Publications by authors named "Jose 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.

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The 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.

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Article 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.
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Article Synopsis
  • This study aimed to identify common medical complications in patients who received simultaneous pancreas-kidney transplants at a medical center over a decade-long period.
  • Among 73 recipients, cytopenia emerged as the leading complication, affecting 23.3% of patients, while viral infections, particularly cytomegalovirus, were observed despite preventive treatment.
  • Tumor incidence was low, with only a few cases of gynecological and skin tumors, and there were only three instances of acute graft rejection, indicating that overall, complications from the transplants were manageable.
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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.

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A 58-year-old male underwent an aortic valve replacement due to an acute aortic regurgitation for aortic valve endocarditis. The patient maintained febrile syndrome during the postoperative period, in spite of broad-spectrum antibiotics. The CT scan showed an aneurysmal dilatation (45 mm in diameter) on the right hepatic artery.

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Article Synopsis
  • - The study investigates the impact of timing for early laparoscopic cholecystectomy (ELC) in patients with acute calculous cholecystitis (ACC) based on when surgery is performed, using a sample of 1,868 cases categorized by timing of surgery and hospital volume.
  • - Results indicate that surgeries performed after 7 days (Group 2) had significantly higher rates of conversion to open surgery, intraoperative complications, and post-operative issues compared to surgeries within 7 days (Group 1).
  • - Higher volume centers (HVC) demonstrated better outcomes overall compared to low volume centers (LVC), suggesting that ELC for ACC is safer and more effective when performed in experienced facilities, especially
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The Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), the Spanish Society of Tropical Medicine and International Health (SEMTSI), the Spanish Association of Surgeons (AEC), the Spanish Society of Pneumology and Thoracic Surgery (SEPAR), the Spanish Society of Thoracic Surgery (SECT), the Spanish Society of Vascular and Interventional Radiology (SERVEI), and the Spanish Society of Paediatric Infectious Diseases (SEIP) considered it pertinent to issue a consensus statement on the management of cystic echinococcosis (CE) to guide healthcare professionals in the care of patients with CE. Specialists from several fields (clinicians, surgeons, radiologists, microbiologists, and parasitologists) identified the most clinically relevant questions and developed this Consensus Statement, evaluating the available evidence-based data to propose a series of recommendations on the management of this disease. This Consensus Statement is accompanied by the corresponding references on which these recommendations are based.

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Introduction: Gastric outlet obstruction is a complication of advanced tumors. It causes upper gastrointestinal obstruction, with progressive malnutrition and reduced survival. Currently, gastrojejunostomy or stent placement (SP) are feasible alternatives for the treatment of malignant gastric outlet obstruction.

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Background: Management options for cystic echinococcosis (CE) remain a serious problem. The main aim of this study was to examine the selection and complications of treatment applied in patients with CE. The second aim was to evaluate the mortality rate and causative factors.

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Background And Aim: Pancreatic ductal adenocarcinoma (PDAC) is one of the most lethal types of cancer; most patients die during the first 6 months after diagnosis. With a 5% 5-year survival rate, is the fourth leading cause of cancer death in developed countries. In this regard, several clinical, histopathologic and biological characteristics of the disease favoring long-term survival after pancreaticoduodenectomy have been reported to be significant prognostic factors.

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Unlabelled: Hydatidosis of the spleen (SH) is an extremally rare condition. The aim of the study was to present our experience and discuss diagnostic methods and therapeutical options in cases of spleen hydatidosis.

Material And Methods: Between 1993 and 2008, 8 patients were diagnosed with SH, 6 of whom were operated on (4 males and 2 females).

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