Resección hepática anatómica segmento 4 por metástasis de cáncer colorectal.
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Author: Editor
Place
Barcelona
Date
8 al 10 de October de 2025
Place
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XXIV Reunión Nacional de las Secciones de CIRUGÍA HEPATOBILIOPANCREÁTICA Y TRASPLANTE DE ÓRGANOS de la AEC
Doctors who have participated
Dr. Cremades
Consultant in Hepatobiliopancreatic Surgery
Dr. Manel Cremades is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. He is also an Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (UAB – Germans Trias Teaching Unit), collaborates on management committees for the implementation of hospital transformation projects, and is the co-founder of two startups in the health sector.
Dr. Cugat
Clinical Head of the Hepatobiliopancreatic Surgery Team
Dr. Esteban Cugat (Barcelona, 1960) is a medical specialist in General and Digestive System Surgery. Specialized in Hepatobiliopancreatic Surgery. Clinical Associate Professor at the Faculty of Medicine of the Autonomous University of Barcelona.
Dr. Espín
Consultant in Hepatobiliopancreatic Surgery
Dr. Francisco Espín is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (Germans Trias Teaching Unit).
Dr. Navinés
Consultant in Hepatobiliopancreatic Surgery
Surgeon Specialist in General and Digestive System Surgery and Doctor of Surgery from the Universitat Autònoma de Barcelona.
Dr. Pardo
Consultant in Hepatobiliopancreatic Surgery
Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.
Dra. Lucas
Consultant in Hepatobiliopancreatic Surgery
Dr. Victoria Lucas is a Digestive surgeon and part of the Hepatobiliopancreatic Surgery Unit at the Germans Trias i Pujol University Hospital.
Dra. Sentí
Consultant in Hepatobiliopancreatic Surgery
Dr. Sara Sentí i Farrarons (Barcelona, 1992) is a Digestive surgeon developing her clinical practice in hepatobiliopancreatic surgery and pancreatic transplantation.
Dra. Zárate
Consultant in Hepatobiliopancreatic Surgery
Dr. Alba Zárate (Barcelona, 1989) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.
Past events
View all eventsPlace
Hospital Británico
Date
27 al 28 de September de 2024
Description
Invitado especial en la 5ª Edición del Curso Internacional HPB del Hospital Británico, Buenos Aires, Argentina.
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An article by
Injerto autólogo de vaina posterior de músculo recto del abdomen para la reconstrucción vascular del confluente espleno-mesentérico-portal en cirugía pancreática
María Galofré, Esteban Cugat, Sara Sentí, María Isabel García-Domingo, Francisco Espin.
La cirugía es el único tratamiento potencialmente curativo del adenocarcinoma de páncreas. Sin embargo, sólo el 15-20% de los pacientes son tributarios a tratamiento quirúrgico en el momento del diagnóstico. Los resultados del mismo dependen de varios factores, entre ellos, del tamaño tumoral, la afectación vascular, la enfermedad extrapancreática y la afectación de los márgenes de resección. La invasión vascular es un hallazgo común durante el diagnóstico de tumores de cabeza y cuerpo de páncreas, y es actualmente indicación de tratamiento neoadyuvante. Tras éste, puede estar indicada una cirugía con resección vascular para obtener unos márgenes microscópicos negativos a nivel oncológico.
Presentamos dos casos clínicos con resección venosa del confluente espleno-mesentérico-portal seguido de una reconstrucción vascular mediante injerto antólogo de peritoneo y vaina posterior de músculo recto del abdomen.
Doctors who have participated
Dr. Cugat
Clinical Head of the Hepatobiliopancreatic Surgery Team
Dr. Esteban Cugat (Barcelona, 1960) is a medical specialist in General and Digestive System Surgery. Specialized in Hepatobiliopancreatic Surgery. Clinical Associate Professor at the Faculty of Medicine of the Autonomous University of Barcelona.
Dra. Sentí
Consultant in Hepatobiliopancreatic Surgery
Dr. Sara Sentí i Farrarons (Barcelona, 1992) is a Digestive surgeon developing her clinical practice in hepatobiliopancreatic surgery and pancreatic transplantation.
Dr. Espín
Consultant in Hepatobiliopancreatic Surgery
Dr. Francisco Espín is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (Germans Trias Teaching Unit).
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Minimally invasive versus open central pancreatectomy: Systematic review and meta-analysis
Sara Sentí, Eduard A. van Bodegraven, Alain Sauvanet, Mohammed Abu Hilal, Marc G. Besselink, Safi Dokmak
This systematic review and meta-analysis aimed to give an overview on the postoperative outcome after a minimally invasive (ie, laparoscopic and robot-assisted) central pancreatectomy and open central pancreatectomy with a specific emphasis on the postoperative pancreatic fistula. For benign and low-grade malignant lesions in the pancreatic neck and body, central pancreatectomy may be an alternative to distal pancreatectomy. Exocrine and endocrine insufficiency occur less often after central pancreatectomy, but the rate of postoperative pancreatic fistula is higher.
Overall, 41 studies were included involving 1,004 patients, consisting of 158 laparoscopic minimally invasive central pancreatectomies, 80 robot-assisted minimally invasive central pancreatectomies, and 766 open central pancreatectomies. The overall rate of postoperative pancreatic fistula was 14%, major morbidity 14%, and 30-day mortality 1%. The rates of postoperative pancreatic fistula (17% vs 24%, P = .194), major morbidity (17% vs 14%, P = .672), and new-onset diabetes (3% vs 6%, P = .353) did not differ significantly between minimally invasive central pancreatectomy and open central pancreatectomy, respectively. Minimally invasive central pancreatectomy was associated with significantly fewer blood transfusions, less exocrine pancreatic insufficiency, and fewer readmissions compared with open central pancreatectomy.
Doctors who have participated
Dra. Sentí
Consultant in Hepatobiliopancreatic Surgery
Dr. Sara Sentí i Farrarons (Barcelona, 1992) is a Digestive surgeon developing her clinical practice in hepatobiliopancreatic surgery and pancreatic transplantation.
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Morbidity and mortality of elderly patients with pancreaticobiliary disease according to age and comprehensive geriatric assessment: A prospective observational study
Mauricio Parrales-Mora, Manel Cremades, David Parés, Rebeca D García, Fernando Pardo, Alba Zárate, Jordi Navinés, Francisco Espin, Joan-Francesc Julian-Ibanez, Esteban Cugat
A prospective observational study has been undertaken, including 140 elderly patients (over 75 years) with benign pancreaticobiliary disease. Patients were divided according to age in the following groups: group 1: 75-79 years old; group 2: 80-84 years old; group 3: 85 years and older. They underwent a comprehensive geriatric assessment with different scales: Barthel Index, Pfeiffer Index, Charlson Index, and Fragility scale, at admission and had been follow-up 90 days after hospital discharge to analyze its influence on morbidity and mortality.
No significant differences were found between age, morbidity and mortality in elderly patients with pancreaticobiliary disease. Comprehensive geriatric scales showed some utility in their association with specific complications.
Doctors who have participated
Dr. Cremades
Consultant in Hepatobiliopancreatic Surgery
Dr. Manel Cremades is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. He is also an Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (UAB – Germans Trias Teaching Unit), collaborates on management committees for the implementation of hospital transformation projects, and is the co-founder of two startups in the health sector.
Dr. Pardo
Consultant in Hepatobiliopancreatic Surgery
Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.
Dra. Zárate
Consultant in Hepatobiliopancreatic Surgery
Dr. Alba Zárate (Barcelona, 1989) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.
Dr. Navinés
Consultant in Hepatobiliopancreatic Surgery
Surgeon Specialist in General and Digestive System Surgery and Doctor of Surgery from the Universitat Autònoma de Barcelona.
Dr. Espín
Consultant in Hepatobiliopancreatic Surgery
Dr. Francisco Espín is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (Germans Trias Teaching Unit).
Dr. Cugat
Clinical Head of the Hepatobiliopancreatic Surgery Team
Dr. Esteban Cugat (Barcelona, 1960) is a medical specialist in General and Digestive System Surgery. Specialized in Hepatobiliopancreatic Surgery. Clinical Associate Professor at the Faculty of Medicine of the Autonomous University of Barcelona.
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Challenge and future of liver and pancreatic robotic surgery. Analysis of 64 cases in a specialized unit
Esteban Cugat, Manel Cremades, Jordi Navinés, Carlota Matallana, Alba Zárate, Fernando Pardo, Mar Sendra, Francisco Espin
The results of patients undergoing robotic HBP surgery between April 2018 and October 2020 have been prospectively studied. The data analyzed correspond to demographic data, surgical techniques performed, associated morbidity and mortality.
Robotic HBP surgery is safe and feasible. It is suggested that its use facilitates parenchymal sparing surgery, access to posterior liver segments and anastomosis in pancreatic reconstruction compared to laparoscopic surgery.
Doctors who have participated
Dr. Cugat
Clinical Head of the Hepatobiliopancreatic Surgery Team
Dr. Esteban Cugat (Barcelona, 1960) is a medical specialist in General and Digestive System Surgery. Specialized in Hepatobiliopancreatic Surgery. Clinical Associate Professor at the Faculty of Medicine of the Autonomous University of Barcelona.
Dr. Cremades
Consultant in Hepatobiliopancreatic Surgery
Dr. Manel Cremades is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. He is also an Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (UAB – Germans Trias Teaching Unit), collaborates on management committees for the implementation of hospital transformation projects, and is the co-founder of two startups in the health sector.
Dr. Navinés
Consultant in Hepatobiliopancreatic Surgery
Surgeon Specialist in General and Digestive System Surgery and Doctor of Surgery from the Universitat Autònoma de Barcelona.
Dra. Zárate
Consultant in Hepatobiliopancreatic Surgery
Dr. Alba Zárate (Barcelona, 1989) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.
Dr. Espín
Consultant in Hepatobiliopancreatic Surgery
Dr. Francisco Espín is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (Germans Trias Teaching Unit).
Dr. Pardo
Consultant in Hepatobiliopancreatic Surgery
Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.
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An article by
Telemedicine to follow patients in a general surgery department. A randomized controlled trial
Manel Cremades, Georgina Ferret, David Parés, Jordi Navinés, Franc Espin, Fernando Pardo, Albert Caballero, Marta Viciano, Joan Francesc Julian
A prospective randomized clinical trial (RCT) was conducted in 200 patients to compare conventional vs telemedicine follow-up in the outpatient clinics. The primary outcome was the feasibility of telemedicine follow-up and the secondary outcomes were its clinical impact and patient satisfaction.
Telemedicine is a good complementary service to facilitate follow-up management in selected patients from a General Surgery department.
Doctors who have participated
Dr. Cremades
Consultant in Hepatobiliopancreatic Surgery
Dr. Manel Cremades is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. He is also an Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (UAB – Germans Trias Teaching Unit), collaborates on management committees for the implementation of hospital transformation projects, and is the co-founder of two startups in the health sector.
Dr. Navinés
Consultant in Hepatobiliopancreatic Surgery
Surgeon Specialist in General and Digestive System Surgery and Doctor of Surgery from the Universitat Autònoma de Barcelona.
Dr. Pardo
Consultant in Hepatobiliopancreatic Surgery
Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.
Dr. Espín
Consultant in Hepatobiliopancreatic Surgery
Dr. Francisco Espín is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (Germans Trias Teaching Unit).
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An article by
Detection of the sentinel node in pancreatic cancer by fluorescence imaging.
Carlota Matallana, Fernando Pardo, Francisco Espin, Manel Cremades, Esteban Cugat.
El uso de la imagen fluorescente ha aumentado significativamente su uso en la cirugía hepatobiliar y pancreática, pero no hay estudios comparativos que definan su aplicabilidad intraoperatoria en el abordaje linfático. La complejidad de las vías de diseminación linfática del adenocarcinoma de páncreas hace que sea un terreno difícil de definir y en el cual el avance tecnológico puede tener un papel fundamental ayudándonos a esclarecer estas rutas linfáticas.
En esta línea, creemos que el uso de Verde de Indocianina intraoperatorio para la detección del ganglio centinela mediante la imagen de fluorescencia puede ayudarnos a delimitar el territorio ganglionar afectado y lograr así linfadenectomías más dirigidas.
Doctors who have participated
Dr. Pardo
Consultant in Hepatobiliopancreatic Surgery
Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.
Dr. Espín
Consultant in Hepatobiliopancreatic Surgery
Dr. Francisco Espín is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (Germans Trias Teaching Unit).
Dr. Cugat
Clinical Head of the Hepatobiliopancreatic Surgery Team
Dr. Esteban Cugat (Barcelona, 1960) is a medical specialist in General and Digestive System Surgery. Specialized in Hepatobiliopancreatic Surgery. Clinical Associate Professor at the Faculty of Medicine of the Autonomous University of Barcelona.
Dr. Cremades
Consultant in Hepatobiliopancreatic Surgery
Dr. Manel Cremades is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. He is also an Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (UAB – Germans Trias Teaching Unit), collaborates on management committees for the implementation of hospital transformation projects, and is the co-founder of two startups in the health sector.
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Outflow Control of the Right Hepatic Vein During Laparoscopic Right Hepatectomy.
Fernando Pardo, Francisco Espin, Jordi Navinés, Esteban Cugat
El control de la vena suprahepática derecha es una de las maniobras más demandantes durante la hepatectomía derecha laparoscópica. En este vídeo se muestran tres formas diferentes de controlarla. Los dos primeros pacientes fueron diagnosticados de metástasis hepáticas de origen colorrectal y el tercer paciente de metástasis hepática de un tumor estromal gastrointestinal (GIST) ileal. En el primer vídeo se realiza el control de la vena de abajo a arriba, previo a la transección hepática; en el segundo vídeo, también previo a la transección, se controla la vena de arriba abajo, y en el tercer vídeo se controla tras realizar la transección hepática.
Doctors who have participated
Dr. Pardo
Consultant in Hepatobiliopancreatic Surgery
Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.
Dr. Cugat
Clinical Head of the Hepatobiliopancreatic Surgery Team
Dr. Esteban Cugat (Barcelona, 1960) is a medical specialist in General and Digestive System Surgery. Specialized in Hepatobiliopancreatic Surgery. Clinical Associate Professor at the Faculty of Medicine of the Autonomous University of Barcelona.
Dr. Espín
Consultant in Hepatobiliopancreatic Surgery
Dr. Francisco Espín is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (Germans Trias Teaching Unit).
Dr. Navinés
Consultant in Hepatobiliopancreatic Surgery
Surgeon Specialist in General and Digestive System Surgery and Doctor of Surgery from the Universitat Autònoma de Barcelona.
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An article by
Fluorescent cholangiography with direct injection of indocyanine green (ICG) into the gallbladder: a safety method to outline biliary anatomy.
Clara Gené, Fernando Pardo, Francisco Espin, Manel Cremades, Jordi Navinés, Alba Zarate y Esteban Cugat.
A case-controlled study comparing 20 patients undergoing laparoscopic cholecystectomies with Near Infrared Cholangiography (NIRC) with direct injection of ICG into the gallbladder to 20 consecutive standard cholecystectomies. NIRC with direct injection of ICG into the gallbladder is a feasible method that is not time-consuming; it does not require a different learning curve from standard laparoscopic cholecystectomies and has no major complications described so far.
Doctors who have participated
Dr. Pardo
Consultant in Hepatobiliopancreatic Surgery
Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.
Dr. Cremades
Consultant in Hepatobiliopancreatic Surgery
Dr. Manel Cremades is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. He is also an Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (UAB – Germans Trias Teaching Unit), collaborates on management committees for the implementation of hospital transformation projects, and is the co-founder of two startups in the health sector.
Dr. Espín
Consultant in Hepatobiliopancreatic Surgery
Dr. Francisco Espín is a Medical specialist in hepatobiliopancreatic (HPB) surgery and pancreatic transplantation. Associate Professor at the Faculty of Medicine at the Autonomous University of Barcelona (Germans Trias Teaching Unit).
Dr. Navinés
Consultant in Hepatobiliopancreatic Surgery
Surgeon Specialist in General and Digestive System Surgery and Doctor of Surgery from the Universitat Autònoma de Barcelona.
Dra. Zárate
Consultant in Hepatobiliopancreatic Surgery
Dr. Alba Zárate (Barcelona, 1989) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.
Dr. Cugat
Clinical Head of the Hepatobiliopancreatic Surgery Team
Dr. Esteban Cugat (Barcelona, 1960) is a medical specialist in General and Digestive System Surgery. Specialized in Hepatobiliopancreatic Surgery. Clinical Associate Professor at the Faculty of Medicine of the Autonomous University of Barcelona.
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