{"id":113377,"date":"2012-02-11T00:00:00","date_gmt":"2012-02-11T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-prospectivo-randomizado-comparando-apendicectomia-laparoscopica-versus-apendicectoma%c2%ada-mediante-incision-umbilical-unica\/"},"modified":"2012-02-11T00:00:00","modified_gmt":"2012-02-11T00:00:00","slug":"estudio-prospectivo-randomizado-comparando-apendicectomia-laparoscopica-versus-apendicectoma%c2%ada-mediante-incision-umbilical-unica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia-abdominal\/estudio-prospectivo-randomizado-comparando-apendicectomia-laparoscopica-versus-apendicectoma%c2%ada-mediante-incision-umbilical-unica\/","title":{"rendered":"Estudio prospectivo randomizado comparando apendicectomia laparosc\u00f3pica versus apendicectom\u00edamediante incision umbilical \u00fanica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jes\u00fas Abrisqueta Carrion <\/strong><\/h2>\n<p>El uso del sils puede suponer una mejora con respecto a la cirug\u00eda laparosc\u00f3pica convencional en la apendicectomia. Cada vez m\u00e1s art\u00edculos son publicados poniendo de manifiesto la viabilidad de este abordaje, por lo que esta tesis doctoral presenta un estudio prospectivo randomizado comparando ambas t\u00e9cnicas. entre septiembre de 2009 a diciembre de 2010, 184 pacientes con diagn\u00f3stico e indicaci\u00f3n quir\u00fargica de apendicitis aguda fueron incluidos en el estudio, 91 se les realiz\u00f3 apendicectom\u00eda mediante incisi\u00f3n \u00fanica umbilical y a 93 mediante laparoscopia convencional.  no hubo diferencias significativas en edad, peso, sexo, \u00edndice de masa corporal y tipo de ap\u00e9ndice extirpado entre los dos grupos. El tiempo operatorio fue mayor mediante el abordaje por puerto \u00fanico 38.13\u00c2\u00b113.49 vs 32.12\u00c2\u00b112.44 min. (P=0.02). Menor dolor postoperatorio en el grupo intervenido mediante incisi\u00f3n \u00fanica 2.76\u00c2\u00b11.64 vs 3.78\u00c2\u00b11.76 (p&lt;0.001). No hubo diferencias significativas respecto a las complicaciones precoces, tard\u00edas, y a la estancia hospitalaria.  el abordaje mediante puerto \u00fanico transumbilical se presenta como una t\u00e9cnica factible y segura para la realizaci\u00f3n de la apendicectom\u00eda, sin aumentar las complicaciones y representando una posible alternativa a la apendicectom\u00eda laparosc\u00f3pica convencional.    palabras clave cirug\u00eda laparosc\u00f3pica mediante incisi\u00f3n \u00fanica apendicectom\u00eda acceso transumbilical  the use of single-incision laparoscopic surgery (sils) may represent an improvement over conventional laparoscopic surgery. In recent years more and more articles have been published demonstrating the feasibility of this approach, for which reason we present this randomised prospective study to compare the two techniques. between september 2009 and december 2010 184 patients diagnosed with acute appendicitis and indicated for surgery were included in the study, of whom 91 received an appendectomy via a single umbilical incision and 93 via conventional laparoscopy. as far as the demographic results of the study population are concerned there were no significant differences for age, weight, sex, body mass index and removed appendix type. Operating time was longer with the single-port approach: 38.13\u00c2\u00b113.49 vs 32.12\u00c2\u00b112.44 min (p=0.02). Significant differences were observed for postoperative pain, with less pain reported in the single-incision group: 2.76\u00c2\u00b11.64 vs 3.78\u00c2\u00b11.76 (p&lt;0.001). There were no significant differences for early and late complications and length of hospital stay.  the transumbilical single-port approach is seen as a feasible technique for performing appendectomy. It does not increase the rate of complications and represents a possible alternative to conventional laparoscopic appendectomy.   keywords single incision laparoscopic surgery appendectomy transumbilical access<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio prospectivo randomizado comparando apendicectomia laparosc\u00f3pica versus apendicectom\u00edamediante incision umbilical \u00fanica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio prospectivo randomizado comparando apendicectomia laparosc\u00f3pica versus apendicectom\u00edamediante incision umbilical \u00fanica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jes\u00fas Abrisqueta Carrion <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 02\/11\/2012<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Juan  Antonio Lujan Mompean<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pablo Ram\u00edrez romero <\/li>\n<li>salvador Morales conde (vocal)<\/li>\n<li>graciela Valero navarro (vocal)<\/li>\n<li>ramon Jos\u00e9 Liron ruiz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jes\u00fas Abrisqueta Carrion El uso del sils puede suponer una mejora con respecto a la cirug\u00eda laparosc\u00f3pica [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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