Publications by authors named "Raquel Sanchez Santos"
Introduction: The use of the N category of the TNM staging system, lymph node ratio (LNR) and log odds of positive lymph nodes (LODDS) in predicting overall survival (OS) and disease-free survival (DFS) in patients with rectal cancer is still controversial.
Material And Methods: A retrospective study of 445 patients with rectal cancer who underwent surgery between 2008 and 2017 in the University Complex Hospital of Vigo was performed. Patients were stratified according to number of lymph nodes examined (NLNE), N staging, LNR and LODDS.
Introduction: Although several studies report that the robotic approach is more costly than laparoscopy, the cost-effectiveness of robotic distal pancreatectomy (RDP) over laparoscopic distal pancreatectomy (LDP) is still an issue. This study evaluates the cost-effectiveness of the RDP and LDP approaches across several Spanish centres.
Methods: This study is an observational, multicenter, national prospective study (ROBOCOSTES).
Article Synopsis
- Social media use in the surgical community has increased, presenting challenges for surgical education, patient privacy, and professionalism, with platforms like Twitter being the most prominent.
- Hashtags such as #SoMe4Surgery and #colorectalsurgery have gained popularity, highlighting social media's role in educating younger surgeons and facilitating research and connections among professionals.
- However, the use of social media also poses risks, including privacy concerns, intellectual property conflicts, and potential misinformation.
Pancreatic PEComas are extremely rare neoplasms with malignant potential, which mostly affect middle-aged women and are characterized by presenting melanocytic and myogenic markers in immunohistochemical analysis. There are no symptoms or pathognomonic imaging tests, so the diagnosis is established with the analysis of the surgical specimen or the FNA obtained with preoperative endoscopic ultrasound. The mean treatment consists on radical excision, adapting the intervention to the location of the tumor.
View Article and Find Full Text PDFStent as bridge to surgery decreases postoperative complications without worsening oncological outcomes: retrospective unicentric cohort study and stent placement protocol.
Surg Endosc
August 2023
Background: Even if the use of stent as bridge to surgery (BTS) for obstructive colon cancer was described long ago, there is still much controversy on their use. Patient recovery before surgery and colonic desobstruction are just some of the reasons to defend this management that can be found in several available articles.
Methods: This is a single-center, retrospective cohort study, including patients with obstructive colon cancer treated between 2010 and 2020.
Article Synopsis
- - The study aimed to evaluate Indocyanine green (ICG) as a diagnostic tool during colorectal surgery to determine if it could reduce postoperative anastomotic leakage (AL).
- - Researchers conducted a retrospective study on 785 patients undergoing colorectal surgery, comparing outcomes for those who used ICG with those who did not, using propensity score matching for analysis.
- - Although ICG was found to be a safe method for assessing colon perfusion, it did not lead to a significant reduction in anastomotic leak rates, with rates reported at 9.3% for non-ICG and 7.5% for ICG patients.
Background: Acute care surgery decreased during the first wave of the COVID-19 pandemic.
Objective: To study the evolution of acute care surgery and its relationship with the pandemic severity.
Method: Retrospective cohort study which compared patients who underwent acute care surgery during the pandemic to a control group.
Introduction: Treatment of patients with Coronavirus Disease 2019 (COVID-19) has affected the management of patients with colorectal cancer (CRC). The aim of this study was to compare the diagnosis delay, symptoms, and stage of patients with CRC during the pandemic with a control cohort.
Material And Methods: Patients referred to the CRC multidisciplinary team between September 2019 and January 2020 (cohort 1, control group) were compared with those who presented between September 2020 and March 2021 (cohort 2, pandemic group).
Introduction: patients undergoing major abdominal surgery, including colorectal surgery, particularly if they are oncological patients, are at risk of malnutrition with a worse postoperative evolution and an increase in complications. Objectives: to assess the prevalence of malnutrition in patients undergoing colon and rectal surgery in our hospital, and to identify the different risk factors for malnutrition. Methods: a retrospective cohort study including all patients operated on for colorectal cancer in our environment.
View Article and Find Full Text PDFArticle Synopsis
- - The study evaluates the impact of the SARS-CoV-2 pandemic on healthcare training, specifically analyzing the participation and satisfaction of the AEC Virtual Classroom sessions during its first year.
- - Over 50 sessions were held, showing a global average of 509 views per session, while live attendance decreased during peak pandemic times, yet the overall satisfaction rating was high at 8.46 out of 10.
- - A significant majority (90%) of participants found the sessions beneficial, and an impressive 97.2% want the program to continue after the pandemic, indicating its value as a surgical teaching resource.
Article Synopsis
- The study investigates the effects of virtual congresses held by the American College of Surgeons (ACSCC2020) and the National Surgery Congress of the Spanish Association of Surgeons (CNC2020) during the COVID-19 pandemic through Twitter activity.
- Data was collected and analyzed via hashtags #ACSCC20 and #CNCirugia2020, focusing on tweets, retweets, user engagement, and the influence of specific accounts from 2015 to 2020.
- Results show that while the ACS maintained consistent impressions with fewer tweets, the CNC experienced significant growth in 2020, highlighting the varying impact of virtual congresses on knowledge dissemination via social media.
Aim: Pudendal neuralgia is a highly disabling entity with complex diagnostic and controversial treatment results. Surgical neurolysis has been shown to be the most effective treatment. Sacral root neurostimulation or posterior tibial nerve stimulation are used to rescue patients who either have not responded to surgery or have worsened after an initial improvement.
View Article and Find Full Text PDFBackground: Indocyanine green (ICG) guided lymphadenectomy has been proposed has a technique to improve the lymphadenectomy of patients with gastric cancer. Nevertheless, experience with this procedure is scarce in Western countries.
Methods: A retrospective analytic study in a tertiary hospital in Spain was performed, comparing patients who underwent laparoscopic gastrectomy with (ICG cohort) and without (historic cohort) ICG guided lymphadenectomy.
Introduction: Treatment of patients with Coronavirus Disease 2019 (COVID-19) has affected the management of patients with colorectal cancer (CRC). The aim of this study was to compare the diagnosis delay, symptoms, and stage of patients with CRC during the pandemic with a control cohort.
Material And Methods: Patients referred to the CRC multidisciplinary team between September 2019 and January 2020 (cohort 1, control group) were compared with those who presented between September 2020 and March 2021 (cohort 2, pandemic group).
Purpose: The effectiveness of enhanced recovery after surgery (ERAS) pathways in patients undergoing bariatric surgery remains unclear. Our objective was to determine the effect of the ERAS elements on patient outcomes following elective bariatric surgery.
Materials And Methods: Prospective cohort study in adult patients undergoing elective bariatric surgery.
Introduction: Most patients with ischemic colitis have a favourable evolution; nevertheless, the location in the right colon has been associated with a worse prognosis. The purpose of this study is to compare the clinical presentation and results of right colon ischemic colitis (CICD) with ischemic colitis of other colonic segments (non-CIDC).
Methods: Retrospective, observational study of patients admitted to our hospital with ischemic colitis between 1993 and 2014, identified through a computerized search of ICD9 codes.
Obesity and COVID-19. A necessary position statement.
Endocrinol Diabetes Nutr (Engl Ed)
October 2021
Article Synopsis
- - The SARS-CoV-2 pandemic led to the cancellation of face-to-face training for healthcare professionals, prompting the use of the AEC Virtual Classroom for remote learning, which included live webinars and on-demand viewing.
- - During its first year (April 2020 - April 2021), the program hosted 50 sessions with an average of 509 views per session, noting a drop in live attendance coinciding with pandemic surges, but achieving a high satisfaction rating of 8.46 out of 10.
- - Outcomes showed that 90% of participants found the sessions useful, with a strong preference for continuing the virtual format post-pandemic, establishing the AEC Virtual Classroom as an effective surgical teaching resource.
Article Synopsis
- The study analyzes the effects of two virtual surgery congresses, ACSCC2020 and CNC2020, on social media engagement during the COVID-19 pandemic using Twitter data.
- It found that while both congresses saw increases in engagement over the years, the CNC2020 had its best metrics in 2020, while ACSCC maintained steady impressions but fewer tweets.
- Ultimately, the research highlighted that virtual congresses effectively spread knowledge on social media, with the ACSCC achieving the greatest overall impact from 2015 to 2020 despite the CNC's significant growth in 2020.
Obesity and COVID-19. A necessary position statement.
Endocrinol Diabetes Nutr (Engl Ed)
March 2021