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| 1 | Patterns of local recurrence in rectal cancer after a multidisciplinary approach显示文摘Improvements in surgery and the application of combined approaches to fight rectal cancer have succeeded in reducing the local recurrence (LR) rate and when there is LR it tends to appear later and less often in isolation. Moreover, a subtle change in the distribution of LRs with respect to the pelvis has been observed. In general terms, prior to total mesorectal excision the most common LRs were central types (perianastomotic and anterior) while lateral and posterior forms (presa-cral) have become more common since the growth in the use of combined treatments. No differences have been reported in the current pattern of LRs as a function of the type of approach used, that is, neo-adjuvant therapies (short-term or long-course radiotherapy, orchemoradiotherapy versus extended lymphadenectomy, though there is a trend towards posterior or presacral LR in patients in the Western world and lateral LR in Asia. Nevertheless, both may arise from the same mechanism. Moreover, as well as the mode of treatment, the type of LR is related to the height of the initial tumor. Nowadays most LRs are related to the advanced nature of the disease. Involvement of the circumferential radial margin and spillage of residual tumor cells from lymphatic leakage in the pelvic side wall are two plausible mechanisms for the genesis of LR. The patterns of pelvic recurrence itself (pelvic subsites) also have important implications for prognosis and are related to the potential success of salvage curative approach. The re-operability for cure and prognosis are generally better for anastomotic and anterior types than for presacral and lateral recurrences. Overall survival after LR diagnosis is lower with radio or chemoradiotherapy plus optimal surgery approaches, compared to optimal surgery alone. | Jose M Enríquez-Navascués Nerea Borda Aintzane Liz-erazu Carlos Placer Jose L Elosegui Juan P Ciria Adelaida Lacasta Luis Bujanda | 2011 | World Journal of Gastroenterology2011,17,13: | 14 |
| 2 | Late hepatic artery pseudoaneurysm:A rare complication after resection of hilar cholangiocarcinoma显示文摘We report an unusual pathological entity of a pseudoaneurysm of the right hepatic artery, which developed two years after the resection of a type Ⅱ hilar cholangiocarcinoma and secondary to an excessive skeletonization for regional lymphadenectomy and neoadjuvant external-beam radiotherapy. After a sudden and massive hematemesis, a multidetector computed tomographic angiography (MDCTA) showed a hepatic artery pseudoaneurysm. Angiography with embolization of the pseudoaneurysm was attempted using microcoils with adequate patency of the hepatic artery and the occlusion of the pseudoaneurysm. A new episode of hematemesis 3 wk later revealed a partial revascularization of the pseudoaneurysm. A definitive interventional radiological treatment consisting of transarterial embolization (TAE) of the right hepatic artery with stainless steel coils and polyvinyl alcohol particles was effective and well-tolerated with normal liver function tests and without signs of liver infarction. | Javier Briceńo lvaro Naranjo Rubén Ciria Juan Manuel Sánchez-Hidalgo Luis Zurera Pedro López-Cillero | 2008 | World Journal of Gastroenterology2008,14,38: | 2 |
| 3 | The effects on infants of potent antiretroviral therapy during pregnancy: a report from Spain显示文摘 | Bellon Cano JM Soncbez-Ramon S Ciria L | 2004 | Med Sci Monit2004,10,5: | 1 |
| 4 | Donation after Cardiac Death:Where,When,and How Transplant Proc显示文摘 | Ciria R Briceno J Rufian S | 2012 | 2012,,: | 1 |
| 5 | Clinical, molecular and bio- chemical characterization of nine Spanish families with Con- radi-Hiinermaml-Happle syndrome: New insights into X- linked dominant chondrodysplasia punctata with a compre- hensive review of the literature 显示文摘 | CANUETO J GIROS M CIRIA S PI-CASTAN G ARTIGAS M GARCIA-DORADO J | 2012 | Br J Dermatol2012,166,4: | 1 |
| 6 | Promoter 2 -1025 T/C Polymorphism in the RUNX2 Gene Is Associated with Femoral Neck BMD in Spanish Postmenopausal Women显示文摘 | Mariona Bustamante Xavier Nogués Lídia águeda Susana Jurado Anke Wesselius Enrique Cáceres Ramon Carreras Manel Ciria Leonardo Mellibovsky Susana Balcells Adolfo Díez-Pérez Daniel Grinberg | 2007 | Calcified Tissue International2007,,4: | 1 |
| 7 | Impact of age onliver regeneration response to injury after partial hepatectomy in arat model显示文摘 | Sánchez-Hidalgo JM Naranjo A Ciria R | 2012 | J Surg Res2012,175,1: | 1 |
| 8 | A novel EDA gene mutation in a Spanish family with X-linked hyp~- hidrotic ectodermal dysplasia 显示文摘 | Canueto J Zafra-Coboa MI Ciria S | 2011 | Actas Dermosifiliogr2011,102,9: | 1 |
| 9 | Spontaneous liver rupture as first sign of polyarteritis nodosa显示文摘Polyarteritis nodosa(PAN) is one of the systemic vasculitis that affects the media wall of arteries of small and medium diameter. Diagnosis proves difficult due to the unspecific symptoms that dominate the clinical profile. Liver involvement is very diverse, ranging from the development of cirrhotic liver disease to acute abdomen presentation that requires surgery because of liver rupture. The management of these patients requires an expert multidisciplinary team. There are several cases in the literature that describe a sudden liver rupture as the first manifestation of a PAN. In this paper we present the case of a 75 years old patient without any previous disease, who is subjected to major hepatic resection for spontaneous liver rupture. | Irene Gómez-Luque Felipe Alconchel Rubén Ciria M Dolores Ayllón Antonio Luque Marina Sánchez Pedro López-Cillero Javier Briceno | 2016 | World Journal of Hepatology2016,8,32: | 0 |