{"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}
Cirugia espanolaPub Date : 2024-12-01DOI: 10.1016/j.cireng.2024.05.007
Elena Fernández-Elvira, Esther García Santos, Ángel Fernández-Camuñas, Aurora Gil Rendo
{"title":"Fistula associated to gastric prosthesis","authors":"Elena Fernández-Elvira, Esther García Santos, Ángel Fernández-Camuñas, Aurora Gil Rendo","doi":"10.1016/j.cireng.2024.05.007","DOIUrl":"10.1016/j.cireng.2024.05.007","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"102 12","pages":"Page 677"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199712","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 : 2024-12-01DOI: 10.1016/j.cireng.2024.08.004
Aram Rojas , Pierce Paterakos , Sarah B. Hays , Melissa E. Hogg
{"title":"Robotic approach for remnant cholelithiasis and CBD exploration for gallstones removal","authors":"Aram Rojas , Pierce Paterakos , Sarah B. Hays , Melissa E. Hogg","doi":"10.1016/j.cireng.2024.08.004","DOIUrl":"10.1016/j.cireng.2024.08.004","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"102 12","pages":"Pages 667-668"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334371","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 : 2024-11-01DOI: 10.1016/j.cireng.2023.11.018
Manuel López Cano , Josep M. García Alamino
{"title":"Complications in surgery. More than gender asymmetry","authors":"Manuel López Cano , Josep M. García Alamino","doi":"10.1016/j.cireng.2023.11.018","DOIUrl":"10.1016/j.cireng.2023.11.018","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"102 11","pages":"Pages 571-572"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472126","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 : 2024-11-01DOI: 10.1016/j.cireng.2024.07.009
Francisco J. Gómez Valle , Cristina Rivas Duarte , Oscar Colmenares Mendoza , María Teresa Gómez Hernández
{"title":"Uncommon anatomical variation of the origin of the right upper pulmonary vein detected by 3D reconstruction prior to robotic segmentectomy","authors":"Francisco J. Gómez Valle , Cristina Rivas Duarte , Oscar Colmenares Mendoza , María Teresa Gómez Hernández","doi":"10.1016/j.cireng.2024.07.009","DOIUrl":"10.1016/j.cireng.2024.07.009","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"102 11","pages":"Pages 612-613"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142147149","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}