Abstract:
INTRODUCTION:The pancreatic fistula is the most feared complication after a duodenopancreatectomy, and is the most common independent factor of post-surgical mortality. Peng et al. recently published a pancreaticojejunal anastomosis technique (binding anastomosis) which showed 0% pancreatic fistulas. The objective of this study is to evaluate and validate this new anastomosis technique compared with the conventional pancreaticoduodenectomy with end-to-side duct-to-mucosa anastomosis. MATERIAL AND METHOD:A prospective, non-randomised study was conducted to evaluate and validate this new anastomosis technique compared with the conventional pancreaticojejunal terminolateral duct to mucosa anastomosis. The study included 63 patients who were subjected to a duodenopancreatectomy due to having a pancreatic or periampullary neoplasm. A binding pancreaticojejunostomy according to the technique described by Peng et al. was performed on 30 patients (Group A), and a pancreaticoduodenectomy with end-to-side duct-to-mucosa anastomosis (conventional technique) was performed on 33 patients (Group B). RESULTS:When the results of the 2 techniques were compared, 2/30 (6%) of patients had a pancreatic fistula with the Peng technique, and 4/33 (12%) with the conventional technique, but this was not statistically significant (P=.674). Nor were there any significant differences between the 2 groups on comparing, morbidity, hospital stay and mortality. CONCLUSION:The results of this study show that the anastomosis method described by Peng is safe, but is not associated with a lower frequency of pancreatic fistula, general morbidity, or mortality. This leads to the uncertainty of whether it really has any advantages over other techniques.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Targarona J,Barreda L,Pando E,Barreda Cdoi
10.1016/j.ciresp.2012.04.010subject
Has Abstractpub_date
2013-03-01 00:00:00pages
163-8issue
3eissn
0009-739Xissn
1578-147Xpii
S0009-739X(12)00175-3journal_volume
91pub_type
临床试验,杂志文章相关文献
CIRUGIA ESPANOLA文献大全abstract::The causes of drug resistance in tumor cells vary widely. The present study aims to provide an update of multidrug resistance in tumor cells and, in particular, of multidrug resistance-associated proteins. ...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/s0009-739x(06)70855-7
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:The incidence of neoplastic diseases is higher in patients undergoing solid organ transplant. However, the incidence of bronchogenic carcinoma (BC) is controversial. The objective of our study was to determine the incidence of BC in a large cohort of transplant patients and the role of surgery. MATERIAL AND...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.02.017
更新日期:2009-08-01 00:00:00
abstract::The training of residents in abdominal wall surgery is a fundamental aspect of surgical training, representing globally 20% of its activity. In this paper, we analyze the current state of resident training in this kind of surgery in Spain, taking into account the broad spectrum it covers: general services, specific fu...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2011.08.004
更新日期:2013-02-01 00:00:00
abstract::There still appears to be insufficient interest in the management of postoperative nausea and vomiting. They are considered as inherent and inevitable discomforts after surgical operation. However, this disagreeable complication can be effectively managed. To do this, the risk must be suitably assessed and acted on ac...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.07.009
更新日期:2010-12-01 00:00:00
abstract:INTRODUCTION:Bariatric surgery is one of the most common surgical practices in Spain. However, this procedure currently has longest delay on surgical waiting lists (SWL). We have developed a special surgical program that aims to reduce this waiting list and to assess the economic and clinical repercussions in a high-vo...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.05.033
更新日期:2020-07-13 00:00:00
abstract:INTRODUCTION:The impact of neoadjuvant treatment on the postoperative complications in stomach cancer is a subject of controversy. The aim of this study is to analyse the post-surgical morbidity and mortality in a group of patients who were treated using a chemoradiotherapy protocol before surgery, as well as to identi...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.08.005
更新日期:2009-12-01 00:00:00
abstract:UNLABELLED:Management of biliary tract complications (BTC) after liver transplantation (LT) has progressed in recent years. The aims of this study were, to analyse the incidence and management in our institution of BTC after 1000 LT; and to study the management of patients with anastomotic strictures (AS). RESULTS:The...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.03.010
更新日期:2010-06-01 00:00:00
abstract:INTRODUCTION:The morbidity and mortality, along with the functional changes that arise from radical surgery of rectal cancer, has led to an increasing interest in local treatment in the early stages of cancer of the rectum. Conventional transanal surgery has a high recurrence rate, for this reason transanal endoscopic ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.09.006
更新日期:2011-01-01 00:00:00
abstract::This clinical practice guideline (CPG) emerges as an initiative of the scientific committee of the Spanish Society of Thoracic Surgery. We formulated PICO (patient, intervention, comparison, and outcome) questions on various aspects of spontaneous pneumothorax. For the evaluation of the quality of evidence and prepara...
journal_title:Cirugia espanola
pub_type: 杂志文章,实务指引
doi:10.1016/j.ciresp.2017.11.005
更新日期:2018-01-01 00:00:00
abstract::Intraoperative peripheral nerve injury during colorectal surgery procedures is a potentially serious complication that is often underestimated. The Trendelenburg position, use of inappropriately padded armboards and excessive shoulder abduction may encourage the development of brachial plexopathy during laparoscopic p...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2015.03.008
更新日期:2016-03-01 00:00:00
abstract:INTRODUCTION:Mucin-producing pancreatic tumors account for 1% of all malignant tumors of the pancreas. Notable among these are intraductal papillary mucinous neoplasms of the pancreas, due to their variable clinical behavior, increased frequency, and the controversy surrounding the most suitable treatment and diagnosti...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(05)70850-2
更新日期:2005-05-01 00:00:00
abstract:INTRODUCTION:Frailty degree can influence more than age or severity in the outcome of patients older than 70 years undergoing surgery of the digestive system that require immediate postoperative control in the ICU. METHODS:A prospective and observational study of patients over 70 years of age who were admitted to the ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.04.022
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION:Currently, variability in surgical practice is a problem to be solved. The aim of this study is to describe the variability in the surgical treatment of breast cancer and to analyze the factors associated with it. METHODS:The study population included 1057 women diagnosed with breast cancer and surgically...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2018.11.001
更新日期:2019-02-01 00:00:00
abstract:INTRODUCTION:The new methods of teaching, based on new technologies, already available in other educational and professional fields are gradually being introduced in our Medical Schools. The aim of our study is to present our initial experience in the introduction of a subject on the principles of surgery in our univer...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.01.001
更新日期:2009-03-01 00:00:00
abstract::Gastric epithelial dysplasia is a premalignant lesion. Diagnostic and therapeutic criteria are controversial. We report the case of a 52-year-old woman admitted to our hospital. ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(07)71304-0
更新日期:2007-04-01 00:00:00
abstract:INTRODUCTION:Despite there being no evidence of the advantages of its use, mechanical bowel preparation (MBP) continues to be routine in colorectal surgery. Our objective is to analyse the impact of its selective use, as regards patient comfort and results, comparing a perioperative multimodal rehabilitation program (M...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.12.003
更新日期:2011-03-01 00:00:00
abstract:INTRODUCTION:To assess the impact of fatigue due to incorrect night rest in the performance of a laparoscopic manual anastomosis. METHODS:A prospective study evaluating the results from the realization of a manual endotrainer entero-enteral anastomosis performed by residents in terms of fatigue caused by inadequate ni...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.12.010
更新日期:2021-01-16 00:00:00
abstract:INTRODUCTION:The extraordinary impact of COVID-19 pandemic on Spanish hospitals has led to a redistribution of resources for the treatment of these patients, with a decreased capacity of care for other common diseases. The aim of the present study is to analyse how this situation has affected the treatment of cholecyst...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.07.001
更新日期:2020-07-19 00:00:00
abstract::Periodic endoscopic follow-up is recommended after the diagnosis of Barrett's oesophagus, particularly in patients with dysplasia. The new endoscopic techniques show promising results in identifying areas suspected of housing high grade dysplasia and adenocarcinoma. Endoscopic resection of the mucosa has become a fund...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2009.01.026
更新日期:2009-06-01 00:00:00
abstract:INTRODUCTION:Up to 93% of patients undergoing abdominal surgery will develop intra-abdominal adhesions with the subsequent morbidity that they represent. Various substances have been tested for the prevention of adhesions with controversial results; the aim of our study is to compare the capability of pirfenidone in ad...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2015.06.005
更新日期:2016-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to assess the usefulness of clinical-administrative databases for the development of risk adjustment in the assessment of adverse events in surgical patients. METHODS:The study was conducted at the Hospital of Navarra, a tertiary teaching hospital in northern Spain. We studied 1602 ho...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2015.01.013
更新日期:2016-03-01 00:00:00
abstract:INTRODUCTION:The only curative treatment of pelvic recurrence of rectal cancer is radical resection. The aim of this paper is to analyze our experience in surgery for local recurrence of rectal cancer. METHODS:We performed a descriptive retrospective analysis of patients treated with curative intent for local recurren...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2016.08.003
更新日期:2016-11-01 00:00:00
abstract:INTRODUCTION:SARS-CoV-2 pandemic has caused an important impact in our country and elective surgery has been postponed in most cases. There's not known information about the decreasing and impact on surgery. Mortality of surgical patients with SARS-CoV-2 infection is estimated to be around 20%. METHODS:We conducted pr...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.07.013
更新日期:2020-08-04 00:00:00
abstract:INTRODUCTION:Most patients with ischemic colitis have a favourable evolution; nevertheless, the location in the right colon has been associated with a worse prognosis. The purpose of this study is to compare the clinical presentation and results of right colon ischemic colitis (CICD) with ischemic colitis of other colo...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.12.002
更新日期:2021-01-20 00:00:00
abstract:OBJECTIVE:To analyze the prognostic value of p53 protein as a marker of recurrence risk in each tumoral stage. PATIENTS AND METHOD:A prospective study of a cohort of 288 patients who underwent surgery for colorectal adenocarcinoma was performed. Stage 1 of the tumor-node-metastasis (TNM) classification was found in 42...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(05)70840-x
更新日期:2005-04-01 00:00:00
abstract::The prognosis of patients with rectal cancer has improved in recent years, particularly as regards the lower probability of local recurrence. These positive results are obtained through correct preoperative staging and an adequate surgical resection of the affected lesion, as well as a multidisciplinary therapeutic ap...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.03.004
更新日期:2010-06-01 00:00:00
abstract:INTRODUCTION:The aim of this study is to evaluate the usefulness of Vicryl Plus(®) suture in reducing the rate of postoperative wound infection in elective colorectal surgery. METHODS:A prospective case-control multicenter study with 480 patients undergoing elective colorectal surgery was performed between 2006 and 20...
journal_title:Cirugia espanola
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ciresp.2013.07.017
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:The current imbalance between donor supply and patients on the waiting list for liver transplantation (LT) is significant. To resolve this situation, marginal organs, such as those from type 2 donation after cardiac death (DCD2), are being considered. METHODS:In the present article, we present the first LT ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2018.06.016
更新日期:2018-10-01 00:00:00
abstract::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 cur...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2018.03.009
更新日期:2018-01-01 00:00:00
abstract:INTRODUCTION:The «Bogota bag» (BB) is one of the options for contained laparostomy (CL). The aim of this study was to report the procedure associated hospital morbidity (PAHM) in patients undergoing relaparotomy followed by a laparostomy using the BB. MATERIAL AND METHOD:Between 2002 and 2008, a prospective series of ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2011.01.010
更新日期:2011-06-01 00:00:00