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  1. Article: Central pancreatectomy for the treatment of a benign pancreatic lesion. Case report and literature review.

    Domínguez Sánchez, Iván / Gómez Sanz, Ramón / Vieiro Medina, María Victoria / Galán Martín, Mónica / de la Cruz Vigo, Felipe

    Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

    2017  Volume 109, Issue 3, Page(s) 225–228

    Abstract: We present the case of a 45 year old female patient with an incidental diagnosis of a cystic pancreatic lesion corresponding to a serous cystadenoma of 14 mm. During a 5-year follow-up (CT and MRT) the lesion tripled in size and a surgical intervention ... ...

    Abstract We present the case of a 45 year old female patient with an incidental diagnosis of a cystic pancreatic lesion corresponding to a serous cystadenoma of 14 mm. During a 5-year follow-up (CT and MRT) the lesion tripled in size and a surgical intervention was decided upon. The lesion was thought to have a benign pathology and, in an attempt to preserve the spleen and a major portion of pancreatic tissue, a central pancreatectomy with a diversion of the remaining distal pancreas was carried out. The authors reviewed national and international publications.
    Language English
    Publishing date 2017-03
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2017.4291/2016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Multicentre cohort study of acute cholecystitis management during the COVID-19 pandemic.

    Martínez Caballero, Javier / González González, Lucía / Rodríguez Cuéllar, Elías / Ferrero Herrero, Eduardo / Pérez Algar, Cristina / Vaello Jodra, Victor / Pérez Díaz, María Dolores / Dziakova, Jana / San Román Romanillos, Rosario / Di Martino, Marcello / de la Hoz Rodríguez, Ángela / Galán Martín, Mónica / Sánchez López, Daniel / García Virosta, Mariana / de la Fuente Bartolomé, Marta / Pardo de Lama, María de Mar / Gutiérrez Samaniego, María / Díaz Pérez, David / Alias Jiménez, David /
    de Nicolás Navas, Luis / Pérez Alegre, Juan José / García-Quijada García, Javier / Guevara-Martínez, Jenny / Villadoniga, Arantxa / Martínez Fernández, Roberto

    European journal of trauma and emergency surgery : official publication of the European Trauma Society

    2021  Volume 47, Issue 3, Page(s) 683–692

    Abstract: Purpose: To analyse acute cholecystitis (AC) management during the first pandemic outbreak after the recommendations given by the surgical societies estimating: morbidity, length of hospital stay, mortality and hospital-acquired SARS-CoV-2 infection ... ...

    Abstract Purpose: To analyse acute cholecystitis (AC) management during the first pandemic outbreak after the recommendations given by the surgical societies estimating: morbidity, length of hospital stay, mortality and hospital-acquired SARS-CoV-2 infection rate.
    Methods: Multicentre-combined (retrospective-prospective) cohort study with AC patients in the Community of Madrid between 1st March and 30th May 2020. 257 AC patients were involved in 16 public hospital. Multivariant binomial logistic regression (MBLR) was applied to mortality.
    Results: Of COVID-19 patients, 30 were diagnosed at admission and 12 patients were diagnosed during de admission or 30 days after discharge. In non-COVID-19 patients, antibiotic therapy was received in 61.3% of grade I AC and 40.6% of grade II AC. 52.4% of grade III AC were treated with percutaneous drainage (PD). Median hospital stay was 5 [3-8] days, which was higher in the non-surgical treatment group with 7.51 days (p < 0.001) and a 3.25% of mortality rate (p < 0.21). 93.3% of patients with SARS-CoV-2 infection at admission were treated with non-surgical treatment (p = 0.03), median hospital stay was 11.0 [7.5-27.5] days (p < 0.001) with a 7.5% of mortality rate (p > 0.05). In patients with hospital-acquired SARS-CoV-2 infection, 91.7% of grade I-II AC were treated with non-surgical treatment (p = 0.037), with a median hospital stay of 16 [4-21] days and a 18.2% mortality rate (p > 0.05). Hospital-acquired infection risk when hospital stay is > 7 days is OR 4.7, CI 95% (1.3-16.6), p = 0.009. COVID-19 mortality rate was 11.9%, AC severity adjusted OR 5.64 (CI 95% 1.417-22.64). In MBLR analysis, age (OR 1.15, CI 95% 1.02-1.31), SARS-CoV-2 infection (OR 14.49, CI 95% 1.33-157.81), conservative treatment failure (OR 8.2, CI 95% 1.34-50.49) and AC severity were associated with an increased odd of mortality.
    Conclusion: In our population, during COVID-19 pandemic, there was an increase of non-surgical treatment which was accompanied by an increase of conservative treatment failure, morbidity and hospital stay length which may have led to an increased risk hospital-acquired SARS-CoV-2 infection. Age, SARS-CoV-2 infection, AC severity and conservative treatment failure were mortality risk factors.
    MeSH term(s) Anti-Bacterial Agents/therapeutic use ; COVID-19/diagnosis ; COVID-19/mortality ; COVID-19/prevention & control ; Cholecystectomy/statistics & numerical data ; Cholecystitis, Acute/diagnosis ; Cholecystitis, Acute/epidemiology ; Cholecystitis, Acute/therapy ; Cohort Studies ; Comorbidity ; Conservative Treatment/methods ; Conservative Treatment/statistics & numerical data ; Cross Infection/epidemiology ; Cross Infection/virology ; Drainage/methods ; Drainage/statistics & numerical data ; Female ; Humans ; Infection Control/methods ; Infection Control/organization & administration ; Infection Control/standards ; Length of Stay/statistics & numerical data ; Male ; Middle Aged ; Outcome and Process Assessment, Health Care ; Risk Assessment ; SARS-CoV-2 ; Spain/epidemiology
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2021-03-19
    Publishing country Germany
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-021-01631-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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