Cirugia espanolaPub Date : 2026-09-01Epub Date: 2026-02-12DOI: 10.1016/j.cireng.2026.800303
Florina I. Bura, Rafaela Pezzopane, Melissa Granados, Lidia Rodríguez-Ortiz, Blanca Rufián-Andújar, Ana Martínez-López, María del Carmen Vázquez-Borrego, Antonio Romero-Ruiz, Alvaro Arjona-Sánchez
{"title":"Omic analysis of the protein profile in digestive tumours, from proteomics to clinical practice","authors":"Florina I. Bura, Rafaela Pezzopane, Melissa Granados, Lidia Rodríguez-Ortiz, Blanca Rufián-Andújar, Ana Martínez-López, María del Carmen Vázquez-Borrego, Antonio Romero-Ruiz, Alvaro Arjona-Sánchez","doi":"10.1016/j.cireng.2026.800303","DOIUrl":"10.1016/j.cireng.2026.800303","url":null,"abstract":"<div><div>Proteomics has emerged as a key tool in precision medicine, enabling in-depth molecular characterization of digestive tumours. This article outlines a standardised workflow, encompassing sample collection, protein extraction, and unbiased proteomic analysis using high-resolution liquid chromatography coupled with mass spectrometry. These approaches allow for the identification of biomarkers for early diagnosis, prognosis, and the development of targeted therapies. The review also highlights the value of single-cell proteomics to dissect tumour heterogeneity and discusses the use of <em>in vitro</em> and <em>in vivo</em> models to validate therapeutic targets. Additionally, it explores the potential of intraoperative molecular indicators to improve surgical outcomes. Altogether, the integration of proteomics with bioinformatics and artificial intelligence offers new opportunities to translate molecular discoveries into clinical practice, ultimately improving the management and quality of life of patients with digestive tumours.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"104 9","pages":"Article 800303"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146198364","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 : 2026-09-01Epub Date: 2026-05-14DOI: 10.1016/j.cireng.2026.800343
Antonio Ríos
{"title":"Response — Human factors in surgical practice: A national study","authors":"Antonio Ríos","doi":"10.1016/j.cireng.2026.800343","DOIUrl":"10.1016/j.cireng.2026.800343","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"104 9","pages":"Article 800343"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147944212","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 : 2026-09-01Epub Date: 2026-05-14DOI: 10.1016/j.cireng.2026.800346
Mireia Verdaguer-Tremolosa, Víctor Rodrigues-Gonçalves, Pilar Martínez-López, Manuel López-Cano
{"title":"Reply: Human factors in surgical practice: A national study","authors":"Mireia Verdaguer-Tremolosa, Víctor Rodrigues-Gonçalves, Pilar Martínez-López, Manuel López-Cano","doi":"10.1016/j.cireng.2026.800346","DOIUrl":"10.1016/j.cireng.2026.800346","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"104 9","pages":"Article 800346"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950385","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 : 2026-08-31DOI: 10.1016/j.cireng.2026.800377
José M Ramia, Nuria Blanco-Asensio, Juan Jesús Rubio, Silvia Carbonell-Morote, Margarida Casellas, Manuel Abradelo de Usera, Fernando Rotellar, Mario Serradilla-Martín
{"title":"Resection of liver metastases from gastric cancer: Remenecor project.","authors":"José M Ramia, Nuria Blanco-Asensio, Juan Jesús Rubio, Silvia Carbonell-Morote, Margarida Casellas, Manuel Abradelo de Usera, Fernando Rotellar, Mario Serradilla-Martín","doi":"10.1016/j.cireng.2026.800377","DOIUrl":"https://doi.org/10.1016/j.cireng.2026.800377","url":null,"abstract":"<p><strong>Introduction: </strong>The liver is one of the most frequent sites of metastatic spread in gastric cancer (GC). Although systemic chemotherapy remains the standard of care, surgical resection of liver metastases has demonstrated promising outcomes in carefully selected patients.</p><p><strong>Methods: </strong>A retrospective, observational, multicentre study including all adult patients who underwent surgical treatment for GC liver metastases between January 2010 and December 2022 in Hepatobiliopancreatic Surgery units across Spain.</p><p><strong>Results: </strong>A total of 37 patients were analysed, predominantly male (73%), with a mean age of 64.1 years (SD: 13.2). Metachronous metastases were present in 73% of cases. Most procedures consisted of non-anatomical liver resections, performed via an open approach in 75.7% of patients. Negative surgical margins were achieved in 91.9% of resections. The rate of major postoperative complications was 29.6%, with an operative mortality of 2.7% and a mean postoperative hospital stay of 7.5 days. During follow-up, 64.9% of patients developed disease recurrence, predominantly within the liver. Median disease-free survival (DFS) was 14 months, and median overall survival (OS) was 40 months. The 1-, 3-, and 5-year DFS rates were 54.1%, 29.7%, and 24.3%, respectively, while the corresponding OS rates were 89.2%, 54.1%, and 37.8%. On multivariable Cox proportional hazards analysis, age, lymph node involvement, and metachronous resection were independently associated with an increased risk of death.</p><p><strong>Conclusions: </strong>Hepatectomy in selected patients with liver metastases from GC may be associated with favourable long-term survival. These findings support a potential role for surgical resection within a multidisciplinary treatment strategy; however, well-defined selection criteria are essential to optimize patient outcomes.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800377"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868341","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 : 2026-08-31DOI: 10.1016/j.cireng.2026.800373
Raquel Bravo, Miguel Pera
{"title":"Teamwork and the Systematisation of Evidence-Based Clinical Practice: How Can We Reduce Variability.","authors":"Raquel Bravo, Miguel Pera","doi":"10.1016/j.cireng.2026.800373","DOIUrl":"https://doi.org/10.1016/j.cireng.2026.800373","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800373"},"PeriodicalIF":0.0,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868325","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 : 2026-08-01Epub Date: 2026-05-20DOI: 10.1016/j.cireng.2026.800349
Alba García Chiloeches, Marcos Gómez Ruiz, Isabel Cifrián Canales, Carmen Cagigas Fernández
{"title":"Implementation of a robotic single-staple technique for colorectal anastomosis: Technical description and initial institutional experience","authors":"Alba García Chiloeches, Marcos Gómez Ruiz, Isabel Cifrián Canales, Carmen Cagigas Fernández","doi":"10.1016/j.cireng.2026.800349","DOIUrl":"10.1016/j.cireng.2026.800349","url":null,"abstract":"<div><div>Anastomotic leakage remains one of the most relevant complications after low rectal surgery, with a considerable negative impact on morbidity, mortality, quality of life, and healthcare resources. The widely adopted double-stapling technique is limited by technical drawbacks, particularly the intersection of staple lines, which creates areas of structural weakness and has been associated with an increased risk of leakage. To address these limitations, single-stapling techniques have been developed, including transanal transection with single-stapled anastomosis (TTSS) and other variants. We report our initial institutional experience with the robotic variant of the single-stapled anastomosis. A retrospective analysis was performed including 49 patients who underwent low anterior resection, comparing the double-stapled anastomosis (n = 40) with the robotic single-stapled anastomosis (n = 9), assessing 30-day postoperative complications, anastomotic leakage, and length of hospital stay.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"104 8","pages":"Article 800349"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977804","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 : 2026-08-01Epub Date: 2026-05-19DOI: 10.1016/j.cireng.2026.800357
José Luis Maestro de Castro, Vicent Primo-Romaguera, Jorge Sancho Muriel, Blas Flor Lorente
{"title":"Marjolin's ulcer: A rare case of malignancy of a fistulous tract in chronic hidradenitis suppurativa","authors":"José Luis Maestro de Castro, Vicent Primo-Romaguera, Jorge Sancho Muriel, Blas Flor Lorente","doi":"10.1016/j.cireng.2026.800357","DOIUrl":"10.1016/j.cireng.2026.800357","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"104 8","pages":"Article 800357"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984724","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}