{"id":55386,"date":"2006-07-11T00:00:00","date_gmt":"2006-07-11T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-preoperatoria-de-los-pacientes-con-carcinoma-broncogenico-analisis-del-riesgo-quirurgico\/"},"modified":"2006-07-11T00:00:00","modified_gmt":"2006-07-11T00:00:00","slug":"evaluacion-preoperatoria-de-los-pacientes-con-carcinoma-broncogenico-analisis-del-riesgo-quirurgico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evaluacion-preoperatoria-de-los-pacientes-con-carcinoma-broncogenico-analisis-del-riesgo-quirurgico\/","title":{"rendered":"Evaluaci\u00f3n preoperatoria de los pacientes con carcinoma broncogenico. analisis del riesgo quir\u00fargico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Santos Asensio S\u00e1nchez <\/strong><\/h2>\n<p>* la cirug\u00eda continua siendo la mejor opci\u00f3n para la curaci\u00f3n del carcinoma broncog\u00e9nico pero muchos tumores resecables ocurren en pacientes con deterioro de la funci\u00f3n pulmonar que incrementa el riesgo quir\u00fargico postoperatorio; y aunque numerosos estudios analizan los marcadores para la predicci\u00f3n de complicaciones encontramos una gran disparidad en los resultados publicados.  objetivos     determinar qu\u00e9 par\u00e1metros de los utilizados en la evaluaci\u00f3n preoperatoria de los pacientes con carcinoma broncog\u00e9nico contribuyen a una mejor predicci\u00f3n del riesgo quir\u00fargico.  material y m\u00e9todos     estudio prospectivo observacional de 120 pacientes consecutivos operados de carcinoma broncog\u00e9nico durante un periodo de 27 meses en un servicio de neumolog\u00eda y cirug\u00eda tor\u00e1cica centro de referencia. Evaluaci\u00f3n cl\u00ednica y realizaci\u00f3n de: espirometr\u00eda, difusi\u00f3n pulmonar, consumo m\u00e1ximo de ox\u00edgeno y funci\u00f3n pulmonar predicha postoperatoria (ppo) previa a la cirug\u00eda. Divisi\u00f3n de las complicaciones en m\u00e9dicas y derivadas de la t\u00e9cnica quir\u00fargica. An\u00e1lisis bivariante de las complicaciones y la mortalidad dividiendo a la poblaci\u00f3n en funci\u00f3n de ausencia o presencia de las mismas y an\u00e1lisis multivariante posterior mediante regresi\u00f3n log\u00edstica.  resultados     * la edad media de los 120 pacientes fue de 62,8 &#8211; 9,6 a\u00f1os, 85% hombres. El 89,2% hab\u00eda fumado y 81 (67,5%) presentaba alg\u00fan tipo de enfermedad. 45 (37,5%) sufrieron alg\u00fan tipo de complicaci\u00f3n, 20 (16,7%) medicas y 28 (23,3%) derivadas de la t\u00e9cnica quir\u00fargica. 5 (4,2%) de los pacientes fallecieron dentro de los 30 primeros d\u00edas posteriores a la cirug\u00eda.     * el riesgo quir\u00fargico postoperatorio se asoci\u00f3 al antecedente de tabaquismo, hipertensi\u00f3n arterial, patolog\u00eda cardiovascular, grado de obstrucci\u00f3n al flujo a\u00e9reo (fev1\/fvc), capacidad de difusi\u00f3n pulmonar (tlco %) y funci\u00f3n pulmonar predicha postoperatoria (tlco % ppo y el fev1 % ppo). La tlco% y la tlco % ppo<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluaci\u00f3n preoperatoria de los pacientes con carcinoma broncogenico. analisis del riesgo quir\u00fargico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluaci\u00f3n preoperatoria de los pacientes con carcinoma broncogenico. analisis del riesgo quir\u00fargico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Santos Asensio S\u00e1nchez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 07\/11\/2006<\/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>Santiago Romero Candeira<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jaime Merino sanchez <\/li>\n<li> Galbis caravajal Jos\u00e9 marcelo (vocal)<\/li>\n<li> Granda orive Jos\u00e9 ignacio de (vocal)<\/li>\n<li> Villena garrido Mar\u00eda  victoria (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Santos Asensio S\u00e1nchez * la cirug\u00eda continua siendo la mejor opci\u00f3n para la curaci\u00f3n del carcinoma broncog\u00e9nico [&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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