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  1. Article ; Online: Assesment, impact and management of moderate and severe duodenopancreatectomy complications.

    Pastor-Peinado, Paula / Ocaña, Juan / Lobo, Eduardo / Fernández-Cebrían, José María / Sanjuanbenito, Alfonso

    Cirugia espanola

    2022  Volume 100, Issue 5, Page(s) 314–316

    MeSH term(s) Humans ; Pancreatectomy ; Pancreatic Neoplasms/surgery ; Pancreaticoduodenectomy/adverse effects
    Language English
    Publishing date 2022-04-25
    Publishing country Spain
    Document type Case Reports
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2021.04.025
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  2. Article ; Online: Anterograde intraoperative pancreatic stent placement and round ligament patch to prevent pancreatic fistula after distal pancreatectomy.

    Ocaña, Juan / Sanjuanbenito, Alfonso / Lobo, Eduardo / Fernández-Cebrián, José María

    Cirugia espanola

    2020  Volume 99, Issue 5, Page(s) 374–378

    Abstract: Postoperative pancreatic fistula in distal pancreatectomy is one of the most important complications in this surgery and it is associated with high morbidity and mortality. Pancreatic fistula after distal pancreatectomy remains an unsolved problem and ... ...

    Title translation Colocación intraoperatoria anterógrada de stent pancreático y plastia de ligamento redondo para prevenir la fístula pancreática tras la pancreatectomía distal.
    Abstract Postoperative pancreatic fistula in distal pancreatectomy is one of the most important complications in this surgery and it is associated with high morbidity and mortality. Pancreatic fistula after distal pancreatectomy remains an unsolved problem and none preventive procedure has been shown effectively. We present a new technique that combine pancreatic stent placement with round ligament autologous patch over pancreatic edge. A guide is introduced through Wirsung duct prior to stent placement. After stent assessment, Wirsung duct is closed. Finally, falciform ligament autologous patch is placed over pancreatic edge. After 6-8 weeks, the stent is removed by oral endoscopy. This technique introduces a new issue on the pancreatic fistula prevention.
    Language Spanish
    Publishing date 2020-12-30
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2020.11.016
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  3. Article ; Online: Assesment, impact and management of moderate and severe duodenopancreatectomy complications.

    Pastor-Peinado, Paula / Ocaña, Juan / Lobo, Eduardo / Fernández-Cebrían, José María / Sanjuanbenito, Alfonso

    Cirugia espanola

    2021  

    Title translation Análisis, impacto y manejo de las complicaciones moderadas y graves asociadas a la duodenopancreatectomía cefálica.
    Language Spanish
    Publishing date 2021-05-31
    Publishing country Spain
    Document type Case Reports
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2021.04.026
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  4. 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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  5. Article ; Online: Morgagni Hernia Repair in Adults: A Single-Center Experience in Spanish Population.

    Santana Valenciano, Ángela / Priego Jiménez, Pablo / Vaello Jodra, Víctor / Galindo Álvarez, Julio / Fernández Cebrián, José María

    Journal of laparoendoscopic & advanced surgical techniques. Part A

    2022  Volume 32, Issue 11, Page(s) 1161–1163

    Abstract: Introduction: ...

    Abstract Introduction:
    MeSH term(s) Adult ; Humans ; Female ; Middle Aged ; Aged ; Aged, 80 and over ; Male ; Herniorrhaphy/methods ; Hernias, Diaphragmatic, Congenital/surgery ; Laparoscopy/methods ; Laparotomy/methods ; Retrospective Studies ; Surgical Mesh
    Language English
    Publishing date 2022-07-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1381909-4
    ISSN 1557-9034 ; 1092-6429
    ISSN (online) 1557-9034
    ISSN 1092-6429
    DOI 10.1089/lap.2022.0331
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3246: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Fournier's gangrene and fecal diversion. When, in which patients, and what type should I perform?

    Ortega Ferrete, Ana / López, Enrique / Juez Sáez, Luz Divina / García-Pérez, Juan Carlos / Ocaña, Juan / Ballestero, Araceli / Fernández-Cebrián, Jose María / Die Trill, Javier

    Langenbeck's archives of surgery

    2023  Volume 408, Issue 1, Page(s) 428

    Abstract: Introduction: Fournier's gangrene (FG) is a necrotizing fasciitis affecting the perineum and urogenital tissue. The mortality rate is high although early detection and aggressive debridement can reduce mortality by up to 16%. The prevalence of sequelae ... ...

    Abstract Introduction: Fournier's gangrene (FG) is a necrotizing fasciitis affecting the perineum and urogenital tissue. The mortality rate is high although early detection and aggressive debridement can reduce mortality by up to 16%. The prevalence of sequelae is very high and a colostomy is often necessary to control the perineal wound.
    Material and methods: A retrospective study was carried out to recruit all patients operated on by the General Surgery and Urology Departments with a diagnosis of GF at the University Hospital over 22 years. Mortality, the Fournier gangrene severity index (FGSI), and fecal diversion (either surgical (colostomy) or straight (Flexi-seal)) are collected.
    Results: A total of 149 patients met the inclusion criteria. FG's most frequent cause was a perianal abscess (107 patients-72%). Eighteen patients (12%) died of a specific cause of FG. Age (p = 0.014) and patients with an oncological history (p = 0.038) both were the only mortality risk factors for mortality according to logistic regression. Fifty patients required some form of fecal diversion in the postoperative period (32 colostomies and 18 Flexi-seal). Neither the use of postoperative fecal diversion (surgical or Flexi-seal) nor the timing of its use had any effect on postoperative mortality.
    Conclusions: One in eight patients died in the immediate postoperative period secondary to FG. Despite improved outcomes, 22% required a colostomy during admission. However, neither the performance of a colostomy nor the timing was associated with decreased FG-associated mortality. Non-invasive methods should be used first and surgical bowel diversion should be postponed as long as possible.
    MeSH term(s) Male ; Humans ; Fournier Gangrene/diagnosis ; Fournier Gangrene/etiology ; Fournier Gangrene/surgery ; Retrospective Studies ; Perineum ; Anus Diseases/complications ; Colostomy/adverse effects ; Debridement/adverse effects
    Language English
    Publishing date 2023-11-06
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1423681-3
    ISSN 1435-2451 ; 1435-2443
    ISSN (online) 1435-2451
    ISSN 1435-2443
    DOI 10.1007/s00423-023-03137-3
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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.10: Show issues Location:
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  7. 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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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.10: Show issues Location:
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  8. 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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  9. 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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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.57/10: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  10. Article ; Online: Choledochal cysts surgical management: Retrospective and historical comparative analysis.

    Pastor, Paula / Ocaña, Juan / González, Alberto / Nuñez, Jordi / García, Alba / García, Juan Carlos / Fernández-Cebrián, José María / Nuño, Javier

    Cirugia espanola

    2021  

    Abstract: Introduction: Choledochal cysts are rare bile duct dilatations, which have higher prevalence in Asian population. The aim of the study was to analyze clinical and surgical results about biliary cysts management. In addition, a comparative historical ... ...

    Title translation Manejo quirúrgico de los quistes de colédoco: análisis retrospectivo y comparativa histórica.
    Abstract Introduction: Choledochal cysts are rare bile duct dilatations, which have higher prevalence in Asian population. The aim of the study was to analyze clinical and surgical results about biliary cysts management. In addition, a comparative historical analysis was performed.
    Methods: Patients who underwent surgery between January 1988 and December 2019 in a single tertiary level center were retrospectively included. Demographic and clinical patient data; cyst types; diagnostic methods and surgical technique were analyzed, as well as short and long-term follow-up complications. A comparative descriptive study focus on the main historical series was also carried out.
    Results: A total of seventeen patients were identified; 58.8% were men. The mean age at diagnosis was 39.9 years (SD: 20.54). The median follow-up was 5 years (IQR 1-15). The most frequent cysts were tipe I (41.2%). Abdominal pain was the most common presenting symptom (58.8%). Cystic excision with bilio-enteric anastomosis was the main procedure, it was underwent in 85, 7% type I cysts. 29.4% postoperative complications were recorded. Malignancy was not documented in any pathology specimen.
    Conclusions: Choledochal cysts are an uncommon disorder whose diagnosis requires a high level of suspicion. Surgical treatment depends on type of cyst. In most patients with choledochal cysts disease, complete cyst excision with bilio-enteric anastomotic reconstruction is the treatment of choice.
    Language Spanish
    Publishing date 2021-03-10
    Publishing country Spain
    Document type Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.ciresp.2020.10.003
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