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2. Access to the abdominal cavity

Author

Targarona, Eduardo M., Ananín, Sonia Fernández, Bollo, Jesús, Broeders, Ivo, editor, Kalisingh, Sandy, editor, Perretta, Silvana, editor, and Szold, Amir, editor

Published
2024
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3. An international Delphi consensus for surgical quality assessment of lymphadenectomy and anastomosis in minimally invasive total gastrectomy for gastric cancer

Author

Cizmic, Amila, Romic, Ivan, Balla, Andrea, Barabino, Nicolò, Anania, Gabriele, Baiocchi, Gian Luca, Bakula, Branko, Balagué, Carmen, Berlth, Felix, Bintintan, Vasile, Bracale, Umberto, Egberts, Jan-Hendrik, Fuchs, Hans F., Gisbertz, Suzanne S., Gockel, Ines, Grimminger, Peter, van Hillegersberg, Richard, Inaki, Noriyuki, Immanuel, Arul, Korr, Daniel, Lingohr, Philipp, Mascagni, Pietro, Melling, Nathaniel, Milone, Marco, Mintz, Yoav, Morales-Conde, Salvador, Moulla, Yusef, Müller-Stich, Beat P., Nakajima, Kiyokazu, Nilsson, Magnus, Reeh, Matthias, Sileri, Pierpaolo, Targarona, Eduardo M., Ushimaru, Yuki, Kim, Young-Woo, Markar, Sheraz, Nickel, Felix, and Mitra, Anuja T.

Published
2024
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11. An international Delphi consensus for surgical quality assessment of lymphadenectomy and anastomosis in minimally invasive total gastrectomy for gastric cancer

Author

MS CGO, Cancer, Cizmic, Amila, Romic, Ivan, Balla, Andrea, Barabino, Nicolò, Anania, Gabriele, Baiocchi, Gian Luca, Bakula, Branko, Balagué, Carmen, Berlth, Felix, Bintintan, Vasile, Bracale, Umberto, Egberts, Jan-Hendrik, Fuchs, Hans F, Gisbertz, Suzanne S, Gockel, Ines, Grimminger, Peter, van Hillegersberg, Richard, Inaki, Noriyuki, Immanuel, Arul, Korr, Daniel, Lingohr, Philipp, Mascagni, Pietro, Melling, Nathaniel, Milone, Marco, Mintz, Yoav, Morales-Conde, Salvador, Moulla, Yusef, Müller-Stich, Beat P, Nakajima, Kiyokazu, Nilsson, Magnus, Reeh, Matthias, Sileri, Pierpaolo, Targarona, Eduardo M, Ushimaru, Yuki, Kim, Young-Woo, Markar, Sheraz, Nickel, Felix, Mitra, Anuja T, MS CGO, Cancer, Cizmic, Amila, Romic, Ivan, Balla, Andrea, Barabino, Nicolò, Anania, Gabriele, Baiocchi, Gian Luca, Bakula, Branko, Balagué, Carmen, Berlth, Felix, Bintintan, Vasile, Bracale, Umberto, Egberts, Jan-Hendrik, Fuchs, Hans F, Gisbertz, Suzanne S, Gockel, Ines, Grimminger, Peter, van Hillegersberg, Richard, Inaki, Noriyuki, Immanuel, Arul, Korr, Daniel, Lingohr, Philipp, Mascagni, Pietro, Melling, Nathaniel, Milone, Marco, Mintz, Yoav, Morales-Conde, Salvador, Moulla, Yusef, Müller-Stich, Beat P, Nakajima, Kiyokazu, Nilsson, Magnus, Reeh, Matthias, Sileri, Pierpaolo, Targarona, Eduardo M, Ushimaru, Yuki, Kim, Young-Woo, Markar, Sheraz, Nickel, Felix, and Mitra, Anuja T

Published
2024

12. An international Delphi consensus for surgical quality assessment of lymphadenectomy and anastomosis in minimally invasive total gastrectomy for gastric cancer

Author

Cizmic, Amila, primary, Romic, Ivan, additional, Balla, Andrea, additional, Barabino, Nicolò, additional, Anania, Gabriele, additional, Baiocchi, Gian Luca, additional, Bakula, Branko, additional, Balagué, Carmen, additional, Berlth, Felix, additional, Bintintan, Vasile, additional, Bracale, Umberto, additional, Egberts, Jan-Hendrik, additional, Fuchs, Hans F., additional, Gisbertz, Suzanne S., additional, Gockel, Ines, additional, Grimminger, Peter, additional, van Hillegersberg, Richard, additional, Inaki, Noriyuki, additional, Immanuel, Arul, additional, Korr, Daniel, additional, Lingohr, Philipp, additional, Mascagni, Pietro, additional, Melling, Nathaniel, additional, Milone, Marco, additional, Mintz, Yoav, additional, Morales-Conde, Salvador, additional, Moulla, Yusef, additional, Müller-Stich, Beat P., additional, Nakajima, Kiyokazu, additional, Nilsson, Magnus, additional, Reeh, Matthias, additional, Sileri, Pierpaolo, additional, Targarona, Eduardo M., additional, Ushimaru, Yuki, additional, Kim, Young-Woo, additional, Markar, Sheraz, additional, Nickel, Felix, additional, and Mitra, Anuja T., additional

Published
2023
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15. Management of paraesophageal hiatus hernia

Author

Gerdes, Stephan, Schoppmann, Sebastian F, Bonavina, Luigi, Boyle, Nicholas, Mueller-Stich, Beat P, Gutschow, Christian A, Gisbertz, Suzanne Sarah, Kockerling, Ferdinand, Lehmann, Thorsten G, Lorenz, Dietmar, Granderath, Frank Alexander, Rosati, Riccardo, Wullstein, Christoph, Lundell, Lars, Cheong, Edward, Nafteux, Philippe, Olmi, Stefano, Monig, Stefan, Biebl, Matthias, Leers, Jessica, Zehetner, Joerg, Kristo, Ivan, Berrisford, Richard George, Skrobic, Ognjan M, Simic, Aleksandar P, Pera, Manuel, Grimminger, Peter Philipp, Gockel, Ines, Zarras, Konstantinos, Nieuwenhuijs, Vincent Bernard, Gossage, James A, Henegouwen, Mark I van Berge, Stein, Hubert J, Markar, Sheraz R, Hueting, Willem Eduard, Targarona, Eduardo M, Johansson, Jan, Macaulay, Graeme D, Wijnhoven, Bas PL, Benedix, Frank, Attwood, Stephen E, Hoelscher, Arnulf Heinrich, Priego, Pablo, Fuchs, Karl-Hermann, Luyer, Misha DP, Griffiths, Ewen A, Sovik, Torgeir Thorson, Theodorou, Dimitrios, Sgromo, Bruno, Salo, Jarmo A, Singhal, Rishi, Thorell, Anders, Zaninotto, Giovanni, Itenc, Marko, D'journo, Xavier Benoit, Fullarton, Grant M, Horbach, Thomas, Surgery, CCA - Cancer Treatment and Quality of Life, CCA - Cancer biology and immunology, CCA - Imaging and biomarkers, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, and CCA - Cancer Treatment and quality of life

Subjects
REPAIR, MESH, Hiatus hernia, Mesh, Science & Technology, Fundoplication, Surgical technique, GUIDELINES, Paraesophageal hernia, REFLUX, Surgery, Delphi survey, RECURRENCE, Life Sciences & Biomedicine
Abstract

Aims There is considerable controversy regarding optimal management of patients with paraesophageal hiatus hernia (pHH). This survey aims at identifying recommended strategies for work-up, surgical therapy, and postoperative follow-up using Delphi methodology. Methods We conducted a 2-round, 33-question, web-based Delphi survey on perioperative management (preoperative work-up, surgical procedure and follow-up) of non-revisional, elective pHH among European surgeons with expertise in upper-GI. Responses were graded on a 5-point Likert scale and analyzed using descriptive statistics. Items from the questionnaire were defined as “recommended” or “discouraged” if positive or negative concordance among participants was > 75%. Items with lower concordance levels were labelled “acceptable” (neither recommended nor discouraged). Results Seventy-two surgeons with a median (IQR) experience of 23 (14–30) years from 17 European countries participated (response rate 60%). The annual median (IQR) individual and institutional caseload was 25 (15–36) and 40 (28–60) pHH-surgeries, respectively. After Delphi round 2, “recommended” strategies were defined for preoperative work-up (endoscopy), indication for surgery (typical symptoms and/or chronic anemia), surgical dissection (hernia sac dissection and resection, preservation of the vagal nerves, crural fascia and pleura, resection of retrocardial lipoma) and reconstruction (posterior crurorrhaphy with single stitches, lower esophageal sphincter augmentation (Nissen or Toupet), and postoperative follow-up (contrast radiography). In addition, we identified “discouraged” strategies for preoperative work-up (endosonography), and surgical reconstruction (crurorrhaphy with running sutures, tension-free hiatus repair with mesh only). In contrast, many items from the questionnaire including most details of mesh augmentation (indication, material, shape, placement, and fixation technique) were “acceptable”. Conclusions This multinational European Delphi survey represents the first expert-led process to identify recommended strategies for the management of pHH. Our work may be useful in clinical practice to guide the diagnostic process, increase procedural consistency and standardization, and to foster collaborative research.

Published
2023

24. Management of paraesophageal hiatus hernia:recommendations following a European expert Delphi consensus

Author

Gerdes, Stephan, Schoppmann, Sebastian F., Bonavina, Luigi, Boyle, Nicholas, Müller-Stich, Beat P., Gutschow, Christian A., Gisbertz, Suzanne Sarah, Köckerling, Ferdinand, Lehmann, Thorsten G., Lorenz, Dietmar, Granderath, Frank Alexander, Rosati, Riccardo, Wullstein, Christoph, Lundell, Lars, Cheong, Edward, Nafteux, Philippe, Olmi, Stefano, Mönig, Stefan, Biebl, Matthias, Leers, Jessica, Zehetner, Joerg, Kristo, Ivan, Berrisford, Richard George, Skrobić, Ognjan M., Simić, Aleksandar P., Pera, Manuel, Grimminger, Peter Philipp, Gockel, Ines, Zarras, Konstantinos, Nieuwenhuijs, Vincent Bernard, Gossage, James A., van Berge Henegouwen, Mark i., Stein, Hubert J., Markar, Sheraz R., Hueting, Willem Eduard, Targarona, Eduardo M., Johansson, Jan, Macaulay, Graeme D., Wijnhoven, Bas P.L., Benedix, Frank, Attwood, Stephen E., Hölscher, Arnulf Heinrich, Priego, Pablo, Fuchs, Karl Hermann, Luyer, Misha D.P., Griffiths, Ewen A., Søvik, Torgeir Thorson, Theodorou, Dimitrios, Sgromo, Bruno, Salo, Jarmo A., Gerdes, Stephan, Schoppmann, Sebastian F., Bonavina, Luigi, Boyle, Nicholas, Müller-Stich, Beat P., Gutschow, Christian A., Gisbertz, Suzanne Sarah, Köckerling, Ferdinand, Lehmann, Thorsten G., Lorenz, Dietmar, Granderath, Frank Alexander, Rosati, Riccardo, Wullstein, Christoph, Lundell, Lars, Cheong, Edward, Nafteux, Philippe, Olmi, Stefano, Mönig, Stefan, Biebl, Matthias, Leers, Jessica, Zehetner, Joerg, Kristo, Ivan, Berrisford, Richard George, Skrobić, Ognjan M., Simić, Aleksandar P., Pera, Manuel, Grimminger, Peter Philipp, Gockel, Ines, Zarras, Konstantinos, Nieuwenhuijs, Vincent Bernard, Gossage, James A., van Berge Henegouwen, Mark i., Stein, Hubert J., Markar, Sheraz R., Hueting, Willem Eduard, Targarona, Eduardo M., Johansson, Jan, Macaulay, Graeme D., Wijnhoven, Bas P.L., Benedix, Frank, Attwood, Stephen E., Hölscher, Arnulf Heinrich, Priego, Pablo, Fuchs, Karl Hermann, Luyer, Misha D.P., Griffiths, Ewen A., Søvik, Torgeir Thorson, Theodorou, Dimitrios, Sgromo, Bruno, and Salo, Jarmo A.

Abstract

Aims: There is considerable controversy regarding optimal management of patients with paraesophageal hiatus hernia (pHH). This survey aims at identifying recommended strategies for work-up, surgical therapy, and postoperative follow-up using Delphi methodology. Methods: We conducted a 2-round, 33-question, web-based Delphi survey on perioperative management (preoperative work-up, surgical procedure and follow-up) of non-revisional, elective pHH among European surgeons with expertise in upper-GI. Responses were graded on a 5-point Likert scale and analyzed using descriptive statistics. Items from the questionnaire were defined as “recommended” or “discouraged” if positive or negative concordance among participants was > 75%. Items with lower concordance levels were labelled “acceptable” (neither recommended nor discouraged). Results: Seventy-two surgeons with a median (IQR) experience of 23 (14–30) years from 17 European countries participated (response rate 60%). The annual median (IQR) individual and institutional caseload was 25 (15–36) and 40 (28–60) pHH-surgeries, respectively. After Delphi round 2, “recommended” strategies were defined for preoperative work-up (endoscopy), indication for surgery (typical symptoms and/or chronic anemia), surgical dissection (hernia sac dissection and resection, preservation of the vagal nerves, crural fascia and pleura, resection of retrocardial lipoma) and reconstruction (posterior crurorrhaphy with single stitches, lower esophageal sphincter augmentation (Nissen or Toupet), and postoperative follow-up (contrast radiography). In addition, we identified “discouraged” strategies for preoperative work-up (endosonography), and surgical reconstruction (crurorrhaphy with running sutures, tension-free hiatus repair with mesh only). In contrast, many items from the questionnaire including most details of mesh augmentation (indication, material, shape, placement, and fixation technique) were “acceptable”. Conclusions: This multina

Published
2023

27. Splenectomy

Author

Targarona, Eduardo M., Luppi, Carlos Rodriguez, Monclova, Julio Lopez, Balague, Carmen, Trias, Manuel, Mori, Toshiyuki, editor, and Dapri, Giovanni, editor

Published
2014
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28. Single-Access Laparoscopic Splenectomy

Author

Targarona, Eduardo M., Luppi, Carlos Rodriguez, Pallares, Luis, Monclova, Julio Lopez, Balague, Carmen, Trias, Manuel, Pignata, Giusto, editor, Corcione, Francesco, editor, and Bracale, Umberto, editor

Published
2014
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31. Conversions in laparoscopic surgery for rectal cancer

Author

van der Pas, Martijn H. G. M., Deijen, Charlotte L., Abis, Gabor S. A., de Lange-de Klerk, Elly S. M., Haglind, Eva, Fürst, Alois, Lacy, Antonio M., Cuesta, Miguel A., Bonjer, Hendrik J., d’Hoore, André, Birch, Dan, DeGara, Chris, Jamieson, Chris, Peiman, Poornoroozy, Jensen, Karl Juul, Bulut, Orhan, Jess, Per, Rosenberg, Jacob, Harvald, Thomas, Ovesen, Henrik, Iesalnieks, Igors, Agha, Ayman, Jaeger, Christina, Kreis, Martin, Kasparek, Michael, Fürst, Alois, Liebig-Hoerl, Gudrun, Kim, Seon Hahn, Bonjer, Jaap, van der Peet, Donald, Cuesta, Miguel, van der Pas, Martijn, Buunen, Mark, Abis, Gabor, Deijen, Charlotte, de Lange-de Klerk, Elly, Hop, Wim, Neijenhuis, Peter, Coene, Peter Paul, van der Harst, Edwin, van ‘t Riet, Yvonne, Bemelman, Willem, Gerhards, Michael, Prins, Hubert, Targarona, Eduardo, Balague, Carmen, Martinez, Carmen, Osorio, Juan Franco, Molina, Garcia, Lacy, Antonio, Delgado, Salvadora, Lujan, Juan, Valero, Graciela, Alonso-Poza, Alfredo, Losadar, Manual, Argudo, Salvador, Lackberg, Zoltan, Skullman, Stefan, Kurlberg, Goran, Haglind, Eva, Andersson, John, Angenete, Eva, Ekelund, Jan, Kressner, Ulf, Matthiessen, Peter, and For the COLOR II study group

Published
2017
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34. Reply

Author

Manchon-Walsh, Paula, primary, de Lacy, F. Borja, additional, Pera, Miguel, additional, Espin-Basany, Eloy, additional, Targarona, Eduardo M., additional, Biondo, Sebastiano, additional, Aliste Sanchez, Luisa, additional, Pallarès, Natalia, additional, Tebé, Cristian, additional, Pata, Francesco, additional, Lacy, Antonio M., additional, Guarga, Alex, additional, and Borràs, Josep M., additional

Published
2022
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36. Laparoscopic anterior resection of a deep infiltrating rectal endometriosis: A Video Vignette.

Author

Codina, Clàudia, Sánchez López, Anna, Luna, Rocío, Mora, Irene, Hernández, Pilar, Martínez, Carmen, Bollo, Jesús, and Targarona, Eduardo M.

Subjects
LAPAROSCOPIC surgery, ENDOMETRIOSIS, PELVIC pain, INFORMED consent (Medical law), VIGNETTES
Abstract

This article discusses a case study of a 33-year-old woman with deep infiltrating endometriosis and rectal infiltration who desired to conceive in the future. The patient experienced chronic pelvic pain, dysmenorrhea, dyspareunia, and dyschezia. After conservative treatment with hormonotherapy failed to improve symptoms, a laparoscopic approach was performed by a multidisciplinary team of surgeons. The patient underwent rectal resection and excision of endometriotic nodules, resulting in an uneventful postoperative recovery and improvement in pain and quality of life. The article emphasizes the complexity of laparoscopic rectal resection and the importance of a multidisciplinary team for a safe procedure. [Extracted from the article]

Published
2024
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37. International Delphi Expert Consensus on Safe Return to Surgical and Endoscopic Practice

Author

Asbun, Horacio J., Abu Hilal, Mohammad, Kunzler, Filipe, Asbun, Domenech, Bonjer, Jaap, Conlon, Kevin, Demartines, Nicolas, Feldman, Liane S., Morales-Conde, Salvador, Pietrabissa, Andrea, Pryor, Aurora D., Schlachta, Christopher M., Sylla, Patricia, Targarona, Eduardo M., Agra, Yolanda, Besselink, Marc G., Callery, Mark, Cleary, Sean P., De La Cruz, Luis, Eckert, Philippe, Evans, Chad, Han, Ho-Seong, Jones, Daniel B., Gan, Tong Joo, Koch, Daniel, Lillemoe, Keith D., Lomanto, Davide, Marks, Jeffrey, Matthews, Brent, Mellinger, John, Melvin, William Scott, Moreno-Paquentin, Eduardo, Navarrete, Claudio, Pawlik, Timothy M., Pessaux, Patrick, Ricciardi, Walter, Schwaitzberg, Steven, Shah, Paresh, Szokol, Joseph, Talamini, Mark, Torres, Ricardo, Triboldi, Alessandro, Udomsawaengsup, Suthep, Valsecchi, Federica, Vauthey, Jean-Nicolas, Wallace, Michael, Wexner, Steven D., Zinner, Michael, and Francis, Nader

Subjects
Infection Control, Consensus, Internationality, Delphi Technique, pandemic, resumption, pathways, coronavirus, COVID-19, Endoscopy, Delphi, surgery, backlog, Elective Surgical Procedures, recommendations, ComputingMethodologies_DOCUMENTANDTEXTPROCESSING, Humans, Triage, resources, Intersectoral Collaboration
Abstract

Supplemental Digital Content is available in the text, Objective: The aim of this work is to formulate recommendations based on global expert consensus to guide the surgical community on the safe resumption of surgical and endoscopic activities. Background: The COVID-19 pandemic has caused marked disruptions in the delivery of surgical care worldwide. A thoughtful, structured approach to resuming surgical services is necessary as the impact of COVID-19 becomes better controlled. The Coronavirus Global Surgical Collaborative sought to formulate, through rigorous scientific methodology, consensus-based recommendations in collaboration with a multidisciplinary group of international experts and policymakers. Methods: Recommendations were developed following a Delphi process. Domain topics were formulated and subsequently subdivided into questions pertinent to different aspects of surgical care in the COVID-19 crisis. Forty-four experts from 15 countries across 4 continents drafted statements based on the specific questions. Anonymous Delphi voting on the statements was performed in 2 rounds, as well as in a telepresence meeting. Results: One hundred statements were formulated across 10 domains. The statements addressed terminology, impact on procedural services, patient/staff safety, managing a backlog of surgeries, methods to restart and sustain surgical services, education, and research. Eighty-three of the statements were approved during the first round of Delphi voting, and 11 during the second round. A final telepresence meeting and discussion yielded acceptance of 5 other statements. Conclusions: The Delphi process resulted in 99 recommendations. These consensus statements provide expert guidance, based on scientific methodology, for the safe resumption of surgical activities during the COVID-19 pandemic.

Published
2020

44. Commentary 2

Author

Targarona, Eduardo M, Balagué, Carmen, Trias, Manuel, Assalia, Ahmad, editor, Gagner, Michel, editor, and Schein, Moshe, editor

Published
2006
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45. Single-port splenectomy: Current update and controversies

Author

Targarona Eduardo, Lima Maria, Balague Carmen, and Trias Manuel

Subjects
Endoscopic surgery, literature review, single-port access, splenectomy, surgical technique, Surgery, RD1-811, Diseases of the digestive system. Gastroenterology, RC799-869
Abstract

Multiport laparoscopic splenectomy (LS) is considered the "gold standard" for the management of surgical diseases in normal or slightly enlarged spleens. The concept of minimal-invasive surgical techniques has progressed since the early 1990s from standard multiport laparoscopy to natural orifice transluminal endoscopic surgery (NOTES) and, more recently, to single-port access (SPA). In this paper, we describe our technique for SPA splenectomy and provide a critical review of the current literature on SPA for splenic diseases.Preliminary results published to date indicate that the spleen can be safely removed using single-incision surgery and all the authors have unanimously endorsed the feasibility of this approach. However, available evidence is still scarce. It is based only on case reports and one small series, with a total of 17 patents and, therefore, firm conclusions cannot yet be drawn and more experience and comparative trials are needed to determine the exact role of this interesting new approach. a???5?5?

Published
2011

48. What to do when Heller's myotomy fails? Pneumatic dilatation, laparoscopic remyotomy or peroral endoscopic myotomy: A systematic review

Author

Fernandez-Ananin, Sonia, Fernández, Arnulfo, Balagué, Carmen, Sacoto, David, and Targarona, Eduardo

Subjects
Achalasia -- Development and progression -- Care and treatment, Myotomy -- Patient outcomes, Medical care quality -- Influence, Health
Abstract

Byline: Sonia. Fernandez-Ananin, Arnulfo. Fernández, Carmen. Balagué, David. Sacoto, Eduardo. Targarona Background: Surgical treatment of achalasia fails in 10%-20% of patients. The most frequent responsible cause is the performance of [...]

Published
2018

49. Gastric cancer and laparoscopy: analysis of data from the National Register of Laparoscopic Gastric Surgery

Author

Rodríguez Santiago, Joaquín M., Clemares, Marta, Roig-Garcia, Josep, Ignacio Asensio, José, Feliu, Xavier, Toscano, Ernesto, Resa, Joaquín, Targarona, Eduardo, Ibáñez-Aguirre, Javier, Castell, Jose, Sanfeliu, Gaspar, Sánchez Cano, Juan José, Manuel Ramón, José, del Olmo, Miguel Félix, Gutiérrez, Alberto, Arteaga, Juan, Vázquez, Jaime, López Mozos, Fernando, and Mateo Vallejo, Francisco

Published
2009
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50. Cáncer gástrico por laparoscopia: análisis de los datos del Registro Nacional de Cirugía Gástrica por Laparoscopia

Author

Rodríguez Santiago, Joaquín M., Clemares, Marta, Roig-Garcia, Josep, Asensio, Jose Ignacio, Feliu, Xavier, Toscano, Ernesto, Resa, Joaquín, Targarona, Eduardo, Ibáñez-Aguirre, Javier, Castell, Jose, Sanfeliu, Gaspar, Sánchez Cano, Juan Jose, Ramón, Jose Manuel, Del Olmo, Miguel Félix, Gutiérrez, Alberto, Arteaga, Juan, Vázquez, Jaime, López Mozos, Fernando, and Mateo Vallejo, Francisco

Published
2009
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