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Article ; Online: Individualised splenic hilum lymphadenectomy in gastric cancer: ICG-guided mapping.

Martínez-Núñez, Sara / Alarcón Del Agua, Isaías / Senent Boza, Ana / Morales-Conde, Salvador

Cirugia espanola

2022 Volume 100, Issue 3, Page(s) 173

MeSH term(s)	Gastrectomy ; Humans ; Lymph Node Excision ; Spleen/surgery ; Stomach Neoplasms/surgery
Language	English
Publishing date	2022-02-23
Publishing country	Spain
Document type	Journal Article ; Comment
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2022.02.007
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Article ; Online: Classification of GIST and other benign gastric tumors based on minimally invasive surgical strategy.

Morales-Conde, Salvador / Socas, María / Alarcón, Isaias / Senent-Boza, Ana / Domínguez Mezquita, Blanca / Balla, Andrea

Langenbeck's archives of surgery

2023 Volume 409, Issue 1, Page(s) 3

Abstract: Purpose: Gastrointestinal mesenchymal tumors (GMTs) include malignant, intermediate malignancy, and benign lesions. The aim is to propose a new surgical classification to guide the intraoperative minimally invasive surgical strategy in case of non- ... ...

Abstract	Purpose: Gastrointestinal mesenchymal tumors (GMTs) include malignant, intermediate malignancy, and benign lesions. The aim is to propose a new surgical classification to guide the intraoperative minimally invasive surgical strategy in case of non-malignant GMTs less than 5 cm. Methods: Primary endpoint is the creation of a classification regarding minimally invasive surgical technique for these tumors based on their gastric location. Secondary endpoint is to analyze the R0 rate and the postoperative morbidity and mortality rates. Tumors were classified in two groups based on their morphology (group A: exophytic, group B: transmural/intragastric). Each group is then divided based on the tumor location and consequently surgical technique used in subgroup: AI (whole stomach area) and AII (iuxta-cardial and pre-pyloric areas) both for the anterior and posterior gastric wall; BIa (greater curvature on the anterior and posterior wall), BIb (lesser curvature on the anterior wall); BII (iuxta-cardial and pre-pyloric area in the anterior and posterior wall, including the lesser curvature on the posterior wall). Results: Forty-two patients were classified and allocated in each subgroup: 17 in AI, 2 in AII, 5 in BIa, 3 in BIb, and 15 in BII. Two postoperative Clavien-Dindo I complications (4.8%, subgroup BIa and BIb) occurred. One patient (2.4%, subgroup AI) underwent reintervention due to R0 resection. Conclusions: This classification proved to be able to classify gastric lesions based on their morphology, location, and surgical treatment, obtaining encouraging perioperative results. Further studies with wider sample of patients are required to draw definitive conclusions.
MeSH term(s)	Humans ; Stomach Neoplasms/surgery ; Stomach Neoplasms/pathology ; Laparoscopy/methods ; Gastrointestinal Stromal Tumors/surgery ; Gastrointestinal Stromal Tumors/pathology ; Cardia ; Minimally Invasive Surgical Procedures ; Gastrectomy/methods ; Postoperative Complications/surgery ; Treatment Outcome
Language	English
Publishing date	2023-12-13
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/s00423-023-03203-w
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Article ; Online: Impact of tumor stage and neoadjuvant chemotherapy in fluorescence-guided lymphadenectomy during laparoscopic gastrectomy for gastric cancer: A propensity score-matched study in a western center.

Senent-Boza, Ana / García-Fernández, Noelia / Alarcón-Del Agua, Isaías / Socas-Macías, María / de Jesús-Gil, Ángela / Morales-Conde, Salvador

Surgery

2023 Volume 175, Issue 2, Page(s) 380–386

Abstract: Background: The use of indocyanine green fluorescence has been shown to be a safe and effective method for improving lymph node retrieval in patients with gastric cancer. However, previous studies have focused on early-stage tumors and/or the Asian ... ...

Abstract	Background: The use of indocyanine green fluorescence has been shown to be a safe and effective method for improving lymph node retrieval in patients with gastric cancer. However, previous studies have focused on early-stage tumors and/or the Asian population and excluded patients who received neoadjuvant treatment. Methods: In this study, 142 patients with gastric adenocarcinoma underwent laparoscopic gastrectomy at a Spanish hospital between January 2017 and December 2022. Of these, 42 patients received preoperative indocyanine green injection to guide lymphadenectomy. Their outcomes were compared to a retrospective cohort of 42 patients after 1:1 propensity score matching. Results: The feasibility of indocyanine green lymphatic mapping was 95.5%. No complications associated with indocyanine green injection were observed. The indocyanine green group had a significantly higher number of retrieved lymph nodes than the non-indocyanine green group (32.67 vs 25.14; P = .013). This statistically significant difference was maintained across subgroups of neoadjuvant treatment, non-obese patients, pT0 to 2 stage, and pN0 stage. In 47.6% of patients from the indocyanine green group, lymphadenectomy was extended outside the standard D2 dissection area based on indocyanine green uptake, but none of the retrieved lymph nodes were metastatic. There were no differences in postoperative complications and length of hospital stay between the 2 groups. Conclusion: Indocyanine green-guided lymphadenectomy is safe and feasible and increases the number of retrieved lymph nodes compared to conventional lymphatic dissection, as well as in patients receiving neoadjuvant chemotherapy. The use of indocyanine green should be routine if available for guiding lymph node dissection in gastric cancer, regardless of tumor stage or previous neoadjuvant treatment. However, further studies are needed to determine the impact of this technique on disease-free and overall survival.
MeSH term(s)	Humans ; Stomach Neoplasms/drug therapy ; Stomach Neoplasms/surgery ; Neoadjuvant Therapy ; Retrospective Studies ; Indocyanine Green ; Propensity Score ; Lymph Node Excision/methods ; Lymph Nodes/surgery ; Lymph Nodes/pathology ; Laparoscopy/methods ; Gastrectomy/methods
Chemical Substances	Indocyanine Green (IX6J1063HV)
Language	English
Publishing date	2023-11-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2023.10.032
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Article ; Online: Assessment of postoperative morbidity in Spanish hospitals: Results from a national survey.

de la Plaza Llamas, Roberto / Parés, David / Soria Aledó, Víctor / Cabezali Sánchez, Roger / Ruiz Marín, Miguel / Senent Boza, Ana / Romero Simó, Manuel / Alonso Hernández, Natalia / Vallverdú-Cartié, Helena / Mayol Martínez, Julio

Cirugia espanola

2024

Abstract: Background: The methodology used for recording, evaluating and reporting postoperative complications (PC) is unknown. The aim of the present study was to determine how PC are recorded, evaluated, and reported in General and Digestive Surgery Services ( ... ...

Abstract	Background: The methodology used for recording, evaluating and reporting postoperative complications (PC) is unknown. The aim of the present study was to determine how PC are recorded, evaluated, and reported in General and Digestive Surgery Services (GDSS) in Spain, and to assess their stance on morbidity audits. Methods: Using a cross-sectional study design, an anonymous survey of 50 questions was sent to all the heads of GDSS at hospitals in Spain. Results: The survey was answered by 67 out of 222 services (30.2%). These services have a reference population (RP) of 15 715 174 inhabitants, representing 33% of the Spanish population. Only 15 services reported being requested to supply data on morbidity by their hospital administrators. Eighteen GDSS, with a RP of 3 241 000 (20.6%) did not record PC. Among these, 7 were accredited for some area of training. Thirty-six GDSS (RP 8 753 174 (55.7%) did not provide details on all PC in patients' discharge reports. Twenty-four (37%) of the 65 GDSS that had started using a new surgical procedure/technique had not recorded PC in any way. Sixty-five GDSS were not concerned by the prospect of their results being audited, and 65 thought that a more comprehensive knowledge of PC would help them improve their results. Out of the 37 GDSS that reported publishing their results, 27 had consulted only one source of information: medical progress records in 11 cases, and discharge reports in 9. Conclusions: This study reflects serious deficiencies in the recording, evaluation and reporting of PC by GDSS in Spain.
Language	English
Publishing date	2024-04-12
Publishing country	Spain
Document type	Journal Article
ISSN	2173-5077
ISSN (online)	2173-5077
DOI	10.1016/j.cireng.2024.03.008
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Article ; Online: Individualised splenic hilum lymphadenectomy in gastric cancer: ICG-guided mapping.

Martínez-Núñez, Sara / Alarcón Del Agua, Isaías / Senent Boza, Ana / Morales-Conde, Salvador

Cirugia espanola

2021

Title translation	Individualización de la linfadenectomía del hilio esplénico en el cáncer gástrico: valor del mapeo por ICG.
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.2021.01.003
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Article ; Online: Complete mesocolon excision guided by indocyanine green for right colonic cancer.

Trujillo-Díaz, Jeancarlos J / Pérez-Corbal, Lara / Alarcón Del Agua, Isaías / Licardie Bolaños, Eugenio / Senent Boza, Ana / Morales-Conde, Salvador

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

2021 Volume 23, Issue 10, Page(s) 2779–2780

MeSH term(s)	Colectomy ; Colonic Neoplasms/surgery ; Humans ; Indocyanine Green ; Laparoscopy ; Lymph Node Excision ; Mesocolon/surgery
Chemical Substances	Indocyanine Green (IX6J1063HV)
Language	English
Publishing date	2021-07-24
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.15797
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Article ; Online: Cross-cultural adaptation, analysis of psychometric properties and validation of the Spanish version of a perioperative satisfaction questionnaire (EVAN-G).

Benítez-Linero, Inmaculada / Fernández-Castellano, Guiomar / Senent-Boza, Ana / Sánchez-Carrillo, Francisco / Docobo-Durantez, Fernando

Brazilian journal of anesthesiology (Elsevier)

2020 Volume 71, Issue 1, Page(s) 17–22

Abstract: Background: Patient satisfaction is a reliable and measurable indicator of the quality provided by a healthcare service. There are several questionnaires for measuring it, but only a few have shown good psychometric properties, an outstanding one being ... ...

Abstract	Background: Patient satisfaction is a reliable and measurable indicator of the quality provided by a healthcare service. There are several questionnaires for measuring it, but only a few have shown good psychometric properties, an outstanding one being the EVAN-G (Evaluation du Vécu de l'Anesthésie Générale) questionnaire, which measures patient satisfaction regarding perioperative care and is validated in French. The aim of this study is the validation of a Spanish version of the EVAN-G questionnaire. Methods: A translation/back-translation of the questionnaire into Spanish was carried out and the final version obtained was administered to three hundred patients. Its psychometric properties were measured and compared with those of the original EVAN-G questionnaire to verify that they had been maintained after the previous translation process. The questionnaire's content, construct and external validity were measured. To calculate reliability, Cronbach-α coefficient and test-retest method were used. The Global Satisfaction Index was calculated and satisfaction level in our sample was analyzed. Results: Content, construct and external validity were proven with similar results that in the original EVAN-G. The translated version of the questionnaire showed good reliability: Cronbach-α coefficient was 0.92 and intraclass correlation coefficient measured by test-retest method was 0.9. The acceptability was high. The average Global Satisfaction Index in our sample was 73±12. Conclusions: The translation into Spanish and cross-cultural adaptation of the EVAN-G questionnaire has proven its validity, reliability, and acceptability to measure patient satisfaction in interventions performed under general anesthesia.
MeSH term(s)	Cross-Cultural Comparison ; Humans ; Personal Satisfaction ; Psychometrics ; Reproducibility of Results ; Surveys and Questionnaires ; Translations
Language	English
Publishing date	2020-12-25
Publishing country	Brazil
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	2352-2291
ISSN (online)	2352-2291
DOI	10.1016/j.bjane.2020.07.011
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Article ; Online: Early implementation of protective measures defines surgical outcomes in the COVID-19 pandemic.

Senent-Boza, Ana / Benítez-Linero, Inmaculada / Tallón-Aguilar, Luis / Sánchez-Arteaga, Alejandro / Melero-Cortés, Lidia / Pareja-Ciuró, Felipe / Padillo-Ruiz, Javier

Surgery today

2020 Volume 50, Issue 9, Page(s) 1107–1112

Abstract: Quick implementation of specific protocols and protective measures in a tertiary hospital in Spain allowed for the early diagnosis and optimal management of patients with SARS-CoV-2 infection and proper protection of staff and inpatients. From the COVID- ... ...

Abstract	Quick implementation of specific protocols and protective measures in a tertiary hospital in Spain allowed for the early diagnosis and optimal management of patients with SARS-CoV-2 infection and proper protection of staff and inpatients. From the COVID-19 outbreak in this country until the time of writing, 14 patients in our hospital underwent surgery with COVID-19, or COVID-19 developed postoperatively. Their postoperative outcomes did not differ from those in our routine clinical practice, with a 0% respiratory failure rate and a 7.14% mortality rate, in contrast with other published series. COVID-19 did not develop in any of the healthcare workers present in the operating room during these procedures or in those who cared for these patients on the ward.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Betacoronavirus ; COVID-19 ; Clinical Protocols ; Cohort Studies ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Female ; Humans ; Infection Control/organization & administration ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Male ; Middle Aged ; Pandemics/prevention & control ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; SARS-CoV-2 ; Spain ; Surgical Procedures, Operative ; Treatment Outcome
Keywords	covid19
Language	English
Publishing date	2020-07-22
Publishing country	Japan
Document type	Journal Article
ZDB-ID	1115435-4
ISSN	1436-2813 ; 0941-1291
ISSN (online)	1436-2813
ISSN	0941-1291
DOI	10.1007/s00595-020-02080-w
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Article ; Online: Preoperative CT thorax as a COVID-19 screen.

Senent-Boza, Ana / Jurado-Serrano, Juan / Beltrán-Miranda, Pablo / Angulo-González, Diego M / Pareja-Ciuró, Felipe / Awad-Breval, Fadia / Doblado-López, Ana / Castell-Monsalve, Javier / Padillo-Ruiz, Javier

The British journal of surgery

2020 Volume 107, Issue 11, Page(s) e500–e501

MeSH term(s)	COVID-19/diagnostic imaging ; Clinical Protocols ; Female ; Humans ; Lung/diagnostic imaging ; Male ; Middle Aged ; Pandemics ; Predictive Value of Tests ; Preoperative Care ; Sensitivity and Specificity ; Spain/epidemiology ; Tomography, X-Ray Computed
Keywords	covid19
Language	English
Publishing date	2020-08-31
Publishing country	England
Document type	Letter
ZDB-ID	2985-3
ISSN	1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
ISSN (online)	1365-2168
ISSN	0263-1202 ; 0007-1323 ; 1355-7688
DOI	10.1002/bjs.11957
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Article ; Online: Hepatothorax caused by a late post-traumatic diaphragmatic rupture.

Senent-Boza, Ana / Segura-Sampedro, Juan José / Olivares-Oliver, Claudia / Padillo-Ruiz, Francisco Javier

Cirugia espanola

2015 Volume 93, Issue 9, Page(s) e101

MeSH term(s)	Hernia, Diaphragmatic, Traumatic/complications ; Humans ; Muscular Diseases ; Rupture ; Wounds, Nonpenetrating
Language	Spanish
Publishing date	2015-11
Publishing country	Spain
Document type	Journal Article
ZDB-ID	730701-9
ISSN	1578-147X ; 0009-739X
ISSN (online)	1578-147X
ISSN	0009-739X
DOI	10.1016/j.ciresp.2015.05.006
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