Revista Chilena De Cirugia最新文献_第10页

Herida penetrante por arma blanca 被白色武器穿透的伤口

Revista Chilena De Cirugia Pub Date : 2017-12-01 DOI: 10.1016/J.RCHIC.2017.02.010

Beatriz Garrido Benito, Azahara Illán Riquelme, Julio Sánchez Corral, J. R. O. Gutiérrez, I. O. García

引用次数: 0

Estamos pronosticando la progresión del cáncer del recto tratado sin cirugía luego de radioquimioterapia neoadyuvante 我们预测新辅助放疗后直肠癌不手术治疗的进展

Revista Chilena De Cirugia Pub Date : 2017-11-01 DOI: 10.1016/J.RCHIC.2017.07.002

Guillermo Bannura

引用次数: 0

Restitución del procedimiento de Hartmann por vía laparoscópica. Análisis de nuestra experiencia en el Hospital Maciel de Montevideo, Uruguay, Clínicas Quirúrgicas 2 y 3 de la Facultad de Medicina de la Universidad de la República (UDELAR) 通过腹腔镜恢复哈特曼手术。我们在乌拉圭蒙得维的亚Maciel医院、共和国大学医学院2号和3号外科诊所的经验分析

Revista Chilena De Cirugia Pub Date : 2017-11-01 Epub Date: 2017-07-05 DOI: 10.1016/j.rchic.2017.06.001

Pablo Sciuto , Julio Rappa , Joaquín Meineri , Luis Ruso , Gustavo Rodríguez Temesio

{"title":"Restitución del procedimiento de Hartmann por vía laparoscópica. Análisis de nuestra experiencia en el Hospital Maciel de Montevideo, Uruguay, Clínicas Quirúrgicas 2 y 3 de la Facultad de Medicina de la Universidad de la República (UDELAR)","authors":"Pablo Sciuto , Julio Rappa , Joaquín Meineri , Luis Ruso , Gustavo Rodríguez Temesio","doi":"10.1016/j.rchic.2017.06.001","DOIUrl":"https://doi.org/10.1016/j.rchic.2017.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Described almost 100 years ago, the Hartmann procedure is still valid, being the classical behavior adopted for the management of the left colon in the emergency room. The restitution of the intestinal transit provides an important improvement in the quality of life of the patients, nevertheless given the high morbimortality, only half is reconstructed. Laparoscopic Hartmann restitution offers all the advantages of minimally invasive procedures with morbidity and mortality comparable to conventional surgery.</p></div><div><h3>Objectives</h3><p>Analyze surgical technique and the results of a series of patients in whom laparoscopic Hartmann restitution was performed.</p></div><div><h3>Material and methods</h3><p>Retrospective review was conducted between March 2002 and January 2017. The population belongs to the Surgical Clinics of the Maciel Hospital (‘Q2’ and ‘Q3’), UDELAR Medical School, Montevideo, Uruguay.</p></div><div><h3>Results</h3><p>Twenty-nine patients were operated: 10 women and 19 men. The most frequent pathologies that determined the Hartmann were linked to diverticular pathology (37.93%) or oncological (34.48%). The minimum time elapsed between the Hartmann and the reconstruction was 4 months. The operative times ranged from 107 to 240min. The conversion rate was 24.1%. Major complications occurred in 6.90% and minor complications in 13.79%. There was no anastomotic leak. The hospital stay was 5.57 days. The mortality rate was 3.45%.</p></div><div><h3>Conclusions</h3><p>Our results are consistent with the international literature, laparoscopic Hartmann restitution is a demanding but feasible, safe procedure that gives the patient the benefits of minimally invasive surgery.</p></div>","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"69 6","pages":"Pages 446-451"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rchic.2017.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91756735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Índice clínico de gravedad en pancreatitis aguda como predictor de mortalidad en pancreatitis aguda en el servicio de urgencias 急诊科急性胰腺炎严重程度的临床指数作为急性胰腺炎死亡率的预测指标

Revista Chilena De Cirugia Pub Date : 2017-11-01 Epub Date: 2017-07-11 DOI: 10.1016/j.rchic.2017.06.005

Franklin Ríos Jaimes , Enrique Villarreal Ríos , Lidia Martínez González , Emma Rosa Vargas Daza , Liliana Galicia Rodríguez , Mayra Cristina Ortiz Sánchez , Claudia Garduño Rodríguez

{"title":"Índice clínico de gravedad en pancreatitis aguda como predictor de mortalidad en pancreatitis aguda en el servicio de urgencias","authors":"Franklin Ríos Jaimes , Enrique Villarreal Ríos , Lidia Martínez González , Emma Rosa Vargas Daza , Liliana Galicia Rodríguez , Mayra Cristina Ortiz Sánchez , Claudia Garduño Rodríguez","doi":"10.1016/j.rchic.2017.06.005","DOIUrl":"https://doi.org/10.1016/j.rchic.2017.06.005","url":null,"abstract":"<div><h3>Objective</h3><p>To determine BISAP as a predictor of mortality in acute pancreatitis in the Emergency Service.</p></div><div><h3>Materials and methods</h3><p>A cohort study in acute pancreatitis in emergency service, two groups were formed according to BISAP score, low risk (0-2) and high risk (3-5). The total sample for each group was 23.76, nevertheless it was worked with 111 patients of low risk and 23 of high risk. The sampling technique was non-randomized by quota. Mortality was measured at 24h and at 7 days. Statistical analysis included logistic regression and probability calculation.</p></div><div><h3>Results</h3><p>When the BISAP score is high risk the probability of dying at 24h is 22.7% and 76.5% at 7 days (Chi<sup>2</sup>  =.002).</p></div><div><h3>Discussion and conclusion</h3><p>The BISAP score allows predicting the probability of dying at 24h and at 7 days.</p></div>","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"69 6","pages":"Pages 441-445"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rchic.2017.06.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91756740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Hernia femoral de Littré estrangulada. Reporte de caso clínico 绞窄littre股疝。临床病例报告

Revista Chilena De Cirugia Pub Date : 2017-11-01 Epub Date: 2016-12-27 DOI: 10.1016/j.rchic.2016.11.008

Marco Núñez Cámara , Hemberly Núñez Monar

引用次数: 2

PEComa (neoplasia de células epiteliodes perivasculares) asociado con cáncer papilar de tiroides bilateral sincrónico 与同步双侧甲状腺乳头状癌相关的血管周围上皮细胞肿瘤

Revista Chilena De Cirugia Pub Date : 2017-11-01 Epub Date: 2017-01-07 DOI: 10.1016/j.rchic.2016.11.011

Jorge Armando Leal-Medrano , Ludwing Ricardo Marín-Hernández , Rafael Castellanos Bueno , Ernesto García Ayala

{"title":"PEComa (neoplasia de células epiteliodes perivasculares) asociado con cáncer papilar de tiroides bilateral sincrónico","authors":"Jorge Armando Leal-Medrano , Ludwing Ricardo Marín-Hernández , Rafael Castellanos Bueno , Ernesto García Ayala","doi":"10.1016/j.rchic.2016.11.011","DOIUrl":"https://doi.org/10.1016/j.rchic.2016.11.011","url":null,"abstract":"<div><h3>Introduction</h3><p>Perivascular Epithelioid Cell Neoplasms (PEComas) are uncommon tumors of mesenchymal origin. These ones include the epithelioid angiomyolipoma (EAML), a tumor with malignant potential and whose simultaneous presentation with thyroid cancer is quite rare.</p></div><div><h3>Presentation of case</h3><p>Forty years old man with fast-growing mass in relation to lower right thyroid pole and tracheal infiltration. Abdominopelvic contrast-enhanced CT shows multiple renal masses with dominant mass in the left upper pole. Thyroid histopathology showed a lesion in right lobe corresponding to tall cell variant of papillary thyroid cancer (PTC) and a second neoplasm in the contralateral lobe corresponding to classical variant of moderately differentiated PTC. In the kidney was found a tumor corresponding to EAML with epithelioid aspect cells equivalent to 40%.</p></div><div><h3>Discussion</h3><p>This article corresponds to the first in the literature to describe the simultaneous presentation of EAML with synchronous bilateral PTC (SBiPTC) and its possible association. A common molecular pathway corresponding to the TSC/mTOR pathway is described, as well as SBiPTC prevalence and immunohistochemical markers for EAML diagnosis.</p></div>","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"69 6","pages":"Pages 483-488"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rchic.2016.11.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90125570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Liposarcoma retroperitoneal complicado: a propósito de un caso 复杂腹膜后脂肉瘤:关于一个病例

Revista Chilena De Cirugia Pub Date : 2017-11-01 Epub Date: 2016-12-13 DOI: 10.1016/j.rchic.2016.11.007

Cristina Galera Martínez , Esther Doiz Artázcoz , José Luis Fernández Serrano , Manuel Rodríguez-Piñero

{"title":"Liposarcoma retroperitoneal complicado: a propósito de un caso","authors":"Cristina Galera Martínez , Esther Doiz Artázcoz , José Luis Fernández Serrano , Manuel Rodríguez-Piñero","doi":"10.1016/j.rchic.2016.11.007","DOIUrl":"10.1016/j.rchic.2016.11.007","url":null,"abstract":"<div><p>Retroperitoneal neoplasias may be a diagnostic and therapeutic challenge for the clinician.</p></div><div><h3>Case report</h3><p>A 56 year old male with prior history of type 2 diabetes consults with right inferior limb edema and paresthesias. He was diagnosed of deep vein thrombosis and lymph node conglomerate by ultrasound. A CT scan was performed, observing great retro peritoneal mass enclosing vascular and nervous structures. An initial histological diagnosis of hamartoma was made. Surgery was scheduled to remove the tumour, ligation of thrombosed external iliac vein and the external iliac artery was preserved. Intraoperative histological findings suggested sarcoma, definite studies showed presence of high grade liposarcoma. Two weeks after the intervention, the patient presents in hypovolemic shock due to rupture of the right external iliac artery. Emergent ligation of the artery and femorofemoral bypass was performed, with adequate postoperatory recovery. The patient was discharged and continued adjuvant oncology treatment and was exitus six months later.</p></div><div><h3>Discussion</h3><p>Sarcomas are the most frequent primary retroperitoneal tumours. They are difficult to diagnose and often have untimely treatment. Sarcomas tend to be asymptomatic, or present with local compression symptoms, affecting vascular and nervous structures. CT scan is the gold standard for diagnostic imaging. Treatment requires a multidisciplinary approach, surgical resection as the main therapy; radio and chemotherapy represents a solution for irresectable or high grade malignancies.</p></div>","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"69 6","pages":"Pages 498-501"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rchic.2016.11.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73192265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Apendicectomía laparoscópica por sistema «glove port»: nuestros primeros 100 casos 腹腔镜阑尾切除术“手套端口”系统:我们的前100例病例

Revista Chilena De Cirugia Pub Date : 2017-11-01 Epub Date: 2017-06-23 DOI: 10.1016/j.rchic.2017.05.004

José Felipe Reoyo Pascual, Raquel León Miranda, Carlos Cartón Hernández, Evelio Alonso Alonso, Rosa M. Martínez Castro, Javier Sánchez Manuel

{"title":"Apendicectomía laparoscópica por sistema «glove port»: nuestros primeros 100 casos","authors":"José Felipe Reoyo Pascual, Raquel León Miranda, Carlos Cartón Hernández, Evelio Alonso Alonso, Rosa M. Martínez Castro, Javier Sánchez Manuel","doi":"10.1016/j.rchic.2017.05.004","DOIUrl":"https://doi.org/10.1016/j.rchic.2017.05.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Single port laparoscopic appendectomy is an advance in minimally invasive techniques. The objective of this study is to show our series of 100 cases of acute appendicitis, operated through a single port technique using the ‘glove port’ system, exposing our technique, results and follow up of our patients.</p></div><div><h3>Material and methods</h3><p>We present the series of 100 cases intervened from February 2013 to January 2017 detailing the elements that make up the ‘glove port’ system.</p></div><div><h3>Results</h3><p>Of the 100 operated appendicitis, there were 3 postoperative collections and 1 surgical wound infection, which shows the good results obtained with this technique, emphasizing the excellent aesthetic result. We also point out that it is an economic system that does not make conventional laparoscopy more expensive.</p></div><div><h3>Conclusions</h3><p>Single port laparoscopic appendectomy is safe, effective, economical and useful for the surgeon to acquire skills in a single port laparoscopic approach.</p></div>","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"69 6","pages":"Pages 467-471"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rchic.2017.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91756734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reconstrucción plantar con matriz de regeneración dérmica (Integra®) en paciente quemado eléctrico. Presentación de un caso y revisión de la literatura 用真皮再生基质(Integra®)重建电烧伤患者的足底。案例介绍和文献综述

Revista Chilena De Cirugia Pub Date : 2017-11-01 Epub Date: 2017-01-05 DOI: 10.1016/j.rchic.2016.11.010

Marco Ríos, Ekaterina Troncoso, Adriana Alzate, Cristian Arriagada

{"title":"Reconstrucción plantar con matriz de regeneración dérmica (Integra®) en paciente quemado eléctrico. Presentación de un caso y revisión de la literatura","authors":"Marco Ríos, Ekaterina Troncoso, Adriana Alzate, Cristian Arriagada","doi":"10.1016/j.rchic.2016.11.010","DOIUrl":"https://doi.org/10.1016/j.rchic.2016.11.010","url":null,"abstract":"<div><h3>Introduction</h3><p>Complex wounds of the plantar aspect of the foot are difficult to manage in the reconstructive point of view. The standard of treatment is covering the defect with free flaps. Our goal is to present the case of a patient successfully treated with the use of matrix dermal regenaration Integra<sup>®</sup> and dermoepidermal graft for a complex plantar lesion.</p></div><div><h3>Clinical case</h3><p>Thirty-five year old man, who suffers from high voltage electrical burn with bilateral plantar complex injury. It was handled with successive escharectomies to delimit tissue damage and subsequent coverage with Integra<sup>®</sup> and grafting with optimal aesthetic and functional results.</p></div><div><h3>Discussion</h3><p>Although free flaps are the choice in the treatment of this anatomical area, they are infrequently the only reconstructive option in burned patients. There is no greater evidence in the literature on the use of dermal matrices to cover such injuries.</p></div><div><h3>Conclusion</h3><p>The authors believe that the management of complex footpad lesions using dermal regeneration matrices are a valid alternative to consider in situations where for various reasons, free flaps can’t be offered.</p></div>","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"69 6","pages":"Pages 489-494"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rchic.2016.11.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91756742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simulación, ¿una necesidad en el entrenamiento para la cirugía laparoscópica colorrectal? 模拟，腹腔镜大肠癌手术训练的必要条件?

Revista Chilena De Cirugia Pub Date : 2017-11-01 DOI: 10.1016/J.RCHIC.2017.06.004

Nicolás Kerrigan

引用次数: 5