- Lung Cancer Diagnosis and Treatment
- Pleural and Pulmonary Diseases
- Tracheal and airway disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Lung Cancer Treatments and Mutations
- Congenital Diaphragmatic Hernia Studies
- Airway Management and Intubation Techniques
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Respiratory Support and Mechanisms
- Gastric Cancer Management and Outcomes
- Trauma Management and Diagnosis
- Surgical Simulation and Training
- Radiomics and Machine Learning in Medical Imaging
- Esophageal and GI Pathology
- Esophageal Cancer Research and Treatment
- Health and Medical Education
- Pulmonary Hypertension Research and Treatments
- Medical Imaging and Pathology Studies
- Higher Education Teaching and Evaluation
- Prenatal Substance Exposure Effects
- Parasitic infections in humans and animals
- Advanced Radiotherapy Techniques
- Innovations in Medical Education
- Congenital Heart Disease Studies
- Reconstructive Surgery and Microvascular Techniques
Universidad de Salamanca
2016-2025
Instituto de Investigación Biomédica de Salamanca
2014-2025
Benito Juárez Autonomous University of Oaxaca
2025
Medical University of South Carolina
2024
Complejo Hospitalario de Salamanca
2014-2023
Industrial Galvanizadora (Spain)
2023
University of Miami
2023
Weatherford College
2023
Hospital Universitario Ramón y Cajal
2022
Hirosaki University Hospital
2021
Prolonged air leak (PAL) after pulmonary surgery is a frequent occurrence and reported to cause increased length of stay (LOS) hospital costs although the directly attributable PAL have never been published. The present study aims compare prevalence complications (atelectasis, pneumonia pleural empyema) in patients with or without quantify economic incurred by series lobectomies.A 238 scheduled for lobectomy (January 2001-December 2003) reviewed. was defined as leakage which prevented...
A broad range of materials have been described for sternal reconstruction in order to guarantee not only the best preservation respiratory mechanics, but also adequate mediastinal protection and acceptable cosmetic results. Today, titanium implants are preferred by many surgeons because their optimal features. As a step forward, tridimensional (3D) laser sintering printing techniques allow us virtually reproduce even more complex bony structures. Here, we present case sternocostal means 3D...
This analysis aimed to evaluate perioperative outcomes of surgical resection following neoadjuvant treatment with chemotherapy plus nivolumab in resectable stage IIIA non-small-cell lung cancer.Eligible patients received (paclitaxel + carboplatin) for 3 cycles. Reassessment the tumour was carried out after and at least stable disease as best response underwent pulmonary resection. After surgery, adjuvant 1 year. Surgical data were collected from NADIM database patient charts reviewed...
To evaluate the cost-effectiveness balance of implementing an intensive program chest physiotherapy in pulmonary lobectomy.cross-sectional study with historical controls. Cases are 119 patients operated on during a 15-month period time, after implementation chest-physiotherapy program. Controls 520 by same team before started. In these patients, only incentive spirometry was indicated besides routine nursing care. both series, operative selection criteria and anaesthetic management were...
Objectives: Since there are no data in the literature regarding variability management of postoperative pleural drainages, we have designed a prospective randomized study aimed at measuring inter-observer deciding when to withdraw chest tubes after lung resection and evaluate if use an electronic device measure air leak decreases clinical practice variations. Methods: Sixty-one patients undergoing pulmonary were randomly assigned one following groups: digital group (electronic using...
Scanty information can be found regarding ppoFEV1% correlation with true FEV1% in the immediate days after surgery, when most cardio-respiratory complications are developed. This prospective multicentric investigation aims to describe evolution of FEV1 a series uneventful lobectomy cases before hospital discharge, and identify factors associated variation postoperative residual FEV1, ratio between actual predicted measured during first 6 days.One hundred sixty-one patients submitted were...
Existing reporting guidelines pay insufficient attention to the detail and comprehensiveness of surgical technique. The Surgical techniqUe rePorting chEcklist standaRds (SUPER) aims address this gap by defining standards for SUPER guideline intends apply articles that encompass technique in any study design, discipline, stage innovation.Following EQUATOR (Enhancing QUAlity Transparency Of health Research) Network approach, 16 surgeons, journal editors, methodologists reviewed existing...
Objective: The study aimed to evaluate if perioperative chest physiotherapy modifies the risk of pulmonary morbidity after lobectomy for lung cancer. Methods: We have reviewed a prospectively recorded database 784 cancer patients treated by scheduled (361 operated implementing new program). No other changes were introduced in patients' management during period. A propensity matching score was generated all eligible and two logistic models constructed adjusted. first one (model A) included...
Cystic echinococcosis (CE) is a chronic, complex and neglected zoonotic disease. CE occurs worldwide. In humans, it may result in wide spectrum of clinical manifestations, ranging from asymptomatic infection to fatal Clinical management procedures have evolved over decades without adequate evaluation. Despite advances surgical techniques the use chemotherapy, recurrence remains one major problems hydatid The aim this study was determine frequency risk factors involved recurrence. A...
Pulsed Electric Field (PEF) energy was delivered at the time of confirmational biopsy to ablate recurrent NSCLC in right upper lobe (RUL) lung after recurrence while on durvalumab consolidation. The patient tolerated procedure and exhibited stable disease 6 12 months from discontinuation PEF treatment, respectively. This report represents first use Aliya™ system as a minimally invasive modality with potential re-sensitize immune checkpoint blockade (ICB) upon progression. NCT04773275.
Nipple reconstruction is a crucial aspect of breast reconstruction, focusing on restoring the aesthetic appearance nipple-areola complex (NAC). Techniques such as C-V flap are commonly used, but they often face challenges in maintaining nipple projection over time, requiring overcorrection. The modified flap, incorporating purse-string sutures, improves retention and reduces need for revisions. A 63-year-old woman with history failed reconstructions underwent achieving favorable results....
ABSTRACT Background and Methods Surgery remains the standard of care for non‐small cell lung cancer (NSCLC) but is applicable to ≤ 30% patients. Pulsed Electric Fields (PEF) ablation uses short‐duration, high‐voltage electrical pulses induce death without relying on thermal mechanisms. Safety findings are reported from a two‐arm, non‐randomized, study evaluating use PEF in patients with early‐stage NSCLC. energy was delivered bronchoscopically or percutaneously 36 suspected confirmed NSCLC...
Objective: The diagnosis of pulmonary nodules has become one the main indications video-assisted thoracoscopic surgery (VATS), especially for small not accessible by bronchoscopy or percutaneous transthoracic needle aspiration. In this study we evaluate indications, diagnostic safety, complications, and technical difficulty VATS in Spain. Materials methods: We conducted a prospective 209 patients with more from group Spanish thoracic divisions (The Video-assisted Thoracic Surgery Study...
To describe and compare the daily ambulatory activity of patients before one month after major lung resection. Daily was measured using a pedometer (OMROM Walking Style PRO®) given preoperatively in prospective way to series 21 consecutive cases scheduled for lobectomy or pneumonectomy. Analyzed variables were age, pulmonary function, mean number total aerobic steps per day, walked distance time activity. Activity analyzed individually as new differential variable DELTA. Wilcoxon...
Lung cancer is the most common type of around world, and it represents main cause death in USA. Surgical treatment optimal therapeutic strategy for resectable non-small cell lung cancer. The principal factor long-term survival after complete resection anatomic extension neoplasm. However, other factors also have adverse effects on operative mortality, influence outcome. In this paper we propose an algorithmic solution estimation 5-years rate patients undertaking pulmonary resection.We...