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  1. Article ; Online: Bronchobiliary fistula as a rare complication after interventional management of biliary complications.

    Marcos Cortés, Inés / Fernández Noel, Silvia / Loinaz Segurola, Carmelo / Caso Maestro, Óscar

    Cirugia espanola

    2024  

    Language English
    Publishing date 2024-02-17
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2024.02.002
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  2. Article ; Online: Step by step abdominal wall closure in elective midline laparotomy.

    Oliver-Perez, M Reyes / Caso-Maestro, Oscar / Conti-Nuño, Beatrice / Bermejo, Rocio / Gil-Ibañez, Blanca / Tejerizo-Garcia, Alvaro

    International journal of gynecological cancer : official journal of the International Gynecological Cancer Society

    2024  

    Language English
    Publishing date 2024-04-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 1070385-8
    ISSN 1525-1438 ; 1048-891X
    ISSN (online) 1525-1438
    ISSN 1048-891X
    DOI 10.1136/ijgc-2024-005500
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  3. Article ; Online: Reply to Letter to the Editor.

    Jiménez Romero, Carlos / Marcacuzco Quinto, Alberto / Caso Maestro, Óscar / Justo Alonso, Iago

    Cirugia espanola

    2022  Volume 100, Issue 7, Page(s) 457–458

    Language English
    Publishing date 2022-05-04
    Publishing country Spain
    Document type Letter ; Comment
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2021.10.016
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  4. Article ; Online: Cephalic pancreatoduodenectomy in octogenarian patients with pancreatic tumors.

    Justo Alonso, Iago / Alonso Murillo, Laura / Marcacuzco Quinto, Alberto / Caso Maestro, Óscar / Rioja Conde, Paula / Fernández, Clara / Jiménez Romero, Carlos

    Cirugia espanola

    2023  Volume 101, Issue 9, Page(s) 599–608

    Abstract: Introduction: Current literature supports the claim that performing a cephalic pancreaticoduodenectomy (CPD) as treatment for pancreatic cancer (PC) is associated with an increase in median survival, both in octogenarian (≥80 years) patients as well as ... ...

    Abstract Introduction: Current literature supports the claim that performing a cephalic pancreaticoduodenectomy (CPD) as treatment for pancreatic cancer (PC) is associated with an increase in median survival, both in octogenarian (≥80 years) patients as well as younger patients.
    Methods: This is a retrospective and comparative trial, comparing results for CPD performed on 30 patients ≥80 years with PC and 159 patients <80 years.
    Results: The patients in the octogenarian group showed a significantly higher rate of preoperative cardiovascular morbidity and a more aggressive tumoral behaviour, including more significant preoperative anemia, jaundice and levels of CA 19-9, higher vascular and neural invasion, and a lower rate of R0 resection despite using the same surgical technique. There were no significant differences in terms of postoperative complications. Postoperative mortality was similar in both groups (3.3% in octogenarians vs 3.1% in patients <80 years). Mortality during follow-up was mainly due to tumour recurrence, cardiovascular complications and COVID-19 in 2 elderly patients. Actuarial survival at 1, 3 and 5 years was significantly larger for patients <80 years old, as compared to octogenarians (85.9%, 61.1% and 39.2% versus 72.7%, 28.9% and 9.6%, respectively; P = 0.001). The presence of a pancreatic fistula and not using external Wirsung stenting were significantly associated with 90-day postoperative mortality after a CPD.
    Conclusions: Morbidity and mortality post-CPD is similar in octogenarians and patients younger than 80, although long-term survival is shorter due to more aggressive tumours and comorbidities associated with older age.
    MeSH term(s) Aged ; Aged, 80 and over ; Humans ; COVID-19 ; Octogenarians ; Pancreatic Neoplasms/pathology ; Pancreaticoduodenectomy/adverse effects ; Retrospective Studies ; Treatment Outcome ; Pancreatic Neoplasms
    Language English
    Publishing date 2023-08-02
    Publishing country Spain
    Document type Clinical Trial ; Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.10.018
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  5. Article ; Online: Whipple's cephalic pancreaticoduodenectomy versus pyloric-preserving pancreaticoduodenectomy. Retrospective study.

    Justo Alonso, Iago / Marcacuzco Quinto, Alberto / Caso Maestro, Oscar / Alonso Murillo, Laura / Rioja Conde, Paula / Fernández Fernández, Clara / Jiménez Romero, Carlos

    Cirugia espanola

    2024  

    Abstract: Introduction: Controversy exists in the literature as to the best technique for pancreaticoduodenectomy (PD), whether pyloric preservation (PP-CPD) or Whipple's technique (with antrectomy [W-CPD]), the former being associated with a higher frequency of ... ...

    Abstract Introduction: Controversy exists in the literature as to the best technique for pancreaticoduodenectomy (PD), whether pyloric preservation (PP-CPD) or Whipple's technique (with antrectomy [W-CPD]), the former being associated with a higher frequency of delayed gastric emptying (DGE).
    Methods: Retrospective and comparative study between PP-CPD technique (n = 124 patients) and W-CPD technique (n = 126 patients), in patients who were operated for tumors of the pancreatic head and periampullary region between the period 2012 and 2023.
    Results: Surgical time was longer, although not significant, with the W-CPD technique. Pancreatic and peripancreatic tumor invasion (p = 0.031) and number of lymph nodes resected (p < 0.0001) reached statistical significance in W-CPD, although there was no significant difference between the groups in terms of lymph node tumor invasion. Regarding postoperative morbimortality (medical complications, postoperative pancreatic fistula [POPF], hemorrhage, RVG, re-interventions, in-hospital mortality, Clavien-Dindo complications), ICU and hospital stay, no statistically significant differences were observed between the groups. During follow-up, no significant differences were observed between the groups for morbidity and mortality at 90 days and survival at 1, 3 and 5 years. Binary logistic regression analysis for DGE showed that binary relevant POPF grade B/C was a significant risk factor for DGE.
    Conclusions: Postoperative morbidity and mortality and long-term survival were not significantly different with PP-CPD and W-CPD, but POPF grade B/C was a risk factor for DGE grade C.
    Language English
    Publishing date 2024-03-15
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2024.02.007
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  6. Article: Capsule endoscopy diagnosis of gastrointestinal melanoma.

    Fernández Noël, Silvia / García Picazo, Alberto / Gutiérrez de Prado, Julia / Otero Torrón, Blanca / Jara Casas, Diego / Garfia Castillo, Cristina / Caso Maestro, Óscar / Jiménez Romero, Carlos

    Revista espanola de enfermedades digestivas

    2023  Volume 115, Issue 12, Page(s) 750–751

    Abstract: Melanoma is a cancer that frequently metastasises to the small bowel, but most cases are asymptomatic and are diagnosed postmortem. Therefore, CT and PET CT cannot detect all lesions and conventional endoscopic study only detects 10-20% of lesions. In ... ...

    Abstract Melanoma is a cancer that frequently metastasises to the small bowel, but most cases are asymptomatic and are diagnosed postmortem. Therefore, CT and PET CT cannot detect all lesions and conventional endoscopic study only detects 10-20% of lesions. In this study, we present the case of a 68-year-old patient with a history of cutaneous melanoma and a diagnosis of intestinal melanoma. Thanks to capsule endoscopy, two lesions compatible with cutaneous melanoma metastasis to the small bowel were detected, allowing a much more effective surgical planning. Capsule endoscopy is an innovative technique that improves preoperative diagnosis, as it is able to detect bowel segments that cannot be inspected by conventional endoscopy. It also has a better resolution than conventional CT, improving sensitivity in the detection of lesions.
    MeSH term(s) Humans ; Aged ; Melanoma/diagnostic imaging ; Melanoma/pathology ; Capsule Endoscopy/methods ; Skin Neoplasms/pathology ; Endoscopy, Gastrointestinal ; Intestine, Small/pathology ; Intestinal Neoplasms/diagnostic imaging ; Intestinal Neoplasms/surgery ; Gastrointestinal Hemorrhage/pathology
    Language English
    Publishing date 2023-08-03
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2023.9803/2023
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    Zs.B 199: Show issues Location:
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  7. Article ; Online: "Long-term follow-up of liver transplantation in incidental intrahepatic cholangiocarcinoma and mixed hepatocellular-cholangiocarcinoma".

    Garcia-Moreno, Virginia / Justo-Alonso, Iago / Fernandez-Fernandez, Clara / Rivas-Duarte, Cristina / Aranda-Romero, Beatriz / Loinaz-Segurola, Carmelo / Jimenez-Romero, Carlos / Caso-Maestro, Óscar

    Cirugia espanola

    2023  Volume 101, Issue 9, Page(s) 624–631

    Abstract: Introduction: The standard treatment for intrahepatic cholangiocarcinoma (iCCA) and mixed hepatocellular-cholangiocarcinoma (HCC-CC) is surgical resection, nevertheless, recent studies show adequate survival rates in selected patients with iCCA or HCC- ... ...

    Abstract Introduction: The standard treatment for intrahepatic cholangiocarcinoma (iCCA) and mixed hepatocellular-cholangiocarcinoma (HCC-CC) is surgical resection, nevertheless, recent studies show adequate survival rates in selected patients with iCCA or HCC-CC undergoing liver transplantation (LT).
    Methods: A retrospective cohort study was design including all patients undergoing LT at our center between January, 2006 and December, 2019 with incidentally diagnosed iCCA or HCC-CC after pathological examination of the explanted liver (n = 13).
    Results: There were no iCCA or HCC-CC recurrences during the follow-up, and hence, there were no tumor related deaths. Global and disease-free survival were the same. The 1, 3 and 5-years patient survival were 92.3%, 76.9% and 76.9%, respectively. Survival rates in the "early-stage tumor group" at 1, 3 and 5 years were 100%, 83.3% and 83.3%, respectively, with no significant differences as compared to the "advanced-stage tumors group". No statistically significant differences in terms of 5-year survival were found when comparing tumor histology (85.7% for iCCA and 66.7% for HCC-CC).
    Conclusions: These results suggest that LT could be an option in patients with chronic liver disease who develop an iCCA or HCC-CC, even in highly selected advanced tumors, but we must be cautious when analyzing these results because of the small sample size of the series and its retrospective nature.
    MeSH term(s) Humans ; Carcinoma, Hepatocellular/surgery ; Carcinoma, Hepatocellular/pathology ; Retrospective Studies ; Follow-Up Studies ; Liver Neoplasms/surgery ; Liver Neoplasms/pathology ; Liver Transplantation/methods ; Treatment Outcome ; Bile Duct Neoplasms/diagnosis ; Cholangiocarcinoma/surgery ; Bile Ducts, Intrahepatic/pathology
    Language English
    Publishing date 2023-04-28
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2023.04.010
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  8. Article: Post-transplant biliary complications using liver grafts from deceased donors older than 70 years: Retrospective case-control study.

    Jimenez-Romero, Carlos / Justo-Alonso, Iago / Del Pozo-Elso, Pilar / Marcacuzco-Quinto, Alberto / Martín-Arriscado-Arroba, Cristina / Manrique-Municio, Alejandro / Calvo-Pulido, Jorge / García-Sesma, Alvaro / San Román, Ricardo / Caso-Maestro, Oscar

    World journal of gastrointestinal surgery

    2023  Volume 15, Issue 8, Page(s) 1615–1628

    Abstract: Background: The shortage of liver grafts and subsequent waitlist mortality led us to expand the donor pool using liver grafts from older donors.: Aim: To determine the incidence, outcomes, and risk factors for biliary complications (BC) in liver ... ...

    Abstract Background: The shortage of liver grafts and subsequent waitlist mortality led us to expand the donor pool using liver grafts from older donors.
    Aim: To determine the incidence, outcomes, and risk factors for biliary complications (BC) in liver transplantation (LT) using liver grafts from donors aged > 70 years.
    Methods: Between January 1994 and December 31, 2019, 297 LTs were performed using donors older than 70 years. After excluding 47 LT for several reasons, we divided 250 LTs into two groups, namely post-LT BC (
    Results: Choledocho-choledochostomy without T-tube was the most frequent technique (76.2% in the BC group
    Conclusion: The incidence of BC was relatively low on using liver grafts > 70 years. It could be managed in most cases by percutaneous dilation or Roux-en-Y hepaticojejunostomy, without significant differences in the patient or graft survival between the groups.
    Language English
    Publishing date 2023-09-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2573700-4
    ISSN 1948-9366
    ISSN 1948-9366
    DOI 10.4240/wjgs.v15.i8.1615
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  9. Article ; Online: Expanding donor age in liver transplantation using liver grafts from nonagenarian donors.

    Caso Maestro, Oscar / Justo Alonso, Iago / Marcacuzco Quinto, Alberto / Manrique Municio, Alejandro / Calvo Pulido, Jorge / García-Sesma, Alvaro / Jiménez-Romero, Carlos

    Clinical transplantation

    2022  Volume 36, Issue 7, Page(s) e14684

    Abstract: Introduction: Satisfactory outcomes in a series of liver transplantations (LT) with octogenarian liver grafts have been reported, as well as several cases of LT using nonagenarian liver grafts with short follow-up.: Methods: From October 2013 to ... ...

    Abstract Introduction: Satisfactory outcomes in a series of liver transplantations (LT) with octogenarian liver grafts have been reported, as well as several cases of LT using nonagenarian liver grafts with short follow-up.
    Methods: From October 2013 to December 2019, we performed 426 LT. Six LTs used nonagenarian livers (case group) and 49 used octogenarian livers (control group). A comparative analysis was performed between groups. Median donor age was significantly higher in the nonagenarian group than in the octogenarian group (90.6 years versus 83.4 years; (P < .001). There was a significant difference in LT indications (P = .026) between the groups, but not in perioperative recipient variables, morbidity, or mortality. The 1-, 3-, and 5-year patient survival rates were 67.7% in the recipients of nonagenarian livers and 85.7%, 78.0%, and 74.4%, respectively, in the recipients of octogenarian livers (P = .631). The 1-, 3-, and 5-year graft survival rates were 66.7% in the recipients of nonagenarian livers and 81.3%, 73.8%, and 70.3%, respectively, in the recipients of octogenarian livers (P = .745).
    Conclusions: The results of LT with nonagenarian liver grafts are not significantly different from those obtained with octogenarian donors, taking into consideration the small sample size and careful selection of donors and adequate donor-recipient matching.
    MeSH term(s) Age Factors ; Aged, 80 and over ; Graft Survival ; Humans ; Liver ; Liver Transplantation ; Nonagenarians ; Retrospective Studies ; Tissue Donors ; Treatment Outcome
    Language English
    Publishing date 2022-05-07
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 639001-8
    ISSN 1399-0012 ; 0902-0063
    ISSN (online) 1399-0012
    ISSN 0902-0063
    DOI 10.1111/ctr.14684
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    Zs.A 2204: Show issues Location:
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  10. Article ; Online: Step-by-step total pelviperitonectomy with modified posterior pelvic exenteration.

    Tejerizo-Garcia, Alvaro / Olloqui, Alejandro / Lopez, Gregorio / Alvarez-Conejo, Carmen / Caso-Maestro, Oscar / Diez, Alvaro

    International journal of gynecological cancer : official journal of the International Gynecological Cancer Society

    2020  Volume 30, Issue 4, Page(s) 558

    MeSH term(s) Cytoreduction Surgical Procedures/methods ; Female ; Humans ; Middle Aged ; Ovarian Neoplasms/surgery ; Ovariectomy/methods ; Pelvic Exenteration/methods ; Peritoneum/surgery
    Language English
    Publishing date 2020-01-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 1070385-8
    ISSN 1525-1438 ; 1048-891X
    ISSN (online) 1525-1438
    ISSN 1048-891X
    DOI 10.1136/ijgc-2019-000984
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