{"id":57982,"date":"2018-03-09T22:45:46","date_gmt":"2018-03-09T22:45:46","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/complicaciones-pulmonares-peroperatorias-en-pacientes-con-patologa%c2%ada-pulmonar-obstructiva-sometidos-a-colecistectoma%c2%ada-laparoscopica\/"},"modified":"2018-03-09T22:45:46","modified_gmt":"2018-03-09T22:45:46","slug":"complicaciones-pulmonares-peroperatorias-en-pacientes-con-patologa%c2%ada-pulmonar-obstructiva-sometidos-a-colecistectoma%c2%ada-laparoscopica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/enfermedades-pulmonares\/complicaciones-pulmonares-peroperatorias-en-pacientes-con-patologa%c2%ada-pulmonar-obstructiva-sometidos-a-colecistectoma%c2%ada-laparoscopica\/","title":{"rendered":"Complicaciones pulmonares peroperatorias en pacientes con patolog\u00eda pulmonar obstructiva sometidos a colecistectom\u00edalaparosc\u00f3pica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan  Bosco Baron Franco <\/strong><\/h2>\n<p>Introducci\u00f3n     la colecistectom\u00eda laparosc\u00f3pica (cl) est\u00e1 sustituyendo a la colecistectom\u00eda abierta, ya que ha demostrado una mejor funci\u00f3n pulmonar postoperatoria as\u00ed como una m\u00e1s pronta recuperaci\u00f3n. Sin embargo los cambios intra y postoperatorios generados en la funci\u00f3n pulmonar deben ser m\u00e1s acusados en aquellos pacientes con patolog\u00eda pulmonar previa, por lo cual existen dudas a someterlos a dicha intervenci\u00f3n. Decidimos estudiar los pacientes con enfermedad pulmonar obstructiva cr\u00f3nica (epoc) leve o moderada sometidos a cl.  objetivos    conocer la evoluci\u00f3n de los pacientes con epoc leve y moderada sometidos a cl, e identificar, si existen, los par\u00e1metros predictores de complicaciones postoperatorias pulmonares.  m\u00e9todos     cuarenta pacientes fueron intervenidos de cl, veinte con enfermedad pulmonar obstructiva cr\u00f3nica levo o moderada (grupo 1), y veinte sin patolog\u00eda pulmonar obstructiva (grupo 2), en un estudio longitudinal prospectivo controlado secuencial de caos y controles. se us\u00f3 un r\u00e9gimen anest\u00e9sico y analg\u00e9sico postoperatorio est\u00e1ndar en ambos grupos. Se comprobaron las variaciones de los gases arteriales, radiograf\u00eda de t\u00f3rax y espirometr\u00eda tras la intervenci\u00f3n, as\u00ed como la evoluci\u00f3n cl\u00ednica hasta un mes tras el alta.  resultados     del grupo 1, 7 ten\u00edan epoc leve y 13 epoc moderado. La estimaci\u00f3n del riesgo asa fue mayor en el grupo epoc con significaci\u00f3n estad\u00edstica.     el grupo epoc sufri\u00f3 una presi\u00f3n pico intraoperatoria mayor que el grupo 2.La vfvc y el fev1 sufrieron una ca\u00edda similar en ambos grupos tras la intervenci\u00f3n, pero la recuperaci\u00f3n de la fvc fue m\u00e1s lenta en los epoc. La po2 descendi\u00f3 m\u00e1s de forma significativa en los epoc, no hubo alteraciones radiol\u00f3gicas ni complicaciones cl\u00ednicas. Todos los pacientes pudieron ser dados de lata en 24 horas.  conclusiones     1,- la escala asa no es \u00fatil en epoc sometidos a cl.     2,- los pacientes con epoc leve o moderad<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Complicaciones pulmonares peroperatorias en pacientes con patolog\u00eda pulmonar obstructiva sometidos a colecistectom\u00edalaparosc\u00f3pica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Complicaciones pulmonares peroperatorias en pacientes con patolog\u00eda pulmonar obstructiva sometidos a colecistectom\u00edalaparosc\u00f3pica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan  Bosco Baron Franco <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/04\/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>Rafael Balongo Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Cantillana Martinez <\/li>\n<li>Emilio Pujol de la llave (vocal)<\/li>\n<li>Francisco Rivera hueto (vocal)<\/li>\n<li>Mar\u00eda no Aguayo canela (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Bosco Baron Franco Introducci\u00f3n la colecistectom\u00eda laparosc\u00f3pica (cl) est\u00e1 sustituyendo a la colecistectom\u00eda abierta, ya que [&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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