{"id":57623,"date":"2018-03-09T22:45:24","date_gmt":"2018-03-09T22:45:24","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/colangioresonancia-frente-a-colangiografia-intraoperatoria-selectiva-en-la-colecistectomia-laparoscopica\/"},"modified":"2018-03-09T22:45:24","modified_gmt":"2018-03-09T22:45:24","slug":"colangioresonancia-frente-a-colangiografia-intraoperatoria-selectiva-en-la-colecistectomia-laparoscopica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia\/colangioresonancia-frente-a-colangiografia-intraoperatoria-selectiva-en-la-colecistectomia-laparoscopica\/","title":{"rendered":"Colangioresonancia frente a colangiografia intraoperatoria selectiva en la colecistectomia laparoscopica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda Socas Macias <\/strong><\/h2>\n<p>Introducci\u00f3n: es preciso realizar un protocolo exhaustivo de control para la detecci\u00f3n de c\u00e1lculos en la v\u00eda biliar, en los pacientes con riesgo intermedio de ocupaci\u00f3n de la misma  para evitar la existencia de coledocolitiasis residual que precise una cpre postoperatoria o una reintervenci\u00f3n. objetivo: comprobar si la colangioresonancia nuclear magn\u00e9tica (crnm) puede sustituir a la colangiograf\u00eda intraoperatoria selectiva (cio) como m\u00e9todo diagn\u00f3stico preoperatorio en los pacientes con riesgo intermedio de coledocolitiasis que son sometidos a una colecistectom\u00eda laparosc\u00f3pica (cl).  metodo: estudio prospectivo descriptivo de 60 pacientes. Criterios predefinidos: tener dos o m\u00e1s factores de riesgo de coledocolitiasis (1.Cl\u00ednicos; 2.Anal\u00edticos o 3.Ecogr\u00e1ficos). Crnm practicada idealmente una semana antes de la cirug\u00eda, y posterior correlaci\u00f3n de resultados con la cio. Analizamos el intervalo de tiempo entre crnm y cirug\u00eda, viabilidad de la cio, lesiones que involucran al triangulo de calot debidas a la cio, demora de la cirug\u00eda secundaria a la cio, y concordancia entre ambas pruebas.  resultados: total de 57 pacientes sometidos a cl. Crnm realizada como media 8 d\u00edas antes de la cirug\u00eda. La viabilidad de la cio es de un 79% (47 pacientes), debido fundamentalmente a la imposibilidad de canalizar el c\u00edstico por la presencia de valvas o a desgarros producidos en el mismo tras repetidos intentos de canulaci\u00f3n. El porcentaje de lesiones que involucran al c\u00edstico debido a la cio es de un 8,7%; todas ellas lesiones menores detectadas y resueltas durante la misma intervenci\u00f3n quir\u00fargica. El tiempo medio empleado en la realizaci\u00f3n de la cio ha sido de 17,4 minutos. La crnm puede llegar a poner de manifiesto la presencia de variaciones anat\u00f3micas en el 12,3% de los pacientes, y la cio en el 5,2% de los casos. El porcentaje de acuerdo entre la cio y la crnm respecto a la dilataci\u00f3n de la v\u00eda biliar principal es de un 88,8% y de un 95,5% (43 paci<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Colangioresonancia frente a colangiografia intraoperatoria selectiva en la colecistectomia laparoscopica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Colangioresonancia frente a colangiografia intraoperatoria selectiva en la colecistectomia laparoscopica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda Socas Macias <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/03\/2007<\/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>Salvador Morales Mendez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Cantillana Martinez <\/li>\n<li>eduardo Mar\u00eda Targarona soler (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Ortega bevia (vocal)<\/li>\n<li>horacio Oliva mu\u00f1oz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Socas Macias Introducci\u00f3n: es preciso realizar un protocolo exhaustivo de control para la detecci\u00f3n de c\u00e1lculos [&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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