Revista Chilena De Cirugia最新文献_第3页

Linfedema: actualización en el diagnóstico y tratamiento quirúrgico 淋巴水肿：诊断和外科治疗的最新进展

Revista Chilena De Cirugia Pub Date : 2018-12-01 DOI: 10.4067/S0718-40262018000600589

C. Pereira, Isao Koshima

引用次数: 10

Esplenectomía laparoscópica por quiste hidatídico primario de bazo 原发性脾积水囊肿腹腔镜脾切除术

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500448

F. L. Begliardo, Milagros Corpacci, R. H. Gil, Fernando Martínez-Lascano

引用次数: 0

Análisis de variables relacionadas con la morbimortalidad de la anastomosis ileocólica después de hemicolectomía derecha 右半结肠切开术后回肠吻合的发病率和死亡率相关变量分析

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500432

N. Pérez, M. González, Alberto Pérez-Castilla, Nicolás Campaña Weitz, Gonzalo Alfredo Campaña Villegas

{"title":"Análisis de variables relacionadas con la morbimortalidad de la anastomosis ileocólica después de hemicolectomía derecha","authors":"N. Pérez, M. González, Alberto Pérez-Castilla, Nicolás Campaña Weitz, Gonzalo Alfredo Campaña Villegas","doi":"10.4067/S0718-40262018000500432","DOIUrl":"https://doi.org/10.4067/S0718-40262018000500432","url":null,"abstract":"Introduction: Right hemicolectomy with ileocolic anastomosis is a frequent surgery with many ways to perform it. Objective: To evaluate which is the best ileocolic anastomosis in terms of morbidity and mortality and to make a comparative evaluation of the postoperative clinical evolution according to the type of anastomosis. Patients and Method: Analytical observational study, with defined inclusion and exclusion criteria. The variables to be studied are divided into two groups, those related to the surgical technique and its anastomotic configuration, and the variables related to the results of the surgical intervention, creating a contingency table that crosses the data. Data analysis with STATA 13.0. Results: 216 patients with ileocolic anastomosis, highlighting statistical significance when crossing: A) reoperation and type of suture (p = 0.044), with UN or 3.4 (95% CI 0.94 to 18.6), being of greater risk the mechanics; B) mortality and urgency (p = 0.001) with an OR 7.76 (95% CI 1.56-49.29), with emergency surgery being of greater risk. Isoperistaltic anastomosis with gas elimination (p < 0.001), intestinal transit (p = 0.009) and solid intake (p = 0.005) earlier. There is earlier expulsion of gases in the laparoscopic approach, manual suture, end-to-side and isoperistaltic of the anastomosis and elective surgery. Conclusion: There is great variability of techniques to perform the ileocolic anastomosis. Manual anastomosis is less likely to require surgical reoperation, elective surgery has a lower mortality than that of emergency surgery. We suggest performing it laparoscopically, with manual suture, lateral term, isoperistaltic and electively, for having a shorter recovery.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"11 1","pages":"432-438"},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86661408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hernia diafragmática secundaria a trauma: presentación tardía 外伤继发膈疝:晚期表现

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500409

A. Beltrán, S. Oyarzún, G. Castro, L. Andrade, R. Fernández

{"title":"Hernia diafragmática secundaria a trauma: presentación tardía","authors":"A. Beltrán, S. Oyarzún, G. Castro, L. Andrade, R. Fernández","doi":"10.4067/S0718-40262018000500409","DOIUrl":"https://doi.org/10.4067/S0718-40262018000500409","url":null,"abstract":"Introduction: Late presentation of traumatic diaphragmatic hernia constitutes a true surgical emergency. The purposes of this study were to describe the diagnostic characteristics, treatment and outcomes of late presentation diaphragmatic hernias and to identify a cutoff point from the onset of symptoms to necrosis development. Patients and Methods: A retrospective series of cases constituted by all patients subjected to emergency diaphragmatic hernia repair form 2006 to 2016 was studied. Categorical and continuous variables were measured and analyzed with descriptive statistics. Receiver Operating Characteristics (ROC) curves at 6 and 12 hours from the onset of symptoms were used to determine the cutoff point for organ resection. Once stablished the cutoff point, sensitivity, specificity, positive and negative predictive values and prevalence were calculated. Results: Clinical presentation, diagnostic study and surgical treatment were similar to what has been already described. The cutoff point was defined at 12 hours from the onset of symptoms with 80% sensitivity and 83% sensibility. Conclusions: The diagnosis and treatment of these cases should be carried on before the first 6 hours after the onset of symptoms. Even though the universe of this study was small, we may suggest that after 12 hours form the onset of symptoms, the implicated organs would be found necrotic requiring surgical resection.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"13 1","pages":"409-417"},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73624863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Aplicabilidad del Colon Leakage Score como predictor de filtración anastomótica en cirugía de cáncer colorrectal 结肠渗漏评分作为吻合过滤预测因子在大肠癌手术中的适用性

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500438

N. Pérez, M. González, Alberto Pérez-Castilla, Nicolás Campaña Weitz, Gonzalo Alfredo Campaña Villegas

{"title":"Aplicabilidad del Colon Leakage Score como predictor de filtración anastomótica en cirugía de cáncer colorrectal","authors":"N. Pérez, M. González, Alberto Pérez-Castilla, Nicolás Campaña Weitz, Gonzalo Alfredo Campaña Villegas","doi":"10.4067/S0718-40262018000500438","DOIUrl":"https://doi.org/10.4067/S0718-40262018000500438","url":null,"abstract":"Introduccion: La filtracion anastomotica (FA) en cirugia colorrectal aumenta la morbimortalidad. La identificacion de factores de riesgo y la creacion de un modelo predictivo ayudaria en la decision de crear un ostoma desfuncionalizante, hecho que actualmente recae en el criterio del cirujano. Dekker creo el Colon Leakage Score (CLS) estableciendo criterios objetivos. Objetivo: Establecer el CLS en pacientes intervenidos por cancer de colon izquierdo y recto en Clinica INDISA, estableciendo valores de corte locales, su sensibilidad y especificidad. Pacientes y Metodo: Corresponde a un estudio de pruebas diagnosticas, cuya intervencion es la aplicacion del CLS comparandolo con la presencia de filtracion anastomotica (gold standard), definida por criterios clinicos y radiologicos. Se utilizo analisis de curvas ROC, indice de Youden y regresion logistica. Resultados: De 180 pacientes, hubo FA en 12 (6.6%). La media de CLS en quienes hubo FA fue de 11.5 y en quienes no hubo FA de 6.9 (p=0.0001). El area bajo la curva para prediccion de FA con el CLS fue de 0.829 (IC 95% 0.69-0.96), con un valor de corte de 11, sensibilidad de 67% y especificidad de 89%. En el analisis de regresion logistica, el OR para la prediccion de FA utilizando el CLS fue de 1.48 (IC 95% 1.22-1.79 p<0.001). Conclusion: El CLS es una herramienta que permite predecir el riesgo de FA en pacientes intervenidos por cancer colon izquierdo y recto. Ante un valor mayor o igual a 11 se deberia crear un ostoma protector, generando un cambio en la practica clinica.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"39 1","pages":"439-444"},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80601644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Perforación esofágica cervical tardía por rotura y desplazamiento de placa de artrodesis cervical anterior 颈前关节融合术板破裂移位引起的晚期颈食管穿孔

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500459

Jaime Ruíz-Tovar, M. Jiménez-Fuertes, G. Díaz, J. M. Gonzalez, César Lévano-Linares, M. Durán

引用次数: 0

Comité de Educación Médica de la Sociedad de Cirujanos de Chile. Siguiendo el rumbo 智利外科医生协会医学教育委员会。遵循路线

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500397

G. A. Campos

引用次数: 0

Liposarcoma suprarrenal derecho 右肾上腺脂肪肉瘤

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/s0718-40262018000500400

Nicolás Tarigo-Casella, Martín Vallverdú-Scorza, Daniel Yianssen, Roberto Valiñas-Sotelo

引用次数: 0

Enfermedad multianeurismática: a propósito de un caso 多动脉瘤疾病:关于一个病例

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/s0718-40262018000500452

Isabel María Manosalbas-Rubio, E. Doiz-Artázcoz, Ana Margarita Ruales-Romero, M. Rodríguez-Piñero

{"title":"Enfermedad multianeurismática: a propósito de un caso","authors":"Isabel María Manosalbas-Rubio, E. Doiz-Artázcoz, Ana Margarita Ruales-Romero, M. Rodríguez-Piñero","doi":"10.4067/s0718-40262018000500452","DOIUrl":"https://doi.org/10.4067/s0718-40262018000500452","url":null,"abstract":"Introduction: Multiple artery aneurysms are a rare pathological condition which may be caused by different etiologies. Therefore, its location, morphology and clinical presentation may vary in a case to case basis. Case report: A 51-year-old woman, prior history of dyslipedemia presents with upper abdominal pain. Abdominal tomographic scans showed aneurysm of the pancreaticduodenal artery and retroperitoneal hematoma. Emergent surgical evacuation of the hematoma was performed, with no other findings. In the postoperative period, the patient suffers hypertensive crisis and a new tomographic scan is conducted observing multiple dilations in different visceral arteries. The patient is treated conservatively and is being studied for a possible vasculitis. Discussion: Multi-aneurysmatic artery disease is a very rare entity, its etiology is determined by clinical and histopathological correlation. Although establishing a diagnosis in which the clinical presentation completely corresponds, is a real challenge. Unlike degenerative aneurysms due to atherosclerosis, multi-aneurysmatic disease commonly involves visceral arteries. Open surgery is considered safe treatment option and should be established in the segments causing symptoms. Endovascular treatment is less invasive, being the technique of choice in patients with high comorbidity and in cases of complicated surgery with rupture.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"9 1","pages":"453-456"},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90610311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Upper Body Lift: Serie de casos en un hospital clínico universitario entre los años 2013-2016. Descripción de la técnica quirúrgica 上身提升:2013-2016年某大学临床医院的一系列病例。手术技术描述

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500402

E. S. Danilla, Carlos Domínguez, V. Ganz, O. E. Troncoso, V. Ríos, T. Yamada, D. Serra, C. Andrades, V. Cisternas, Cristián Erazo, P. Sepúlveda

{"title":"Upper Body Lift: Serie de casos en un hospital clínico universitario entre los años 2013-2016. Descripción de la técnica quirúrgica","authors":"E. S. Danilla, Carlos Domínguez, V. Ganz, O. E. Troncoso, V. Ríos, T. Yamada, D. Serra, C. Andrades, V. Cisternas, Cristián Erazo, P. Sepúlveda","doi":"10.4067/S0718-40262018000500402","DOIUrl":"https://doi.org/10.4067/S0718-40262018000500402","url":null,"abstract":"Introduction: Obese patients gets beneficial health effects with the massive weight loss, however they develop excessive redundant skin and become physical problems affecting their quality of life. In severe cases, the conventional body contouring techniques are not able to solve this large alterations, being necessary to use more extensive procedures. The Upper Body Lift is a technique that offers integral management of the upper trunk. Objectives: To describe a case series of patients submitted to Upper Body Lift and present the surgical technique. Materials and Methods: Prospective case series of patients with Upper Body Lift between January 2013 and June 2016 in a clinical hospital. Patients with incomplete information or operated in another center were excluded. Descriptive statistics was used. Results: 8 patients were included, age 39.75 ± 9.37 years, 6 (75%) women. Prior to the contouring surgery they lose 36.75 ± 9.11 kg, reaching a BMI of 25.97 ± 2.35 kg/m2. In men the chest region was managed with liposuction and subsequent nipple graft, in women mastopexy without implants was performed in 5. No major complications was observed, 4 had minor complications during the postoperative period. Discussion: This series presents similar results to those described by other authors. Conclusions: The Upper Body Lift offers comprehensive and successful management in patients with large upper body disturbance.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"1 1","pages":"402-408"},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88993146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0