Cirugia espanola最新文献_第6页

Assessing the risk of bias in studies included in systematic reviews and meta-analyses 评估纳入系统综述和荟萃分析的研究的偏差风险

Cirugia espanola Pub Date : 2024-12-01 DOI: 10.1016/j.cireng.2024.04.016

Marina Iniesta-Sepúlveda , Antonio Ríos

引用次数: 0

Effect size in meta-analysis 荟萃分析中的效应大小。

Cirugia espanola Pub Date : 2024-12-01 DOI: 10.1016/j.cireng.2024.06.007

Marina Iniesta-Sepúlveda , José Antonio Pereira-Rodríguez

引用次数: 0

Hemoglobinuria following reabsorbed hemoperitoneum 重吸收性腹腔积血后出现血红蛋白尿。

Cirugia espanola Pub Date : 2024-12-01 DOI: 10.1016/j.cireng.2024.08.003

Owen Korn, Álvaro Morales, Sebastián Sapiain, María Jesús Vial

引用次数: 0

Total bile acid as a preoperative risk factor for post-hepatectomy liver failure in patients with hepatocellular carcinoma and normal bilirubin 总胆汁酸是肝细胞癌和胆红素正常患者肝切除术后肝功能衰竭的术前风险因素。

Cirugia espanola Pub Date : 2024-12-01 DOI: 10.1016/j.cireng.2024.09.007

Xi He , Xiaofeng Zhang , Zhijie Li , Xiaofeng Niu, Lixin Li, Zhenwen Liu, Hui Ren, Dali Zhang

{"title":"Total bile acid as a preoperative risk factor for post-hepatectomy liver failure in patients with hepatocellular carcinoma and normal bilirubin","authors":"Xi He , Xiaofeng Zhang , Zhijie Li , Xiaofeng Niu, Lixin Li, Zhenwen Liu, Hui Ren, Dali Zhang","doi":"10.1016/j.cireng.2024.09.007","DOIUrl":"10.1016/j.cireng.2024.09.007","url":null,"abstract":"<div><h3>Background and aims</h3><div>Total bile acid (TBA) is associated with portal hypertension, a risk factor for post-hepatectomy liver failure (PHLF). We conducted this study to clarify whether TBA is also associated with PHLF in patients with hepatocellular carcinoma (HCC).</div></div><div><h3>Methods</h3><div>We recruited patients with HCC and Child-Pugh class A, who underwent liver resection, and applied multivariate analyses to identify risk factors for PHLF.</div></div><div><h3>Results</h3><div>We analyzed data from 154 patients. The prevalence of PHLF was 14.3%. The median maximum tumor diameter was 5.1 cm (2.9–6.9 cm). The proportions of patients with elevated TBA levels (<em>P</em> = 0.001), severe albumin-bilirubin (AIBL) grades (<em>P</em> = 0.033), and low platelet counts (<em>P</em> = 0.031) were significantly higher within the subgroup of patients with PHLF than in the subgroup without PHLF. The multivariate analysis results suggest that TBA level (OR, 1.08; 951.03–1.14; <em>P</em> = 0.003) and MRI tumor diameter (OR, 1.17; 95% CI, 1.01–1.35; <em>P</em> = 0.038) are independent preoperative risk factors for PHLF. The TBA levels correlated with the indocyanine green retention rate at 15 minutes (<em>P</em> = 0.001) and the effective hepatic blood flow (<em>P</em> < 0.001), two markers of portal hypertension. However, TBA levels did not correlate with tumor diameter (<em>P</em> = 0.536).</div></div><div><h3>Conclusions</h3><div>Compared to ICG R15 and AIBL score, preoperative TBA was risk factor for PHLF in Chinese patients with HCC, and it may impact PHLF through its potential role as a marker of portal hypertension.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"102 12","pages":"Pages 642-648"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407384","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

Prognostic impact of log odds of positive lymph nodes (LODDS) in the stratification of patients with rectal cancer 淋巴结阳性几率对数（LODDS）在直肠癌患者分层中的预后影响。

Cirugia espanola Pub Date : 2024-12-01 DOI: 10.1016/j.cireng.2024.09.010

Vincenzo Vigorita , Oscar Cano-Valderrama , Raquel Sánchez-Santos , Marta Paniagua-Garcia-Señorans , Enrique Moncada , Gianluca Pellino , Jesús Paredes-Cotoré , Enrique Casal

{"title":"Prognostic impact of log odds of positive lymph nodes (LODDS) in the stratification of patients with rectal cancer","authors":"Vincenzo Vigorita , Oscar Cano-Valderrama , Raquel Sánchez-Santos , Marta Paniagua-Garcia-Señorans , Enrique Moncada , Gianluca Pellino , Jesús Paredes-Cotoré , Enrique Casal","doi":"10.1016/j.cireng.2024.09.010","DOIUrl":"10.1016/j.cireng.2024.09.010","url":null,"abstract":"<div><h3>Introduction</h3><div>The use of the N category of the TNM staging system, lymph node ratio (LNR) and log odds of positive lymph nodes (LODDS) in predicting overall survival (OS) and disease-free survival (DFS) in patients with rectal cancer is still controversial.</div></div><div><h3>Material and methods</h3><div>A retrospective study of 445 patients with rectal cancer who underwent surgery between 2008 and 2017 in the University Complex Hospital of Vigo was performed. Patients were stratified according to number of lymph nodes examined (NLNE), N staging, LNR and LODDS. The analysis was performed using the log-rank test, Kaplan–Meier functions, Cox regression and ROC curves.</div></div><div><h3>Results</h3><div>Five-year OS and DFS were 73.7% and 62.5%, respectively. No statistically significant differences were observed depending on NLNE. Increased LNR and LODDS were associated with shorter OS and DFS, independently of NLNE.</div><div>Multivariate analysis showed that N stage, LNR and LODDS were independently associated with OS and DFS; however, the LODDS system obtained the best area under the curve, with greater predictive capacity for OS (AUC: 0.679) and DFS (AUC: 0.711).</div></div><div><h3>Conclusion</h3><div>LODDS and LNR give prognostic information that is not related to NLNE. LODDS provides better prognostic accuracy in patients with negative nodes than LNR and N stage.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"102 12","pages":"Pages 649-657"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483160","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

Fistula associated to gastric prosthesis 与胃假体相关的瘘管。

Cirugia espanola Pub Date : 2024-12-01 DOI: 10.1016/j.cireng.2024.05.007

Elena Fernández-Elvira, Esther García Santos, Ángel Fernández-Camuñas, Aurora Gil Rendo

引用次数: 0

Emergent distal splenopancreatectomy after blunt pancreatic trauma 钝性胰腺外伤后的紧急远端脾胰切除术。

Cirugia espanola Pub Date : 2024-12-01 DOI: 10.1016/j.cireng.2024.07.001

Lucía Santos Vieitez, Aloia Guerreiro Caamaño, Jorge Pérez Grobas

引用次数: 0

Robotic approach for remnant cholelithiasis and CBD exploration for gallstones removal 机器人方法治疗残余胆石症，CBD探查术取出胆结石。

Cirugia espanola Pub Date : 2024-12-01 DOI: 10.1016/j.cireng.2024.08.004

Aram Rojas , Pierce Paterakos , Sarah B. Hays , Melissa E. Hogg