Cirugia espanola最新文献_第6页

Median arcuate ligament syndrome: Step-by-step robot-assisted surgical release 正中弓状韧带综合征：一步一步机器人辅助手术松解。

Cirugia espanola Pub Date : 2025-07-01 DOI: 10.1016/j.cireng.2025.800120

Leire Otalora Mazuela, Lara Pérez Corbal, María Artime Rial, Alberto Parajó Calvo

引用次数: 0

Communication with patients and families: How to break bad news 与患者及家属沟通：如何传达坏消息。

Cirugia espanola Pub Date : 2025-07-01 DOI: 10.1016/j.cireng.2025.800107

Miriam Abellán-Lucas , Marc Vallve-Bernal

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Periprosthetic fistula due to endoscopic cholecystogastric drainage 内镜下胆胃引流引起假体周围瘘管。

Cirugia espanola Pub Date : 2025-07-01 DOI: 10.1016/j.cireng.2025.800147

Benjamin Thorpe Plaza , Paula Espiñeira , Purificación Parada

引用次数: 0

Familial papillary thyroid carcinoma: The importance of the medical history 家族性甲状腺乳头状癌：病史的重要性。

Cirugia espanola Pub Date : 2025-07-01 DOI: 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)

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Development and validation of a predictive algorithm for the total length of the small intestine using artificial intelligence techniques for application in bariatric surgery 利用人工智能技术开发和验证用于减肥手术的小肠总长度预测算法。

Cirugia espanola Pub Date : 2025-07-01 DOI: 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}

引用次数: 0

Low rectal cancer anastomosis: Techniques, indications and functional outcomes 低位直肠癌吻合术：技术、适应症和功能结果。

Cirugia espanola Pub Date : 2025-07-01 DOI: 10.1016/j.cireng.2025.800129

Ana Gálvez , Caterina Foppa , Antonino Spinelli , Sebastiano Biondo

引用次数: 0

Takotsubo syndrome due to acute emphysematous cholecystitis 急性气肿性胆囊炎所致Takotsubo综合征。

Cirugia espanola Pub Date : 2025-07-01 DOI: 10.1016/j.cireng.2025.800149

Benjamin Thorpe , Manuel Paz , Guillermo Gallego Latorre , Purificación Parada González

引用次数: 0

How to effectively transmit knowledge 如何有效地传递知识。

Cirugia espanola Pub Date : 2025-07-01 DOI: 10.1016/j.cireng.2025.800109

Ana Senent Boza , Salvador Morales Conde

引用次数: 0

Recurrence of a giant fibrovascular polyp of the esophagus: What have we learned? 食道巨大纤维血管息肉复发：我们学到了什么？

Cirugia espanola Pub Date : 2025-07-01 DOI: 10.1016/j.cireng.2025.800118

Ángela Alcaraz Solano , Eduardo Ortiz , David Ruiz de Angulo , Ana Conesa Plá , Vicente Munitiz Ruiz , Ana Isabel Gutiérrez

引用次数: 0

Study of morphological changes observed on abdominal CT scan after preoperative treatment with botulinum toxin type A in patients with midline incisional hernias or lateral component a型肉毒毒素术前治疗中线切口疝或外侧疝后腹部CT形态改变的研究。

Cirugia espanola Pub Date : 2025-07-01 DOI: 10.1016/j.cireng.2025.800117

Salvador Argudo Garijo , Félix Javier Jiménez Jiménez , Jessie Ramírez Calderón , Ariel Christian Jullien Petrelli , Javier Del Corral Rodríguez , Miguel Hernández García , María García-Conde Delgado , Alfredo Alonso Poza

{"title":"Study of morphological changes observed on abdominal CT scan after preoperative treatment with botulinum toxin type A in patients with midline incisional hernias or lateral component","authors":"Salvador Argudo Garijo , Félix Javier Jiménez Jiménez , Jessie Ramírez Calderón , Ariel Christian Jullien Petrelli , Javier Del Corral Rodríguez , Miguel Hernández García , María García-Conde Delgado , Alfredo Alonso Poza","doi":"10.1016/j.cireng.2025.800117","DOIUrl":"10.1016/j.cireng.2025.800117","url":null,"abstract":"<div><h3>Introduction</h3><div>Preoperative treatment with botulinum toxin (BT) is very common in complex incisional hernias, although it lacks clear indications.</div></div><div><h3>Methods</h3><div>Between July 2019 and May 2022, measurements of the thickness and length of the lateral abdominal wall, transverse diameter of the abdomen and diameter of the hernia defect were taken from patient CT scans both pre- and post-treatment with BT at our hospital. In order to establish differences between patients with lateral and midline hernias, a logistic regression analysis was performed.</div></div><div><h3>Results</h3><div>The study included 23 patients: 17 had midline hernias, and 6 had lateral hernias (4 right and 2 bilateral). We observed increased length of the right wall (1.15 ± 1.64 cm; <em>P</em> = .0029), left wall (1.96 ± 1.74 cm; <em>P</em> < .0001) and transverse abdominal diameter (2.85 ± 4.83 cm; <em>P</em> < .0001), and a reduction in the thickness of the right (−0.54 ± 0.53 cm; <em>P</em> < .0001) and left walls (−0.58 ± 0.42 cm; <em>P</em> < .0001). There were no differences in the transverse diameter of the defect (−0.01 ± 1.37 cm; <em>P</em> = .4593). After logistic regression, increased right wall length (OR 14.99; 95%CI 1.58–142.12) and transverse abdominal diameter (OR 9.33; 95%CI 1.13–76.68) was more likely to be observed in patients with midline hernias than in those with lateral locations.</div></div><div><h3>Conclusions</h3><div>Preoperative treatment with BT appears to be more effective in patients with midline hernias than in those with lateral locations.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 7","pages":"Article 800117"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096181","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