Cirugia y cirujanos最新文献_第10页

Comparison of early complications for primary total hip arthroplasty using modified direct anterior approach and lateral approach. 改良直接前方入路和外侧入路初次全髋关节置换术早期并发症的比较。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000402

Justino Fernández-Palomo, Ramón González-Pola

{"title":"Comparison of early complications for primary total hip arthroplasty using modified direct anterior approach and lateral approach.","authors":"Justino Fernández-Palomo, Ramón González-Pola","doi":"10.24875/CIRU.22000402","DOIUrl":"10.24875/CIRU.22000402","url":null,"abstract":"Background: Total hip arthroplasty is a surgical procedure with reliable results, regardless of the approach used. The anterior approach has advantages by respecting muscle insertions, reflected in the lower number of complications and shorter recovery time compared to other approaches.Objective: The goal of the study was to assess the progression of 150 total hip arthroplasty procedures in the first 90 postoperative days. 75 patients underwent a modified direct anterior approach (MDAA) using a minimally invasive technique with a special table, and 75 patients underwent a direct lateral approach (DLA).Methods: An observational retrospective study was conducted, including 150 arthroplasties, performed by the same surgeon, using two surgical approaches. 75 cases with direct lateral approach (DLA) and 75 cases with modified direct anterior approach (MDAA), between January 2007 and December 2020. Baseline characteristics, surgical variables, and postoperative complications were compared between the two groups.Results: At 90 days, both groups presented a similar percentage of minor complications (32% vs. 42%), however, there was a higher number of major complications due to DLA (40% vs. 12% p < 0.0001) overall, where motor neurological complications have a higher incidence (14 [18.6%]). No differences were found in terms of the Harris functional scale.Conclusion: MDAA is a safe and reliable technique with satisfactory results. It presents predictable early complications, such as other approaches. Although it allows a faster recovery, at 90 days, the evolution and satisfaction are similar between both approaches with excellent and good outcomes in > 90% of cases.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242201","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

Biliary microhamartomas (von Meyenburg complexes), liver metastasis simulators: a series of eight cases. 胆道微瘤子（von Meyenburg复合体），肝脏转移模拟物：八例系列病例。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000348

Javier A Teco-Cortes, Peter Grube-Pagola, M Esther Gutiérrez-Díaz Ceballos, Gerardo B Aristi-Urista

引用次数: 0

Clinicopathological features of colorectal cancer patients under 30 years of age. 30 岁以下结直肠癌患者的临床病理特征。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000467

Horacio N López-Basave, Flavia Morales-Vázquez, Gerardo Miranda-Dévora, Juan P Olmos-García, Karla F Hernández-Castañeda, Luis G Rivera-Mogollan, Wendy R Muñoz-Montaño

{"title":"Clinicopathological features of colorectal cancer patients under 30 years of age.","authors":"Horacio N López-Basave, Flavia Morales-Vázquez, Gerardo Miranda-Dévora, Juan P Olmos-García, Karla F Hernández-Castañeda, Luis G Rivera-Mogollan, Wendy R Muñoz-Montaño","doi":"10.24875/CIRU.22000467","DOIUrl":"https://doi.org/10.24875/CIRU.22000467","url":null,"abstract":"Background: Colorectal cancer (CRC) is the second cause of cancer death in the world and is estimated to have been responsible for almost 935,000 deaths during 2020.Objective: Describe clinicopathological features, overall survival (OS) and progression-free survival (PFS) in CRC patients under 30 years.Method: This is a retrospective cohort study in patients under 30 years diagnosed with CRC.Results: From 2017 to 2021, 1823 patients were diagnosed with CRC, of which 54 (2.96%) were under 30 years. The OS, during 4 years, was 41.5%. The clinical stage found IV (hazard ratio [HR]: 6.212; 95% confidence interval [95% CI]: 2.504-15.414; p < 0.001), giving neoadjuvant therapy (HR: 0.705; 95% CI: 0.499-0.996; p = 0.047) and no medical history of Lynch syndrome (HR: 3.925; 95% CI: 1.355-11.364; p = 0.012) are independent predictors of mortality. The PFS, during 4 years, was 21.3%. Clinical stage IV (HR: 2.418; 95% CI: 1.000-5.850; p < 0.050), and no diagnosis of Lynch syndrome (HR: 3.800; 95% CI: 1.398-10.326; p = 0.009) are independent predictors.Conclusions: Younger patients are usually diagnosed with CRC in advanced stages. Early symptoms and evaluation, irrespective of age, are crucial.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812326","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

Management of post-ERCP duodenal perforations: experience at Hospital Juárez de México. ERCP术后十二指肠穿孔的处理：墨西哥华雷斯医院的经验。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000299

Jaime E Cruz-López, Rafael Guzmán-Aguilar, María A Conde-Mora, Levi A Méndez-Ramírez

{"title":"Management of post-ERCP duodenal perforations: experience at Hospital Juárez de México.","authors":"Jaime E Cruz-López, Rafael Guzmán-Aguilar, María A Conde-Mora, Levi A Méndez-Ramírez","doi":"10.24875/CIRU.22000299","DOIUrl":"https://doi.org/10.24875/CIRU.22000299","url":null,"abstract":"Background: Endoscopic retrograde cholangiopancreatography (ERCP) is an endoscopic study in which the duodenum is observed laterally, and the bile duct is instrumented. There are several indications and complications in the procedure.Objective: To determine the incidence of duodenal perforations, using the Stapfer classification in the Hospital Juárez de Mexico over a period of 5 years, as well as the management implemented in such cases.Method: The study was carried out at the Hospital Juárez de Mexico of the Ministry of Health. All patients who underwent ERCP between January 1, 2017, to May 30, 2022 were included.Results: 485 ERCP were performed in the study period. Incidence of 1.6% post-ERCP duodenal perforation. The average age of the subjects 56.37 years. In-hospital stay of post-ERCP perforations averaged 9.37 days. The time of the endoscopic study at the time of the surgical procedure is 10 h on average.Conclusions: Post-ERCP duodenal perforation is a complication that occurs with a low incidence, it tends to increase the number of days of in-hospital stay and increases morbimortality of patients; therefore, it is important to be always alert.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812833","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