Publications by authors named "J E Quinones-Sampedro"
A 78-year-old male with high-risk surgical presented severe acute cholecystitis and required cholecystostomy. The patient was referred later for assessment of the surgical treatment. A cholangio-MRI revealed a lesion on the gallbladder fundus with hepatic lesions suggestive of metastatic gallbladder carcinoma, which was confirmed in the histological analysis.
View Article and Find Full Text PDFThe epithelioid angiosarcoma is a type of sarcoma is very rare (<1 % of all sarcomas). The most frequent location is in extremities, therefore is the axial region less common.Differential diagnosis with other histologic variants of intra-abdominal hepatic and splenic angiosarcomas is essential.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates the safety of early laparoscopic cholecystectomy (ELC) for patients aged 85 and older with acute calculous cholecystitis (ACC) by comparing outcomes with younger patients from 2013 to 2018.
- Results show that the oldest-old group had a higher 90-day mortality and more complications before adjustments, indicating that they had more severe health issues.
- After using propensity score matching to balance groups, findings suggested that ELC is relatively safe for selected older patients, indicating that age alone shouldn't prevent surgery for ACC.
Background: The transcystic approach to laparoscopic common bile duct exploration has gained popularity for the single-stage management of choledocholithiasis with concomitant gallstones. Our team previously described the use of a porcine aorta segment to simulate the common bile duct during laparoscopic skill training.
Methods: With the advent of the transcystic approach as a contender for the first-line technique of accessing the common bile duct, we present an evolution of the laparoscopic training model using a Porcine Aorta-Renal Artery (PARA) specimen to simulate the structural integrity, dimensions and spatial distribution of both the human cystic and common bile ducts.