Publications by authors named "Santiago Azagra"
Article Synopsis
- * Involving 9097 patients, the research found that complications were minimal in robotic gastric bypass and sleeve gastrectomy, with no fatalities reported.
- * While robotic procedures had longer operation times, they showed better outcomes than laparoscopic methods in certain cases, particularly in expert centres. However, results from learning phase centres did not meet the same benchmarks.
Background: Short and long-term outcomes after repeat anti-reflux surgery (RARS) are still debated and generally not considered as satisfying as after primary anti-reflux surgery (PARS). The aim of this study was to evaluate functional outcomes after RARS and risk factors associated to intra-operative and post-operative complications.
Methods: This is a multicenter retrospective survey from four European laparoscopic centers.
Background: Nearly 20% of patients who undergo hiatal hernia (HH) repair and anti-reflux surgery (ARS) report recurrent HH at long-term follow-up and may be candidates for redo surgery. Current literature on redo-ARS has limitations due to small sample sizes or single center experiences. This type of redo surgery is challenging due to rare but severe complications.
View Article and Find Full Text PDFLaparoscopic gastrectomies for cancer: The ACOI-IHTSC national guidelines.
Minim Invasive Ther Allied Technol
September 2012
Guidelines for laparoscopy and cancer of stomach have been outlined by several scientific societies: The main recommendation being that laparoscopy should be used only by surgeons already highly skilled in gastric surgery. The laparoscopic approach to gastric cancer surgery has become more and more frequent in most Italian centers. On behalf of the Guideline Committee of the Italian Society of Hospital Surgeons and the Italian Hi-Tech Surgical Club, a panel of experts analyzed the highest evidence of all scientific papers focusing on laparoscopic gastrectomies for cancer and published from 2003 to 2011, and drew these national guidelines.
View Article and Find Full Text PDFArticle Synopsis
- The study evaluates the feasibility and safety of laparoscopic liver surgery for malignant tumors, despite ongoing debates about its effectiveness compared to open surgery.
- Detailed data was collected from 11 surgical centers regarding patient demographics, tumor types, and outcomes, analyzing the experiences of 37 patients treated between 1994 and 2000.
- Results showed a 2-year disease-free survival rate of 44% for hepatocellular carcinoma and 53% for liver metastases, with postoperative complications occurring in 22% of cases but no reported deaths.