CERTIFICACIÓN INTERNACIONAL CIRUGÍA ROBÓTICA #DaVinci por HOSPITAL ISRAELITA ALBERT EINSTEIN en Sao Paulo - Brasil, apoyo institucional de #SOLCAQuito#Alem#Intuitive, entrenamiento en Centro Hospitalario Oncológico referente IRCAD América Latina (Hospital de Amor - Barretos) 🇧🇷
Gastrectomía distal D2 + Y de Roux : Visión de impermeabilidad - anastomosis Gastroyeyunal con ICG (verde de indocianina) en cirugía mínimamente invasiva para Cáncer Gástrico posneoadyuvancia- Ecuador 🇪🇨 - SOLCA Quito
A large cohort study of >1,600 gastric cancer patients found that the postoperative prognostic nutritional index (PNI) on Day 1 best predicted recurrence and survival.📈
Low PNI was independently associated with worse OS and RFS, highlighting postoperative PNI as a simple and valuable prognostic marker.💡
https://t.co/ptooPQFIvy
#AGSurg
Anatomical basis for sensory preservation in robotic mastectomy
➡️ https://t.co/uDsLXqmZGb
🎀 Preserving nipple–areolar complex (NAC) sensation is key for physical, psychological, and sexual well-being after mastectomy, and robotic nipple-sparing techniques may offer an advantage.
🧠 In a cadaveric anatomical study (3 donors, 6 breasts) plus a systematic review, the 4th intercostal nerve (ICN)emerged as the main sensory supply to the NAC.
🔬 The anterior cutaneous branch (ACB) of the 4th ICN followed a consistent, superficial subdermal course, while the lateral cutaneous branch (LCB) reached the NAC through deeper breast tissue.
🔀 Additional and variable contributions came from the 2nd, 3rd, and 5th ICNs, highlighting marked inter-individual anatomical variability.
🤖 The superficial and reliable pathway of the ACB of the 4th ICN provides a strong anatomical explanation for better sensory preservation with robotic nipple-sparing mastectomy, supporting refined nerve-preserving surgical strategies.
Work by Hunter A Holley , Sandra Hembrecht , Níamh M Smyth , Mathieu Colbert , Fabio Quondamatteo , Arnold D K Hill
#SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos@SEIQuirurgica@iss_sic #MedicalTechniques @BJSAcademy@young_bjs@BJSOpen@evanscolorectal@robhinchliffe1@bplwijn@MalinASund@nfmkok@TejedorPat@paulo_sutt@PVaughanShaw@JJEarnshaw@juliomayol@ksoreide #breastcancer
#BreastCancerAwareness #breastsurgery
DR. SANTIAGO CATUTA - TRATAMIENTO QUIRÚRGICO DE CANCER DE VESÍCULA (Quito-Ecuador-Hospital de los Valles 🇪🇨) Diciembre 2025 .- Linfadenectomía hepático-porto caval + Segmentectomía hepática IVb-V + colecistectomía radical
@DanielNoboaOk@el_BID Para optimizar la Salud Pública Integral no es recomendable pasar las atenciones de pacientes del IESS al MSP, el estado no debe asumir toda esa carga, se ahorra en una asignación pero se incrementa gastos en los ministerial, se debe categorizar atenciones en IESS según aportes
Short-term outcomes of robotic versus laparoscopic abdominoperineal resection for rectal cancer: A systematic review and meta-analysis - @SurgJournal https://t.co/xSd2fZ7WFS