTBD).</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 7","pages":"Article 800152"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337350","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 : 2025-07-01DOI: 10.1016/j.cireng.2025.800123
Julio Cesar Alfaro Varela
{"title":"Nobel Prizes and surgery","authors":"Julio Cesar Alfaro Varela","doi":"10.1016/j.cireng.2025.800123","DOIUrl":"10.1016/j.cireng.2025.800123","url":null,"abstract":"<div><div>The Nobel Prize is an international recognition awarded to individuals who have made significant contributions to humanity. The areas that are recognized are physics, chemistry, physiology or medicine, literature, and peace. With more than 100 years of existence, only 10 surgeons have been recipients of this recognition. Their contributions range from cardiac catheterization, the discovery of insulin to the beginning of the modern era of organ transplantation. These surgeons through their research have greatly contributed to modern medicine, saving, and improving quality of life of millions of human beings. This article will describe a brief history of the surgeons and their contribution to medical advances that allowed them to be recognized with the Nobel Prize in physiology or medicine.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 7","pages":"Article 800123"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210427","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 : 2025-07-01DOI: 10.1016/j.cireng.2025.800127
Rebeca González Peredo , Víctor Jacinto Ovejero Gómez , Patrizio Petrone , Corrado P. Marini , María Dolores Prieto Salceda , José Manuel Bernal Marco , Dieter Morales-García
{"title":"Towards ambulatorization of appendectomy: Lessons learned during the pandemic","authors":"Rebeca González Peredo , Víctor Jacinto Ovejero Gómez , Patrizio Petrone , Corrado P. Marini , María Dolores Prieto Salceda , José Manuel Bernal Marco , Dieter Morales-García","doi":"10.1016/j.cireng.2025.800127","DOIUrl":"10.1016/j.cireng.2025.800127","url":null,"abstract":"<div><h3>Background</h3><div>Acute appendicitis is the most common abdominal surgical emergency worldwide. Researchers from various countries have evaluated the impact of the COVID-19 pandemic on its diagnosis and treatment, as well as a possible change in its management, such as outpatient treatment. The objective of this study was to describe the characteristics of acute appendicitis treated during the COVID-19 State of Emergency (SOE) and to assess whether it could be included in an ambulatory surgery program.</div></div><div><h3>Methods</h3><div>Retrospective observational study involving patients treated at public hospitals for appendix diseases (K35–K38). We collected sociodemographic and clinical data. The influence of the lockdown on each variable was evaluated with a multivariate analysis.</div></div><div><h3>Results</h3><div>201 patients were included. The SOE period group comprised 78 patients, and the pre-SOE period (control) included 123 patients who met the same inclusion criteria. The risk of complicated acute appendicitis increased by 1.015 times with age (<em>p</em> = 0.000). The longer surgery time was associated with a 7.265 times higher risk of postsurgical complications (<em>p</em> = 0.000). No differences were observed with respect to drain placement (<em>p</em> = 0.281), although the percentage was higher in 2020 (13.9% vs 19.7%). The length of hospital stay decreased significantly during the lockdown (<em>p</em> = 0.017).</div></div><div><h3>Conclusion</h3><div>The lockdown did not influence the outcome of complicated acute appendicitis from the standpoint of morbidity and mortality, reducing the hospital stay, facilitating the path towards outpatient treatment.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 7","pages":"Article 800127"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251282","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 : 2025-07-01DOI: 10.1016/j.cireng.2025.800107
Miriam Abellán-Lucas , Marc Vallve-Bernal
{"title":"Communication with patients and families: How to break bad news","authors":"Miriam Abellán-Lucas , Marc Vallve-Bernal","doi":"10.1016/j.cireng.2025.800107","DOIUrl":"10.1016/j.cireng.2025.800107","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 7","pages":"Article 800107"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096192","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 : 2025-07-01DOI: 10.1016/j.cireng.2025.800128
Antonio Ríos , On behalf of the Spanish National Research Group on Familial Papillary Carcinoma endorsed by the Endocrine Surgery Section of the Spanish Association of Surgeons (CPFT-AEC Ríos)
{"title":"Familial papillary thyroid carcinoma: The importance of the medical history","authors":"Antonio Ríos , On behalf of the Spanish National Research Group on Familial Papillary Carcinoma endorsed by the Endocrine Surgery Section of the Spanish Association of Surgeons (CPFT-AEC Ríos)","doi":"10.1016/j.cireng.2025.800128","DOIUrl":"10.1016/j.cireng.2025.800128","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 7","pages":"Article 800128"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210426","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 : 2025-07-01DOI: 10.1016/j.cireng.2025.800124
José Fernando Trebolle , Jorge Solano Murillo , Jesús Lobo Poyo , Carmen Pellicer Lostao , Mónica Valero Sabater , Gabriel Tirado Anglés , Irene Cantarero Carmona , María José Luesma Bartolomé
{"title":"Development and validation of a predictive algorithm for the total length of the small intestine using artificial intelligence techniques for application in bariatric surgery","authors":"José Fernando Trebolle , Jorge Solano Murillo , Jesús Lobo Poyo , Carmen Pellicer Lostao , Mónica Valero Sabater , Gabriel Tirado Anglés , Irene Cantarero Carmona , María José Luesma Bartolomé","doi":"10.1016/j.cireng.2025.800124","DOIUrl":"10.1016/j.cireng.2025.800124","url":null,"abstract":"<div><h3>Objective</h3><div>To develop a predictive model of the total length of the small intestine to be applied in bariatric surgery, allowing for the individualization of surgery for each patient.</div></div><div><h3>Methods</h3><div>Two Excel tables were generated from a Filemaker file. Python was used through a Notebook format in Google Collaborator. The methodology included data transformation and scaling (MinMaxScaler), clustering (unsupervised machine learning with KMeans), data interpolation (oversampling machine learning technique SMOTE), modeling (PyCaret model - XGBoost), and validation.</div></div><div><h3>Results</h3><div>The study sample included 1090 cases. Three clusters were obtained to categorize the dataset: low, medium, and high length. The algorithm detected patients in cluster c0 with 62% accuracy and 74% sensitivity, in cluster c1 with 63% accuracy and 50% sensitivity, and in cluster c2 with 86% accuracy and 87% sensitivity. Validation was conducted with a new sample of 54 cases, showing results of 50% accuracy and 42% sensitivity for cluster c0, 58% accuracy and 61% sensitivity for cluster c1, and 30% accuracy and 43% sensitivity for cluster c2.</div></div><div><h3>Conclusions</h3><div>The development of a predictive algorithm for estimating the total length of the small intestine using clustering and machine learning techniques, along with XGBoost classification, is feasible, applicable, and potentially improvable with more data, both in terms of patient numbers and variables to consider.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 7","pages":"Article 800124"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251278","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}