IS THE ANATOMICAL SEQUENCE OF GASTRIC AND BILIARY ANASTOMOSIS IN THE PANCREATODUODENECTOMY RECONSTRUCTION THE CAUSE OF AN INCREASE IN THE INCIDENCE OF CHOLANGITIS? A TECHNICAL VARIANT PRESENTATION AND INITIAL RESULTS.

Background: Several methods have been proposed for the reconstruction of digestive transit after pancreatoduodenectomy. Biliary anastomosis positioned before gastric anastomosis helps reduce postoperative reflux and cholangitis.

Aims: The objective of this study was to present the anatomical sequence of gastric and biliary continuity after pancreatoduodenectomy in patients with pancreatic tumor and to evaluate the short- and long-term results in an initial series of cases.

Open versus laparoscopic hepatectomies within an ERAS (Enhanced Recovery After Surgery) program. Are there differences?

Background: Laparoscopic procedures have gained popularity because they favor a faster recovery. In the same way, the establishment of an enhanced recovery after surgery (ERAS) program in major abdominal surgery has shortened the hospital stay. There are several studies that report the results on ERAS programs applied to open or laparoscopic hepatectomies or comparing one of them with the classic approach but few have compared the results between both within an ERAS program.

[Metástasis hepáticas sincrónicas de cáncer colorrectal. ¿Resección simultánea o diferida?].

IntroducciÓn: El 20-40% de las metástasis hepáticas de origen colorrectal son de tipo sincrónico. Actualmente existen tres estrategias quirúrgicas; dos de ellas proponen resecciones diferidas, y la otra, la resección simultánea.

Objetivo: evaluar los resultados a corto y largo plazo de las resecciones simultáneas.

[Resultados a corto y largo plazo de las rehepatectomías como parte del tratamiento multimodal de las metástasis de origen colorrectal. Un estudio biinstitucional].

IntroducciÓn: Un alto porcentaje de pacientes que reciben una hepatectomía por metástasis de cáncer colorrectal presentarán recidiva hepática, y en algunas será posible una nueva resección. La utilidad de las hepatectomías repetidas continúa siendo discutida.

Objetivo: Evaluar los resultados obtenidos a corto y largo plazo.

[Mini-laparoscopy vs. laparoscopy for the gallblader stone treatment. Prospective and comparative study].

Background: Laparoscopic cholecystectomy is considerated as the gold standard for the gallbaldder stones treatment, however, in the international literature the adapted smaller incisions is still an alternative procedure. Objetives: To compare the results of the laparoscopic cholecystectomy with the cholecystectomy by adapted smaller incisions.

Design: Prospective and comparative protocolized study.

[Not Available].

Surgical injury of the biliary tract have increased in the laparoscopic cholecystectomy era, anatomic variants of the biliary ducts, mainly the type F, is likely to receive this kind of injury. Cholangiography helps to prevent such complications, so, we recommended the execution of this procedure in a routine way. Treatment usually is complex and requires trained surgeons.