2,592 results match your criteria Cirugia espanola[Journal]
Cir Esp 2018 May 24. Epub 2018 May 24.
Servicio de Cirugía General y Digestivo, Institut de Malalties Digestives i Metabòliques (IMDiM), Hospital Clínic, CIBERehd, IDIBAPS, Universidad de Barcelona, Barcelona, España.
Introduction: Cortical-sparing adrenalectomy is a suitable treatment for hereditary and sporadic bilateral pheochromocytoma, in cases of low risk of malignancy, to reduce the possibility of adrenal insufficiency assuming the chance of local recurrence. The aim of the study is to analyze the functional results of partial adrenalectomy by retroperitoneal endoscopic approach in single-adrenal patients or patients requiring bilateral adrenalectomy.
Methods: Prospective study between January 2015 and February 2016 including pheochromocytoma patients diagnosed with low risk of malignant mutations. Read More
Cir Esp 2018 May 23. Epub 2018 May 23.
Anatomía-Patológica, Hospital Regional de Talca, Talca, VII Región, Chile.
Cir Esp 2018 May 21. Epub 2018 May 21.
Unidad de Cirugía Hepatobiliar y Pancreática, Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario de Valme, Sevilla, España.
Introduction: In spite of the acquired experience with laparoscopic common bile duct exploration (LCBDE) for choledocholithiasis management, there is still a risk of biliary leakage of 5% to 15% following choledochotomy closure. We evaluate the usefulness of fibrin-collagen sealants to reduce the incidence of biliary fistula after laparoscopic choledochorrhaphy.
Methods: We report a retrospective analysis of 96 patients undergoing LCBDE from March 2009 to March 2017, whose closure of the bile duct was completed by antegrade stenting and choledochorraphy or by performing a primary suture. Read More
Cir Esp 2018 May 19. Epub 2018 May 19.
Servicio de Aparato Digestivo, Hospital Álvarez Buylla, Mieres del Camino, Asturias, España.
Cir Esp 2018 May 19. Epub 2018 May 19.
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Virgen de la Arrixaca, Murcia, España.
Cir Esp 2018 Jun - Jul;96(6):342-351. Epub 2018 May 19.
Servicio de Cirugía General, Hospital Clínico Universitario de Valencia, Valencia, España; Departamento de Cirugía, Universitat de València, Valencia, España.
Introduction: To establish quality standards in oncologic surgery is a complex but necessary challenge to improve surgical outcomes. Unlike other tumors, there are no well-defined quality standards in pancreatic cancer. The aim of this study is to identify quality indicators in pancreatic oncologic surgery in Spain as well as their acceptable limits of variability. Read More
Cir Esp 2018 May 17. Epub 2018 May 17.
Hospital Universitario Ramón y Cajal, Madrid, España.
Even though cytology remains the gold standard to assess the nature of thyroid nodules, up to 30% of the results are indeterminate (BethesdaIII and IV). In these cases, current guidelines recommend performing diagnostic surgery, which proves malignancy in only 15-30% of cases. A more precise method is needed to avoid unnecessary surgeries, surgical complications and costs in the process of diagnosing indeterminate nodules. Read More
Cir Esp 2018 May 16. Epub 2018 May 16.
Departamento de Cirugía General, Hospital Universitario Parc Taulí, Sabadell, Barcelona, España.
Introduction: Vital signs indicate the presence of bleeding only after large amounts of blood have been lost, with high morbidity and mortality. The Shock Index (SI) is a hemorrhage indicator with a cut-off point for the risk of bleeding at 0.9. Read More
Cir Esp 2018 Jun - Jul;96(6):326-341
Comité Científico de la Sociedad Española de Trasplante Hepático, Unidad de Trasplante Hepático, Hospital Universitario Reina Sofía, Córdoba, España. Electronic address:
The goal of the Spanish Liver Transplantation Society (La Sociedad Española de Trasplante Hepático) is to promote and create consensus documents about current topics in liver transplantation with a multidisciplinary approach. To this end, on October 20, 2016, the 6th Consensus Document Meeting was held, with the participation of experts from the 24 authorized Spanish liver transplantation programs. This Edition discusses the following subjects, whose summary is offered below: 1) limits of simultaneous liver-kidney transplantation; 2) limits of elective liver re-transplantation; and 3) liver transplantation after resection and hepatocellular carcinoma with factors for a poor prognosis. Read More
Cir Esp 2018 May 14. Epub 2018 May 14.
Sección de Cirugía Gastrointestinal, Hospital Universitari del Mar, Barcelona, España.
Introduction: This study evaluated allogenic packed red blood cell (aPRBC) transfusion rates in patients undergoing resection for gastric cancer and the implementation of blood-saving protocols (BSP).
Methods: Retrospective study of all gastric cancer patients operated on with curative intent in Catalonia and Navarra (2011-2013) and included in the Spanish subset of the EURECCA Oesophago-Gastric Cancer Registry. Hospitals with BSP were defined as those with a preoperative haemoglobin (Hb) optimisation circuit associated with restrictive transfusion strategies. Read More
Cir Esp 2018 Jun - Jul;96(6):317-325
Servicio de Cirugía General, Hospital General de Granollers , Granollers, España.
The role of oral antibiotic prophylaxis and mechanical bowel preparation in colorectal surgery remains controversial. The lack of efficacy of mechanical preparation to improve infection rates, its adverse effects, and multimodal rehabilitation programs have led to a decline in its use. This review aims to evaluate current evidence on antegrade colonic cleansing combined with oral antibiotics for the prevention of surgical site infections. Read More
Cir Esp 2018 May 12. Epub 2018 May 12.
New York Medical College, Valhalla, New York, USA.
Introduction: TEG provides an in-vivo assessment of viscoelastic clot strength in whole blood compared with CCT, which may not reflect the influence of platelets. The aim of this study was to compare TEG vs. CCT in trauma patients stratified by mechanism of injury (MOI) and pre-existing coagulation status. Read More
Cir Esp 2018 May 11. Epub 2018 May 11.
Servicio de Cirugía Torácica, Hospital Universitario Virgen Macarena, Sevilla, España.
Cir Esp 2018 May 10. Epub 2018 May 10.
Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, España.
Introduction: Registries are powerful tools for identifying factors predicting bad results. Our objective was to analyse data from the Spanish Registry of Incisional Hernia (EVEREG) to detect risk situations for the development of complications and recurrences.
Methods: We have analysed data of the cohort of hernias registered during the period from July 2012 to June 2014. Read More
Cir Esp 2018 Jun - Jul;96(6):391-392. Epub 2018 May 9.
Unidad de Coloproctología, Hospital General Universitario, Valencia, España.
Cir Esp 2018 May 9. Epub 2018 May 9.
Servicio de Cirugía General y Digestiva, Hospital Universitari Dr. Josep Trueta, Girona, España.
Cir Esp 2018 Apr 25. Epub 2018 Apr 25.
Departamento de Cirugía, Ginecología, Obstetricia y Pediatría, Universidad de Murcia, Murcia, España; Servicio de Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Servicio Murciano de Salud, El Palmar, Murcia, España; Servicio de Cirugía Maxilofacial, Hospital Clínico Universitario Virgen de la Arrixaca, Servicio Murciano de Salud, El Palmar, Murcia, España.
Cir Esp 2018 May 25;96(5):268-275. Epub 2018 Apr 25.
Unidad de Cirugía Hepatobiliopancreática y Trasplante Hepático, Hospital Universitario Virgen del Rocío, Sevilla, España.
Between 1991 and 2013, 1,000 liver transplantations were performed at Virgen del Rocio Hospital (Seville, Spain). A retrospective study was conducted, analyzing the characteristics of recipients and donors, indications, surgical technique, complications and survival in 2 different stages (1991-2002 vs. 2003-2013) coinciding with the implementation of the MELD scale as a prioritization model. Read More
Cir Esp 2018 Apr 23. Epub 2018 Apr 23.
Sección de Cirugía Esofagogástrica de la AEC. Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Virgen de la Arrixaca, Murcia, España.
Introduction: Enhanced recovery after surgery programs in abdominal surgery are being established progressively. The aim of this study is to evaluate the application of different perioperative care measures in gastric surgery by Spanish surgeons.
Methods: A descriptive study of 162 surveys answered from September to December 2017 about the management and perioperative care in non-bariatric gastric resection surgery. Read More
Cir Esp 2018 May 22;96(5):292-299. Epub 2018 Apr 22.
Escuela Andaluza de Salud Pública, Granada, España.
Introduction: The aim was to assess the impact on economic costs and length of stay (LOS) of postoperative complications.
Methods: 5,822 records from BMDS (2014-2015) are included. A descriptive, univariate and multivariate study evaluated the correlation between complications, Clavien-Dindo grade and vacation periods with LOS and economic costs, based on a full-cost model, aggregated by DRG. Read More
Cir Esp 2018 Apr 20. Epub 2018 Apr 20.
Instituto Universitario de Investigaciones Biomédicas y Sanitarias, Grupo de Investigación en Osteoporosis y Metabolismo Mineral, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Las Palmas, España.
Cir Esp 2018 Apr 20. Epub 2018 Apr 20.
Servicio de Cirugía General, Hospital Universitario San Juan de Alicante, Sant Joan d'Alacant, Alicante, España.
Cir Esp 2018 Apr;96(4):181
Cir Esp 2018 Apr 15. Epub 2018 Apr 15.
Servicio de Cirugía General, Hospital Son Llàtzer, Palma de Mallorca, España.
Introduction: The outcomes of patients treated with colonic stents as a bridge to surgery (BTS) have recently been questioned in terms of safety and long-term oncologic outcomes. The aim of this study is to evaluate the effects on surgical and oncologic outcomes of colonic stents as a BTS for potentially resectable obstructive colorectal cancer.
Methods: We conducted a retrospective analysis of patients operated on for potentially resectable obstructive colorectal cancer with or without distant disease between September 2002 and October 2015, comparing the patients treated with a colonic stent as a BTS (Stent group) with those directly operated on (Surgery group). Read More
Cir Esp 2018 Apr 14. Epub 2018 Apr 14.
Coordinación Grupo de Tumores Mesenquimales-Sarcomas, Asociación Española Cirujanos. Electronic address:
Cir Esp 2018 May 12;96(5):250-259. Epub 2018 Apr 12.
Department of Surgery, NYU Winthrop Hospital, Mineola, Long Island, Nueva York, EE. UU.
Traumatic retroperitoneal injuries constitute a challenge for trauma surgeons. They usually occur in the context of a trauma patient with multiple associated injuries, in whom invasive procedures have an important role in the diagnosis of these injuries. The retroperitoneum is the anatomical region with the highest mortality rates, therefore early diagnosis and treatment of these lesions acquire special relevance. Read More
Cir Esp 2018 Jun - Jul;96(6):352-356. Epub 2018 Apr 2.
Hospital Clínico San Carlos, Instituto de Investigación Sanitaria San Carlos, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España.
Introduction: The use of web 2.0 tools and especially Twitter is in full expansion. Twitter has jumped from the personal field to the professional with great success, joining as a means of regular dissemination in scientific congresses. Read More
Cir Esp 2018 Apr 30;96(4):226-233. Epub 2018 Mar 30.
Servicio de Cirugía General y Aparato Digestivo, Unidad de Coloproctología, Hospital Josep Trueta, Girona, España.
Introduction: Currently, there is growing interest in analyzing the results from surgical units and the implementation of quality standards in order to identify good healthcare practices. Due to this fact, the Spanish Association of Coloproctology (AECP) has developed a unit accreditation program that contemplates basic standards. The aim of this article is to evaluate and analyze the specific quality indicators for the surgical treatment of colorectal cancer, established by the program. Read More
Cir Esp 2018 Jun - Jul;96(6):363-368. Epub 2018 Mar 28.
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario de La Princesa, Madrid, España; Departamento de Cirugía, Universidad Autónoma de Madrid, Madrid, España.
Introduction: Fine-needle aspiration biopsies are a key tool for preoperative assessment of thyroid nodules, and the Bethesda system is the preferred method to report cytological analysis. The purpose of this study is to assess the efficiency of the Bethesda system to identify the malignancy risk of thyroid nodules.
Methods: Patients who underwent thyroid surgery between June 2010 and June 2017 were included. Read More
Cir Esp 2018 Apr 29;96(4):221-225. Epub 2018 Mar 29.
Sección de Cirugía Gastrointestinal, Servicio de Cirugía, Hospital Universitario del Mar, Institut Hospital del Mar d'Investigacións Mèdiques (IMIM), Universitat Autònoma de Barcelona, Barcelona, España.
Introduction: Hospital readmission is used as a measure of quality healthcare. The aim of this study was to determine the incidence, causes, and risk factors related to emergency consultations and readmissions within 30 and 90 days in patients undergoing laparoscopic gastric bypass and laparoscopic sleeve gastrectomy.
Methods: Retrospective study of 429 patients operated on from January 2004 to July 2015 from a prospectively maintained database and electronic medical records. Read More
Cir Esp 2018 May 27;96(5):313-314. Epub 2018 Mar 27.
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Miguel Servet, Zaragoza, España; Sección de Formación Posgraduada, Asociación Española de Cirujanos (AEC).
Cir Esp 2018 Apr 26;96(4):198-204. Epub 2018 Mar 26.
Área de Ingeniería Mecánica, Departamento de Construcción e Ingeniería de Fabricación, Universidad de Oviedo, Gijón, España.
Industry 4.0 offers new development opportunities for surgeons. Computer-aided design and 3D printing allow for the creation of prototypes and functional end products. Read More
Cir Esp 2018 May 24;96(5):300. Epub 2018 Mar 24.
Servicio de Cirugía General y del Aparato Digestivo, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
Cir Esp 2018 Mar 21. Epub 2018 Mar 21.
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Fundación Jiménez Díaz, Madrid, España.
ERAS is a multimodal perioperative care program which replaces traditional practices concerning analgesia, intravenous fluids, nutrition, mobilization as well as a number of other perioperative items, whose implementation is supported by evidence-based best practices. According to the RICA guidelines published in 2015, a review of the literature and the consensus established at a multidisciplinary meeting in 2015, we present a protocol that contains the basic procedures of an ERAS pathway for resective esophageal surgery. The measures involved in this ERAS pathway are structured into 3areas: preoperative, perioperative and postoperative. Read More
Cir Esp 2018 May 19;96(5):276-282. Epub 2018 Mar 19.
Departamento de Cirugía General y Digestiva, Hospital Universitario Basurto, Bilbao, España.
Introduction: The BRAF V600E mutation in papillary thyroid cancer (PTC) has been associated with resistance to I. Our aim was to quantify the response to I after surgery in patients who had the mutation (BRAF+) and those who did not have the mutated gene (BRAF-).
Method: A prospective cohort study was designed, from September 2015 to February 2016, which included patients with PTC receiving therapy after surgical treatment. Read More
Cir Esp 2018 Apr 20;96(4):184-197. Epub 2018 Mar 20.
Unidad de Cirugía General y Digestiva, Hospital de la Santa Creu y Sant Pau, Universidad Autónoma de Barcelona, Barcelona, España.
Aim of the present study is to report clinical characteristics and outcomes of patients treated in authors' hospital for GI metastasis from primary lung cancer, and to report and analyse the same data concerning patients retrieved from a systematic literature review. We performed a retrospective analysis of prospectively collected data, and a systematic review using the Meta-analysis Of Observational Studies in Epidemiology (MOOSE) guidelines. Ninety-one patients were included, 5 patients from the authors' hospital and 86 through PubMed database using the keywords "intestinal metastasis" AND "lung cancer". Read More
Cir Esp 2018 Mar 16. Epub 2018 Mar 16.
Departamento de Cirugía General, Hospital Privado Universitario de Córdoba, Córdoba, Argentina.
Cir Esp 2018 Jun - Jul;96(6):357-362. Epub 2018 Mar 13.
Servei de Medicina Intensiva, Hospital Universitari Son Espases, Institut de Investigació Sanitària Illes Balears IdISBa, Palma, Islas Baleares, España. Electronic address:
Introduction: We compared the Geriatric Trauma Outcome Score (GTOS) with the probability of survival using the TRISS methodology (PS-TRISS) in geriatric severe trauma patients admitted to Intensive Care Units (ICU) participating in the Spanish trauma ICU registry (RETRAUCI).
Methods: Retrospective analysis from the RETRAUCI. Quantitative data were reported as median (Interquartile Range (IQR)), and categorical data as number (percentage). Read More
Cir Esp 2018 May 9;96(5):283-291. Epub 2018 Mar 9.
Servicios de Cirugía General y del Aparato Digestivo, Hospital Universitario y Politécnico La Fe, Valencia, España; Servicios de Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario de Valencia, Valencia, España.
INTRODUCTION THE AIM: was to analyse the stoma reversal rate after surgery for complicated acute diverticulitis (CAD), and more specifically the end-stoma-reversal, as well as the delay, feasibility, complications and risk factors for stoma maintenance.
Methods: A multicentre retrospective study of patients who had undergone urgent surgery for CAD with stoma formation in ten hospitals during a period of 6 years. The frequency of reversal over time and the factors affecting the decision for reversal were analysed. Read More
Cir Esp 2018 Mar 8. Epub 2018 Mar 8.
Unidad de Cirugía Bariátrica, Servicio de Cirugía General, Hospital Rey Juan Carlos, Móstoles, Madrid, España.
Cir Esp 2018 Jun - Jul;96(6):369-374. Epub 2018 Mar 7.
Unidad de Cirugía Colorrectal, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.
Introduction: The treatment of anal fistula with the OTSC (over-the-scope-clip) proctology device involves the placement of an elastic alloy clip called Nitinol on the internal fistula opening to achieve fistula healing. The aim of this study was to analyze preliminary results of this technique in a case series.
Methods: This was a retrospective analysis of patients who underwent OTSC clip placement for fistula-in-ano treatment between June 2015 and March 2017 at a specialized colorectal unit. Read More
Cir Esp 2018 Mar 7. Epub 2018 Mar 7.
Departamento de Cirugía, Hospital Universitario Rey Juan Carlos, Móstoles (Madrid), España; Departamento de Cirugía Endocrina, Hospital Universitario Rey Juan Carlos, Móstoles (Madrid), España.
Cir Esp 2018 Mar 7. Epub 2018 Mar 7.
Servicio de Cirugía Cardiovascular, Hospital Clínico Universitario Virgen de la Arrixaca, El Palmar, Murcia, España.
Cir Esp 2018 May 8;96(5):260-267. Epub 2018 Mar 8.
Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, España.
The Spanish Association of Coloproctology and the Coloproctology Division of the Spanish Association of Surgeons propose this consensus document with a treatment algorithm for anal fissure that could be used for decision making. Non-surgical therapy and surgical treatment of anal fissure are explained, and the recommended algorithm is provided. The methodology used was: creation of a group of experts; search in PubMed, MEDLINE and the Cochrane Library for publications from the last 10 years about anal fissure; presentation at the 21st National Meeting of the Spanish Association of Coloproctology Foundation 2017 with voting for/against each conclusion by the attendees and review by the scientific committee of the Spanish Association of Coloproctology. Read More
Cir Esp 2018 Mar 4;96(3):129-130. Epub 2018 Mar 4.
Servicio de Cirugía General y Digestiva, Hospital Germans Trias i Pujol, Universitat Autónoma de Barcelona, Badalona, Barcelona, España.
Cir Esp 2018 Mar 1. Epub 2018 Mar 1.
Servicio de Angiología y Cirugía Vascular, Hospital Universitario Morales Meseguer, Murcia, España.
Cir Esp 2018 Apr 28;96(4):205-212. Epub 2018 Feb 28.
Servicio de Endocrinología, Hospital Universitario de Salamanca, Salamanca, España.
Introduction: Simultaneous kidney-pancreas transplantation for patients with type 1 diabetes and end-stage chronic renal disease is widely performed. However, the rate of surgical morbidity from pancreatic complications remains high. The aim of this study was to describe the development and results of a new program, from the point of view of the pancreatic surgeon. Read More
Cir Esp 2018 Mar 24;96(3):149-154. Epub 2018 Feb 24.
Departamento de Cirugía, Hospital de Alta Especialidad de Veracruz, Secretaría de Salud, Veracruz, México; Departamento de Investigación, Escuela de Medicina, Universidad Cristóbal Colón, Campus Calasanz, Boca del Río, México. Electronic address:
Introduction: In order to avoid delay in the diagnosis of acute appendicitis and reduce the margin of error, the use of scales has been used. The aim of this study was to compare the effectiveness of the Alvarado and RIPASA scores in the clinical diagnosis of acute appendicitis and to correlate with the histopathological results.
Methods: Prospective, longitudinal, analytical, comparative and observational study. Read More
Cir Esp 2018 Mar 21;96(3):162-168. Epub 2018 Feb 21.
Departamento de Cirugía General y Emergencia, Complejo Hospitalario Villa Sofia-Cervello, Palermo, Italia.
Introduction: Firstly described in 2002, the robotic liver surgery has not spread widely due to its high cost and the lack of a standardized training program. Still being considered as a 'development in progress' technique, it has however a potential to overcome the traditional limitations of the laparoscopic approach in liver interventions.
Methods: We analyzed the postoperative outcomes of 10 patients who had undergone robotic partial resection of the caudate lobe (Spiegel lobe) from March 2014 to May 2016 in order to evaluate the advantages of robotic technique in hands of a young surgeon. Read More