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Article ; Online: Internal audit of oncological results in gastric cancer surgery.

Rihuete-Caro, Cristina / Pereira-Pérez, Fernando / Manzanedo-Romero, Israel / Carrión-Álvarez, Lucía

Cirugia espanola

2022 Volume 100, Issue 3, Page(s) 133–139

Abstract: Introduction: National information on the oncological results of gastric cancer surgery is scarce, so foreign figures are used, which may completely differ from local ones. The aim of our study is to analyse these results in the patients operated on in ... ...

Abstract	Introduction: National information on the oncological results of gastric cancer surgery is scarce, so foreign figures are used, which may completely differ from local ones. The aim of our study is to analyse these results in the patients operated on in our centre. Methods: Survival results of 134 patients that underwent gastric cancer surgery with curative intent from 2004 to June 2016 were analysed. Results: A percentage of 76.8 of the patients (103/134) presented in advanced clinical stages (≥ii). Staging laparoscopy was performed in 67% of them (69/103), an extensive lymphadenectomy (≥LD1+) was carried out in 89.3% of patients (92/103), and 76.7% (79/103) received perioperative chemotherapy. The distribution by pathological stage 0, i, ii, iii and iv was 8.2, 20.2, 26.1, 37.3, and 8.2%, respectively. Median follow-up was 87 months. Median OS was 68 months and one-, 3- and 5-year OS were 81.2, 62, and 53.8%, respectively. The 5-year OS according to pathological staging was 100% for stage 0, 88.4% for stage i, 62.5% for stage ii, 23.6% for stage iii and 17% for stage iv. Conclusions: Our survival rates are in the high ranges of western literature. These results could not be compared with national ones due to the lack of information regarding oncological outcomes in gastric cancer surgery in our closest environment.
MeSH term(s)	Gastrectomy/methods ; Humans ; Neoplasm Staging ; Prognosis ; Retrospective Studies ; Stomach Neoplasms/pathology
Language	English
Publishing date	2022-02-25
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2022.02.010
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Article ; Online: Hepatocellular carcinoma.

Dopazo, Cristina / Søreide, Kjetil / Rangelova, Elena / Mieog, Sven / Carrion-Alvarez, Lucia / Diaz-Nieto, Rafael / Primavesi, Florian / Stättner, Stefan

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

2023 Volume 50, Issue 1, Page(s) 107313

Abstract: An update on the management of Hepatocellular carcinoma (HCC) is provided in the present article for those interested in the UEMS/EBSQ exam in Surgical Oncology. The most recent publications in HCC, including surveillance, guidelines, and indications for ...

Abstract	An update on the management of Hepatocellular carcinoma (HCC) is provided in the present article for those interested in the UEMS/EBSQ exam in Surgical Oncology. The most recent publications in HCC, including surveillance, guidelines, and indications for liver resection, liver transplantation, and locoregional or systemic therapies, are summarised. The objective is to yield a set of main points regarding HCC that are required in the core curriculum of hepatobiliary oncological surgery.
MeSH term(s)	Humans ; Carcinoma, Hepatocellular/diagnosis ; Carcinoma, Hepatocellular/surgery ; Liver Neoplasms/diagnosis ; Liver Neoplasms/surgery ; Hepatectomy ; Liver Transplantation
Language	English
Publishing date	2023-12-06
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	632519-1
ISSN	1532-2157 ; 0748-7983
ISSN (online)	1532-2157
ISSN	0748-7983
DOI	10.1016/j.ejso.2023.107313
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Article ; Online: Internal audit of oncological results in gastric cancer surgery.

Rihuete-Caro, Cristina / Pereira-Pérez, Fernando / Manzanedo-Romero, Israel / Carrión-Álvarez, Lucía

Cirugia espanola

2021

Title translation	Auditoría interna de resultados oncológicos en la cirugía del cáncer gástrico.
Abstract	Introduction: National information on the oncological results of gastric cancer surgery is scarce, so foreign figures are used, which may completely differ from local ones. The aim of our study is to analyse these results in the patients operated on in our centre. Methods: Survival results of 134 patients that underwent gastric cancer surgery with curative intent from 2004 to June 2016 were analysed. Results: A percentage of 76.8 of the patients (103/134) presented in advanced clinical stages (≥ii). Staging laparoscopy was performed in 67% of them (69/103), an extensive lymphadenectomy (≥LD1+) was carried out in 89.3% of patients (92/103), and 76.7% (79/103) received perioperative chemotherapy. The distribution by pathological stage 0, i, ii, iii and iv was 8.2, 20.2, 26.1, 37.3, and 8.2%, respectively. Median follow-up was 87 months. Median OS was 68 months and one-, 3- and 5-year OS were 81.2, 62, and 53.8%, respectively. The 5-year OS according to pathological staging was 100% for stage 0, 88.4% for stage i, 62.5% for stage ii, 23.6% for stage iii and 17% for stage iv. Conclusions: Our survival rates are in the high ranges of western literature. These results could not be compared with national ones due to the lack of information regarding oncological outcomes in gastric cancer surgery in our closest environment.
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.2021.01.005
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Article ; Online: Surgical management of suspected gallbladder cancer: The role of intraoperative frozen section for diagnostic confirmation.

Chan, Benjamin K Y / Carrion-Alvarez, Lucia / Telfer, Rebecca / Rehman, Adeeb H / Bird, Nicholas / Mann, Kulbir / Jones, Robert P / Malik, Hassan Z / Fenwick, Stephen W / Diaz-Nieto, Rafael

Journal of surgical oncology

2021 Volume 125, Issue 3, Page(s) 399–404

Abstract: Background: Preoperative diagnosis for suspected gallbladder cancers is challenging, with a risk of overtreating benign disease, for example, xanthogranulomatous cholecystitis, with radical cholecystectomies. We retrospectively evaluated the surgeon's ... ...

Abstract	Background: Preoperative diagnosis for suspected gallbladder cancers is challenging, with a risk of overtreating benign disease, for example, xanthogranulomatous cholecystitis, with radical cholecystectomies. We retrospectively evaluated the surgeon's intraoperative assessment alone, and with the addition of intraoperative frozen sections, for suspected gallbladder cancers from a tertiary hepatobiliary multidisciplinary team (MDT). Methods: MDT patients with complex gallbladder disease were included. Collated data included demographics, MDT discussion, operative details, and patient outcomes. Results: A total of 454 patients with complex gallbladder disease were reviewed, 48 (10.6%) were offered radical surgery for suspected cancer. Twenty-five underwent frozen section that led to radical surgery in 6 (25%). All frozen sections were congruent with final histopathology but doubled the operating time (p < 0.0001). Both the surgeon's subjective and additional frozen section's objective assessment, allowed for de-escalation of unnecessary radical surgery, comparing favourably to a 13.0% cancer diagnosis among radical surgery historically. Conclusions: The MDT process was highly sensitive in identifying gallbladder cancers but lacked specificity. The surgeon's intraoperative assessment is paramount in suspected cancers, and deescalated unnecessary radical surgery. Intraoperative frozen section was a safe and viable adjunct at a cost of resources and operative time.
MeSH term(s)	Aged ; Carcinoma/mortality ; Carcinoma/pathology ; Carcinoma/surgery ; Cholecystectomy ; Female ; Frozen Sections ; Gallbladder Neoplasms/mortality ; Gallbladder Neoplasms/pathology ; Gallbladder Neoplasms/surgery ; Humans ; Lymphoma/mortality ; Lymphoma/pathology ; Lymphoma/surgery ; Male ; Melanoma/mortality ; Melanoma/pathology ; Melanoma/surgery ; Middle Aged ; Neoplasm Staging ; Operative Time ; Retrospective Studies ; Sensitivity and Specificity ; Survival Rate
Language	English
Publishing date	2021-10-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	82063-5
ISSN	1096-9098 ; 0022-4790
ISSN (online)	1096-9098
ISSN	0022-4790
DOI	10.1002/jso.26726
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Article ; Online: EORTC 1409 GITCG/ESSO 01 - A prospective colorectal liver metastasis database for borderline or initially unresectable diseases (CLIMB): Lessons learnt from real life. From paradigm to unmet need.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

2023 Volume 49, Issue 11, Page(s) 107081

Abstract: Aim: Multidisciplinary management of metastatic colorectal liver metastases (CRLM) is still challenging. To assess postoperative complications in initially unresectable or borderline resectable CRLM, the prospective EORTC-1409 ESSO 01-CLIMB trial ... ...

Abstract	Aim: Multidisciplinary management of metastatic colorectal liver metastases (CRLM) is still challenging. To assess postoperative complications in initially unresectable or borderline resectable CRLM, the prospective EORTC-1409 ESSO 01-CLIMB trial capturing 'real-life data' of European centres specialized in liver surgery was initiated. Material and methods: A total of 219 patients were registered between May 2015 and January 2019 from 15 centres in nine countries. Eligible patients had borderline or initially unresectable CRLM assessed by pre-operative multidisciplinary team discussion (MDT). Primary endpoints were postoperative complications, 30-day and 90-days mortality post-surgery, and quality indicators. We report the final results of the 151 eligible patients that underwent at least one liver surgery. Results: Perioperative chemotherapy with or without targeted treatment were administered in 100 patients (69.4%). One stage resection (OSR) was performed in 119 patients (78.8%). Two stage resections (TSR, incl. Associating Liver Partition and Portal Vein Ligation for Staged hepatectomy (ALPPS)) were completed in 24 out of 32 patients (75%). Postoperative complications were reported in 55.5% (95% CI: 46.1-64.6%), 64.0% (95% CI: 42.5-82%), and 100% (95% CI: 59-100%) of the patients in OSR, TSR and ALPPS, respectively. Post-hepatectomy liver failure occurred in 6.7%, 20.0%, and 28.6% in OSR, TSR, and ALPPS, respectively. In total, four patients (2.6%) died after surgery. Conclusion: Across nine countries, OSR was more often performed than TSR and tended to result in less postoperative complications. Despite many efforts to register patients across Europe, it is still challenging to set up a prospective CRLM database.
MeSH term(s)	Humans ; Treatment Outcome ; Prospective Studies ; Colorectal Neoplasms/pathology ; Liver Neoplasms/secondary ; Hepatectomy/methods ; Ligation ; Postoperative Complications/etiology ; Portal Vein/surgery ; Liver/pathology
Language	English
Publishing date	2023-09-25
Publishing country	England
Document type	Journal Article
ZDB-ID	632519-1
ISSN	1532-2157 ; 0748-7983
ISSN (online)	1532-2157
ISSN	0748-7983
DOI	10.1016/j.ejso.2023.107081
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Article ; Online: Cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy (HIPEC) in patients with gastric cancer and peritoneal carcinomatosis.

Rihuete Caro, Cristina / Manzanedo, Israel / Pereira, Fernando / Carrion-Alvarez, Lucía / Serrano, Ángel / Pérez-Viejo, Estíbalitz

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

2018 Volume 44, Issue 11, Page(s) 1805–1810

Abstract: Background: Gastric Cancer (GC) with Peritoneal Carcinomatosis (PC) has long been regarded as a terminal disease. Over the past two decades, cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) has changed the traditional ... ...

Abstract	Background: Gastric Cancer (GC) with Peritoneal Carcinomatosis (PC) has long been regarded as a terminal disease. Over the past two decades, cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) has changed the traditional concept of peritoneal metastases from being a systemic disease, to being considered a locoregional dissemination. Patients and methods: A prospective study was performed at a high-volume Carcinomatosis Center to evaluate survival, morbi-mortality and prognostic factors for survival in a cohort of patients with GC and PC treated with CRS + HIPEC between June 2006 and December 2016. Results: Thirty-five patients were included in the study. Median follow-up was 54 months. Postoperative major complications (>grade IIIa) occurred in 25.7% of patients, including 2 deaths (mortality 5.7%). The median overall survival (OS) was 16 months and the 1-, 3- and 5-year OS rates were 70.8%, 21.3% and 21.3% %, respectively. The median OS for patients with PCI ≤6 was 19 months, in contrast to 12 months for the 19 patients with PCI >6. Three patients were included with only a positive cytology and their median OS was not reached. Perineural invasion was the only factor that had a negative influence in prognosis (HR 18.8) in multivariate analysis. Conclusion: Although GC with PC still has a poor prognosis, survival has improved in selected patients with CRS + HIPEC and perioperative systemic chemotherapy. Patients with isolated positive cytology or peritoneal carcinomatosis with PCI less than 6 had encouraging survival rates.
MeSH term(s)	Adult ; Aged ; Combined Modality Therapy ; Cytoreduction Surgical Procedures/methods ; Female ; Humans ; Hyperthermia, Induced/methods ; Male ; Middle Aged ; Peritoneal Neoplasms/pathology ; Peritoneal Neoplasms/therapy ; Postoperative Complications ; Prognosis ; Prospective Studies ; Stomach Neoplasms/pathology ; Stomach Neoplasms/therapy ; Survival Rate ; Treatment Outcome
Language	English
Publishing date	2018-07-26
Publishing country	England
Document type	Journal Article
ZDB-ID	632519-1
ISSN	1532-2157 ; 0748-7983
ISSN (online)	1532-2157
ISSN	0748-7983
DOI	10.1016/j.ejso.2018.06.036
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Article: Schwannoma de la cadena simpática cervical asociado a adenoma paratiroideo.

Manzanedo-Romero, Israel / García-Muñoz-Najar, Alejandro / Acín-Gándara, Débora / Carrión-Álvarez, Lucía / Urbasos-Pascual, María / Pereira-Pérez, Fernando

Cirugia y cirujanos

2015 Volume 83, Issue 5, Page(s) 409–413

Abstract: Background: Schwannoma is a rare benign tumor derived from nerve sheaths. When derived from the cervical sympathetic chain, it usually presents itself as an asymptomatic mass located in the posterior cervical region, at paravertebral level. Its ... ...

Title translation	Cervical sympathetic chain schwannoma associated with parathyroid adenoma.
Abstract	Background: Schwannoma is a rare benign tumor derived from nerve sheaths. When derived from the cervical sympathetic chain, it usually presents itself as an asymptomatic mass located in the posterior cervical region, at paravertebral level. Its diagnosis is not easy, usually requiring multiple imaging tests. Its differential diagnosis includes parathyroid adenoma. Clinical case: A new case of schwannoma of the cervical sympathetic chain in a patient with a synchronous overactive parathyroid adenoma is reported. This case adds to the sixty described in the literature, although to our knowledge no association between schwannoma and parathyroid adenoma has been reported to date. Conclusions: Despite being a benign tumor, its treatment is a complete surgical resection. The most common complication after the surgery needed for these tumors is ipsilateral Horner syndrome.
MeSH term(s)	Adenoma/complications ; Adenoma/diagnosis ; Adenoma/pathology ; Adenoma/surgery ; Female ; Ganglia, Sympathetic/pathology ; Ganglia, Sympathetic/surgery ; Head and Neck Neoplasms/diagnosis ; Head and Neck Neoplasms/pathology ; Head and Neck Neoplasms/surgery ; Horner Syndrome/etiology ; Humans ; Hypercalcemia/etiology ; Hyperparathyroidism, Primary/etiology ; Magnetic Resonance Imaging ; Middle Aged ; Neoplasms, Multiple Primary/diagnosis ; Neoplasms, Multiple Primary/pathology ; Neoplasms, Multiple Primary/surgery ; Neurilemmoma/diagnosis ; Neurilemmoma/pathology ; Neurilemmoma/surgery ; Parathyroid Neoplasms/complications ; Parathyroid Neoplasms/diagnosis ; Parathyroid Neoplasms/pathology ; Parathyroid Neoplasms/surgery ; Parathyroidectomy ; Postoperative Complications/etiology ; Tomography, X-Ray Computed
Language	Spanish
Publishing date	2015-09
Publishing country	Spain
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	730699-4
ISSN	0009-7411
ISSN	0009-7411
DOI	10.1016/j.circir.2015.05.039
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Zs.B 797: Show issues

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Article: Feasibility and Short-Term Outcomes in Liver-First Approach: A Spanish Snapshot Study (the RENACI Project).

Serradilla-Martín, Mario / Villodre, Celia / Falgueras-Verdaguer, Laia / Zambudio-Carroll, Natalia / Castell-Gómez, José T / Blas-Laina, Juan L / Borrego-Estella, Vicente / Domingo-Del-Pozo, Carlos / García-Plaza, Gabriel / González-Rodríguez, Francisco J / Montalvá-Orón, Eva M / Moya-Herraiz, Ángel / Paterna-López, Sandra / Suárez-Muñoz, Miguel A / Alkorta-Zuloaga, Maialen / Blanco-Fernández, Gerardo / Dabán-Collado, Enrique / Gómez-Bravo, Miguel A / Miota-de-Llamas, José I /

Rotellar, Fernando / Sánchez-Pérez, Belinda / Sánchez-Cabús, Santiago / Pacheco-Sánchez, David / Rodríguez-Sanjuan, Juan C / Varona-Bosque, María A / Carrión-Álvarez, Lucía / de la Serna-Esteban, Sofía / Dopazo, Cristina / Martín-Pérez, Elena / Martínez-Cecilia, David / Castro-Santiago, María J / Dorcaratto, Dimitri / Gutiérrez-Díaz, Marta L / Asencio-Pascual, José M / Burdío-Pinilla, Fernando / Carracedo-Iglesias, Roberto / Escartín-Arias, Alfredo / Ielpo, Benedetto / Rodríguez-Laiz, Gonzalo / Valdivieso-López, Andrés / De-Vicente-López, Emilio / Alonso-Orduña, Vicente / Ramia, José M

Cancers

2024 Volume 16, Issue 9

Abstract: 1) Background: The liver-first approach may be indicated for colorectal cancer patients with synchronous liver metastases to whom preoperative chemotherapy opens a potential window in which liver resection may be undertaken. This study aims to present ... ...

Abstract	(1) Background: The liver-first approach may be indicated for colorectal cancer patients with synchronous liver metastases to whom preoperative chemotherapy opens a potential window in which liver resection may be undertaken. This study aims to present the data of feasibility and short-term outcomes in the liver-first approach. (2) Methods: A prospective observational study was performed in Spanish hospitals that had a medium/high-volume of HPB surgeries from 1 June 2019 to 31 August 2020. (3) Results: In total, 40 hospitals participated, including a total of 2288 hepatectomies, 1350 for colorectal liver metastases, 150 of them (11.1%) using the liver-first approach, 63 (42.0%) in hospitals performing <50 hepatectomies/year. The proportion of patients as ASA III was significantly higher in centers performing ≥50 hepatectomies/year (difference: 18.9%;
Language	English
Publishing date	2024-04-26
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2527080-1
ISSN	2072-6694
ISSN	2072-6694
DOI	10.3390/cancers16091676
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Article ; Online: Conversion of an Open Salmon's Technique to a Laparoscopic Gastric Bypass.

Rihuete-Caro, Cristina / Acín-Gandara, Débora / Medina-García, Manuel / Alonso-Gómez, Santiago / Antequera-Pérez, Alfonso / Carrión-Álvarez, Lucía / Pereira-Pérez, Fernando

Obesity surgery

2017 Volume 27, Issue 2, Page(s) 554–555

Abstract: Background: There are a growing number of patients who require revisional bariatric surgery due to the failure of their primary procedures. The aim of this video is to present a laparoscopic revisional procedure for dysphagia and gastroesophageal reflux ...

Abstract	Background: There are a growing number of patients who require revisional bariatric surgery due to the failure of their primary procedures. The aim of this video is to present a laparoscopic revisional procedure for dysphagia and gastroesophageal reflux disease (GERD) after an uncommonly performed bariatric surgery, Salmon's technique, consisting of a vertical banded gastroplasty and a horizontal stomach stapling with a Roux-en-Y bypass. Methods: A 42-year-old obese male, with a history of dyslipidemia and a current body mass index (BMI) of 33, presented with severe dysphagia to solids and frequent spitting 10 years after the primary bariatric surgery (Salmon's procedure) with a BMI of 43. Endoscopy revealed a hiatal hernia. The endoscope passed down without difficulty to the antrum-duodenum and to efferent loop of the small bowel, demonstrating the presence of a fistula in the horizontal stapling of the stomach. Helicobacter pylori was negative. Esophageal transit showed the contrast passing adequately through the esophagogastric junction. Esophageal manometry revealed a hypotensive lower esophageal sphincter (mean pressure of 8 mmHg) and an ineffective peristalsis (40% of waves with normal amplitude and duration). Esophageal pHmetry showed severe GERD with a DeMeester score of 88.5 and a pH less than four, 18.7% of the total time. The patient was on PPIs at the time of symptom evaluation, but stopped the treatment before the performance of the pH study. Laparoscopic conversion to a Roux-en-Y gastric bypass was successfully performed. An extensive adhesiolysis was needed. The esophageal hiatus was dissected and the stomach was partially descended to reduce the hiatal hernia. A subsequent hiatal closure was performed. The efferent loop of the small bowel was freed from the gastric pouch. The new gastric pouch was performed stapling superiorly to the gastric ring and medially to the vertical gastroplasty. The new gastrojejunal anastomosis was performed using a mechanical linear stapler, in an antecolic fashion, and checked for leaks using methylene blue dye. Results: The procedure took 300 min and no intraoperative complications occurred. The patient had an uneventful postoperative course, with a hospital stay of 4 days. One month after the revisional surgery, the patient presented with a stenosis of the gastrojejunal anastomosis, which was successfully solved after two endoscopic dilations. A year and a half after revisional surgery, the patient is completely asymptomatic, has a BMI of 29, and dyslipidemia as the only comorbidity. Conclusions: Salmon's technique is an uncommon bariatric procedure. Revisional surgery might be needed in case of late complications, like dysphagia and reflux, as it was the case in our patient. In addition, a fistula in the previous horizontal partitioning of the stomach was present. Laparoscopic conversion from Salmon's technique to a gastric bypass was decided. This procedure was successful in solving patient's symptoms and resulted in an increased weight lost. Laparoscopic revisional surgery after an open Salmon's technique is a complex procedure with an increased risk of complications. Our patient developed an anastomotic stenosis 1 month after surgery, probably due to the use of the same gauge as in non-fibrotic tissues.
Language	English
Publishing date	2017-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-016-2491-7
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Zs.A 3381: Show issues

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Article: Fístula apendicovesical tratada mediante cirugía laparoscópica electiva.

García-Muñoz-Najar, Alejandro / Carrión-Álvarez, Lucía / Medina-García, Manuel / García-González, María Dolores / Pereira-Pérez, Fernando

Cirugia y cirujanos

2013 Volume 81, Issue 4, Page(s) 344–347

Abstract: Background: appendicovesical fistula is a rare complication of advanced acute appendicitis and represents a rare type of enterovesical fistula. Its symptoms are vague and imprecise and its diagnosis is difficult, requiring a high level of suspicion. ... ...

Title translation	Appendicovesical fistula treated with elective laparoscopic surgery.
Abstract	Background: appendicovesical fistula is a rare complication of advanced acute appendicitis and represents a rare type of enterovesical fistula. Its symptoms are vague and imprecise and its diagnosis is difficult, requiring a high level of suspicion. Exploratory laparotomy has been the key for diagnosis and definitive treatment for many years, but recently the laparoscopic approach is standing out among different experienced groups as the method of choice. Clinical case: we report a new case of appendicovesical fistula in a 45 year old female, who was remitted from Urology with symptoms of persistent dysuria and pyuria. She was finally diagnosed by computerized tomography and the appendicovesical fistula was resolved by laparoscopic surgery. This case adds to the one hundred and fifteen cases published so far and to the four treated by the laparoscopic approach. Discussion: conventional imaging methods are not reliable for the diagnosis of enterovesical fistula. Since most appendicovesical fistula are found to be secondary to non-diagnosed and advanced acute appendicitis in the majority of the consulted publications laparotomy is the key for the diagnosis of apendicovesical fistula. However laparoscopy is described as a diagnostic and therapeutic tool in few articles. We only found three articles in the literature referring to the laparoscopic approach as a therapeutic option. Conclusion: computerized tomography is the diagnostic method of choice when communication between the digestive tract and urinary tract is suspected, particularly if the suspected fistula is an appendicovesical one. The laparoscopic approach of an appendicovesical fistula is able to confirm the radiological diagnosis and provide a definitive treatment.
MeSH term(s)	Abdominal Pain/etiology ; Appendicitis/complications ; Appendicitis/surgery ; Breast Neoplasms/complications ; Breast Neoplasms/therapy ; Cecal Diseases/diagnostic imaging ; Cecal Diseases/etiology ; Cecal Diseases/surgery ; Combined Modality Therapy ; Diagnostic Imaging/methods ; Dysuria/etiology ; Elective Surgical Procedures ; Fecal Impaction/etiology ; Female ; Humans ; Intestinal Fistula/diagnostic imaging ; Intestinal Fistula/etiology ; Intestinal Fistula/surgery ; Laparoscopy/methods ; Middle Aged ; Tomography, X-Ray Computed ; Urinary Bladder Fistula/diagnostic imaging ; Urinary Bladder Fistula/etiology ; Urinary Bladder Fistula/surgery ; Urinary Tract Infections/etiology
Language	Spanish
Publishing date	2013-07
Publishing country	Spain
Document type	Case Reports ; Journal Article
ZDB-ID	730699-4
ISSN	0009-7411
ISSN	0009-7411
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In stock of ZB MED Cologne/Königswinter

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In stock of ZB MED Cologne/Königswinter

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In stock of ZB MED Cologne/Königswinter

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In stock of ZB MED Cologne/Königswinter

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In stock of ZB MED Cologne/Königswinter

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