Published in Cirugia espanola
The present review identifies two major conceptual errors. Therapeutic nihilism, which should be discounted in view of the results currently achieved by surgery, and noncentralization, since better results have been demonstrated, both in terms of morbidity and mortality and in survival, in high-volume centers than in low volume centers. The present...
Published in Cirugia espanola
Laparoscopic gastrectomy in the treatment of gastric cancer is technically feasible and is an alternative to open surgery in terms of postoperative morbidity and mortality and oncological effectiveness when performed by teams with experience in laparoscopy and with appropriate patient selection.
Published in Cirugia espanola
Hereditary pancreatitis is an uncommon autosomal dominant disease secondary to a mutation normally located in the trypsinogen gene, preventing trypsin deactivation. This mutation translates clinically into recurrent attacks of acute pancreatitis and an increased risk of pancreatic cancer. We report a case of acute hereditary pancreatitis due to a t...
Published in Cirugia espanola
Chyle fistula is an infrequent complication after neck surgery. The first line treatment is medical management, with adequate drainage and appropriate nutritional modifications. The use of octreotide in the treatment of chyle fistula is a novel approach that has been documented in only a few cases. We report a new case of thoracic duct injury effec...
Published in Cirugia espanola
Ectopic mediastinal parathyroid glands are uncommon (1-11% of all cases of hyperparathyroidism). Median sternotomy used to be performed to resect them, with large and painful incisions that prolonged the length of hospital stay. Current imaging techniques (thoracic computed tomography and Tc-mibi scan) can accurately locate the ectopic glands, allo...
Published in Cirugia espanola
Published in Cirugia espanola
We present the first documented case of intestinal perforation due to impaction of an endoscopic capsule. The capsule was used to investigate anemia in an 80-year-old woman and was retained in the intestinal lumen for 2 months without producing symptoms. The patient presented to the emergency service with sudden, intense, diffuse abdominal pain. Ho...
Published in Cirugia espanola
Published in Cirugia espanola
The present article aims to disseminate knowledge of a topic that is important in clinical epidemiology: evaluation of diagnostic tests. Mathematical formulae are kept to a minimum. The significance and interpretation of the most important diagnostic indexes characterizing these tests are explained in order to describe their use in daily clinical p...
Published in Cirugia espanola
Health is a fundamental resource for social and economic development. Greater human development implies that people live longer and enjoy good health for a greater number of years. Healthcare systems should adapt to the new challenges posed by health: a sharp increase in population aging, the demand for more appropriate and transparent management, ...
