Cirugia y cirujanos最新文献_第3页

Application of MINICS software in measuring parameters of femoral neck fractures and its clinical significance. MINICS软件在股骨颈骨折参数测量中的应用及其临床意义。

Cirugia y cirujanos Pub Date : 2026-01-01 DOI: 10.24875/CIRU.24000222

Feng Liu, Peng Su, Lichao Zhang, Yi Zhang, Ruyi Zhang

{"title":"Application of MINICS software in measuring parameters of femoral neck fractures and its clinical significance.","authors":"Feng Liu, Peng Su, Lichao Zhang, Yi Zhang, Ruyi Zhang","doi":"10.24875/CIRU.24000222","DOIUrl":"10.24875/CIRU.24000222","url":null,"abstract":"Objective: This study aimed to investigate the application of MIMICS software in measuring femoral neck fracture (FNF) parameters and its clinical significance.Method: Computed tomography data from 72 patients with FNFs were used to reconstruct three-dimensional (3D) models using MIMICS. The FNFs were divided into valgus and bowing groups based on the coronal femoral head-neck angle. A simulated sphere identified the center of the femoral head, and a 3D coordinate system was established. Statistical analyses were performed.Results: The valgus group showed more lateral x-axis and upward z-axis displacement (both p < 0.01). The medial x-axis and downward z-axis displacement distances were larger in the bowing group (both p < 0.01). Strong positive correlations were found between the horizontal head tilt angle and head spacing, spatial head-neck angle and y-axis displacement distance (all rs > 0.89, p < 0.01).Conclusions: MIMICS-based FNF parameter measurement accurately describes spatial characteristics post-fracture, providing guidance for FNF treatment and evaluation.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"94 2","pages":"137-148"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148019373","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

Impact of COVID-19 history on anxiety and complications in elective cesarean sections. COVID-19病史对择期剖宫产患者焦虑及并发症的影响

Cirugia y cirujanos Pub Date : 2026-01-01 DOI: 10.24875/CIRU.24000653

Kubra Kalkisim, Ali Akdogan, Davut Dohman

引用次数: 0

Liver transplant program outcomes at a Colombian center: 14 years of experience. 哥伦比亚中心肝移植项目的结果：14年的经验。

Cirugia y cirujanos Pub Date : 2026-01-01 DOI: 10.24875/CIRU.25000191

Maricel Licht-Ardila, Giseth A Mosquera-Velasquez, Angie V Abril-Lopera, Alexandra Hurtado-Ortiz, Luis A Olarte-Licht, Santiago Flórez-Suárez, Lizeth C Padilla-Padilla, Elizabeth C David-Gonzalez, Joel Duarte-Yepes, Alejandra Mendoza-Monsalve, Skarlet M Vásquez, Gabriel J Arenas-Peña, Mauricio Vanegas-Ballesteros, Cristian E Tarazona-Leon

{"title":"Liver transplant program outcomes at a Colombian center: 14 years of experience.","authors":"Maricel Licht-Ardila, Giseth A Mosquera-Velasquez, Angie V Abril-Lopera, Alexandra Hurtado-Ortiz, Luis A Olarte-Licht, Santiago Flórez-Suárez, Lizeth C Padilla-Padilla, Elizabeth C David-Gonzalez, Joel Duarte-Yepes, Alejandra Mendoza-Monsalve, Skarlet M Vásquez, Gabriel J Arenas-Peña, Mauricio Vanegas-Ballesteros, Cristian E Tarazona-Leon","doi":"10.24875/CIRU.25000191","DOIUrl":"https://doi.org/10.24875/CIRU.25000191","url":null,"abstract":"Objectives: The objective of the study was to analyze outcomes of a liver transplant program over 14 years and evaluate associations between patient characteristics, surgical factors, complications, and mortality.Methods: A retrospective cohort study was conducted at a transplant center, including patients from 2011 to 2025. Descriptive statistics, X2, Mann-Whitney U tests, and multivariate logistic regression were used to identify mortality predictors. Kaplan-Meier survival analysis was also performed.Results: The study included 109 liver transplant recipients. Rejection rates were higher among deceased patients (30.3% vs. 13.2%, p = 0.034). One-year survival improved from 63.3% (2011-2014) to 89.1% (2023-2025), with 100% rejection-free survival in the most recent cohort. Complications like multi-organ failure, bronchopneumonia, acute renal failure, ventilatory failure with coma, and leukoencephalopathy significantly increased mortality risk (odds ratio 4.27, p = 0.002).Conclusions: One-year survival has improved, with reduced rejection rates reflecting better post-transplant care. However, complications remain a major mortality risk. Shorter ischemia times indicate optimized surgical and logistical procedures.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"94 3","pages":"322-331"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551827","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

Three-dimensional visualization systems for laparoscopic surgery training: a peg transfer exercise study. 用于腹腔镜手术训练的三维可视化系统：一项peg转移练习研究。

Cirugia y cirujanos Pub Date : 2026-01-01 DOI: 10.24875/CIRU.25000078

Sergio A Salinas, Vera Z Pérez, Alix A Angarita, Fabio A Hernández, José R Martínez, Mauricio Santis, Ricardo L Sanchez

{"title":"Three-dimensional visualization systems for laparoscopic surgery training: a peg transfer exercise study.","authors":"Sergio A Salinas, Vera Z Pérez, Alix A Angarita, Fabio A Hernández, José R Martínez, Mauricio Santis, Ricardo L Sanchez","doi":"10.24875/CIRU.25000078","DOIUrl":"10.24875/CIRU.25000078","url":null,"abstract":"Objective: Minimally invasive surgery (MIS) offers significant benefits, including short-term recovery and few complications. However, surgeons face challenges, particularly with two-dimensional (2D) visualization systems. Recent advancements in three-dimensional (3D) technologies can enhance depth perception and improve the training process. This study compares three 3D visualization systems in laparoscopic peg transfer training: (1) head-mounted displays, (2) passive 3D glasses, and (3) active 3D glasses.Methods: A randomized controlled trial was conducted with 24 participants performing a peg transfer task under the three 3D systems. Performance metrics included task completion time, number of errors, and subjective ratings of image quality and ergonomics.Results: Participants using active glasses completed the task faster (median = 4.1 min, interquartile range [IQR] = 2.1 min) and with fewer errors (median = 6, IQR = 7) compared to the other systems (p < 0.01). Subjective ratings also favored active glasses for image quality and ergonomics, though there were no significant differences in visual fatigue across the systems.Conclusions: Active 3D glasses proved to be the most effective system for laparoscopic training in terms of both performance and user satisfaction. Integrating them into MIS training could enhance surgical precision and reduce learning curves.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"94 4","pages":"392-398"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820678","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

Is it possible to predict resectability in pancreatic cancers? A retrospective study in a tertiary center. 是否有可能预测胰腺癌的可切除性？回顾性研究在三级中心。

Cirugia y cirujanos Pub Date : 2026-01-01 DOI: 10.24875/CIRU.23000503

Cengiz Ceylan, Emrah Cengiz, Cuneyt Kayaalp, Cemalettin Aydin

{"title":"Is it possible to predict resectability in pancreatic cancers? A retrospective study in a tertiary center.","authors":"Cengiz Ceylan, Emrah Cengiz, Cuneyt Kayaalp, Cemalettin Aydin","doi":"10.24875/CIRU.23000503","DOIUrl":"https://doi.org/10.24875/CIRU.23000503","url":null,"abstract":"Objectives: Pre-operative radiological or laboratory evaluations can provide some insight into resectability in pancreatic ductal adenocarcinoma (PDAC). However, these methods still fall short, as patients may be deemed unresectable during perioperative exploration. Our study seeks to identify novel predictors that can accurately determine the resectability status of PDAC patients.Methods: Patients who underwent surgical exploration for potentially resectable PDAC were retrospectively analyzed and categorized into two groups: resectable and unresectable during exploration. Univariate and multivariate analyses were employed to predict resectability based on the identified predictors.Results: Out of the 120 patients who underwent surgical exploration, 30 (25%) were found to be unresectable during the surgical procedure. Multivariate analysis disclosed that tumor size ≥ 4 cm, carbohydrate antigen (CA) 19-9 > 500 U/mL, and lymphocyte count ≤ 1.55 × 103/uL (p = 0.013, 0.014, 0.031, respectively) were associated with non-resectability.Conclusions: Tumor size, CA 19-9 levels, and lymphopenia have correlations with unresectability in PDAC patients. These factors can be valuable in preoperatively predicting the presence of an unresectable tumor.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"94 5","pages":"549-555"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247879","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

Predictors of high academic performance in medical residents: from item theory to discriminant analysis. 住院医师学业成绩之预测因子：从项目理论到判别分析。

Cirugia y cirujanos Pub Date : 2026-01-01 DOI: 10.24875/CIRU.24000482

Carlos A Rivero-López, Magali F Vega-Rodríguez, Nancy Galicia-Hernández, Irma Jiménez-Galván, Rocío Dávila-Mendoza, Czeslaw K Lugowski-Rivero, Efrén R Ponce-Rosas

{"title":"Predictors of high academic performance in medical residents: from item theory to discriminant analysis.","authors":"Carlos A Rivero-López, Magali F Vega-Rodríguez, Nancy Galicia-Hernández, Irma Jiménez-Galván, Rocío Dávila-Mendoza, Czeslaw K Lugowski-Rivero, Efrén R Ponce-Rosas","doi":"10.24875/CIRU.24000482","DOIUrl":"https://doi.org/10.24875/CIRU.24000482","url":null,"abstract":"Objective: To identify the predictive variables of high and low academic performance in family medicine residents. In this research, the discriminant analysis technique is employed, which complements the indicators of the item theory, aiming to identify students' characteristics concerning their academic performance objectively and precisely.Methods: A cross-sectional, analytical, comparative study was conducted. Based on the indicators from the item response theory, the answers from the departmental exams of 1911 residents of the family medicine specialization course were analyzed. Seven independent sociodemographic and academic variables were selected; the dependent variable was the students' correct answers on the applied exam, divided into two groups: above and below the median of correct answers. Discriminant analysis was used to identify the predictive variables of high and low academic performance.Results: The multivariate discriminant analysis model yielded three significant variables that, in synergy (combined action), predicted students with high and low performance on the applied exam: resident's age, final average in the undergraduate program, and residency level. These three variables showed robust statistical evidence (p < 0.00001) for distinguishing between students with high and low academic performance.Conclusions: The discriminant analysis model displayed adequate predictive capacity; it enabled the identification of residents for whom more effective competency-building strategies should be applied (individualization), based on the variables that differentiated high and low academic performance residents (selectivity).","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"94 5","pages":"556-563"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247895","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

Is it possible to differentiate benign/malignant unilateral sinonasal diseases from clinical and radiological findings? A new algorithm for clinical management. 是否有可能从临床和影像学表现来区分单侧鼻窦疾病的良/恶性？一种新的临床管理算法。

Cirugia y cirujanos Pub Date : 2026-01-01 DOI: 10.24875/CIRU.24000449

Zülküf Küçüktağ, Bülent Öcal, Cem Saka, Esma Altan, Emel Çadallı-Tatar

{"title":"Is it possible to differentiate benign/malignant unilateral sinonasal diseases from clinical and radiological findings? A new algorithm for clinical management.","authors":"Zülküf Küçüktağ, Bülent Öcal, Cem Saka, Esma Altan, Emel Çadallı-Tatar","doi":"10.24875/CIRU.24000449","DOIUrl":"10.24875/CIRU.24000449","url":null,"abstract":"Objective: The aim of this study is to determine the relationships between demographic, clinical, and radiological characteristics of patients with unilateral sinonasal diseases and the type of pathology, and to present a new algorithm that can help clinicians in the management of these patients.Method: The study included 243 patients who underwent surgery because of unilateral sinonasal diseases between 2014 and 2022. Patients were first divided into inflammatory and neoplastic groups and the neoplastic group was divided into benign and malignant groups.Results: Epistaxis and orbital complaints were seen significantly more in the neoplastic group, and anosmia/hyposmia in the inflammatory group. Epistaxis, orbital complaints, and pain were seen significantly more in the malignant group than in the benign group. On computed tomography scan, bone erosion and invasion of adjacent structures were seen significantly more in the neoplastic group and the malignant group.Conclusions: We present a new algorithm based on our clinical experience that can be used in the clinical management of unilateral sinonasal diseases.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"94 2","pages":"179-188"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148019354","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

Can a standardized blunt thoracic trauma score lead to lower length of stay and reduced intensive care unit admission for older patients? 标准化的钝性胸外伤评分能降低老年患者的住院时间和减少重症监护病房的住院率吗？

Cirugia y cirujanos Pub Date : 2026-01-01 DOI: 10.24875/CIRU.24000480

Yesha Maniar, Leo I Amodu, Patrizio Petrone, Armin Mahabadi, Maria Bower, Sakib Safi, Gerard Baltazar, Shahidul Islam, D'Andrea K Joseph

{"title":"Can a standardized blunt thoracic trauma score lead to lower length of stay and reduced intensive care unit admission for older patients?","authors":"Yesha Maniar, Leo I Amodu, Patrizio Petrone, Armin Mahabadi, Maria Bower, Sakib Safi, Gerard Baltazar, Shahidul Islam, D'Andrea K Joseph","doi":"10.24875/CIRU.24000480","DOIUrl":"10.24875/CIRU.24000480","url":null,"abstract":"Objective: We implemented and evaluated a novel score called the blunt thoracic trauma score (BTTS) for the triage of chest wall injury (CWI) patients to optimize utilization of the intensive care unit (ICU).Method: Patients who sustained rib fractures after a traumatic injury (2014-2020) were identified in our trauma registry. Demographics and clinical characteristics were summarized by cohorts pre- and post-BTTS implementation in 2017 and BTTS > 6 versus BTTS < 6 using median or frequency. Wilcoxon rank-sum test was used to compare continuous variables, and χ2 or Fisher's exact test for categorical variables. Logistic/negative binomial regression models were used to find predictors for ICU admission and length of stay (LOS).Results: Six hundred thirty-three patients were included; 407 pre-BTTS/226 post-BTTS. Pre-BTTShigher median ISS (p < 0.001), more rib fractures (p < 0.001). Post-BTTS older (p < 0.001), more comorbidities (coronary artery disease [p = 0.028], hyperlipidemia [p = 0.004], pulmonary disease [p = 0.038]). Post-BTTS cohort had lower rates of ICU admission (p = 0.008), shorter ICU-LOS (p < 0.001), and Hospital-LOS (p < 0.001). Post-BTTS cohort was associated with shorter Hospital-LOS after adjusting for other factors (p = 0.004).Conclusions: Implementation of a novel BTTS for triage of CWI was associated with decreased ICU admission rates and shorter ICU-LOS and Hospital-LOS. The decreased Hospital-LOS persisted even after controlling for other factors.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"94 2","pages":"214-224"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148019362","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

Boosting the findings of cellular indices and acute phase reactants as predictors of abscess after appendectomy. 增强细胞指数和急性期反应物作为阑尾切除术后脓肿的预测指标。

Cirugia y cirujanos Pub Date : 2026-01-01 DOI: 10.24875/CIRU.26000050

Nelson A Milanés-González, José E Velázquez-Amador

引用次数: 0

A novel free functional muscle transfer model for animal experiments: rat triceps brachii muscle flap. 一种新的动物实验自由功能肌肉转移模型：大鼠肱三头肌皮瓣。

Cirugia y cirujanos Pub Date : 2026-01-01 DOI: 10.24875/CIRU.25000080

Münür S Kendir, Mehmet Dadaci, Zikrullah Baycar, Seda T Ayçiçek, Sıddıka Fındık, Majid Ismayilzade

{"title":"A novel free functional muscle transfer model for animal experiments: rat triceps brachii muscle flap.","authors":"Münür S Kendir, Mehmet Dadaci, Zikrullah Baycar, Seda T Ayçiçek, Sıddıka Fındık, Majid Ismayilzade","doi":"10.24875/CIRU.25000080","DOIUrl":"https://doi.org/10.24875/CIRU.25000080","url":null,"abstract":"Objective: Although free functional muscle transfer (FFMT) has been used in clinical practice for many years, there is no experimental model for FFMT. We aimed to describe a novel experimental muscle flap model and define the triceps brachii free muscle flap as an FFMT model in rats.Methods: A total of 10 Wistar-Albino rats were used. The rats were divided into two groups with five rats in each. Animals in Group 1 were used for the identification of the triceps brachii muscle flap, whereas rats in Group 2 were used for the FFMT model. After 3 months, all the flaps were examined electrophysiologically, and biopsy samples were obtained from the muscles and nerves.Results: The presence of reinnervation was confirmed electrophysiologically in all of the flaps. Histological examination findings were compatible with neural healing, which was seen in all of the flaps. Myelinization was found significantly more in Group 1.Conclusions: The rat triceps brachii muscle flap can be used as a pedicled flap or FFMT model. By describing a novel muscle flap in the upper extremity, we hope that it will contribute to the experimental microsurgical training, providing a new donor area.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"94 4","pages":"384-391"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820530","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