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  1. Article ; Online: Individualised splenic hilum lymphadenectomy in gastric cancer: ICG-guided mapping.

    Martínez-Núñez, Sara / Alarcón Del Agua, Isaías / Senent Boza, Ana / Morales-Conde, Salvador

    Cirugia espanola

    2022  Volume 100, Issue 3, Page(s) 173

    MeSH term(s) Gastrectomy ; Humans ; Lymph Node Excision ; Spleen/surgery ; Stomach Neoplasms/surgery
    Language English
    Publishing date 2022-02-23
    Publishing country Spain
    Document type Journal Article ; Comment
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.02.007
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  2. Article ; Online: Thoracoscopic resection of esophageal diverticulum assisted by white light under ICG mode.

    Baeza Carrión, Ana / Martínez Núñez, Sara / Alarcón Del Agua, Isaias / Morales-Conde, Salvador

    Cirugia espanola

    2022  Volume 100, Issue 8, Page(s) 511

    MeSH term(s) Diverticulum, Esophageal/diagnostic imaging ; Diverticulum, Esophageal/surgery ; Humans ; Thoracoscopy
    Language English
    Publishing date 2022-05-18
    Publishing country Spain
    Document type Video-Audio Media
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.05.014
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  3. Article ; Online: Impact of tumor stage and neoadjuvant chemotherapy in fluorescence-guided lymphadenectomy during laparoscopic gastrectomy for gastric cancer: A propensity score-matched study in a western center.

    Senent-Boza, Ana / García-Fernández, Noelia / Alarcón-Del Agua, Isaías / Socas-Macías, María / de Jesús-Gil, Ángela / Morales-Conde, Salvador

    Surgery

    2023  Volume 175, Issue 2, Page(s) 380–386

    Abstract: Background: The use of indocyanine green fluorescence has been shown to be a safe and effective method for improving lymph node retrieval in patients with gastric cancer. However, previous studies have focused on early-stage tumors and/or the Asian ... ...

    Abstract Background: The use of indocyanine green fluorescence has been shown to be a safe and effective method for improving lymph node retrieval in patients with gastric cancer. However, previous studies have focused on early-stage tumors and/or the Asian population and excluded patients who received neoadjuvant treatment.
    Methods: In this study, 142 patients with gastric adenocarcinoma underwent laparoscopic gastrectomy at a Spanish hospital between January 2017 and December 2022. Of these, 42 patients received preoperative indocyanine green injection to guide lymphadenectomy. Their outcomes were compared to a retrospective cohort of 42 patients after 1:1 propensity score matching.
    Results: The feasibility of indocyanine green lymphatic mapping was 95.5%. No complications associated with indocyanine green injection were observed. The indocyanine green group had a significantly higher number of retrieved lymph nodes than the non-indocyanine green group (32.67 vs 25.14; P = .013). This statistically significant difference was maintained across subgroups of neoadjuvant treatment, non-obese patients, pT0 to 2 stage, and pN0 stage. In 47.6% of patients from the indocyanine green group, lymphadenectomy was extended outside the standard D2 dissection area based on indocyanine green uptake, but none of the retrieved lymph nodes were metastatic. There were no differences in postoperative complications and length of hospital stay between the 2 groups.
    Conclusion: Indocyanine green-guided lymphadenectomy is safe and feasible and increases the number of retrieved lymph nodes compared to conventional lymphatic dissection, as well as in patients receiving neoadjuvant chemotherapy. The use of indocyanine green should be routine if available for guiding lymph node dissection in gastric cancer, regardless of tumor stage or previous neoadjuvant treatment. However, further studies are needed to determine the impact of this technique on disease-free and overall survival.
    MeSH term(s) Humans ; Stomach Neoplasms/drug therapy ; Stomach Neoplasms/surgery ; Neoadjuvant Therapy ; Retrospective Studies ; Indocyanine Green ; Propensity Score ; Lymph Node Excision/methods ; Lymph Nodes/surgery ; Lymph Nodes/pathology ; Laparoscopy/methods ; Gastrectomy/methods
    Chemical Substances Indocyanine Green (IX6J1063HV)
    Language English
    Publishing date 2023-11-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2023.10.032
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  4. Article ; Online: Individualised splenic hilum lymphadenectomy in gastric cancer: ICG-guided mapping.

    Martínez-Núñez, Sara / Alarcón Del Agua, Isaías / Senent Boza, Ana / Morales-Conde, Salvador

    Cirugia espanola

    2021  

    Title translation Individualización de la linfadenectomía del hilio esplénico en el cáncer gástrico: valor del mapeo por ICG.
    Language Spanish
    Publishing date 2021-02-10
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2021.01.003
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  5. Article ; Online: Laparoscopic transverse colectomy with ICG-guided lymphadenectomy - A video vignette.

    Cordovés-Weiler, Iván / Navarro-Morales, Laura / Pascual Nadal, Juan José / Alarcón Del Agua, Isaías / Morales-Conde, Salvador

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2022  

    Language English
    Publishing date 2022-07-18
    Publishing country England
    Document type Letter
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16267
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  6. Article ; Online: Transanal indocyanine green injection for lymphatic mapping and image-guided lymphadenectomy in colorectal cáncer: 'Video Correspondance'.

    Pascual Nadal, Juan José / Castán Villanueva, Néstor / Cordovés Weiler, Iván / Alarcón Del Agua, Isaías / Morales-Conde, Salvador

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2022  Volume 25, Issue 5, Page(s) 1052–1053

    MeSH term(s) Humans ; Indocyanine Green ; Lymph Node Excision ; Lymph Nodes/surgery ; Colorectal Neoplasms/surgery ; Coloring Agents ; Sentinel Lymph Node Biopsy
    Chemical Substances Indocyanine Green (IX6J1063HV) ; Coloring Agents
    Language English
    Publishing date 2022-12-09
    Publishing country England
    Document type Letter
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16434
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  7. Article ; Online: Complete mesocolon excision guided by indocyanine green for right colonic cancer.

    Trujillo-Díaz, Jeancarlos J / Pérez-Corbal, Lara / Alarcón Del Agua, Isaías / Licardie Bolaños, Eugenio / Senent Boza, Ana / Morales-Conde, Salvador

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2021  Volume 23, Issue 10, Page(s) 2779–2780

    MeSH term(s) Colectomy ; Colonic Neoplasms/surgery ; Humans ; Indocyanine Green ; Laparoscopy ; Lymph Node Excision ; Mesocolon/surgery
    Chemical Substances Indocyanine Green (IX6J1063HV)
    Language English
    Publishing date 2021-07-24
    Publishing country England
    Document type Letter
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.15797
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  8. Article ; Online: Laparoscopic intracorporeal rectus aponeuroplasty (LIRA technique): a step forward in minimally invasive abdominal wall reconstruction for ventral hernia repair (LVHR).

    Gómez-Menchero, Julio / Guadalajara Jurado, Juan Francisco / Suárez Grau, Juan Manuel / Bellido Luque, Juan Antonio / García Moreno, Joaquin Luis / Alarcón Del Agua, Isaías / Morales-Conde, Salvador

    Surgical endoscopy

    2018  Volume 32, Issue 8, Page(s) 3502–3508

    Abstract: Background: Closing the defect (CD) during laparoscopic ventral hernia repair began to be performed in order to decrease seroma, to improve the functionality of the abdominal wall, and to decrease the bulging effect. However, tension at the incision ... ...

    Abstract Background: Closing the defect (CD) during laparoscopic ventral hernia repair began to be performed in order to decrease seroma, to improve the functionality of the abdominal wall, and to decrease the bulging effect. However, tension at the incision after CD in large defects is related to an increased rate of pain and recurrence. We present the preliminary results of a new technique for medium midline hernias as an alternative to conventional CD.
    Methods: A prospective controlled study was conducted from January 2015 to January 2017 to evaluate an elective new procedure (LIRA) performed on patients with midline ventral hernias (4-10 cm width). The posterior rectus aponeurosis was opened lengthwise around the hernia defect using a laparoscopic approach to create two flaps and was then sutured. The size of the flaps was estimated using a mathematical formula. An on-lay mesh was placed intraperitoneal overlapping the fascia defect. The data analyzed included patient demographics, operative parameters, and complications. A computerized tomography was performed preoperatively and postoperatively (1 month and 1 year) to evaluate recurrence, distance between rectus and seroma.
    Results: Twelve patients were included. Mean width of the defect was 5.5 cm. Average VAS (24 h) was 3.9, 1.1 (1 month), and 0 (1 year). Mean preoperative distance between rectus was 5.5 cm; postoperative was 2.2 cm (1 year). Radiological seroma at first month was detected in 50%. Mean follow-up was 15 months.
    Conclusion: The LIRA technique could be considered as an alternative to conventional CD or endoscopic component separation for medium defects under 10 cm in width. This technique obtained a "no tension" effect that could be related to a lower rate of postoperative pain with no recurrence or bulging, being a safe, feasible, and reproducible technique.
    MeSH term(s) Abdominal Wall/surgery ; Adult ; Aged ; Aponeurosis/surgery ; Female ; Follow-Up Studies ; Hernia, Ventral/surgery ; Herniorrhaphy/methods ; Humans ; Laparoscopy/methods ; Male ; Middle Aged ; Postoperative Period ; Prospective Studies ; Reconstructive Surgical Procedures/methods ; Rectus Abdominis/surgery ; Treatment Outcome
    Keywords covid19
    Language English
    Publishing date 2018-01-17
    Publishing country Germany
    Document type Journal Article ; Observational Study
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-018-6070-y
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    Zs.A 2214: Show issues Location:
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  9. Article ; Online: Vomitting, pregnancy and gastric bypass: a bariatric emergency?

    Socas Macías, María / Reguera Rosal, Julio / Alarcón Del Agua, Isaías / Pérez Vega, Herminia / Morales-Conde, Salvador

    Cirugia espanola

    2014  Volume 92, Issue 9, Page(s) 626–627

    MeSH term(s) Adult ; Emergencies ; Female ; Gastric Bypass/adverse effects ; Hernia/etiology ; Humans ; Intestinal Diseases/etiology ; Pregnancy ; Pregnancy Complications/etiology ; Vomiting/etiology
    Language Spanish
    Publishing date 2014-11
    Publishing country Spain
    Document type Case Reports ; Letter
    ZDB-ID 730701-9
    ISSN 1578-147X ; 0009-739X
    ISSN (online) 1578-147X
    ISSN 0009-739X
    DOI 10.1016/j.ciresp.2014.02.014
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  10. Article ; Online: Impact of the feedback provided by a gastric electrical stimulation system on eating behavior and physical activity levels.

    Busetto, Luca / Torres, Antonio J / Morales-Conde, Salvador / Alarcón Del Agua, Isaias / Moretto, Carlo / Fierabracci, Paola / Rovera, Giuseppe / Segato, Gianni / Rubio, Miguel A / Favretti, Franco

    Obesity (Silver Spring, Md.)

    2017  Volume 25, Issue 3, Page(s) 514–521

    Abstract: Objective: The closed-loop gastric electrical stimulation (CLGES) abiliti: Methods: Food intake and activity data (3D accelerometer) were downloaded at baseline and monthly/bimonthly for 12 months in a subset of patients with obesity (N = 45) ... ...

    Abstract Objective: The closed-loop gastric electrical stimulation (CLGES) abiliti
    Methods: Food intake and activity data (3D accelerometer) were downloaded at baseline and monthly/bimonthly for 12 months in a subset of patients with obesity (N = 45) participating in a multicenter trial with CLGES. Measured food intake parameters included the number of intakes during allowed and disallowed periods, nighttime intakes, and between-meal snacks (average/d). Activity parameters included time in different levels of physical activity (min/d), sleep/sedentary (h/d), and estimated energy expenditure (EE).
    Results: Weight loss at 12 months averaged 15.7 ± 7.7% of the baseline body weight. Stable reduction in the number of disallowed meals and between-meal snacks (P < 0.05), an increase in all levels of physical activity (P < 0.001), and an increase in activity-based EE (303 ± 53 kcal/d on average, P < 0.001) were seen.
    Conclusions: Significant improvement in eating and activity was seen in participants. It is hypothesized that feedback of the sensor-based data induced behavioral changes and contributed to weight loss in patients treated with CLGES.
    MeSH term(s) Adult ; Eating/physiology ; Electric Stimulation Therapy/methods ; Energy Intake/physiology ; Energy Metabolism/physiology ; Exercise/physiology ; Feedback, Physiological/physiology ; Feeding Behavior/physiology ; Female ; Humans ; Male ; Middle Aged ; Obesity/physiopathology ; Obesity/therapy ; Snacks ; Treatment Outcome ; Young Adult
    Language English
    Publishing date 2017-03
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Randomized Controlled Trial
    ZDB-ID 2230457-5
    ISSN 1930-739X ; 1071-7323 ; 1930-7381
    ISSN (online) 1930-739X
    ISSN 1071-7323 ; 1930-7381
    DOI 10.1002/oby.21760
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