BACKGROUND:Textbook outcome (TO) is a multidimensional quality management tool that uses a set of traditional surgical measures to re ect an "ideal" surgical result for a particular pathology. The aim of the present study is to record the rate of TO in patients undergoing elective surgery for colon cancer.
MATERIAL AND METHODS:Retrospective study of all patients undergoing scheduled colon cancer surgery at a Spanish university hospital from September 2012 to August 2016. Patients with rectal cancer were excluded. The variables included in the de nition of TO were: R0 resection, number of isolated nodes ≥12, no Clavien-Dindo ≥IIIa complications, no prolonged stay, no readmissions, and no mortality in the rst 30 days.
RESULTS:Five hundred and sixty-four patients were included in the study. TO was achieved in 49.8%. The sample had a mean age of 69 ± 11 years, and 60% were male. Female sex (OR 1.61; 95% CI 2.30-1.13), T3 and T4 classi cation (OR 2.50, and OR 2.55, and laparoscopic approach (OR 1.53, 95% CI 2.33-1.00) were independent factors that were signi cantly associated with achieving a TO. Patients who achieved TO had higher overall survival (p=0.008) than those who did not. However, with regard to disease-free survival, no statistically signi cant differences were found (p=0.303).
CONCLUSION:TO is a useful, easy-to-interpret management tool for measuring oncological results and for predicting patient survival.The study was registered in the public accessible database clinicaltrials.gov with the ClinicalTrials.gov ID: NCT05675904. Public release date: 01/05/2023.
Resumen
Les presentamos la imagen relativa a un paciente con Enfermedad de Crohn y episodio de perforación asociado a cuerpo extraño. Basándonos en el caso, realizamos un breve resumen acerca del abordaje y tratamiento de esta patología. Nos parecen de especial interés didáctico las imágenes en 3D que aportamos.
Purpose: Resection and reconstruction of the inferior vena cava (IVC) is an unusual and challenging procedure. Malignant disease invading or obstructing IVC is the most frequent entity, while nonmalignant is rare and differential diagnostic is difficult. Methods: We report two cases required resection and reconstruction of IVC. Results: A 31-year-old man with left lower extremity paresthesias. His work-up revealed a large (9x3 cm) mass at the right renal hilum involving the IVC and right renal vein (RV) with complete thrombosis of bilateral external and common iliac veins (CIV), as well as the infrarenal IVC. The tumor contacted the aorta in greater than 90 degrees, as well as the third portion of the duodenum.Surgical intervention: through a midline laparotomy, we attained complete control of the IVC (above and below) as
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