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Article ; Online: Impact of CT-measured sarcopenic obesity on postoperative outcomes following colon cancer surgery.

Bajawi, Mariam / Corral, Sara / Blázquez, Javier / Die, Javier / Muñoz, Paula / Barranquero, Alberto G / Juez, Luz / Nisa, Francisca García-Moreno

Langenbeck's archives of surgery

2024 Volume 409, Issue 1, Page(s) 42

Abstract: Objective: This study aimed to investigate the influence of sarcopenic obesity on anastomotic leak following elective colon resection for non-metastatic colon cancer. Secondary outcomes included overall morbidity, mortality and length of hospital stay.!# ...

Abstract	Objective: This study aimed to investigate the influence of sarcopenic obesity on anastomotic leak following elective colon resection for non-metastatic colon cancer. Secondary outcomes included overall morbidity, mortality and length of hospital stay. Methods: This retrospective observational study, conducted at a colorectal surgery referral centre, spanned from January 1, 2015, to January 1, 2020. A total of 544 consecutive patients who underwent elective colon resection were included in the analysis, excluding patients with rectal cancer, urgent surgery, absence of anastomosis, lack of imaging, multivisceral resections and synchronic tumours. Results: Postoperative complications were observed in 177 (32.3%) patients, with 51 (9.31%) classified as severe (Clavien-Dindo > II). Sarcopenic obesity was identified in 9.39% of the sample and emerged as an independent predictor of increased overall morbidity [OR 2.15 (1.14-3.69); p = 0.016] and 30-day mortality [OR 5.07 (1.22-20.93); p = 0.03] and was significantly associated with the development of anastomotic leak [OR 2.95 (1.41-6.18); p = 0.007]. Furthermore, it increased the risk of reoperation and was linked to a prolonged length of hospital stay. Conclusions: CT-measured sarcopenic obesity demonstrates a discernible correlation with an elevated risk of postoperative morbidity and mortality in the context of colon cancer surgery.
MeSH term(s)	Humans ; Anastomotic Leak/diagnostic imaging ; Anastomotic Leak/etiology ; Colectomy ; Colonic Neoplasms/surgery ; Obesity/complications ; Sarcopenia/complications ; Sarcopenia/diagnostic imaging ; Tomography, X-Ray Computed ; Retrospective Studies
Language	English
Publishing date	2024-01-17
Publishing country	Germany
Document type	Observational Study ; Journal Article
ZDB-ID	1423681-3
ISSN	1435-2451 ; 1435-2443
ISSN (online)	1435-2451
ISSN	1435-2443
DOI	10.1007/s00423-024-03231-0
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Article ; Online: Robotic totally extraperitoneal retromuscular repair for parastomal hernia (rPauli repair) - A video vignette.

Barranquero, Alberto G / Villalobos Mori, Rafael / Maestre González, Yolanda / Olsina Kissler, Jorge

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

2022 Volume 25, Issue 5, Page(s) 1041–1042

MeSH term(s)	Humans ; Robotic Surgical Procedures ; Incisional Hernia/etiology ; Incisional Hernia/surgery ; Hernia, Ventral/surgery ; Herniorrhaphy ; Surgical Mesh ; Laparoscopy
Language	English
Publishing date	2022-11-22
Publishing country	England
Document type	Video-Audio Media ; Letter
ZDB-ID	1440017-0
ISSN	1463-1318 ; 1462-8910
ISSN (online)	1463-1318
ISSN	1462-8910
DOI	10.1111/codi.16411
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Article ; Online: Pancreatic hamartoma: A rare and benign cause of pancreatic incidentaloma.

Santana Valenciano, Ángela / Molina Villar, José Manuel / Barranquero, Alberto G / Sanjuanbenito Dehesa, Alfonso / Fernández Cebrián, José María

Cirugia espanola

2022 Volume 100, Issue 4, Page(s) 250–254

MeSH term(s)	Hamartoma/diagnostic imaging ; Humans ; Pancreas/diagnostic imaging
Language	English
Publishing date	2022-04-14
Publishing country	Spain
Document type	Case Reports
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2022.03.010
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Article ; Online: 4D-CT as a second line preoperative localization test for the evaluation of primary hyperparathyroidism.

Barranquero, Alberto G / Pastor, Paula / Ortega, Ana / Corral, Sara / Gómez Ramírez, Joaquín / Luengo, Patricia / Porrero, Belén / Cabañas, Luis Jacobo

Cirugia espanola

2022 Volume 101, Issue 8, Page(s) 530–537

Abstract: Introduction: Four-dimensional computerized tomography (4D-CT) offers a good sensitivity for the localization of the pathological gland responsible of primary hyperparathyroidism. The aim was to evaluate its results as a second line preoperative ... ...

Abstract	Introduction: Four-dimensional computerized tomography (4D-CT) offers a good sensitivity for the localization of the pathological gland responsible of primary hyperparathyroidism. The aim was to evaluate its results as a second line preoperative localization test after inconclusive or discordant results of usual preoperative studies. Material and methods: Observational retrospective study that included all patients intervened for primary hyperparathyroidism with 4D-CT scan as preoperative study, from 1st October 2016 to 1st October 2021, in a tertiary referral centre. The results of 4D-CT, cervical ultrasound, and Nuclear Medicine explorations (scintigraphy, SPECT and SPECT-CT) were compared with the gold standard of the surgical exploration and the pathological result. The correct lateralization and the approximate localization rates of the pathological gland were evaluated. Results: A total of 64 patients were analysed, with a 93,8% (60/64) remission rate. 4DCT showed a correct lateralization in 57,8% (37/64) of the cases and revealed the approximate localization of the gland in 48,4% (31/64) of the cases. The cervical ultrasound had a rate of 31,1% (19/61) and 18% (11/61) for the correct lateralization and approximate localization, respectively, compared to 34,9% (22/63) and 28,6% (18/63) in Nuclear Medicine explorations, and 32,7% (16/49) and 24,5% (12/49) in SPECT-CT. These differences were statistically significant. Conclusion: 4D-CT demonstrated acceptable results for the localization of the lesions responsible of primary hyperparathyroidism, thus its use should be considered with the absence of localization in routinely studies.
MeSH term(s)	Humans ; Four-Dimensional Computed Tomography/methods ; Hyperparathyroidism, Primary/diagnostic imaging ; Hyperparathyroidism, Primary/surgery ; Retrospective Studies
Language	English
Publishing date	2022-07-26
Publishing country	Spain
Document type	Journal Article ; Observational Study
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2022.07.015
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Article ; Online: 125

Barranquero, Alberto G / Corral Moreno, Sara / Martínez Lorca, Alberto / Hernández-Cosido, Lourdes / Rioja Martín, María Eugenia / Mena Mateos, Antonio / Cabañas Montero, Jacobo / Fernández-Cebrián, Jose María

Langenbeck's archives of surgery

2023 Volume 408, Issue 1, Page(s) 161

Abstract: Purpose: Radioguided localization can assist the surgery of hard-to-find lesions. The aim was to evaluate the results of the : Methods: Retrospective observational study of all consecutive patients who underwent : Results: A total of 10 lesions ... ...

Abstract	Purpose: Radioguided localization can assist the surgery of hard-to-find lesions. The aim was to evaluate the results of the Methods: Retrospective observational study of all consecutive patients who underwent Results: A total of 10 lesions excised in 8 radioguided surgeries were compared to 40 lesions excised in 40 conventional surgeries, with equal proportion of histological subtypes in each group. There was a higher proportion of recurrent tumours in the RSL group (80 % [8/10] vs. 27.5 % [11/40]; p: 0.004). An R0 was achieved in 80 % (8/10) of the RSL group and 65 % (26/40) of the conventional surgery group. The R1 rate was 0 % and 15 % (6/40), and the R2 rate was 20 % (2/10 and 8/40) in the RSL group and conventional surgery group, respectively (p: 0.569). No differences were detected in disease-free or overall survival between the different histological subtypes in the subgroup analysis. Conclusion: The
MeSH term(s)	Humans ; Female ; Mastectomy, Segmental/methods ; Propensity Score ; Retrospective Studies ; Iodine Radioisotopes/therapeutic use ; Breast Neoplasms
Chemical Substances	Iodine-125 (GVO776611R) ; Iodine Radioisotopes
Language	English
Publishing date	2023-04-25
Publishing country	Germany
Document type	Observational Study ; Journal Article
ZDB-ID	1423681-3
ISSN	1435-2451 ; 1435-2443
ISSN (online)	1435-2451
ISSN	1435-2443
DOI	10.1007/s00423-023-02907-3
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Article ; Online: Parietex™ Composite Ventral Patch for primary and incisional hernia repair.

Barranquero, Alberto G / Villalobos Mori, Rafael / Maestre González, Yolanda / Protti, Gian Pier / López Soler, Guillermo / Villarreal León, Fernando / González Alfaro, Irvin Jair / Olsina Kissler, Jorge Juan

ANZ journal of surgery

2023 Volume 93, Issue 7-8, Page(s) 1799–1805

Abstract: Backgrounds: Ventral hernia repair with a preformed device is a frequent intervention, but few reports exist with Parietex™ Composite Ventral Patch. The aim was to evaluate the results of this mesh with the open intraperitoneal onlay mesh (open IPOM) ... ...

Abstract	Backgrounds: Ventral hernia repair with a preformed device is a frequent intervention, but few reports exist with Parietex™ Composite Ventral Patch. The aim was to evaluate the results of this mesh with the open intraperitoneal onlay mesh (open IPOM) technique. Methods: Observational retrospective single institution study of all consecutive patients intervened for ventral or incisional hernia with a diameter inferior to 4 cm, from January 2013 to June 2020. The surgical repair was performed according to the open IPOM technique with Parietex™ Composite Ventral Patch. Results: A total of 146 patients were intervened: 61.6% with umbilical hernias, 8.2% with epigastric hernias, 26.7% with trocar incisional hernias, and 3.4% with other incisional hernias. The global recurrence rate was 7.5% (11/146). Specifically, it was 7.8% in umbilical hernias, 0% in epigastric hernias, 7.7% in trocar incisional hernias and 20% (1/5) in other incisional hernias. The median time for recurrence was 14 months (IQR: 4.4-18.7). The median indirect follow-up was 36.9 months (IQR: 27.2-49.6), and the median presential follow-up was 17.4 months (IQR: 6.5-27.3). Conclusion: The open IPOM technique with a preformed patch offered satisfactory results for the treatment of ventral and incisional hernias.
MeSH term(s)	Humans ; Incisional Hernia/surgery ; Hernia, Umbilical/surgery ; Retrospective Studies ; Surgical Mesh ; Recurrence ; Hernia, Ventral/surgery ; Hernia, Abdominal/surgery ; Herniorrhaphy/methods ; Laparoscopy/methods
Language	English
Publishing date	2023-05-25
Publishing country	Australia
Document type	Observational Study ; Journal Article
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.18524
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Article ; Online: Analysis of recurrence and risk factors in laparoscopic sandwich technique for parastomal hernia repair.

Barranquero, Alberto G / Espert, Juan José / Llompart Coll, María Magdalena / Maestre González, Yolanda / Gas Ruiz, Cristina / Olsina Kissler, Jorge Juan / Villalobos Mori, Rafael

Surgical endoscopy

2023 Volume 37, Issue 12, Page(s) 9125–9131

Abstract: Introduction: Parastomal hernias are frequent and highly recurrent. The sandwich technique is a combination of the keyhole and Sugarbaker techniques, using a double intraperitoneal mesh. The objective of this study was to assess the outcomes of the ... ...

Abstract	Introduction: Parastomal hernias are frequent and highly recurrent. The sandwich technique is a combination of the keyhole and Sugarbaker techniques, using a double intraperitoneal mesh. The objective of this study was to assess the outcomes of the sandwich technique, specifically focusing on recurrence rates. Materials and methods: Observational retrospective study conducted in two tertiary referral centers in Catalonia, Spain. All consecutive patients who underwent parastomal hernia repair using the sandwich technique between 1st January 2016 and 31st December 2021 were included. Results: A total of 38 patients underwent the laparoscopic sandwich technique for parastomal hernia repair. The overall recurrence rate was 7.9% (3/38), with a median follow-up of 39 months (IQR: 12.3-56.5). According to the EHS classification for parastomal hernia, there were 47.4% (18/38) type I defects, 10.5% (4/38) type II defects, 28.9% (11/38) type III defects, and 13.2% (5/38) type IV defects. The used mesh was predominantly TiMesh® (76.3%; 29/38), followed by DynaMesh® IPOM (23.7%; 9/38). Patients with recurrence exhibited higher rates of seroma, hematoma, surgical site infection, and one case of early recurrence attributed to mesh retraction. Consequently, postoperative complications emerged as the primary risk factor for hernia recurrence. Conclusion: The sandwich technique demonstrated recurrence rates consistent with those reported in the existing literature.
MeSH term(s)	Humans ; Hernia, Ventral/etiology ; Hernia, Ventral/surgery ; Herniorrhaphy/methods ; Incisional Hernia/surgery ; Incisional Hernia/complications ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Recurrence ; Retrospective Studies ; Risk Factors ; Surgical Mesh/adverse effects
Language	English
Publishing date	2023-10-09
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/s00464-023-10475-2
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Article ; Online: Radioguided surgery of mesenchymal tumors with

Barranquero, Alberto G / Corral Moreno, Sara / Martínez Lorca, Alberto / Hernández-Cosido, Lourdes / Rioja Martín, María Eugenia / Mena Mateo, Antonio / Cabañas Montero, Jacobo / Fernández-Cebrián, Jose María

Revista espanola de medicina nuclear e imagen molecular

2023 Volume 42, Issue 5, Page(s) 296–301

Abstract: Introduction: Radioguided surgery uses radioactive substances to identify and remove hard-to-locate lesions. Mesenchymal tumors constitute a heterogeneous group of neoplasms derived from the mesoderm, including benign lesions and malignant sarcomas. The ...

Abstract	Introduction: Radioguided surgery uses radioactive substances to identify and remove hard-to-locate lesions. Mesenchymal tumors constitute a heterogeneous group of neoplasms derived from the mesoderm, including benign lesions and malignant sarcomas. The aim of this study was to evaluate the ability of Methods: Retrospective observational study of all consecutive patients undergoing radioguided surgery of a mesenchymal tumor with a Results: Fifteen lesions were resected in 11 interventions in 11 patients, recovering all lesions marked (100%) with a Conclusion: Radioguided surgery is an accurate technique for the resection of hard-to-locate mesenchymal tumors.
MeSH term(s)	Humans ; Neoplasm Recurrence, Local ; Iodine Radioisotopes/therapeutic use ; Surgery, Computer-Assisted/methods ; Retrospective Studies
Chemical Substances	Iodine-125 (GVO776611R) ; Iodine Radioisotopes
Language	English
Publishing date	2023-04-14
Publishing country	Spain
Document type	Observational Study ; Journal Article
ISSN	2253-8089
ISSN (online)	2253-8089
DOI	10.1016/j.remnie.2023.04.004
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Article ; Online: Delay in the residents' choice for General and Digestive Surgery: Analysis of the period 2018-2022.

Barranquero, Alberto G / Maestre González, Yolanda / Mestres Petit, Núria / Gas Ruiz, Cristina / Codina-Corrons, Laia / Sisó Soler, Eduardo / Villalobos Mori, Rafael / Olsina Kissler, Jorge Juan

Cirugia espanola

2023

Abstract: Introduction: Every year hundreds of medical residents choose their specialization in various surgical fields. However, these numbers have been poorly analyzed. The objective of this study was to evaluate the selection of General and Digestive Surgery ... ...

Abstract	Introduction: Every year hundreds of medical residents choose their specialization in various surgical fields. However, these numbers have been poorly analyzed. The objective of this study was to evaluate the selection of General and Digestive Surgery by medical residents and compare these results with the selection of other surgical specialties. Methods: Cross-sectional observational study. The data from the selection of the medical residents from surgical specialties and the top 10 most demanded specialties between the years 2018 and 2022 were included. An analysis of adjusted ranking numbers based on the number of available positions was also conducted. Results: The number of available positions in General and Digestive Surgery increased by 17.7% during the study period. However, the selection of our specialty has been delayed, with a median ranking number of 2419 (IQR: 1621-3284) in 2018, and 3484 (IQR: 2306-4156) in 2022 (p: .000). These differences remained significant after adjusting for the number of available positions (p: .000). The choice of Urology, Thoracic Surgery, Cardiovascular Surgery, Gastroenterology, and Paediatrics also declined during this period, while Plastic Surgery, Dermatology, Ophthalmology, Anesthesiology, and Endocrinology improved their numbers. Conclusion: The choice of General and Digestive Surgery has been delayed according to the data from the MIR selection of 2018-2022. The increase in the number of available positions has not been associated with a proportional increase in demand.
Language	English
Publishing date	2023-11-20
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2023.08.006
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Article: Dynamics of PTH levels in the development of post-operative hypoparathyroidism.

Vilar Tabanera, José Alberto / Gómez Ramirez, Joaquín / Brabyn, Philip / Barranquero, Alberto G / Puerta Vicente, Ana / Porrero, Belén / Luengo, Patricia / Fernández Cebrián, José María

Acta chirurgica Belgica

2023 Volume 124, Issue 2, Page(s) 99–106

Abstract: Background: Post-operative hypoparathyroidism is the most frequent complication after total thyroidectomy. The identification of preoperative predictors could be helpful to identify patients at risk. This study aimed to evaluate the potential influence ... ...

Abstract	Background: Post-operative hypoparathyroidism is the most frequent complication after total thyroidectomy. The identification of preoperative predictors could be helpful to identify patients at risk. This study aimed to evaluate the potential influence of preoperative PTH levels and their perioperative dynamics as a predictor of transient, protracted, and permanent post-operative hypoparathyroidism. Methods: A prospective, observational study that includes 100 patients who underwent total thyroidectomy between September 2018 and September 2020. Results: Transient hypoparathyroidism was present in 42% (42/100) of patients, 11% (11/100) developed protracted hypoparathyroidism, and 5% (5/100) permanent hypoparathyroidism. Patients who presented protracted hypoparathyroidism had higher preoperative PTH levels. The protracted and permanent hypoparathyroidism rate was higher in groups with greater preoperative PTH [0% group 1 (<40 pg/mL) Conclusion: The prevalence of protracted hypoparathyroidism was higher in groups with higher preoperative PTH levels. PTH levels 24 h after surgery lower than 6.6 pg/mL and a decline of more than 90% predict protracted and permanent hypoparathyroidism. The percentage of PTH increase a week after surgery could predict permanent hypoparathyroidism.
MeSH term(s)	Humans ; Prospective Studies ; Hypoparathyroidism/epidemiology ; Hypoparathyroidism/etiology ; Thyroidectomy/adverse effects ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Parathyroid Hormone ; Hypocalcemia/complications
Chemical Substances	Parathyroid Hormone
Language	English
Publishing date	2023-03-28
Publishing country	England
Document type	Observational Study ; Journal Article
ZDB-ID	210274-2
ISSN	0001-5458
ISSN	0001-5458
DOI	10.1080/00015458.2023.2194598
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