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Article ; Online: Two-row, three-row or powered circular stapler, which to choose when performing colorectal anastomosis? A systematic review and meta-analysis.

Martín-Arévalo, José / Pla-Martí, Vicente / Huntley, Dixie / García-Botello, Stephanie / Pérez-Santiago, Leticia / Izquierdo-Moreno, A / Garzón-Hernández, L P / Garcés-Albir, M / Espí-Macías, A / Moro-Valdezate, David

International journal of colorectal disease

2024 Volume 39, Issue 1, Page(s) 51

Abstract: Purpose: Three types of circular staplers can be used to perform a colorectal anastomosis: two-row (MCS), three-row (TRCS) and powered (PCS) devices. The objective of this meta-analysis has been to provide the existing evidence on which of these ... ...

Abstract	Purpose: Three types of circular staplers can be used to perform a colorectal anastomosis: two-row (MCS), three-row (TRCS) and powered (PCS) devices. The objective of this meta-analysis has been to provide the existing evidence on which of these circular staplers would have a lower risk of presenting a leak (AL) and/or anastomotic bleeding (AB). Methods: An in-depth search was carried out in the electronic bibliographic databases Embase, PubMed and SCOPUS. Observational studies were included, since randomized clinical trials comparing circular staplers were not found. Results: In the case of AL, seven studies met the inclusion criteria in the PCS group and four in the TRCS group. In the case of AB, only four studies could be included in the analysis in the PCS group. The AL OR reported for PCS was 0.402 (95%-confidence interval (95%-CI): 0.266-0.608) and for AB: 0.2 (95% CI: 0.08-0.52). The OR obtained for AL in TRCS was 0.446 (95%-CI: 0.217 to 0.916). Risk difference for AL in PCS was - 0.06 (95% CI: - 0.07 to - 0.04) and in TRCS was - 0.04 (95%-CI: - 0.08 to - 0.01). Subgroup analysis did not report significant differences between groups. On the other hand, the AB OR obtained for PCS was 0.2 (95% CI: 0.08-0.52). In this case, no significant differences were observed in subgroup analysis. Conclusion: PCS presented a significantly lower risk of leakage and anastomotic bleeding while TRCS only demonstrated a risk reduction in AL. Risk difference of AL was superior in the PCS than in TRCS.
MeSH term(s)	Humans ; Anastomosis, Surgical/methods ; Colorectal Neoplasms ; Surgical Staplers
Language	English
Publishing date	2024-04-12
Publishing country	Germany
Document type	Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID	84975-3
ISSN	1432-1262 ; 0179-1958
ISSN (online)	1432-1262
ISSN	0179-1958
DOI	10.1007/s00384-024-04625-8
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Article ; Online: Two-stage synchronous laparoscopic surgery for colorectal liver metastasis-a video vignette.

Garcés-Albir, Marina / Pérez-Santiago, Leticia / Pla-Martí, Vicente / Muñoz-Forner, Elena / Martín-Arévalo, José / Dorcaratto, Dimitri

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

2024

Language	English
Publishing date	2024-03-29
Publishing country	England
Document type	Letter
ZDB-ID	1440017-0
ISSN	1463-1318 ; 1462-8910
ISSN (online)	1463-1318
ISSN	1462-8910
DOI	10.1111/codi.16961
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Zs.A 5799: Show issues

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Article ; Online: What does preoperative three-dimensional image contribute to complex pancreatic surgery?

Garcés-Albir, Marina / Muñoz-Forner, Elena / Dorcaratto, Dimitri / Sabater, Luis

Cirugia espanola

2021 Volume 99, Issue 8, Page(s) 602–607

Abstract: The possibility of modelling diagnostic images in three dimensions (3D) in pancreatic surgery is a novelty that provides us multiple advantages. A better visualization of the structures allows us a more accurate planning of the surgical technique and ... ...

Abstract	The possibility of modelling diagnostic images in three dimensions (3D) in pancreatic surgery is a novelty that provides us multiple advantages. A better visualization of the structures allows us a more accurate planning of the surgical technique and makes it easier the surgery in complex cases. We present the case study of a borderline pancreatic head adenocarcinoma patient to illustrate the advantages of 3D modelling in complex pancreatic surgery. The help of 3D technology allowed us to optimally plan the intervention and facilitate surgical resection. The use of this tool could translate into: shorter operative time, fewer intraoperative complications or an increase in R0 resections. The usability of the program used in our case, agile and intuitive, was an added advantage.
MeSH term(s)	Adenocarcinoma/diagnostic imaging ; Digestive System Surgical Procedures ; Humans ; Imaging, Three-Dimensional ; Pancreas/diagnostic imaging ; Pancreatic Neoplasms/diagnostic imaging
Language	English
Publishing date	2021-08-12
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2021.07.011
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Article ; Online: What does preoperative three-dimensional image contribute to complex pancreatic surgery?

Garcés-Albir, Marina / Muñoz-Forner, Elena / Dorcaratto, Dimitri / Sabater, Luis

Cirugia espanola

2021

Title translation	¿Qué aporta la imagen tridimensional preoperatoria en la cirugía pancreática compleja?
Abstract	The possibility of modelling diagnostic images in three dimensions (3D) in pancreatic surgery is a novelty that provides us multiple advantages. A better visualization of the structures allows us a more accurate planning of the surgical technique and makes it easier the surgery in complex cases. We present the case study of a borderline pancreatic head adenocarcinoma patient to illustrate the advantages of 3D modelling in complex pancreatic surgery. The help of 3D technology allowed us to optimally plan the intervention and facilitate surgical resection. The use of this tool could translate into: shorter operative time, fewer intraoperative complications or an increase in R0 resections. The usability of the program used in our case, agile and intuitive, was an added advantage.
Language	Spanish
Publishing date	2021-01-27
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.ciresp.2020.11.021
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Article ; Online: When laparoscopic repair is feasible for diaphragmatic hernia in adults? A retrospective study and literature review.

Fernández-Moreno, María-Carmen / Barrios Carvajal, María-Eugenia / López Mozos, Fernando / Garcés Albir, Marina / Martí Obiol, Roberto / Ortega, Joaquín

Surgical endoscopy

2021 Volume 36, Issue 5, Page(s) 3347–3355

Abstract: Background: Diaphragmatic hernia (DH), congenital or traumatic, is uncommon but sometimes can lead to a serious surgical emergency. There are no clinical guidelines or approved recommendations for the management of this condition, and most data are from ...

Abstract	Background: Diaphragmatic hernia (DH), congenital or traumatic, is uncommon but sometimes can lead to a serious surgical emergency. There are no clinical guidelines or approved recommendations for the management of this condition, and most data are from retrospective, single-institution series. The aim is to analyze the management of the DH at our institution and review the indications for laparoscopic repair. Methods: A retrospective serie of patients diagnosed of DH with surgical treatment at our institution between 2009 and 2019. Literature review was carried out to establish the current indications of laparoscopic repair in each type of DH. Results: Surgery was carried out in 15 patients with DH, 5 congenital and 10 traumatic hernias. Traumatic hernias were classified as acute (n = 2) and chronic (n = 8). 53.4% of all cases (8 patients) required urgent surgery using an abdominal approach (5 open and 3 laparoscopic) and elective surgery was performed in 46.6% of all cases (7 patients) with an abdominal approach (3 open and 4 laparoscopic) and 2 patients with a combined approach. Primary repair was performed in 4 patients (26.6%), closure and mesh reinforcement in 9 cases (60%) and only mesh placement in 2 patients (13.4%). Postoperative morbidity and mortality were 20% and 0%, respectively. No recurrences were detected. Conclusions: DH may pose different scenarios which require urgent or elective surgical treatment. Laparoscopic approach may be a first option in elective surgery; and in emergency setting taking into account hemodynamic stability and associated injuries.
MeSH term(s)	Adult ; Hernia, Diaphragmatic, Traumatic/surgery ; Hernias, Diaphragmatic, Congenital/surgery ; Herniorrhaphy/methods ; Humans ; Laparoscopy ; Retrospective Studies ; Surgical Mesh
Language	English
Publishing date	2021-07-26
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-021-08651-3
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Zs.A 2214: Show issues

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Article ; Online: Short- and long-term outcomes after distal pancreatectomy with radiologic infiltration of splenic vessels for pancreatic ductal adenocarcinoma.

Blanco-Fernández, Gerardo / Serradilla-Martín, Mario / Rotellar, Fernando / Latorre, Raquel / Jaén-Torrejimeno, Isabel / Muñoz-Forner, Elena / Villodre, Celia / Carabias-Hernández, Alberto / Kälviäinen-Mejía, Helga K / Gordillo, Sara Esteban / de la Plaza, Roberto / Armas-Conde, Noelia De / Garcés-Albir, Marina / Morote, Silvia Carbonell / Manuel-Vázquez, Alba / Serrablo, Alejandro / Pardo, Fernando / Sabater, Luis / Muñoz, María Paloma Sanz /

Ramia, Jose M

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

2024 Volume 28, Issue 4, Page(s) 467–473

Abstract: Background: The effect of radiologic splenic vessels involvement (RSVI) on the survival of patients with pancreatic adenocarcinoma (PAC) located in the body and tail of the pancreas is controversial, and its influence on postoperative morbidity after ... ...

Abstract	Background: The effect of radiologic splenic vessels involvement (RSVI) on the survival of patients with pancreatic adenocarcinoma (PAC) located in the body and tail of the pancreas is controversial, and its influence on postoperative morbidity after distal pancreatectomy (DP) is unknown. This study aimed to determine the influence of RSVI on postoperative complications, overall survival (OS), and disease-free survival (DFS) in patients undergoing DP for PAC. Methods: A multicenter retrospective study of DP was conducted at 7 hepatopancreatobiliary units between January 2008 and December 2018. Patients were classified according to the presence of RSVI. A Clavien-Dindo grade of >II was considered to represent a major complication. Results: A total of 95 patients were included in the analysis. Moreover, 47 patients had vascular infiltration: 4 had arterial involvement, 10 had venous involvement, and 33 had both arterial and venous involvements. The rates of major complications were 20.8% in patients without RSVI, 40.0% in those with venous RSVI, 25.0% in those with arterial RSVI, and 30.3% in those with both arterial and venous RSVIs (P = .024). The DFS rates at 3 years were 56% in the group without RSVI, 50% in the group with arterial RSVI, and 16% in the group with both arterial and venous RSVIs (P = .003). The OS rates at 3 years were 66% in the group without RSVI, 50% in the group with arterial RSVI, and 29% in the group with both arterial and venous RSVIs (P < .0001). Conclusion: RSVI increased the major complication rates after DP and reduced the OS and DFS. Therefore, it may be a useful prognostic marker in patients with PAC scheduled to undergo DP and may help to select patients likely to benefit from neoadjuvant treatment.
MeSH term(s)	Humans ; Pancreatic Neoplasms/diagnostic imaging ; Pancreatic Neoplasms/surgery ; Pancreatectomy/adverse effects ; Retrospective Studies ; Adenocarcinoma/diagnostic imaging ; Adenocarcinoma/surgery ; Carcinoma, Pancreatic Ductal/diagnostic imaging ; Carcinoma, Pancreatic Ductal/surgery ; Postoperative Complications/etiology
Language	English
Publishing date	2024-01-23
Publishing country	Netherlands
Document type	Multicenter Study ; Journal Article
ZDB-ID	2012365-6
ISSN	1873-4626 ; 1934-3213 ; 1091-255X
ISSN (online)	1873-4626 ; 1934-3213
ISSN	1091-255X
DOI	10.1016/j.gassur.2024.01.018
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Zs.A 5207: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 354: Show issues

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Article: Rectal advancement flaps for the treatment of transphincteric perianal fistulas: a three-dimensional endoanal ultrasound and quality of life assessment.

Garcés Albir, Marina / García-Botello, Stephanie Anne / Pla-Martí, Vicente / Martín-Arévalo, José / Moro-Valdezate, David / Espi, Alejandro / Ortega, Joaquín

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

2020 Volume 112, Issue 11, Page(s) 860–863

Abstract: This study quantifies the damage to the internal anal sphincter (IAS) after a rectal mucosal advancement flap for a high transphincteric fistula in 16 patients using 3D-endoanal ultrasound. This was correlated with postoperative incontinence and quality ... ...

Abstract	This study quantifies the damage to the internal anal sphincter (IAS) after a rectal mucosal advancement flap for a high transphincteric fistula in 16 patients using 3D-endoanal ultrasound. This was correlated with postoperative incontinence and quality of life scores. The median length of involved IAS preoperatively was 50 % (20-100) and 93.72 % for EAS (47.4-100 %). IAS division did not influence continence (p > 0.05). Continence deteriorated between the pre-, postoperative (p = 0.014) and six-month follow-up (p = 0.005), with no significant differences after one year (p > 0.05). The FIQOL score and SF-36 deteriorated initially, with recovery in all domains except for mental health after one year. Three fistulas recurred (18.75 %).
MeSH term(s)	Anal Canal/diagnostic imaging ; Anal Canal/surgery ; Fecal Incontinence/diagnostic imaging ; Fecal Incontinence/etiology ; Humans ; Quality of Life ; Rectal Fistula/diagnostic imaging ; Rectal Fistula/surgery ; Rectum ; Surgical Flaps ; Treatment Outcome
Language	English
Publishing date	2020-11-11
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.2020.7187/2020
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Article ; Online: The actual management of colorectal liver metastases.

Pérez-Santiago, Leticia / Dorcaratto, Dimitri / Garcés-Albir, Marina / Muñoz-Forner, Elena / Huerta Álvaro, Marisol / Roselló Keranën, Susana / Sabater, Luis

Minerva chirurgica

2020 Volume 75, Issue 5, Page(s) 328–344

Abstract: Colorectal cancer is one of the most frequent cancers in the world and between 50% and 60% of patients will develop colorectal liver metastases (CRLM) during the disease. There have been great improvements in the management of CRLM during the last ... ...

Abstract	Colorectal cancer is one of the most frequent cancers in the world and between 50% and 60% of patients will develop colorectal liver metastases (CRLM) during the disease. There have been great improvements in the management of CRLM during the last decades. The combination of modern chemotherapeutic and biological systemic treatments with aggressive surgical resection strategies is currently the base for the treatment of patients considered unresectable until few years ago. Furthermore, several new treatments for the local control of CRLM have been developed and are now part of the arsenal of multidisciplinary teams for the treatment of these complex patients. The aim of this review was to summarize and update the management of CRLM, its controversies and relevant evidence.
MeSH term(s)	Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Camptothecin/analogs & derivatives ; Camptothecin/therapeutic use ; Colorectal Neoplasms/pathology ; Electroporation/methods ; Fluorouracil/therapeutic use ; Hepatectomy/methods ; Hepatic Artery ; Humans ; Infusions, Intra-Arterial ; Leucovorin/therapeutic use ; Liver Neoplasms/secondary ; Liver Neoplasms/therapy ; Liver Transplantation ; Margins of Excision ; Microwaves/therapeutic use ; Organoplatinum Compounds/therapeutic use ; Prognosis ; Radiofrequency Ablation ; Reoperation
Chemical Substances	Organoplatinum Compounds ; Leucovorin (Q573I9DVLP) ; Fluorouracil (U3P01618RT) ; Camptothecin (XT3Z54Z28A)
Language	English
Publishing date	2020-08-06
Publishing country	Italy
Document type	Journal Article ; Review
ZDB-ID	123603-9
ISSN	1827-1626 ; 0026-4733
ISSN (online)	1827-1626
ISSN	0026-4733
DOI	10.23736/S0026-4733.20.08436-9
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Article ; Online: Impact of type and severity of postoperative complications on long-term outcomes after colorectal liver metastases resection.

Fernández-Moreno, María-Carmen / Dorcaratto, Dimitri / Garcés-Albir, Marina / Muñoz, Elena / Arvizu, Ricardo / Ortega, Joaquín / Sabater, Luis

Journal of surgical oncology

2020 Volume 122, Issue 2, Page(s) 212–225

Abstract: Background and objectives: Postoperative complications (POCs) after hepatic resection for colorectal liver metastases (CRLM) adversely affect long-term survival. The aim of this study was to analyze the effect of POC etiology and severity on overall ... ...

Abstract	Background and objectives: Postoperative complications (POCs) after hepatic resection for colorectal liver metastases (CRLM) adversely affect long-term survival. The aim of this study was to analyze the effect of POC etiology and severity on overall survival (OS) and disease-free survival (DFS). Methods: A retrospective study of 254 consecutive hepatectomies for CRLM was performed. Univariate and multivariate analyses were performed to determine the effects of demographic, tumor-related and perioperative variables on OS and DFS. A 1:1 propensity score matching (PSM) was then used to compare patients with different POC etiology: infective (Inf-POC), noninfective (Non-inf POC), and no-complications (No-POC). Results: Inf-POC, Non-inf POC, and No-POC patients represented 18.8%, 19.2%, and 62% of the sample, respectively. In univariate and multivariate analyses infectious POC were independent risk factors for decreased OS and DFS. After PSM, Inf-POC group presented decreased OS and DFS when compared with Non-inf POC (5-year OS 31.8% vs 51.6%; P = .05 and 5-year DFS 13.6% vs 31.9%; P = .04) and with No-POC (5-year OS 29.4% vs 58.7%; P = .03 and 5-year DFS 11.8% vs 39.7%; P = .03). There were no differences between Non-inf POC and No-POC patients. POC severity calculated using the Comprehensive Complications Index did not influence OS and DFS before and after PSM. Conclusion: The negative oncological impact of POCs after CRLM resection is determined by infective etiology not by severity.
MeSH term(s)	Aged ; Cohort Studies ; Colorectal Neoplasms/mortality ; Colorectal Neoplasms/pathology ; Colorectal Neoplasms/surgery ; Disease-Free Survival ; Female ; Hepatectomy/adverse effects ; Hepatectomy/mortality ; Humans ; Liver Neoplasms/mortality ; Liver Neoplasms/secondary ; Liver Neoplasms/surgery ; Male ; Middle Aged ; Postoperative Complications/etiology ; Postoperative Complications/mortality ; Postoperative Complications/pathology ; Propensity Score ; Retrospective Studies ; Spain/epidemiology ; Survival Rate
Language	English
Publishing date	2020-04-26
Publishing country	United States
Document type	Journal Article ; Observational Study
ZDB-ID	82063-5
ISSN	1096-9098 ; 0022-4790
ISSN (online)	1096-9098
ISSN	0022-4790
DOI	10.1002/jso.25946
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Article ; Online: Propensity score analysis of postoperative and oncological outcomes after surgical treatment for splenic flexure colon cancer.

Martín Arévalo, J / Moro-Valdezate, D / García-Botello, S A / Pla-Martí, V / Garcés-Albir, M / Pérez Santiago, L / Vargas-Durán, A / Espí-Macías, A

International journal of colorectal disease

2018 Volume 33, Issue 9, Page(s) 1201–1213

Abstract: Purpose: The surgical treatment of splenic flexure colon cancer (SFCC) is somehow not yet well standardized. Postoperative and oncological results of the three surgical techniques most commonly used to treat SFCC: extended right colectomy (ERC), ... ...

Abstract	Purpose: The surgical treatment of splenic flexure colon cancer (SFCC) is somehow not yet well standardized. Postoperative and oncological results of the three surgical techniques most commonly used to treat SFCC: extended right colectomy (ERC), egmental left colectomy (SLC), and left colectomy (LC) were evaluated. Methods: The study included all patients with stage I-III SFCC treated by ERC, SLC, or LC between 2005 and 2016. Postoperative and long-term outcomes after the different surgical techniques were analyzed: Propensity score matching (PSM) was performed to compare the outcomes between these surgical techniques and survival analyses were performed using the Kaplan-Meier method and log-rank tests. Results: A total of 170 SFCC patients were operated; ERC was performed in 71 (41.76%), SLC in 36 (21.18%), and LC in 63 (37.06%). There were no significant differences in the short and long-term postoperative outcomes. Three comparison groups were developed so that PSM could be performed between the surgical technique cases: ERC (n = 59) vs. LC (n = 50); ERC (n = 50) vs. SLC (n = 33); and SLC (n = 32) vs. LC (n = 44). No differences in the short or long-term outcomes of these techniques were observed. Conclusion: The short and long-term outcomes between ERC, SLC, and LC are similar. SLC should be considered oncologically as appropiate as the other more extensive resections.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Colectomy ; Colon, Transverse/surgery ; Colonic Neoplasms/surgery ; Female ; Humans ; Laparoscopy ; Male ; Middle Aged ; Postoperative Complications ; Propensity Score ; Treatment Outcome
Language	English
Publishing date	2018-05-29
Publishing country	Germany
Document type	Journal Article ; Observational Study
ZDB-ID	84975-3
ISSN	1432-1262 ; 0179-1958
ISSN (online)	1432-1262
ISSN	0179-1958
DOI	10.1007/s00384-018-3063-1
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