Cirugia y cirujanos最新文献_第10页

Extracorporeal membrane oxygenation (ECMO) in lung transplantation. 肺移植中的体外膜氧合（ECMO）。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.24000016

Enrique Monares-Zepeda, Uriel Chavarria-Martínez, Sergio S Sánchez-Salazar, Guillermo Cueto-Robledo, Christopher Barrera-Hoffmann, Manuel Wong-Jaén

引用次数: 0

Model for analysis of actors in divergence or convergence of strategic health objectives. 分析卫生战略目标分歧或趋同的行为者模型。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000399

Martha K Torres-Salgado

{"title":"Model for analysis of actors in divergence or convergence of strategic health objectives.","authors":"Martha K Torres-Salgado","doi":"10.24875/CIRU.23000399","DOIUrl":"https://doi.org/10.24875/CIRU.23000399","url":null,"abstract":"Objective: Correlate methods to analyze and identify the effectiveness of the objectives in actors with maps of strategic power.Method: It is a conceptual study, analytical and with deductive reasoning, of explanatory scope in correlation of convergent and divergent strategic objectives to health processes.Results: Understanding the importance of analyzing and understanding the prospective in the decision-making of the actors that impact their strategic, tactical and operational deployment of hospital medical care with the proposals of models with alignment in the health system and comprehensive practicality and analytical architecture modeling of how the hierarchical levels of actors can be concentrated according to the objectives with indicators and committed goals.Conclusions: The prospective analysis of actors makes it easier to evaluate health leaders according to the effectiveness of their established objectives through the collection of information in matrices, MACTOR (Method, Actors, Objectives, Force Results) and mapping of health objectives. It is relevant in favor of ensuring strategic alignment in health institutions until reaching hospitals and giving continuity to the objectives and improving conflict management for the benefit of medical care.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 6","pages":"724-733"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735275","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

Omicron's BQ.1.1 and XBB sub-variants: a global problem and management strategies. Omicron 的 BQ.1.1 和 XBB 子变体：全球性问题和管理策略。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000591

Sergio A Ramírez-García, Diana García-Cruz, Carlos E Cabrera-Pivaral

引用次数: 0

Solid pseudopapillary neoplasia of the pancreas: incidental finding with increased frequency. 胰腺实性假乳头状瘤：偶然发现，频率增加。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.21000735

Inés Cañas-García, Clotilde Moreno-Cortés, Enrique Dabán-Collado, Benito Mirón-Pozo

引用次数: 0

Coinfections and comorbidities observed in COVID-19 during the influenza season in the pediatric patient. 在 COVID-19 中观察到的儿科患者在流感季节的合并感染和并发症。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000080

Jorge Field-Cortazares, José J Coria-Lorenzo, Débora Domingo-Martínez, Luis E Moctezuma-Paz

{"title":"Coinfections and comorbidities observed in COVID-19 during the influenza season in the pediatric patient.","authors":"Jorge Field-Cortazares, José J Coria-Lorenzo, Débora Domingo-Martínez, Luis E Moctezuma-Paz","doi":"10.24875/CIRU.23000080","DOIUrl":"10.24875/CIRU.23000080","url":null,"abstract":"Objective: To evaluate if the comorbidity and coinfections presented by SARS-CoV-2 infection vs. COVID-19 impact our Mexican children.Method: Prospective and observational study that included the 2020-2021 peak influenza season. All patients with a diagnosis of infection by SARS-CoV-2 vs. COVID-19 who were admitted to the Hospital Infantil de Mexico were analyzed. Real-time RT-PCR for SARS-CoV-2 was performed in all patients, determining E, RdRp and RP genes and protein N, as well as RT-PCR for detection of respiratory viruses.Results: The inclusion criteria were met by 163 patients. The group with the highest risk of becoming ill was adolescents (40.4%), followed by schoolchildren and preschoolers (21.4% and 19.6% of the cases, respectively). There were three cases with viral coinfection: two (1.2%) with parvovirus B-19 and one (0.6%) with herpes type I; another two (1.2%) showed bacterial coinfection. The main comorbidity were obesity, acute lymphoblastic leukemia and arterial hypertension. Regarding mortality, we only had four cases (2.4%).Conclusions: Obesity, cancer, hypertension, heart disease and diabetes are comorbidity present in our patients, as referred to in literature, but not coinfections. In our study, we did not have any associated mortality related to comorbidity.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 3","pages":"298-306"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307636","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

A comment about the general considerations of the diameter of the common bile duct in adult patients without pathology of the bile duct. 关于无胆管病变的成年患者胆总管直径的一般考虑因素的评论。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000491

Jorge A Castrillón-Lozano, Valeria López-Cardona

引用次数: 0

Shaping the curve from the microscopic transsphenoidal to the endoscopic endonasal approach for the sellar region. 从经鼻显微镜到内窥镜鼻内窥镜蝶鞍区手术的曲线塑造。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.23000079

Edgar G Ordóñez-Rubiano, Yovany A Capacho-Delgado, Lorena Jacomussi-Alzate, Katty A Galvis-Oñate, Daniela Pérez-Chadid, José A Tamara-Prieto, Héctor Fabio Restrepo, Martín Pinzón, Óscar Zorro, Javier G Patiño-Gómez

{"title":"Shaping the curve from the microscopic transsphenoidal to the endoscopic endonasal approach for the sellar region.","authors":"Edgar G Ordóñez-Rubiano, Yovany A Capacho-Delgado, Lorena Jacomussi-Alzate, Katty A Galvis-Oñate, Daniela Pérez-Chadid, José A Tamara-Prieto, Héctor Fabio Restrepo, Martín Pinzón, Óscar Zorro, Javier G Patiño-Gómez","doi":"10.24875/CIRU.23000079","DOIUrl":"https://doi.org/10.24875/CIRU.23000079","url":null,"abstract":"Objective: This study aimed to investigate the limitations, barriers, and complications in the early transition from the microscopic transsphenoidal approach (MTA) to the endonasal endoscopic approach (EEA) to the skull base in our institution.Methods: Technical challenges, as well as clinical features and complications, were compared between MTA, EEA, and mixed cases during the early surgical curve.Results: The period from the early learning curve was 1 year until the EEA protocol was used routinely. A total of 34 patients registered a resection using a transsphenoidal approach. Eighteen patients underwent EEA, 11 underwent MTA, and five underwent a mixed endonasal and microscopic approach. Non-significant differences were found in endocrine outcomes between the three groups. Patients with unchanged or improved visual function were higher in the EEA group (p = 0.147). Non-significant differences were found in terms of the extent of resection (EOR) between groups (p = 0.369). Only 1 (2.9%) patient in the whole series developed a post-operative CSF leaking that resolved with medical management, belonging to the EEA group (5.5%).Conclusions: The early phase of the learning curve did not affect our series significantly in terms of the EOR, endocrine status, and visual outcomes.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"92 3","pages":"287-297"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307604","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

Solitary fibrous tumor of the abdominal wall: a new case with literature review. 腹壁单发纤维瘤：一例新病例及文献综述。

Cirugia y cirujanos Pub Date : 2024-01-01 DOI: 10.24875/CIRU.22000220

María L Ruiz-Juliá, Virgilio Ruiz-Luque, Macarena Ariza-Estepa, Jorge Díaz-Roldán, Pablo Parra-Membrives

引用次数: 0

[Robot-assisted radical prostatectomy with Retzius-Sparing approach vs. modified Frankfurt: comparison of results at 1 year of follow-up]. [机器人辅助前列腺癌根治术：Retzius-Sparing方法与改良法兰克福方法：1年随访结果比较]。

Cirugia y cirujanos Pub Date : 2023-12-20 DOI: 10.24875/CIRU.23000355

Víctor E Corona-Montes, Jorge L Barzallo-Sánchez, Juan E Sánchez-Núñez, Rocío N Gómez-López, Adolfo Pérez-García

{"title":"[Robot-assisted radical prostatectomy with Retzius-Sparing approach vs. modified Frankfurt: comparison of results at 1 year of follow-up].","authors":"Víctor E Corona-Montes, Jorge L Barzallo-Sánchez, Juan E Sánchez-Núñez, Rocío N Gómez-López, Adolfo Pérez-García","doi":"10.24875/CIRU.23000355","DOIUrl":"https://doi.org/10.24875/CIRU.23000355","url":null,"abstract":"Background: Robot-assisted radical prostatectomy has positioned itself as the approach of choice in the treatment of prostate cancer.Objective: To compare the outcomes of robot-assisted radical prostatectomy using the Retzius-Sparing (RS) approach against the modified Frankfurt (MF) technique.Method: To describe the perioperative, functional and oncological outcomes of 13 patients with prostate cancer who underwent RS robotic radical prostatectomy compared to MF, evaluating pathological results, urinary continence, sexual function and oncological control in 1 year of follow-up.Results: The average age was 64 years in RS group vs. 61 years in MF group. The values of total prostate antigen were higher in the RS group (25 ng/dl) vs. MF group (11 ng/dl). The volume of gland in RS group was 40.62 ml vs. 63.33 ml in the RS group. All patients were bilaterally neuropreserved, being statistically significant in favor of MF group (p = 0.016). Positive surgical margins were higher in R-S group (38.4%) vs. MF group (33.3%).Conclusions: With RS the same tendency to urinary continence is observed, with a significant difference in erectile function in favor of MF. This preliminary study shows better impact on erectile function.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138833533","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

Application of colon leakage score in the left-sided colorectal surgery. 结肠渗漏评分在左侧结直肠手术中的应用。

Cirugia y cirujanos Pub Date : 2023-11-15 DOI: 10.24875/CIRU.22000507

Gustavo Martínez-Mier, Miguel A Carrasco-Arroniz, Ana G De Los Santos-Lopez, José M Reyes-Ruiz

{"title":"Application of colon leakage score in the left-sided colorectal surgery.","authors":"Gustavo Martínez-Mier, Miguel A Carrasco-Arroniz, Ana G De Los Santos-Lopez, José M Reyes-Ruiz","doi":"10.24875/CIRU.22000507","DOIUrl":"10.24875/CIRU.22000507","url":null,"abstract":"Background: Colon leakage score (CLS) was developed for risk prediction of anastomotic leak (AL) in the left-sided colorectal surgery. Although the risk factors for leakage are well known and accepted by the surgical community, an accurate forecast of AL is still a difficult task.Objective: The study aims to apply the CLS in patients undergoing left-sided colorectal surgery.Methods: Retrospective study in patients with the left-sided colorectal surgery and primary anastomosis without diverting stoma. CLS was calculated in patients, who were classified in AL and NO-AL groups. Predictive value of CLS was evaluated by receiver operator characteristic. Correlation between CLS and AL was determined. 208 patients (55% male, mean age 59 years) were included in the study.Results: Overall, AL was 7.2%. Mean CLS of all patients was 7.2 ± 3.2 (0-17). Patients with AL had a higher CLS (11.8 ± 2.3) than NO-AL patients (6.8 ± 3) (p = 0.0001). The area under the curve for the prediction of AL by CLS was 0.898 ([CI] 0.829-0.968, p = 0.0001). A CLS of 8.5 had 93% sensitivity and 72% specificity. There was a statistically significant odds ratio for CLS and AL (0.58: [CI] 0.46-0.73, p = 0.0001).Conclusion: CLS is a useful tool to predict AL in the left-sided colorectal surgery.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":"388-394"},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650734","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