0000000000267546
AUTHOR
Isabel Mora-oliver
Pancreatoduodenectomy with artery-first approach.
"Artery-first approach" encompasses different aspects for the surgical treatment of pancreatic cancer. It is a surgical technique or set of techniques which share in common the dissection of the main arterial vasculature involved in pancreatic cancer, before any irreversible surgical step is performed. On the other hand it represents the need for a meticulous dissection of the arterial planes and clearing of the retropancreatic tissue between the superior mesenteric artery, the common hepatic artery and portal vein in an attempt to achieve R0 resections. The recent expansion of this approach is based mainly on three factors: venous involvement should not be considered a contraindication for…
Effectiveness and efficiency of a special program to reduce the bariatric surgery waiting list at a tertiary hospital
Graphical abstract
Eficacia y eficiencia de un programa especial para la disminución de la lista de espera de cirugía bariátrica en un hospital terciario
Resumen Introduccion La cirugia bariatrica es uno de los procedimientos quirurgicos mas realizados en Espana, sin embargo actualmente es la cirugia con mayor demora en la lista de espera quirurgica (LEQ). Para disminuir la LEQ se pone en marcha un programa especial de autoconcertacion, y se quiere valorar su utilidad, estudiando las repercusiones clinicas y economicas en una unidad de alto volumen de cirugia bariatrica. Metodos Se realizo un estudio prospectivo de 3 meses comparando evolucion, resultados y consumo de recursos perioperatorios de 45 pacientes operados de cirugia bariatrica, divididos en 2 grupos, pacientes operados en quirofano de forma estandar y pacientes operados en progra…