Revista argentina de cirugia最新文献_第6页

Osteocondroma escapular Osteocondroma escapular

Revista argentina de cirugia Pub Date : 2019-12-01 DOI: 10.25132/raac.v111.n4.1420es

Pablo L. Paglialunga, A. Vidal

引用次数: 0

Hernia de Amyand 阿南德疝气症

Revista argentina de cirugia Pub Date : 2019-12-01 DOI: 10.25132/raac.v111.n4.1332.es

Marcelo R. Güemes, Eduardo H. Rodríguez, Gastón Ferreira

引用次数: 0

Técnica del debranching híbrido tipo I del arco aórtico sin circulación extracorpórea 无体外循环混合I型主动脉弓去分支技术

Revista argentina de cirugia Pub Date : 2019-12-01 DOI: 10.25132/raac.v111.n4.1411.es

M. David, R. A. Borracci, L. M. Ferreira, Patricio Giménez Ruiz, José M. Álvarez Galesio, Ricardo La Mura

引用次数: 0

Editorial 编辑

Revista argentina de cirugia Pub Date : 2019-12-01 DOI: 10.25132/raac.v111.n4.edoiv.esin

Mario L. Iovaldi

引用次数: 0

Hepatocarcinoma en hígado no cirrótico: serie bicéntrica de 19 casos 非肝硬化性肝癌:双中心系列19例

Revista argentina de cirugia Pub Date : 2019-12-01 DOI: 10.25132/raac.v111.n4.1417.es

Aylhin J. López Marcano, Mario Serradilla Martín, José M. Ramia Ángel, Ana Palomares Cano, Roberto De la Plaza Llamas, Cristina Vallejo Berna, José R. Oliver Guillén, Alejandro Serrablo Requejo

{"title":"Hepatocarcinoma en hígado no cirrótico: serie bicéntrica de 19 casos","authors":"Aylhin J. López Marcano, Mario Serradilla Martín, José M. Ramia Ángel, Ana Palomares Cano, Roberto De la Plaza Llamas, Cristina Vallejo Berna, José R. Oliver Guillén, Alejandro Serrablo Requejo","doi":"10.25132/raac.v111.n4.1417.es","DOIUrl":"https://doi.org/10.25132/raac.v111.n4.1417.es","url":null,"abstract":"Background: Hepatocellular carcinoma is the most common type of primary liver cancer and is the third cause of cancer related deaths; 80% of the HCC are associated with cirrhotic livers or chronic liver diseases, which constitute the main risk factor. Chronic inflammation, necrosis and regeneration due to these conditions produce genetic mutation and development of tumor cells. Yet, 10% develop in non-cirrhotic healthy livers without precipitating factors. Material and methods: We conducted a retrospective analysis of the characteristics and survival of patients with diagnosis of hepatocellular carcinoma in non-cirrhotic liver and absence of a history of liver cirrhosis or chronic liver disease undergoing surgery in two hepato-pancreato-biliary units between January 2007 and January 2016. Results: Mean age was 65 years and 13 patients were men. Abdominal pain was the most common clinical presentation. Liver panel was normal in 60% of the cases and alpha-fetoprotein was elevated in only 16%. The diagnosis was made by imaging tests in 61% of the cases. Mean tumor size was 110.6 cm. All the patients underwent surgery. Complications were observed in 36.8% of the patients and survival at 5 years was 62.3%. Conclusion: hepatocellular carcinoma is usually diagnosed as a large lesion in imaging tests ordered due to abdominal pain. Surgery provides curative treatment, and large resections can be safely performed, with low perioperative morbidity and mortality and low incidence of postoperative liver failure,since the liver remnant is healthy and liver function is maintained.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46475226","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

Organización y desarrollo de un programa de trasplante hepático en Mar del Plata. Resultados iniciales (2010-2018) 在马德普拉塔组织和发展肝脏移植计划。初步结果(2010-2018)

Revista argentina de cirugia Pub Date : 2019-12-01 DOI: 10.25132/raac.v111.n4.1444.es

Diego L. Fernández, F. García, R. Bracco

{"title":"Organización y desarrollo de un programa de trasplante hepático en Mar del Plata. Resultados iniciales (2010-2018)","authors":"Diego L. Fernández, F. García, R. Bracco","doi":"10.25132/raac.v111.n4.1444.es","DOIUrl":"https://doi.org/10.25132/raac.v111.n4.1444.es","url":null,"abstract":"Background: Over the past 30 years, new liver transplant programs have emerged as a response to the increasing use of this therapy to treat irreversible liver failure. Objective: the aim of this presentation is to describe the organization, development and initial results of a Liver Transplant Program in Mar del Plata. Material and methods: A team of professionals trained in liver transplantation was created, with specialists in surgery, anesthesiology, intensive care, hepatology, hemotherapy, hematology, and registered nurses and nurse scrubs granted by regulatory agencies. Building alterations, and technical and adaptations were implemented. Thirty-two transplantations were performed with complete cadaveric donor in patients from neighboring localities (55%) and from Mar del Plata (45%). The most common etiologies of cirrhosis were chronic hepatitis C virus infection and alcohol abuse. Results: Operative mortality was 12.5%. Actuarial survival at 55 months of the 32 recipients was 75%. Six bile drug strictures late postoperative period which were treated successfully trated with a conservative approach Conclusions: the Liver Transplant Program in Mar del Plata provides care to the geographic area of the southeast of the province of Buenos Aires. The initial results are consistent with those expected for the current standards in liver transplantation.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46119634","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

Endometriosis del apéndice cecal como causa de dolor abdominal crónico y masa apendicular 盲肠附件子宫内膜异位症是慢性腹痛和阑尾肿块的原因

Revista argentina de cirugia Pub Date : 2019-12-01 DOI: 10.25132/raac.v111.n4.1425es

J. Acevedo, J. G. Caballero, P. Cabaleiro, Cecilia S. Aiello, Martín Córdoba, Matías Pesquín

引用次数: 0

Quiste epidermoide de bazo 脾脏表皮样囊肿

Revista argentina de cirugia Pub Date : 2019-09-01 DOI: 10.25132/raac.v111.n3.1409.es

Patricio Vanerio, G. San Martín, Alejandro Ettlin, Martín Abelleira, Martín Harguindeguy, Alejandro Leites

引用次数: 0

Resección de nódulo pulmonar en pulmón trasplantado bajo asistencia con membrana de oxigenación extracorpórea 体外氧合膜辅助下肺移植的肺结节切除

Revista argentina de cirugia Pub Date : 2019-09-01 DOI: 10.25132/raac.v111.n3.1415.es

Gustavo A. Parrilla, Nicolás Dosso, D. Absi, Sebastián Defranchi, Juan M. Osses, José L. González, Alejandro Bertolotti

引用次数: 0

Prolapso rectal incarcerado secundario a adenoma velloso gigante 巨大绒毛腺瘤继发嵌顿性直肠脱垂

Revista argentina de cirugia Pub Date : 2019-09-01 DOI: 10.25132/raac.v111.n3.1414.es

Laura Fernández Gómez-Cruzado, Teresa Marquina Tobalina, Eva Alonso Calderón, Leire Agirre Etxabe, Jasone Larrea Oleaga, Arkaitz Perfecto Valero

{"title":"Prolapso rectal incarcerado secundario a adenoma velloso gigante","authors":"Laura Fernández Gómez-Cruzado, Teresa Marquina Tobalina, Eva Alonso Calderón, Leire Agirre Etxabe, Jasone Larrea Oleaga, Arkaitz Perfecto Valero","doi":"10.25132/raac.v111.n3.1414.es","DOIUrl":"https://doi.org/10.25132/raac.v111.n3.1414.es","url":null,"abstract":"Villous adenomas may present with bleeding, diarrhea, electrolyte imbalance (Mackittrick-Weelock syndrome), obstruction, being a very rare cause of rectal prolapse. Rectal prolapse is a full thickness protrusion of the rectum through the anal canal and its presentation as an incarcerated rectal prolapse is very infrequent. If manual reduction is deemed impossible, perineal recto-sigmoidectomy, or Altemeier’s procedure, is one of the best surgical options, as an alternative transanal excision of the polyp could be performed with subsequent manual reduction of the rectal prolapse. We report the case of a female patient, admitted to the emergency room presenting an incarcerated rectal prolapse with a friable ulcerated mass of 10 × 8 × 5 cm, compatible with a villous polyp in the back side of the rectum. Since manual reduction was considered not feasible, surgery was decided and a transanal excision of the polyp was performed, following a successful manual reduction of the rectal prolapse. This case is of particular interest for its unusual association of incarcerated rectal prolapse due to a giant villous adenoma, having only 4 cases been reported in the literature.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45473823","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