Xuan Zhao, Lihong Shi, Jinchen Wang, Siming Guo, Sumin Zhu
Objective: To investigate the value of endoscopic duodenal papillary sphincterotomy combined with balloon dilatation in the treatment of duodenal papilloplasty with titanium clip after choledocholithiasis in post-operative complications.
Materials and methods: One hundred and twenty-five patients (69 males and 56 females) with a median age of 65 (32-81) years were included. The treatment plan was randomly divided into Group A (n = 59) and Group B (n = 66) according to the random number table. Patients in Group A were treated with endoscopic sphincterotomy (EST) combined with endoscopic papillary large balloon dilation (EPLBD), followed by a titanium clip for duodenal papilloplasty and then indwelling nasobiliary drainage, whereas those in Group B were treated with EST combined EPLBD to remove stones and then indwelling nasobiliary drainage.
Results: In patients with choledocholithiasis or with anatomical changes that make stone extraction difficult, this prospective study attempted to perform duodenal papilloplasty with titanium clips after EST and EPLBD lithotripsy to compare and observe post-operative papillary healing, biliary reflux, and complication rates.
Conclusions: The use of endoscopic duodenal papilloplasty with a titanium clip can improve biliary reflux after lithotripsy and reduce the incidence of post-operative cholangitis complications.
目的研究内镜下十二指肠乳头括约肌切开术联合球囊扩张术在胆总管结石十二指肠乳头成形术后用钛夹治疗术后并发症中的价值:共纳入 125 名患者(男 69 名,女 56 名),中位年龄为 65(32-81)岁。根据随机数字表将治疗方案随机分为 A 组(n = 59)和 B 组(n = 66)。A组患者采用内镜下括约肌切开术(EST)联合内镜下乳头大气囊扩张术(EPLBD),然后用钛夹进行十二指肠乳头成形术,再进行鼻胆管留置引流;B组患者采用EST联合EPLBD取石术,然后进行鼻胆管留置引流:这项前瞻性研究尝试在EST和EPLBD碎石术后使用钛夹进行十二指肠乳头成形术,比较并观察术后乳头愈合、胆汁反流和并发症发生率:结论:使用带钛夹的内镜十二指肠乳头成形术可改善碎石术后胆汁反流,降低术后胆管炎并发症的发生率。
{"title":"The value of endoscopic duodenal papilloplasty with titanium clip in improving post-operative complications of choledocholithiasis.","authors":"Xuan Zhao, Lihong Shi, Jinchen Wang, Siming Guo, Sumin Zhu","doi":"10.24875/CIRU.23000195","DOIUrl":"10.24875/CIRU.23000195","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the value of endoscopic duodenal papillary sphincterotomy combined with balloon dilatation in the treatment of duodenal papilloplasty with titanium clip after choledocholithiasis in post-operative complications.</p><p><strong>Materials and methods: </strong>One hundred and twenty-five patients (69 males and 56 females) with a median age of 65 (32-81) years were included. The treatment plan was randomly divided into Group A (n = 59) and Group B (n = 66) according to the random number table. Patients in Group A were treated with endoscopic sphincterotomy (EST) combined with endoscopic papillary large balloon dilation (EPLBD), followed by a titanium clip for duodenal papilloplasty and then indwelling nasobiliary drainage, whereas those in Group B were treated with EST combined EPLBD to remove stones and then indwelling nasobiliary drainage.</p><p><strong>Results: </strong>In patients with choledocholithiasis or with anatomical changes that make stone extraction difficult, this prospective study attempted to perform duodenal papilloplasty with titanium clips after EST and EPLBD lithotripsy to compare and observe post-operative papillary healing, biliary reflux, and complication rates.</p><p><strong>Conclusions: </strong>The use of endoscopic duodenal papilloplasty with a titanium clip can improve biliary reflux after lithotripsy and reduce the incidence of post-operative cholangitis complications.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308255","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}
Jorge Field-Cortazares, José J Coria-Lorenzo, Débora Domingo-Martínez, Luis E Moctezuma-Paz
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.
{"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":"<p><strong>Objective: </strong>To evaluate if the comorbidity and coinfections presented by SARS-CoV-2 infection vs. COVID-19 impact our Mexican children.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"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}
{"title":"A comment about the general considerations of the diameter of the common bile duct in adult patients without pathology of the bile duct.","authors":"Jorge A Castrillón-Lozano, Valeria López-Cardona","doi":"10.24875/CIRU.22000491","DOIUrl":"10.24875/CIRU.22000491","url":null,"abstract":"","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307632","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}
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
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.
{"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":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>Technical challenges, as well as clinical features and complications, were compared between MTA, EEA, and mixed cases during the early surgical curve.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusions: </strong>The early phase of the learning curve did not affect our series significantly in terms of the EOR, endocrine status, and visual outcomes.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"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}
Víctor E Corona-Montes, Jorge L Barzallo-Sánchez, Juan E Sánchez-Núñez, Rocío N Gómez-López, Adolfo Pérez-García
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.
{"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":"<p><strong>Background: </strong>Robot-assisted radical prostatectomy has positioned itself as the approach of choice in the treatment of prostate cancer.</p><p><strong>Objective: </strong>To compare the outcomes of robot-assisted radical prostatectomy using the Retzius-Sparing (RS) approach against the modified Frankfurt (MF) technique.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"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}
Gustavo Martínez-Mier, Miguel A Carrasco-Arroniz, Ana G De Los Santos-Lopez, José M Reyes-Ruiz
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.
背景:结肠瘘评分(CLS)用于预测左侧结直肠手术吻合口瘘(AL)的风险。虽然漏出的危险因素是众所周知的,并被外科社区所接受,但准确预测AL仍然是一项艰巨的任务。目的:研究CLS在左侧结直肠手术患者中的应用。方法:对左侧结直肠手术一期吻合不转移造口患者进行回顾性研究。计算患者的CLS,将患者分为AL组和NO-AL组。通过接收机操作者特征评价CLS的预测价值。测定CLS与AL的相关性。208例患者(55%为男性,平均年龄59岁)纳入研究。结果:总体AL为7.2%。所有患者的平均CLS为7.2±3.2(0-17)。AL患者的CLS(11.8±2.3)高于NO-AL患者(6.8±3)(p = 0.0001)。CLS预测AL的曲线下面积为0.898 ([CI] 0.829-0.968, p = 0.0001)。CLS为8.5,敏感性93%,特异性72%。CLS和AL的优势比有统计学意义(0.58:[CI] 0.46-0.73, p = 0.0001)。结论:CLS是预测左侧结直肠手术AL的有效工具。
{"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":"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>The study aims to apply the CLS in patients undergoing left-sided colorectal surgery.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>CLS is a useful tool to predict AL in the left-sided colorectal surgery.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"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}
Ali K Taşkin, Mustafa Akar, Mehmet A Üstüner, Muhammed H Büyükavcı, Bülent Özçetin
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.
{"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":"<p><strong>Objective: </strong>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.</p><p><strong>Material and methods: </strong>A total of 35 patients who were treated and followed up with a diagnosis of AMI over 44 months were included.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"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}
Hüseyin A Kızıloğlu, Murat Beyhan, Erkan Gökçe, Yaşar Birişik, Çiğdem Samur Salbaş, Mustafa Yeşilyurt
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.
{"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":"<p><strong>Objectives: </strong>Our study aims to demonstrate the detection of invasion by biparametric prostate MRI (bpMRI).</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>There is no need to use contrast agent to evaluate periprostatic invasion and to have an idea about local staging in PCa patients.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"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}
Germán E Sánchez-Morales, Jorge L Osorio-Serrano, Alan Guerrero-Gómez, Carlos Chan, Ismael Domínguez-Rosado
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.
{"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":"<p><strong>Introduction: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Pancreatic metastases due to RCC can be curable, improve morbidity, and increase disease-free survival with surgical treatment.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"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}
Foreign bodies in the bladder can occur by self-insertion, and patients often hide the symptoms owing to embarrassment. The foreign bodies act as a nidus for calculus formation when not detected for a long time. Foreign bodies can declare symptoms such as frequency, dysuria, nocturia, hematuria, urethrorrhagia, obstruction, or retention. This case spotlights self-inserted intravesical neodymium magnetic spheres clumped and calcified due to delayed presentation which were removed by open cystotomy after a cystoscopic failure.
{"title":"Calcified clumped neodymium magnetic spheres as an intravesical foreign body: case report and literature review","authors":"İbrahim Üntan, Volkan Sabur","doi":"10.24875/CIRU.22000275","DOIUrl":"10.24875/CIRU.22000275","url":null,"abstract":"<p><p>Foreign bodies in the bladder can occur by self-insertion, and patients often hide the symptoms owing to embarrassment. The foreign bodies act as a nidus for calculus formation when not detected for a long time. Foreign bodies can declare symptoms such as frequency, dysuria, nocturia, hematuria, urethrorrhagia, obstruction, or retention. This case spotlights self-inserted intravesical neodymium magnetic spheres clumped and calcified due to delayed presentation which were removed by open cystotomy after a cystoscopic failure.</p>","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41168865","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}