{"id":116298,"date":"2018-03-11T10:45:18","date_gmt":"2018-03-11T10:45:18","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/implantancion-y-desarrollo-de-un-programa-de-ciruga%c2%ada-retroperitoneal-laparoscopica\/"},"modified":"2018-03-11T10:45:18","modified_gmt":"2018-03-11T10:45:18","slug":"implantancion-y-desarrollo-de-un-programa-de-ciruga%c2%ada-retroperitoneal-laparoscopica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/implantancion-y-desarrollo-de-un-programa-de-ciruga%c2%ada-retroperitoneal-laparoscopica\/","title":{"rendered":"Implantanci\u00f3n y desarrollo de un programa de cirugia retroperitoneal laparosc\u00f3pica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Alfredo Aguilera Baz\u00e1n <\/strong><\/h2>\n<p>Las t\u00e9cnicas laparosc\u00f3picas implantadas, conllevan en su conjunto un tiempo quir\u00fargicosimilar, una menor tasa de transfusi\u00f3n (clavien 2) y una menor estancia hospitalaria que las t\u00e9cnicas abiertas. \u00c2\u00bf\u00c2\u00bfuna vez implantada la t\u00e9cnica, se produce un incremento progresivo de su indicaci\u00f3n, representando el abordaje de elecci\u00f3n para el 70% de la patolog\u00eda quir\u00fargica retroperitoneal. La migraci\u00f3n del abordaje abierto al laparosc\u00f3pico, tuvo lugar de modo r\u00e1pido y sostenido. 2. Respecto a los objetivos espec\u00edficos:2.1 nefrectom\u00eda radical \u00c2\u00bf\u00c2\u00bfla nefrectom\u00eda radical laparosc\u00f3pica conllev\u00f3 mayor tiempo quir\u00fargico y menorestancia que la cirug\u00eda abierta, siendo igualmente menores sus tasas de transfusi\u00f3n yrevisi\u00f3n quir\u00fargica. La supervivencia c\u00e1ncer espec\u00edfica es semejante con ambosabordajes.\u00c2\u00bf\u00c2\u00bfla introducci\u00f3n de la nefrectom\u00eda radical laparosc\u00f3pica conllev\u00f3, al menos en sus momentos iniciales, una reducci\u00f3n de las tasas de cirug\u00eda renal conservadora para tumores estadios pt1a y pt1b, con el consiguiente riesgo de sobretratamiento.2.2 nefroureterectom\u00eda \u00c2\u00bf\u00c2\u00bfla nefroureterectom\u00eda laparosc\u00f3pica, es la cirug\u00eda laparosc\u00f3pica con mayor tasa detransfusi\u00f3n, complicaciones y estancia hospitalaria. Su tasa de transfusi\u00f3n es menor ala de la cirug\u00eda abierta y su supervivencia c\u00e1ncer espec\u00edfica result\u00f3 similar.2.3 nefrectom\u00eda simple\u00c2\u00bf\u00c2\u00bfla nefrectom\u00eda simple laparosc\u00f3pica se asoci\u00f3 a una menor tasa de transfusi\u00f3n que laabierta, siendo la migraci\u00f3n a la misma m\u00e1s lenta.2.4 nefrectom\u00eda parcial\u00c2\u00bf\u00c2\u00bfla nefrectom\u00eda parcial laparosc\u00f3pica supuso una menor tasa de transfusi\u00f3n y menorestancia hospitalaria que la abierta.2.5 donante vivo\u00c2\u00bf\u00c2\u00bflos tiempos quir\u00fargicos, la estancia hospitalaria y las tasas de transfusi\u00f3n y revisi\u00f3nquir\u00fargica fueron similares en los abordajes abiertos y laparosc\u00f3picos.2.6 adrenalectom\u00eda\u00c2\u00bf\u00c2\u00bfla adrenalectom\u00eda laparosc\u00f3pica supuso menor tiempo quir\u00fargico, menor estancia ymenor tasa de revisi\u00f3n quir\u00fargica que la abierta.2.7 pieloplastia\u00c2\u00bf\u00c2\u00bfla laparoscopia aport\u00f3 poco a esta patolog\u00eda, en lo que se refiere a estancia ytransfusi\u00f3n<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Implantanci\u00f3n y desarrollo de un programa de cirugia retroperitoneal laparosc\u00f3pica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Implantanci\u00f3n y desarrollo de un programa de cirugia retroperitoneal laparosc\u00f3pica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Alfredo Aguilera Baz\u00e1n <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/09\/2014<\/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>Francisco Javier Burgos Revilla<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel S\u00e1nchez chapado <\/li>\n<li>Carlos Hern\u00e1ndez fern\u00e1ndez (vocal)<\/li>\n<li>Jes\u00fas Moreno sierra (vocal)<\/li>\n<li>victoria Gomez dos santos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Alfredo Aguilera Baz\u00e1n Las t\u00e9cnicas laparosc\u00f3picas implantadas, conllevan en su conjunto un tiempo quir\u00fargicosimilar, una menor tasa [&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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