Miembro: Dra. Zárate

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Robotic Biliary Diversion, different scenarios

Presentado en el Congreso Nacional de Cirugía 2024.

Doctors who have participated

Dr. Cremades

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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Dr. Cugat

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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Dr. Espín

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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Dr. Navinés

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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Dr. Pardo

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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Dra. Lucas

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.

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Dra. Sentí

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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Dra. Zárate

Dra. Zárate

Consultant in Hepatobiliopancreatic Surgery

Dr. Alba Zárate (Barcelona, 1989) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

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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

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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Dr. Cugat

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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Dr. Espín

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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Dr. Navinés

Dr. Navinés

Consultant in Hepatobiliopancreatic Surgery

Surgeon Specialist in General and Digestive System Surgery and Doctor of Surgery from the Universitat Autònoma de Barcelona.

View profile

Dr. Pardo

Dr. Pardo

Consultant in Hepatobiliopancreatic Surgery

Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

View profile

Dra. Lucas

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.

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Dra. Sentí

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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Dra. Zárate

Dra. Zárate

Consultant in Hepatobiliopancreatic Surgery

Dr. Alba Zárate (Barcelona, 1989) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

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    An article by

    Dr. Cremades Dr. Cremades Dr. Cugat Dr. Cugat Dr. Espín Dr. Espín Dr. Navinés Dr. Navinés Dr. Pardo Dr. Pardo Dra. Zárate Dra. Zárate

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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.

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    Doctors who have participated

    Dr. Cremades

    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.

    View profile

    Dr. Pardo

    Dr. Pardo

    Consultant in Hepatobiliopancreatic Surgery

    Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

    View profile

    Dra. Zárate

    Dra. Zárate

    Consultant in Hepatobiliopancreatic Surgery

    Dr. Alba Zárate (Barcelona, 1989) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

    View profile

    Dr. Navinés

    Dr. Navinés

    Consultant in Hepatobiliopancreatic Surgery

    Surgeon Specialist in General and Digestive System Surgery and Doctor of Surgery from the Universitat Autònoma de Barcelona.

    View profile

    Dr. Espín

    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).

    View profile

    Dr. Cugat

    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. 

    View profile

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    An article by

    Dr. Cremades Dr. Cremades Dr. Cugat Dr. Cugat Dr. Espín Dr. Espín Dr. Navinés Dr. Navinés Dr. Pardo Dr. Pardo Dra. Zárate Dra. Zárate

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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.

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    Doctors who have participated

    Dr. Cugat

    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. 

    View profile

    Dr. Cremades

    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.

    View profile

    Dr. Navinés

    Dr. Navinés

    Consultant in Hepatobiliopancreatic Surgery

    Surgeon Specialist in General and Digestive System Surgery and Doctor of Surgery from the Universitat Autònoma de Barcelona.

    View profile

    Dra. Zárate

    Dra. Zárate

    Consultant in Hepatobiliopancreatic Surgery

    Dr. Alba Zárate (Barcelona, 1989) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

    View profile

    Dr. Espín

    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).

    View profile

    Dr. Pardo

    Dr. Pardo

    Consultant in Hepatobiliopancreatic Surgery

    Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

    View profile

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    An article by

    Dr. Cugat Dr. Cugat Dr. Espín Dr. Espín Dr. Navinés Dr. Navinés Dr. Pardo Dr. Pardo Dra. Zárate Dra. Zárate

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    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.

    Read the full article

    Doctors who have participated

    Dr. Pardo

    Dr. Pardo

    Consultant in Hepatobiliopancreatic Surgery

    Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

    View profile

    Dr. Cremades

    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.

    View profile

    Dr. Espín

    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).

    View profile

    Dr. Navinés

    Dr. Navinés

    Consultant in Hepatobiliopancreatic Surgery

    Surgeon Specialist in General and Digestive System Surgery and Doctor of Surgery from the Universitat Autònoma de Barcelona.

    View profile

    Dra. Zárate

    Dra. Zárate

    Consultant in Hepatobiliopancreatic Surgery

    Dr. Alba Zárate (Barcelona, 1989) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

    View profile

    Dr. Cugat

    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. 

    View profile

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    Dr. Cremades Dr. Cremades Dr. Cugat Dr. Cugat Dr. Pardo Dr. Pardo Dra. Zárate Dra. Zárate

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    Pancreas anastomosis after laparoscopic and robotic pancreatoduodenectomy.

    Fernando Pardo, Esteban Cugat, Manel Cremades, Alba Zárate.

    A pesar de que a día de hoy la duodenopancreatectomía cefálica laparoscópica y robótica no se realiza en la mayoría de unidades de cirugía hepatobiliopancreática, se trata de una técnica en proyección y que en los próximos años su implementación en determinados casos será incuestionable. La reconstrucción pancreática es una de las partes más demandantes de esta cirugía, y en concreto la anastomosis pancreática. El vídeo muestra la anastomosis pancreático-yeyunal y la anastomosis pancreático-gástrica tanto por laparoscopia como por cirugía robótica. La sistematización del procedimiento permite realizarla de manera segura.

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    Doctors who have participated

    Dr. Pardo

    Dr. Pardo

    Consultant in Hepatobiliopancreatic Surgery

    Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

    View profile

    Dr. Cugat

    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. 

    View profile

    Dr. Cremades

    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.

    View profile

    Dra. Zárate

    Dra. Zárate

    Consultant in Hepatobiliopancreatic Surgery

    Dr. Alba Zárate (Barcelona, 1989) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

    View profile

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    An article by

    Dr. Cremades Dr. Cremades Dr. Cugat Dr. Cugat Dr. Espín Dr. Espín Dr. Navinés Dr. Navinés Dr. Pardo Dr. Pardo Dra. Zárate Dra. Zárate

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    Indocyanine green (ICG) fluorescent cholangiography in laparoscopic cholecystectomy: Simplifying time and dose.

    Fernando Pardo, Clara Gené, Jaime López-Sánchez, Alba Zárate, Francisco Espin, Manel Cremades, Jordi Navinés, Christian Herrero, Laura Vidal y Esteban Cugat.

    This article aims to analyze and to simplify the optimal dose and time of intravenous indocyanine green (ICG) administration to achieve the identification of the cystic duct and the common bile duct (CBD). The CBD was better visualized in the at induction of anesthesia group (85.4%), in the hours before group (97.1%) (p = 0.002) and in the 1cc group (p = 0.011). When we analyzed the 1 cc group (n = 126) a greater visualization of the CBD was observed in the at induction of anesthesia group (86.7%) and in the hours before group (97.1%) (p = 0.027). Due to its simplicity and reproducibility, we suggest a dose of 2.5 mg administered 2-6 h before the procedure is the optimal. However, ICG administered 30 min prior to the surgery is enough for adequate visualization of biliary structures.

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    Doctors who have participated

    Dr. Pardo

    Dr. Pardo

    Consultant in Hepatobiliopancreatic Surgery

    Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

    View profile

    Dra. Zárate

    Dra. Zárate

    Consultant in Hepatobiliopancreatic Surgery

    Dr. Alba Zárate (Barcelona, 1989) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

    View profile

    Dr. Espín

    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).

    View profile

    Dr. Cremades

    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.

    View profile

    Dr. Cugat

    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. 

    View profile

    Dr. Navinés

    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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    Dr. Cugat Dr. Cugat Dra. Sentí Dra. Sentí Dra. Zárate Dra. Zárate

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    Surgical treatment of the Median Arcuate Ligament Syndrome (MALS) using robotic platform.

    Anna Vidal, Alba Zárate, Sara Sentí y Esteban Cugat.

    Este síndrome está causado por la compresión extrínseca del tronco celíaco por bandas fibrosas del ligamento arcuato medio. Puede presentar importantes síntomas como dolor abdominal después de las comidas, vómitos y pérdida de peso.

    Es este vídeo, elegido vídeo del mes por la revista Cirugía Española, se muestra en detalle el tratamiento quirúrgico mediante abordaje robótico y las ventajas de éste, siendo una técnica segura y eficaz realizada por equipos con experiencia.

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    Doctors who have participated

    Dr. Cugat

    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. 

    View profile

    Dra. Sentí

    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.

    View profile

    Dra. Zárate

    Dra. Zárate

    Consultant in Hepatobiliopancreatic Surgery

    Dr. Alba Zárate (Barcelona, 1989) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

    View profile

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    An article by

    Dr. Cugat Dr. Cugat Dr. Espín Dr. Espín Dr. Pardo Dr. Pardo Dra. Zárate Dra. Zárate

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    Long-term results of liver-first approach strategy in patients with advanced synchronous liver metastases from colorectal cancer.

    Eric Herrero, María Galofré, Alba Zárate, Maribel García-Domingo, Judith Camps, Fernando Pardo, Francisco Espin y Esteban Cugat.

    Retrospective descriptive analysis from a prospective database of hepatectomies from liver metastases (LM) from CRC in two centers. Between 2007-2019, 88 patients with CRC-ASLM (advanced synchronous liver metastases) were included in a LFA scheme. Bilobar (LM) was present in 65.9%, the mean number of lesions was 5.5 and mean size 42.7 mm. Response to treatment was assessed by RECIST criteria. Progression-free survival (PFS) and overall survival (OS) were estimated using Kaplan-Meier survival curves.

    In patients with CRC-ASLM the LFA allows control of the liver disease beforehand and an assessment of the tumor response to neoadjuvant chemotherapy, optimising the chance of potentially curative liver resection, which influences long-term survival.

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    Doctors who have participated

    Dra. Zárate

    Dra. Zárate

    Consultant in Hepatobiliopancreatic Surgery

    Dr. Alba Zárate (Barcelona, 1989) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

    View profile

    Dr. Cugat

    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. 

    View profile

    Dr. Pardo

    Dr. Pardo

    Consultant in Hepatobiliopancreatic Surgery

    Dr. Fernando Pardo (Madrid, 1986) is a Digestive surgeon specializing in hepatobiliopancreatic surgery and pancreatic transplantation.

    View profile

    Dr. Espín

    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).

    View profile

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    A video by

    Dr. Cremades Dr. Cremades Dr. Cugat Dr. Cugat Dr. Pardo Dr. Pardo Dra. Zárate Dra. Zárate

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    Robotic common bile duct exploration

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