Abstract:
INTRODUCTION:Laparoscopic side-to-side intestinal anastomosis is a common in clinic practice and training simulation. The aim of this study is to design and validate a reliable and reproducible tool for its evaluation. METHODS:A modified Delphi method was used to design a tool with elements that determine quality, including 5 items: separation between stiches, eversion, tension, leak and iatrogenesis. The study included 21 participants (10 first-year residents and 11 experts) who performed a 5cm laparoscopic intestinal side-to-side anastomosis with porcine viscera. The evaluations were blinded and done independently by 2 evaluators. RESULTS:The means obtained by novice and expert participants were, respectively: separation between stiches 3.2 vs. 5.7 (P < .001), eversion 3.3 vs. 5.9 (P = .004), tension 2.9 vs. 5.9 (P = .001), leak tightness 3.2 vs. 5.7 (P = .005), iatrogenesis 6.9 vs. 7 (P = .47). The iatrogenesis parameter was not discriminatory, so it was removed from the tool. The total results were 12.5 for novices and 23.2 for experts (P = .001). The correlation between observers presented an intraclass correlation coefficient of 0.99 for the separation between stiches, 0.94 for eversion, 0.98 for tension and 0.99 for leak. The correlation between the score and the leak without pressure presented a Rosenthal's R of -0.71 (P < .001); with pressure R = -0.55 (P = .01). CONCLUSIONS:The designed tool is valid to discriminate between novice and expert participants, presents very high concordance between observers and correlates with the risk of leak.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Fernández MJ,Toledo E,Cañón M,Manuel-Palazuelos JC,M Maestre Jdoi
10.1016/j.ciresp.2019.10.005subject
Has Abstractpub_date
2020-05-01 00:00:00pages
274-280issue
5eissn
0009-739Xissn
1578-147Xpii
S0009-739X(19)30328-8journal_volume
98pub_type
杂志文章相关文献
CIRUGIA ESPANOLA文献大全abstract:BACKGROUND:Nodular thyroid disease possesses the potential to harbor malignancy. Our aim was to evaluate the significance of cervical diffusion-weighted magnetic resonance imaging (DW-MRI) for the detection of malignant thyroid nodules. METHODS:Sixty-five thyroid nodules from 58 patients who had undergone surgery were ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2018.04.016
更新日期:2018-12-01 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::Autoimmune pancreatitis (AIP) is defined as a particular form of pancreatitis that often manifests as obstructive jaundice associated with a pancreatic mass or an obstructive bile duct lesion, and that has an excellent response to corticosteroid treatment. The prevalence of AIP worldwide is unknown, and it is consider...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2014.01.013
更新日期:2014-12-01 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
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: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::The aim of this narrative review is to define the clinical-pathological characteristics and to clarify the management of right colonic diverticular disease. It is rare in Europe, USA and Australia and more common in Asia. In the recent years its incidence has increased in the West, with various distributions among pop...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2016.08.008
更新日期:2016-12-01 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: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: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::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:The aim of this study was to analyze prognostic factors for survival and recurrence in patients with resected pancreatic neuroendocrine tumors (PNT). METHODS:Medical records of 95 patients with resected PNT were retrospectively reviewed. The variables studied were: age, sex, form of presentation (sporadic...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2016.05.010
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Preoperative blood ordering is frequently in elective colon surgery, even for procedures that rarely require blood transfusion. Most often this procedure is performed without proper analysis of the real needs. The aim of this study was to evaluate the patients who receive transfusion and determining their as...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2013.05.011
更新日期:2014-01-01 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: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
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:INTRODUCTION:Derivative ileostomies are frequently performed to protect low anastomosis. The closure of the ileostomy has shown, under some circumstances, high associated mortality/morbidity rates. This study attempts to quantify the morbidity and mortality associated with ileostomy closure in rectal neoplasm patients ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(08)70598-0
更新日期:2008-07-01 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:INTRODUCTION:The recent reintroduction of local/regional anesthesia (LRA) for thyroidectomy has enabled this intervention to be performed in the outpatient setting. The aim of this study was to compare the results of thyroidectomy using two anesthesia methods. PATIENTS AND METHODS:One hundred twenty-five patients requ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(06)70959-9
更新日期:2006-10-01 00:00:00
abstract:INTRODUCTION:The present study was performed by the Spanish Association of surgeons through its abdominal wall and sutures section. The aim was to determine the current situation of inguinofemoral hernias in Spain and was based on an anonymous multicenter study with the participation of various national hospitals. MAT...
journal_title:Cirugia espanola
pub_type: 杂志文章,多中心研究
doi:10.1016/s0009-739x(05)70883-6
更新日期:2005-07-01 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:AIM:To assess the value of using smooth muscle relaxants drugs and assess the results of the topical use of 2% diltiazem as an alternative to 0.2% nitroglycerin in the treatment of chronic anal fissure (CAF). METHODS:Review of the CAF contained in a prospectively collected database of anal fissures including one hundr...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.12.013
更新日期:2010-04-01 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 main objective of this study is to determine if our unit meets the quality standards required by the scientific community from the reference centers for pancreatic surgery in terms of peri-operative results. The secondary objectives are to compare the different pancreatic surgery techniques performed i...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.09.013
更新日期:2020-12-17 00:00:00
abstract:INTRODUCTION:Chronic idiopathic anal pain (CIAP) remains a diagnosis of exclusion. Its study and management still lack a standardized protocol. The aim of this study is to evaluate the results obtained with the diagnostic-therapeutic protocol established in our service. MATERIAL AND METHODS:We performed a retrospectiv...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2013.09.012
更新日期:2015-01-01 00:00:00
abstract:INTRODUCTION:Several clinical studies analyze axillary treatment in women with early-stage breast cancer because of changes in the indication for axillary lymph node dissection. The aim of the study is to analyze the impact of axillary radiotherapy in disease-free and overall survival in women with early breast cancer ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2016.04.003
更新日期:2016-06-01 00:00:00
abstract::The selection of patients with hepatocellular carcinoma (HCC) for liver transplantation must be improved. One of the methods proposed to achieve this objective consists of including predictors of tumour aggressiveness to the decision making algorithm. The procedures that would enable this characteristic to be assessed...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2009.11.026
更新日期:2010-03-01 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:Different hormones and peptides involved in lipid and carbohydrate metabolism have been studied in relation to morbid obesity and its variation after bariatric surgery. The aim of this study is toevaluate variations in different molecules related to glico-lipidic metabolism during the first year after slee...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2013.07.019
更新日期:2014-03-01 00:00:00
abstract::Porcelain bladder is defined as calcification of the gallbladder wall. It is a rare condition and is seen in 0.06% to 0.8% of cholecystectomies. It origin is still unknown. We report two cases of patients with a porcelain gallbladder. One case is a 60 year-old male patient who was seen due to having biliary symptoms. ...
journal_title:Cirugia espanola
pub_type: 杂志文章,评审
doi:10.1016/j.ciresp.2010.09.012
更新日期:2011-04-01 00:00:00