{"id":59155,"date":"2018-03-09T22:46:59","date_gmt":"2018-03-09T22:46:59","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/influencia-de-la-linfadenectoma%c2%ada-mediastinica-en-el-pronostico-del-cancer-de-pulmon-no-celula-pequena\/"},"modified":"2018-03-09T22:46:59","modified_gmt":"2018-03-09T22:46:59","slug":"influencia-de-la-linfadenectoma%c2%ada-mediastinica-en-el-pronostico-del-cancer-de-pulmon-no-celula-pequena","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/influencia-de-la-linfadenectoma%c2%ada-mediastinica-en-el-pronostico-del-cancer-de-pulmon-no-celula-pequena\/","title":{"rendered":"Influencia de la linfadenectom\u00edamediast\u00ednica en el pron\u00f3stico del c\u00e1ncer de pulm\u00f3n no c\u00e9lula peque\u00f1a"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Romero Vielva Laura Mar\u00eda <\/strong><\/h2>\n<p>La afectaci\u00f3n ganglionar mediast\u00ednica es el principal factor pron\u00f3stico en el c\u00e1ncer de pulm\u00f3n. Una estratificaci\u00f3n correcta y lo m\u00e1s precisa posible permite tratar al paciente despu\u00e9s de la cirug\u00eda de la forma m\u00e1s id\u00f3nea.  hip\u00f3tesis y objetivos     conocer la diferencia entre la supervivencia y el tiempo libre de enfermedad de los pacientes con ganglios mediast\u00ednicos positivos y negativos. valorar el papel de la extensi\u00f3n de la linfadenectom\u00eda para realizar una estadificaci\u00f3n m\u00e1s correcta. Determinar si la linfadenectom\u00eda extensa mejora la supervivencia y el tiempo libre de enfermedad en funci\u00f3n del n\u00famero de ganglios obtenidos.  pacientes y m\u00e9todos     estudio restrospectivo de 485 pacientes consecutivos operados por c\u00e1ncer de pulm\u00f3n entre 1995 y 2001. Se analizan los ganglios mediast\u00ednicos resecados. Los grupos en funci\u00f3n del facto t se dividen en dos seg\u00fan el n\u00famero de ganglios resecados (menor 10 y 10). El an\u00e1lisis estad\u00edstico se realiz\u00f3 utilizando el programa spss ver. 12 en entorno windows. Se realizan tablas de contingencia utilizando  el estad\u00edstico chi cuadrado y test exacto de fisher, para analizar las diferencias entre la distribuci\u00f3n  conjunta de las variables cualitativas. Para el an\u00e1lisis de la supervivencia y del tiempo libre de enfermedad se utiliz\u00f3 el m\u00e9todo de kaplan-meier. Para comparar las diferentes curvas de supervivencia y tiempo libre de enfermedad se utilizaron las pruebas de hip\u00f3tesis log-rank, breslow y tarone-ware.  Con el fin de encontrar posibles asociaciones entre los diferentes factores pron\u00f3sticos y el tiempo libre de enfermedad o supervivencia, se aplic\u00f3 el modelo decox obteniendo los diferentes hr (hazard ratio) y su intervalo de confianza al 95%.  resultados     la media de ganglios resecados fue de 11,16 ganglios (0-48). A mayor n\u00famero de ganglios  resecados mayor porcentaje de ganglios positivos se obtienen (diferencias estad\u00edsticamente significativas, 35,85% de pacientes con<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Influencia de la linfadenectom\u00edamediast\u00ednica en el pron\u00f3stico del c\u00e1ncer de pulm\u00f3n no c\u00e9lula peque\u00f1a<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Influencia de la linfadenectom\u00edamediast\u00ednica en el pron\u00f3stico del c\u00e1ncer de pulm\u00f3n no c\u00e9lula peque\u00f1a <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Romero Vielva Laura Mar\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/06\/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>Jos\u00e9 Antonio Maestre Alcacer<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Navarro quilis <\/li>\n<li> Sanchez hern\u00e1ndez Jos\u00e9 Javier (vocal)<\/li>\n<li>Rafael Rosell costa (vocal)<\/li>\n<li>mercedes Canela cardona (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Romero Vielva Laura Mar\u00eda La afectaci\u00f3n ganglionar mediast\u00ednica es el principal factor pron\u00f3stico en el c\u00e1ncer 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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