Abstract：
INTRODUCTION:The treatment of rectal cancer via laparoscopy is controversial due to its technical complexity. Several randomized prospective studies have demonstrated clear advantages for the patient with similar oncological results to those of open surgery, although during the learning of this surgical technique there may be an increase in complications and a worse prognosis. OBJECTIVE:Our aim is to analyze how the learning curve for rectal cancer via laparoscopy influences intra- and postoperative results and oncological markers. A retrospective review was conducted of the first 120 patients undergoing laparoscopic surgery for rectal neoplasia. The operations were performed by the same surgical team with a wide experience in the treatment of open colorectal cancer and qualified to perform advanced laparoscopic surgery. We analyzed sex, ASA, tumour location, neoadjuvant treatment, surgical technique, operating time, conversion, postoperative complications, length of hospital stay, number of lymph nodes, stage and involvement of margins. RESULTS:Significant differences were observed with regard to surgical time (224 min in the first group, 204 min in the second group), with a higher rate of conversion in the first group (22.5%) than in the second (11.3%). No significant differences were noted for rate of conservative sphincter surgery, length of hospital stay, post-surgical complications, number of affected/isolated lymph nodes or affected circumferential and distal margins. CONCLUSIONS:It is possible to learn this complex surgical technique without compromising the patient's safety and oncological outcome.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Luján J,Gonzalez A,Abrisqueta J,Hernandez Q,Valero G,Abellán I,Frutos MD,Parrilla Pdoi
10.1016/j.ciresp.2013.03.013subject
Has Abstractpub_date
2014-08-01 00:00:00pages
485-90issue
7eissn
0009-739Xissn
1578-147Xpii
S0009-739X(13)00274-1journal_volume
92pub_type
杂志文章相关文献
CIRUGIA ESPANOLA文献大全abstract：INTRODUCTION:The extracervical approach for thyroidectomy remains widely unknown in our country. Its main aim is to avoid a cervical scar while maintaining the same safety profile of conventional thyroidectomy. The objective is to communicate our experience after the first 15 cases using the endoscopic bilateral axillo...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2018.11.006
更新日期：2019-02-01 00:00:00
abstract：INTRODUCTION:Proctologic issues entail a frequent reason for consultation in the emergency department (ED). We aim to analyze how the SARS-COV-2 pandemic has impacted in the demand for proctological consultations. MATERIAL AND METHOD:Descriptive comparative retrospective study of cross-sectional cohorts of patients at...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.10.002
更新日期：2020-10-23 00:00:00
abstract：:The present article aims to introduce and explain basic concepts in survival analysis. Most survival analyses use terms such as Kaplan-Meyer, logrank, and censored times, among others. We discuss the background to these terms and their interpretation. We discuss how to produce and interpret survival curves and how to ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(05)70923-4
更新日期：2005-10-01 00:00:00
abstract：:Xenotransplantation could provide an unlimited supply of organs and solve the current shortage of organs for transplantation. To become a reality in clinical practice, the immunological and physiological barriers and the risk of xenozoonosis that they possess should be resolved. From the immunological point of view, i...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2016.12.008
更新日期：2017-02-01 00:00:00
abstract：INTRODUCTION:Advanced age and comorbidity impact on post-operative morbi-mortality in the frail surgical patient. The aim of this study is to assess the impact of a comprehensive, multidisciplinary and individualized care delivered to the frail patient by implementation of a Work Area focused on the Complex Surgical Pa...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2017.09.015
更新日期：2018-03-01 00:00:00
abstract：INTRODUCTION:Current studies have shown the validity of the atraumatic fixation with fibrin glue (Tissucol) compared to conventional sutures in polypropylene mesh fixation. We propose to study the behaviour of absorbable mesh. MATERIAL AND METHODS:We used 20 Wistar white rats. Two hernia defects were made in the abdom...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.05.004
更新日期：2009-10-01 00:00:00
abstract：BACKGROUND:Enhanced recovery after surgery (ERAS) has demonstrated in colorectal surgery a reduction in morbidity and length of stay without compromising security. Experience with ERAS programs in pancreatoduodenectomy (PD) is still limited. The aims of this study were first to evaluate the applicability of an ERAS pro...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2015.04.009
更新日期：2015-10-01 00:00:00
abstract：:The correct application of multimodal analgesia appropriate to the pain intensity, the characteristics of the surgery and the hospitalisation scheme provide the key to improving the management of postoperative pain, which is currently still under treated. In highly complex surgeries the best benefit is obtained by com...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.03.028
更新日期：2009-08-01 00:00:00
abstract：:The most frequent tumors that grow in the retrorectal space are embryological. Their management requires adequate knowledge of the characteristics of these lesions. We present five cases of retrorectal tumors. ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(06)70978-2
更新日期：2006-11-01 00:00:00
abstract：INTRODUCTION:Ischaemic colitis (IC) is the most common form of bowel ischaemia and is often under-diagnosed. OBJECTIVES:To report the results obtained in patients with IC who required surgical intervention in our Hospital, and to evaluate the predictive factors of mortality. METHODS:The data were obtained from the Gr...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2008.12.005
更新日期：2009-06-01 00:00:00
abstract：INTRODUCTION:The population over 65 years old represents 40-50% of the all visits made to an emergency department (ED). Some situations of stress and dehumanization can occur due to user overflow. Our target is to identify factors influencing overall satisfaction of patients older than 65 attended in the ED, in order t...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(08)70565-7
更新日期：2008-05-01 00:00:00
abstract：INTRODUCTION:The hepatic cystic tumour is a very rare neoplasm, representing about 5% of all cystic liver neoplasms. The preoperative diagnosis is difficult and can lead to confusion. The aim of this study is to analyze a number of cases operated at our centre with an histologic diagnosis of liver cystic neoplasms and ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2020.04.007
更新日期：2021-01-01 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：: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：INTRODUCTION:We prospectively evaluated health-related quality of life (HRQoL) through the gastrointestinal quality of life index (GIQLI) as a system to prioritize patients on the waiting list for laparoscopic cholecystectomy (LC) and its correlation with a linear prioritization system developed in the General and Gast...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2012.07.021
更新日期：2013-05-01 00:00:00
abstract：OBJECTIVE:To experimentally study the behaviour of 4 types of monofilament with 3 knotting techniques, very often used in surgery, employing mechanical tests. MATERIAL AND METHODS:Four 4/0 monofilaments were chosen, two of nylon, and the other two of polypropylene. Three types of knot designs were made with each threa...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2012.02.001
更新日期：2012-06-01 00:00:00
abstract：:In most patients with chronic gastroesophageal reflux disease, treatment is medical. Among the main elements involved in treatment are general dietary measures, lifestyle habits, and patients' attitudes to symptom control. The present article summarizes the scientific foundations that support these measures: head elev...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/s0009-739x(07)71265-4
更新日期：2007-02-01 00:00:00
abstract：INTRODUCTION:The objectives of this study were: a) to evaluate the effectiveness of intraoperative intact parathyroid hormone (PTHi) determination as a marker of hyperparathyroidism resolution; b) to establish the minimum number of blood samples required; and c) to determine whether cervical manipulation increases base...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(06)70830-2
更新日期：2006-02-01 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：:Serrated polyps of the colorectum are a heterogeneous group of lesions with potential malignant transformation through the «serrated pathway» of carcinogenesis. The discovery of these lesions has been a paradigm shift in the concept of the adenoma-carcinoma sequence, so that up to 30% of tumors develop through this pa...
journal_title：Cirugia espanola
pub_type： 杂志文章,评审
doi：10.1016/j.ciresp.2012.12.001
更新日期：2013-03-01 00:00:00
abstract：OBJECTIVE:The aim of this study was the prospective evaluation of the functional results of a series endorectal advancement flaps in the treatment of complex anal fistulas. MATERIAL AND METHODS:A total of 90 patients were operated on for a complex anal fistula by means of fistulectomy and endorectal advancement flap. ...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.03.005
更新日期：2009-10-01 00:00:00
abstract：:It is accepted by the surgical community that laparoscopic cholecystectomy (LC) is the technique of choice in the treatment of symptomatic cholelithiasis. However, more controversial is the standardization of system implementation in Ambulatory Surgery because of its different different connotations. This article aims...
journal_title：Cirugia espanola
pub_type： 历史文章,杂志文章,评审
doi：10.1016/j.ciresp.2015.03.012
更新日期：2016-10-01 00:00:00
abstract：:Pancreatic cancer carries a poor prognosis. The only potentially curative treatment is surgical resection. However, this procedure can only be performed in a few cases due to presentation of the tumor in advanced stages. We present 2 exceptional cases of pancreatic cancer presentation. Case 1: A 59-year-old man presen...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(07)71321-0
更新日期：2007-05-01 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：OBJECTIVE:To evaluate our results in terms of satisfaction and quality of life in patients who underwent laparoscopic 360 degrees fundoplication for gastroesophageal reflux disease. PATIENTS AND METHOD:We performed a cross-sectional study of 49 consecutive patients who underwent laparoscopic 360 degrees fundoplication...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/s0009-739x(05)70800-9
更新日期：2005-01-01 00:00:00
abstract：BACKGROUND:The endogenous hyperinsulinemic hypoglicemia syndrome (EHHS) can be caused by an insulinoma, or less frequently, by nesidioblastosis in the pediatric population, also known as non insulinoma pancreatic hypoglycemic syndrome (NIPHS) in adults. The aim of this paper is to show the strategy for the surgical tre...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2013.04.025
更新日期：2014-10-01 00:00:00
abstract：:Hepatic cell transplantation consists of grafting already differentiated cells such as hepatocytes. Human hepatocytes are viable and functionally active. Liver cell transplantation is carried out by means of a 3-step method: isolation of hepatocytes from donor liver rejected for orthotopic transplantation, preparing a...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2009.10.002
更新日期：2010-03-01 00:00:00
abstract：INTRODUCTION:Although the conventional treatment of patients with stage iv colorectal cancer involves resection of the primary tumor followed by chemotherapy, several studies suggest that in patients with few symptoms the first and only treatment should be chemotherapy. The objective of this study is to analyze the com...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2013.04.015
更新日期：2014-01-01 00:00:00
abstract：INTRODUCTION:The classic treatment of Zenker's diverticulum (ZD) has been cricopharyngeal myotomy (CPM), with the need or not to resect it being argued (diverticulectomy versus diverticulopexy). However, the advance of endoscopic techniques requires new treatment strategies to be established. We analyse the complicatio...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2011.09.001
更新日期：2012-04-01 00:00:00
abstract：INTRODUCTION:Infections caused by carbapenemase-producing Enterobacteriaceae (CPE) are dramatically increasing worldwide, with an important impact on surgical patients. Our aim was to assess the clinical profile, outcomes, treatment, mortality and costs of CPE-related surgical site infection (SSI) in patients with abdo...
journal_title：Cirugia espanola
pub_type： 杂志文章
doi：10.1016/j.ciresp.2019.11.006
更新日期：2020-01-01 00:00:00
