{"id":41213,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/colecistolitotricia-endoscopica-percutanea-en-pacientes-de-alto-riesgo-quirurgico\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"colecistolitotricia-endoscopica-percutanea-en-pacientes-de-alto-riesgo-quirurgico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/colecistolitotricia-endoscopica-percutanea-en-pacientes-de-alto-riesgo-quirurgico\/","title":{"rendered":"Colecistolitotricia endoscopica percutanea en pacientes de alto riesgo quirurgico."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Salvador Mateo Sainz <\/strong><\/h2>\n<p>Introducci\u00f3n  con el fin, de disminuir la morbi-mortalidad de la colecistectom\u00eda, como tratamiento de la colecistitis aguda, en pacientes de edad avanzada con enfermedades cr\u00f3nicas graves asociadas. Se han desarrollado alternativas terap\u00e9uticas menos agresivas basadas en la miniaturizaci\u00f3n de instrumentos quir\u00fargicos y aparatos endosc\u00f3picos.  una de estas t\u00e9cnicas quir\u00fargicas m\u00ednimamente invasivas es la colecistolitotricia endosc\u00f3pica percut\u00e1nea, mediante la cual, se fragmentan y extraen los c\u00e1lculos biliares vesiculares de forma endosc\u00f3pica, utilizando un abordaje m\u00ednimo percut\u00e1neo de solamente un cent\u00edmetro de di\u00e1metro y precisando solamente para ello de anestesia local.  objetivos  con este estudio se valora la t\u00e9cnica de colecistoliotricia endosc\u00f3pica percut\u00e1nea, sus resultados y se comparan de forma estad\u00edstica a un grupo control hist\u00f3rico de caracter\u00edsticas cl\u00ednicas similares en los cuales, se han realizado las t\u00e9cnicas quir\u00fargicas cl\u00e1sicas.  material y m\u00e9todos  se ha utilizado la t\u00e9cnica de colecistoliotricia endosc\u00f3pica percut\u00e1nea en treinta pacientes (80 a\u00f1os de media) ingresados en el servicio de cirug\u00eda general del hospital de gald\u00e1cano durante los cinco \u00faltimos a\u00f1os. Todos ellos presentaban una colecistitis aguda liti\u00e1sica refractaria al tratamiento m\u00e9dico y un alto riesgo quir\u00fargico (asa iv) en raz\u00f3n de sus graves enfermedades cr\u00f3nicas asociadas. Previamente la colecistitis aguda se resolvi\u00f3 mediante una colecistostom\u00eda percut\u00e1nea ecodirigida.  en el momento de evaluar los resultados, se han comparado con los de un grupo de 46 enfermos de caracter\u00edsticas cl\u00ednicas similares, tratados previamente en nuestro servicio de cirug\u00eda con las t\u00e9cnicas quir\u00fargicas convencionales y que constituyen un grupo control.  resultados  la t\u00e9cnica ha sido eficaz para la extirpaci\u00f3n de los c\u00e1lculos vesiculares en 22 de los 30 pacientes. solamente se dieron complicaciones en<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Colecistolitotricia endoscopica percutanea en pacientes de alto riesgo quirurgico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Colecistolitotricia endoscopica percutanea en pacientes de alto riesgo quirurgico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Salvador Mateo Sainz <\/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 01\/01\/1999<\/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> Iturburu Belmonte Ignacio Miguel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ignacio Arcelus imaz <\/li>\n<li>Rafael Vara-thorbeck (vocal)<\/li>\n<li>Alberto Gomez alonso (vocal)<\/li>\n<li>Carlos Vara thorbeck (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Salvador Mateo Sainz Introducci\u00f3n con el fin, de disminuir la morbi-mortalidad de la colecistectom\u00eda, como tratamiento de [&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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