{"id":117106,"date":"2015-06-02T00:00:00","date_gmt":"2015-06-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/analisis-del-riesgo-quirurgico-y-de-la-microbiologa%c2%ada-biliar-en-los-tumores-de-la-encrucijada-biliopancreatica\/"},"modified":"2015-06-02T00:00:00","modified_gmt":"2015-06-02T00:00:00","slug":"analisis-del-riesgo-quirurgico-y-de-la-microbiologa%c2%ada-biliar-en-los-tumores-de-la-encrucijada-biliopancreatica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia-abdominal\/analisis-del-riesgo-quirurgico-y-de-la-microbiologa%c2%ada-biliar-en-los-tumores-de-la-encrucijada-biliopancreatica\/","title":{"rendered":"An\u00e1lisis del riesgo quir\u00fargico y de la microbiolog\u00eda biliar en los tumores de la encrucijada biliopancre\u00e1tica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carmen Gonzalez Serrano <\/strong><\/h2>\n<p>El estudio de investigaci\u00f3n realizado, se ha centrado en el an\u00e1lisis de los factores de riesgo en una cohorte de pacientes afectos de tumores de la encrucijada pancreato-biliar. Este tipo de neoplasias tienen en la cl\u00ednica una gran transcendencia debido a la alta tasa de complicaciones postquir\u00fargicas asociadas. En el manejo de las mismas se contemplan una serie de peculiaridades, entre las cuales destacamos el empleo de la instrumentaci\u00f3n o drenaje biliar. Dicha eventualidad, comporta una serie de riesgos sobrea\u00f1adidos (bactibilia, y complicaciones inherentes a la manipulaci\u00f3n, como aspectos m\u00e1s destacables).El objeto del estudio se centra en establecer si la contaminaci\u00f3n del \u00e1rbol biliar en ese grupo de pacientes constituye un factor de riesgo, en cuanto a la aparici\u00f3n de complicaciones. Adem\u00e1s, se ha analizado la importancia que uso de drenaje biliar puede tener en la g\u00e9nesis de las mismas. Por otro lado, se han estudiado otros factores tanto de \u00edndole general, cl\u00ednica, anal\u00edtica y perioperatorios. En el estudio se ha protocolizado en el manejo de estos pacientes sometidos a cirug\u00eda, la recogida sistem\u00e1tica de muestras biliares y su an\u00e1lisis microbiol\u00f3gico introperatorio y diferido. De esta forma hemos registrado la microbiolog\u00eda quir\u00fargica en nuestro medio correlacion\u00e1ndola con la microbiolog\u00eda aislada en las diferentes complicaciones de \u00edndole infeccioso.La muestra incluye 116 enfermos, compar\u00e1ndose con los resultados previos de una serie hist\u00f3rica (nuestra) de 31 pacientes.Tras el estudio estad\u00edstico realizado, cabe destacar entre otros resultados, que si bien no se ha demostrado significativamente la influencia de la bactibilia en la aparici\u00f3n de complicaciones mayores e infecciosas, hemos demostrado, que la manipulaci\u00f3n biliar conduce en 100% de los casos a bactibilia y que el an\u00e1lisis introperatorio de la misma, permite adecuar m\u00e1s espec\u00edficamente la terapia antibi\u00f3tica de estos enfermos. Por lo que entendemos que el drenaje biliar preoperatorio debe de ser selectivo.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>An\u00e1lisis del riesgo quir\u00fargico y de la microbiolog\u00eda biliar en los tumores de la encrucijada biliopancre\u00e1tica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 An\u00e1lisis del riesgo quir\u00fargico y de la microbiolog\u00eda biliar en los tumores de la encrucijada biliopancre\u00e1tica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carmen Gonzalez Serrano <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Pa\u00eds vasco\/euskal herriko unibertsitatea<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/02\/2015<\/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>Ignacio Miguel Iturburu Belmonte<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Antonio Rodr\u00edguez montes <\/li>\n<li>dieter Jos\u00e9 Morales garcia (vocal)<\/li>\n<li>Fernando Gilsanz rodr\u00edguez (vocal)<\/li>\n<li>vicente Portugal porras (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carmen Gonzalez Serrano El estudio de investigaci\u00f3n realizado, se ha centrado en el an\u00e1lisis de los factores [&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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