Cirugia y cirujanos最新文献_第7页

[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

Evaluation of the possible effects of the COVID-19 period on the clinical outcomes of acute mesenteric ischemia. COVID-19发病期对急性肠系膜缺血临床结局可能影响的评价

Cirugia y cirujanos Pub Date : 2023-11-15 DOI: 10.24875/CIRU.23000099

Ali K Taşkin, Mustafa Akar, Mehmet A Üstüner, Muhammed H Büyükavcı, Bülent Özçetin

{"title":"Evaluation of the possible effects of the COVID-19 period on the clinical outcomes of acute mesenteric ischemia.","authors":"Ali K Taşkin, Mustafa Akar, Mehmet A Üstüner, Muhammed H Büyükavcı, Bülent Özçetin","doi":"10.24875/CIRU.23000099","DOIUrl":"https://doi.org/10.24875/CIRU.23000099","url":null,"abstract":"Objective: The objective of the study was to investigate the possible effects of the coronavirus disease 2019 (COVID-19) period on the frequency and clinical course of acute mesenteric ischemia (AMI) cases.Material and methods: A total of 35 patients who were treated and followed up with a diagnosis of AMI over 44 months were included.Results: The mean age of the patients was 69 ± 12 years. Of these patients, 22 were male (63%). The most common cause of AMI in the patients was arterial embolism/thrombosis (68.6%). Thirty-three (94%) of the patients underwent surgical intervention. The duration of the pre-COVID-19 and COVID-19 periods was equal as 22 months, and 18 (51%) of the patients were admitted during the pandemic period. The mortality rate of the patients admitted during the COVID-19 period was also significantly higher than that of the patients admitted during the pre-COVID-19 period (61% and 29%) (p = 0.05).Conclusions: Although the COVID-19 period did not cause a significant increase in the number of AMI cases when compared to the pre-COVID-19 period, the mortality rate was higher in this period. It is thought that further studies are required to investigate the cause of this increased mortality rate during the pandemic period.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650735","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

Role of contrast agent in evaluation of periprostatic invasion in prostate cancer. 造影剂在前列腺癌前列腺周围浸润评价中的作用。

Cirugia y cirujanos Pub Date : 2023-10-24 DOI: 10.24875/CIRU.23000131

Hüseyin A Kızıloğlu, Murat Beyhan, Erkan Gökçe, Yaşar Birişik, Çiğdem Samur Salbaş, Mustafa Yeşilyurt

{"title":"Role of contrast agent in evaluation of periprostatic invasion in prostate cancer.","authors":"Hüseyin A Kızıloğlu, Murat Beyhan, Erkan Gökçe, Yaşar Birişik, Çiğdem Samur Salbaş, Mustafa Yeşilyurt","doi":"10.24875/CIRU.23000131","DOIUrl":"https://doi.org/10.24875/CIRU.23000131","url":null,"abstract":"Objectives: Our study aims to demonstrate the detection of invasion by biparametric prostate MRI (bpMRI).Materials and methods: The cases whose histopathological diagnosis was prostate cancer (PCa) and whose mpMRI report was reported as PIRADS 4 and 5 were evaluated retrospectively by two radiologists with different prostate imaging experiences. The images were grouped into two data sets. Dataset-1 was bpMRI, and dataset-2 was mpMRI. Two radiologists first evaluated dataset-1 independently of each other, and 1 month later, dataset-2. They recorded whether there was an invasion and where it was seen in the patients. Then, the results were compared.Results: A total of 75 patients were included in the study. Periprostatic invasion was detected in 33 of the patients. Both the 1st reader and the 2nd reader image detected all the cases with invasion (100%) separately between dataset-1 and set-2. Compatibility for image dataset-1 and dataset-2 between both readers was observed to be excellent.Conclusions: There is no need to use contrast agent to evaluate periprostatic invasion and to have an idea about local staging in PCa patients.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159537","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

[Surgical resection and survival of clear cell renal cancer metastases to the pancreas]. [胰腺转移的肾癌症透明细胞的手术切除和存活]。

Cirugia y cirujanos Pub Date : 2023-10-02 DOI: 10.24875/CIRU.22000379

Germán E Sánchez-Morales, Jorge L Osorio-Serrano, Alan Guerrero-Gómez, Carlos Chan, Ismael Domínguez-Rosado

{"title":"[Surgical resection and survival of clear cell renal cancer metastases to the pancreas].","authors":"Germán E Sánchez-Morales, Jorge L Osorio-Serrano, Alan Guerrero-Gómez, Carlos Chan, Ismael Domínguez-Rosado","doi":"10.24875/CIRU.22000379","DOIUrl":"10.24875/CIRU.22000379","url":null,"abstract":"Introduction: Pancreas is considered one of the organs most frequently affected by recurrence after nephrectomy secondary to renal cell carcinoma reporting an incidence of 20%, 85% of these occur within the first 3 years.Objective: The objective of the study is to evaluate overall survival and disease-free survival in patients with renal cancer and pancreatic metastases who underwent surgical treatment.Methods: A retrospective cross-sectional study of patients with histological diagnosis of renal cancer associated with pancreatic metastasis was performed and included those treated by pancreatoduodenectomy or distal pancreatectomy during the period 1987-2020.Results: 14 patients with pancreatic metastasis were included. Two groups of patients were obtained: those who underwent pancreatic surgery for metastasis and those who did not undergo surgical procedure. According to the location of the metastasis, 71.4% corresponded to a single location and 28.6% to multiple locations. 57.1% underwent Whipple and 42.9% distal pancreatectomy. Survival after the surgical procedure was 1150 days versus 499 days in non-operated patients.Conclusion: Pancreatic metastases due to RCC can be curable, improve morbidity, and increase disease-free survival with surgical treatment.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":"451-455"},"PeriodicalIF":0.0,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41179916","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

Calcified clumped neodymium magnetic spheres as an intravesical foreign body: case report and literature review 钙化块状钕磁球膀胱内异物1例报告及文献复习

Cirugia y cirujanos Pub Date : 2023-09-28 DOI: 10.24875/CIRU.22000275

İbrahim Üntan, Volkan Sabur

引用次数: 0

[In total knee arthroplasty surgeries, what is the effective dose of intra-articular tranexamic acid?] [在全膝关节置换术中，关节内氨甲环酸的有效剂量是多少？]

Cirugia y cirujanos Pub Date : 2023-09-28 DOI: 10.24875/CIRU.23000003

Ismail G Şahin, Hüsamettin Özdemir

{"title":"[In total knee arthroplasty surgeries, what is the effective dose of intra-articular tranexamic acid?]","authors":"Ismail G Şahin, Hüsamettin Özdemir","doi":"10.24875/CIRU.23000003","DOIUrl":"10.24875/CIRU.23000003","url":null,"abstract":"Objective: The aim of our study was to evaluate the effect of different doses of intra-articular (IA) tranexamic acid (TXA) on blood loss in total knee arthroplasty surgeries and compare it to the control group.Materials and methods: A total of 160 patients who underwent unilateral total knee arthroplasty surgery at Edirne State Hospital between 2016 and 2020 were divided into four groups. The estimated blood loss and amount of blood loss from drainage, as well as transfusion rates, were compared between the groups based on surgical pre- and post-operative blood parameters to evaluate the dose effectiveness.Results: In our study, all TXA groups significantly reduced the estimated blood loss and amount of blood loss from drainage compared to the control group. No statistically significant difference was found between the control group and the group receiving 1 g of TXA in terms of transfusion rates (p = 0.062), and no statistically significant difference was found between the groups receiving 2 g and 3 g of TXA.Conclusion: The use of 2 g of IA TXA is an effective dose for controlling blood loss in total knee arthroplasty surgeries. Lower doses do not have a significant effect on transfusion rates, whereas higher doses do not significantly increase effectiveness.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":"647-654"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41164352","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 rare cause of intestinal obstruction: sock ingestion]. [肠梗阻的罕见原因：袜子摄入]。

Cirugia y cirujanos Pub Date : 2023-09-28 DOI: 10.24875/CIRU.22000216

Mustafa Azizoğlu, Salih Bayram, Bahattin Aydoğdu, Mehmet H Okur

引用次数: 0

How to avoid iatrogenic injuries of the biliary tract in urgent surgery? The use of indocianine green is an alternative. 如何避免急诊手术中医源性胆道损伤？吲哚绿是一种替代品。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000707

Inés Cañas-García, Javier Gómez-Sánchez, Julio Santoyo-Villalba, Benito Mirón-Pozo

引用次数: 0

Application of the REAL-score prognostic index in decision making in rectal cancer surgery. REAL-score预后指数在癌症直肠手术决策中的应用。

Cirugia y cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000309

Daniel Aparicio-López, Isabel Gascón-Ferrer, Antonio Martínez-Germán, María P Santero-Ramírez, María N Sánchez-Fuentes, Carlos Gracia-Roche, Sef Saudí-Moro, María V Duque-Mallén

{"title":"Application of the REAL-score prognostic index in decision making in rectal cancer surgery.","authors":"Daniel Aparicio-López, Isabel Gascón-Ferrer, Antonio Martínez-Germán, María P Santero-Ramírez, María N Sánchez-Fuentes, Carlos Gracia-Roche, Sef Saudí-Moro, María V Duque-Mallén","doi":"10.24875/CIRU.22000309","DOIUrl":"10.24875/CIRU.22000309","url":null,"abstract":"Background: Colorectal anastomosis leak (AL) is the most feared complication of rectal cancer surgery (1-19%) as it increases morbidity and mortality and worsens oncological outcomes in terms of local recurrence and survival. The publication of the REAL-score index makes it possible to predict the risk of AL and compare the expected results with those obtained.Method: Observational, descriptive, longitudinal and retrospective study of patients operated on for rectal cancer at the Miguel Servet University Hospital, in Zaragoza, Spain, in 2019. Statistical analysis of morbidity and mortality outcome variables and the REAL-score index using ROC curves.Results: Of 80 patients operated on for rectal cancer, colorectal anastomosis was performed in 52 and temporary ileostomy in 11 (21.2%). Morbidity was high (38.4%), but severe only in 7.7% (Clavien-Dindo IIIb), with no deaths. There were four dehiscences: one type B and three type C. A direct relationship between high risk of AL and the practice of temporary stoma is observed when the cut-off point of the REAL-score exceeds 14.74%.Conclusions: REAL-score can help in decision-making in rectal cancer surgery. Above a cut-off point, the risk of AL would imply a selective ileostomy.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":"91 5","pages":"690-697"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242196","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