Cirugia espanola最新文献_第9页

Preliminary results of the implementation of a Complex Surgical Patient Area as a tool to improve the quality of care 初步结果表明，实施复杂外科病人区作为提高护理质量的工具。

Cirugia espanola Pub Date : 2025-05-01 DOI: 10.1016/j.cireng.2025.02.005

Mihai-Calin Pavel , Ana Ferre , Lucia Garcia-Huete , Iban Oliva , Lluisa Guillem , Ignacio Tomas , Marcela Renzulli , Rosa Jorba-Martin

{"title":"Preliminary results of the implementation of a Complex Surgical Patient Area as a tool to improve the quality of care","authors":"Mihai-Calin Pavel , Ana Ferre , Lucia Garcia-Huete , Iban Oliva , Lluisa Guillem , Ignacio Tomas , Marcela Renzulli , Rosa Jorba-Martin","doi":"10.1016/j.cireng.2025.02.005","DOIUrl":"10.1016/j.cireng.2025.02.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Given the increasing complexity of surgical patients, their evaluation within a Complex Surgical Patient Area (APQC) is essential. This study aims to present the functioning of the APQC and analyse its outcomes.</div></div><div><h3>Methods</h3><div>Between 2022 and 2024, 73 patients were evaluated, with a mean age of 72.8 ± 10 years. Of these, 97.3% were ASA ≥ III, and 41.1% had a Clinical Frailty Score ≥4. The evaluation centered on a multidisciplinary committee responsible for determining the patient’s operability and guiding the intrahospital circuit. During postoperative evolution, patient follow-up was carried out by two complementary teams in continuous communication. Failure to Rescue (FTR) was defined as the death of a patient following one or more serious complications.</div></div><div><h3>Results</h3><div>The main reason for including patients in the CSPA was multimorbidity in 53.4% of cases and a specific pathology in 28.8%. In 31.5% of cases, the intervention was ruled out, with one-year survival below 40%. Among the 35 operated patients, the Comprehensive Complication Index (CCI) was 18.034 ± 21.94, the average hospital stay was 14.34 ± 20.15 days, and the readmission rate was 25.7%. The FTR rate was 12.5%.</div></div><div><h3>Conclusions</h3><div>Current data suggest a positive impact of the APQC on the evolution of complex patients. A larger patient sample is needed for a detailed analysis of the factors where APQC activities may have the greatest influence.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 5","pages":"Pages 287-294"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517691","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}

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Stent or no stent for obstructive colon cancer? The controversy is over 梗阻性结肠癌的支架治疗还是不支架治疗？争论结束了。

Cirugia espanola Pub Date : 2025-05-01 DOI: 10.1016/j.cireng.2025.03.001

Oscar Cano-Valderrama , Sebastiano Biondo

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Assertive communication: Saying what needs to be said without causing harm in the process 自信的沟通：在不造成伤害的情况下说出该说的话。

Cirugia espanola Pub Date : 2025-05-01 DOI: 10.1016/j.cireng.2025.02.006

Franco Marinello , José M. Balibrea

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Impact of indocyanine green angiography on anastomotic dehiscence rate in colorectal surgery: a systematic review and meta-analysis of randomized studies 吲哚菁绿血管造影对结直肠手术吻合口开裂率的影响：随机研究的系统回顾和荟萃分析。

Cirugia espanola Pub Date : 2025-05-01 DOI: 10.1016/j.cireng.2024.06.002

Zutoia Balciscueta Coltell , Izaskun Balciscueta Coltell , Natalia Uribe Quintana

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Incidental discovery of pulmonary arteriovenous fistula in a patient with long-standing palpitations: A case report 一名长期心悸患者意外发现肺动静脉瘘：病例报告

Cirugia espanola Pub Date : 2025-05-01 DOI: 10.1016/j.cireng.2024.06.009

Verónica Albarrán Vidal , Lidia Sotillo Valenzuela , Paula Hernández Mateo , Elena Fernández Martín

引用次数: 0

Advances and stagnation in airway surgery: A historical perspective 气道外科的进步与停滞：一个历史的视角。

Cirugia espanola Pub Date : 2025-05-01 DOI: 10.1016/j.cireng.2024.12.011

Néstor J. Martínez-Hernández , Míriam Estors-Guerrero , José M. Galbis-Caravajal , Manuel Mata-Roig , Amparo Roig-Bataller

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Professor David E. R. Sutherland (1940–2025) David E. R. Sutherland教授（1940-2025）。

Cirugia espanola Pub Date : 2025-05-01 DOI: 10.1016/j.cireng.2025.03.003

Daniel Casanova , Vassilios Papalois

引用次数: 0

Laparoscopic approach for rectal cancer surgery: triumph of reason or necessity of evolution? 腹腔镜直肠癌手术：理性的胜利还是进化的必然？

Cirugia espanola Pub Date : 2025-05-01 DOI: 10.1016/j.cireng.2024.11.020

Alessio Lucarini , Andrea Martina Guida , Yves Panis

{"title":"Laparoscopic approach for rectal cancer surgery: triumph of reason or necessity of evolution?","authors":"Alessio Lucarini , Andrea Martina Guida , Yves Panis","doi":"10.1016/j.cireng.2024.11.020","DOIUrl":"10.1016/j.cireng.2024.11.020","url":null,"abstract":"<div><div>The role of laparoscopy in rectal cancer surgery has evolved considerably since the early 2000s. Initial randomized trials, such as COLOR II and COREAN, indicated that laparoscopic approaches offered similar pathological outcomes with better postoperative recovery than open surgery. In contrast, trials like ACOSOG Z6051 and ALaCaRT suggested noninferiority could not be established. Variability in trial outcomes, focusing on either disease-free survival or pathological measures, initially hindered consensus. Long-term analyses have shown no significant difference in disease-free survival between laparoscopic and open approaches. Meta-analyses have reinforced the benefits of laparoscopic surgery, with reduced mortality and similar oncologic effectiveness to open surgery. However, new techniques like transanal TME (TaTME) and robotic approaches have introduced alternatives, though each presents unique challenges, from recurrence rates in TaTME to costs in robotics. While laparoscopy remains the preferred method due to accessibility and outcomes, robotic surgery is expected to gain traction in high-volume centers.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 5","pages":"Pages 328-334"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044038","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}

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Excision of a large adenovillous lesion (four quadrants) with peritoneal perforation via Transanal Endoscopic Operation (TEO). Step-by-step surgical strategy 经肛门内镜手术（TEO）切除腹膜穿孔大腺绒毛病变（四象限）。一步一步的手术策略。

Cirugia espanola Pub Date : 2025-05-01 DOI: 10.1016/j.cireng.2024.12.012

Xavier Serra-Aracil , Jesus Badia-Closa

引用次数: 0

Intraoperative endoscopy in bariatric surgery 术中内窥镜在减肥手术中的应用。

Cirugia espanola Pub Date : 2025-05-01 DOI: 10.1016/j.cireng.2024.12.014

Maria Lapeña-Rodríguez , Rosa Martí-Fernández , Raquel Alfonso-Ballester , Norberto Cassinello-Fernández

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