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¿Son los cirujanos la peor parte de la cirugía? 外科医生是手术中最糟糕的部分吗？
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-11-01 DOI: 10.1016/j.ciresp.2024.05.019
Manuel López Cano
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引用次数: 0
Complicaciones postoperatorias tras cirugía inversa hepática. Proyecto RENACI 肝脏逆转手术后的并发症RENACI 项目
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-11-01 DOI: 10.1016/j.ciresp.2024.06.008
Jose M. Ramia , Celia Villodre , Belinda Sánchez Pérez , Laia Falgueras Verdaguer , Mario Serradilla Martín , miembros del Proyecto RENACI
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引用次数: 0
Evaluación de la eficacia y concordancia de la angiografía con verde de indocianina en la cirugía oncoplástica y reconstructiva de la mama. resultados preliminares del estudio prospectivo gBREAST-22 吲哚菁绿血管造影术在肿瘤整形和乳房再造手术中的疗效和一致性评估。前瞻性研究 gBREAST-22 的初步结果
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-11-01 DOI: 10.1016/j.ciresp.2024.08.001
Benigno Acea-Nebril, Alejandra García-Novoa, Sergio Rodríguez-Rojo, Carlota Díaz-Carballada, Alberto Bouzón-Alejandro

Introduction

During oncoplastic procedures, the vascularization and perfusion of the skin flaps is modified, thus increasing the possibility of skin necrosis.
The objective of this study is to evaluate the effectiveness of indocyanine color green angiography (ICG-A) to determine intraoperative skin necrosis after oncoplastic surgery or skin-sparing or nipple-skin sparing mastectomy (NSSM).

Patients and method

Prospective observational study to evaluate the sensitivity, specificity and positive and negative predictive values of the ICG-A in women with high-risk breast cancer.

Results

98 women and 156 breasts were included in the study. A total of 20 women (20.4%) presented an image of ischemia in the ICG-A. 21 women (21.4%) presented ischemic events in the postoperative period, 71.4% of these events had been detected in the third ICG-A. Three of these patients (3.1%) presented a serious complication that required reintervention. The sensitivity and specificity of the A-VIC was 71.4% and 93.5%, respectively.

Conclusions

ICG-A has high specificity and negative predictive value for detecting areas of low perfusion. In breast units with highly complex surgery, it can be useful to plan extreme surgeries and identify skin areas of low perfusion.
本研究旨在评估吲哚青绿血管造影术（ICG-A）在确定肿瘤整形手术或保皮或乳头保皮乳房切除术（NSSM）术中皮肤坏死的有效性。患者和方法前瞻性观察研究，评估 ICG-A 在高危乳腺癌女性患者中的敏感性、特异性以及阳性和阴性预测值。共有 20 名妇女（20.4%）在 ICG-A 中出现缺血图像。21名妇女（21.4%）在术后出现缺血症状，其中71.4%的缺血症状是在第三次ICG-A检查中发现的。其中有三名患者（3.1%）出现了严重的并发症，需要重新进行干预。A-VIC 的灵敏度和特异度分别为 71.4% 和 93.5%。在进行高度复杂手术的乳腺科室，ICG-A 可用于计划极端手术和识别皮肤低灌注区域。
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引用次数: 0
Network metaanálisis: concepto y valor en la aplicación práctica 网络荟萃分析：概念和实际应用价值
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-11-01 DOI: 10.1016/j.ciresp.2024.04.015
Salvador Morales-Conde , Juan Carlos Gómez Rosado , Stavros A. Antoniou
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引用次数: 0
Neumotórax iatrogénico masivo tras neumoperitoneo progresivo preoperatorio 术前进行性腹腔积气后的大面积先天性气胸
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-11-01 DOI: 10.1016/j.ciresp.2024.04.012
Inés Capitán del Río, Jesús María Salas Álvarez, Isabel Lledó Izquierdo, Antonio Amaya Cortijo
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引用次数: 0
Uncommon anatomical variation of the origin of the right upper pulmonary vein detected by 3D reconstruction prior to robotic segmentectomy 机器人分段切除术前通过三维重建发现右上肺静脉起源的罕见解剖变异
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-11-01 DOI: 10.1016/j.ciresp.2024.07.009
Francisco J. Gómez Valle , Cristina Rivas Duarte , Oscar Colmenares Mendoza , María Teresa Gómez Hernández
{"title":"Uncommon anatomical variation of the origin of the right upper pulmonary vein detected by 3D reconstruction prior to robotic segmentectomy","authors":"Francisco J. Gómez Valle ,&nbsp;Cristina Rivas Duarte ,&nbsp;Oscar Colmenares Mendoza ,&nbsp;María Teresa Gómez Hernández","doi":"10.1016/j.ciresp.2024.07.009","DOIUrl":"10.1016/j.ciresp.2024.07.009","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"102 11","pages":"Pages 612-613"},"PeriodicalIF":1.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142593494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Criterios de calidad de una revisión sistemática y/o metaanálisis 系统综述和/或荟萃分析的质量标准
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-11-01 DOI: 10.1016/j.ciresp.2024.04.005
Víctor Soria Aledo , Andrés Carrillo-Alcaraz
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引用次数: 0
El síndrome de KILT KILT 综合征
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-11-01 DOI: 10.1016/j.ciresp.2024.04.008
Paula Velasco Hernández, Oliver Bonnelly González, Julián David Florez García, Francisco Santiago Lozano Sánchez
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引用次数: 0
Results of the implementation of a specialized cervical tracheal surgery program 实施颈部气管手术专科项目的成果
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-11-01 DOI: 10.1016/j.ciresp.2024.05.017
Usue Caballero-Silva, Sara Fra-Fernández, C.ristina Cavestany García-Matres, Albarto Cabañero-Sánchez, Nicolás Moreno-Mata
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引用次数: 0
Protocolo del estudio PROFUGO: Modelo PRedictivO para el Diagnóstico Precoz de la FUGa anastomótica tras esofaguectomía y gastrectomía PROFUGO 研究方案：早期诊断食管切除术和胃切除术后吻合口 FUGa 的预测模型
IF 1.3 4区 医学 Q3 SURGERY
Cirugia Espanola
Pub Date : 2024-11-01 DOI: 10.1016/j.ciresp.2024.06.010
Rocío Pérez Quintero , Marcos Bruna Esteban , Antonio José Serrano López
In esophagogastric surgery, the appearance of an anastomotic leak is the most feared complication. Early diagnosis is important for optimal management and successful resolution. For this reason, different studies have investigated the value of the use of markers to predict possible postoperative complications. Because of this, research and the creation of predictive models that identify patients at high risk of developing complications are mandatory in order to obtain an early diagnosis.
The PROFUGO study (PRedictivO Model for Early Diagnosis of anastomotic LEAK after esophagectomy and gastrectomy) is proposed as a prospective and multicenter national study that aims to develop, with the help of artificial intelligence methods, a predictive model that allows for the identification of high-risk cases of anastomotic leakage and/or major complications by analyzing different clinical and analytical variables collected during the postoperative period of patients undergoing esophagectomy or gastrectomy.
在食管胃手术中，出现吻合口漏是最可怕的并发症。早期诊断对于优化治疗和成功解决问题非常重要。因此，不同的研究都对使用标记物预测术后可能出现的并发症的价值进行了调查。因此，为了获得早期诊断，必须开展研究并建立预测模型，以确定哪些患者有发生并发症的高风险。PROFUGO 研究（食管切除术和胃切除术后吻合口漏早期诊断的 PRedictivO 模型）是一项前瞻性多中心全国性研究，旨在借助人工智能方法开发一种预测模型，通过分析食管切除术或胃切除术患者术后期间收集的不同临床和分析变量，识别吻合口漏和/或主要并发症的高风险病例。
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引用次数: 0
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