{"id":65561,"date":"2018-03-09T22:53:41","date_gmt":"2018-03-09T22:53:41","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronosticos-del-postoperatorio-en-el-cancer-de-esofago\/"},"modified":"2018-03-09T22:53:41","modified_gmt":"2018-03-09T22:53:41","slug":"factores-pronosticos-del-postoperatorio-en-el-cancer-de-esofago","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia\/factores-pronosticos-del-postoperatorio-en-el-cancer-de-esofago\/","title":{"rendered":"Factores pronosticos del postoperatorio en el cancer de esofago"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Fernando Rafael Armestar Rodriguez <\/strong><\/h2>\n<p>Trabajo realizado para identificar los factores pron\u00f3sticos del postoperatorio de los pacientes sometidos a esofaguectom\u00eda por c\u00e1ncer de es\u00f3fago. estudio retrospectivo realizado en el hospital universitario germans trias i pujol de badalona. La poblaci\u00f3n estudiada fue de 159 enfermos con c\u00e1ncer de es\u00f3fago localmente avanzado, a los que se les realiz\u00f3 esofaguectom\u00eda entre enero de 1985 y diciembre del 2004.  el 54% de enfermos presentaron complicaciones graves, siendo las m\u00e1s frecuentes las de tipo infeccioso. La mortalidad fue del 12.6%, el fracaso multiorg\u00e1nico secundario a sepsis fue la causa m\u00e1s frecuente de muerte. Las complicaciones graves mostraron una asociaci\u00f3n significativa con: el alcoholismo (p<0.04), la cirrosis hep\u00e1tica (p<0.03), la localizaci\u00f3n del tumor en el tercio medio esof\u00e1gico (p<0.04) y un \u00edndice de apache ii superior a 10 (p=0.003). La mortalidad se asoci\u00f3 significativamente con la presencia de enfermedad pulmonar obstructiva cr\u00f3nica (p<0.03) y con un \u00edndice de apache ii superior a 10 (p=0.02)-  en conclusi\u00f3n, el apache ii puede ser usado tanto como factor pron\u00f3stico de mortalidad, como de complicaciones graves. La enfermedad pulmonar obstructiva cr\u00f3nica es un factor que se asocia con mayor mortalidad postoperatoria. El abuso de alcohol, la cirrosis hep\u00e1tica y la localizaci\u00f3n en el tercio medio son factores que se asocian con complicaciones graves postoperatorias.\n\n\n\n&nbsp;\n\n\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores pronosticos del postoperatorio en el cancer de esofago<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pronosticos del postoperatorio en el cancer de esofago <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Fernando Rafael Armestar Rodriguez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/06\/2008<\/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>Jaume Fern\u00e1ndez Llamazares Rodriguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Armengol carrasco <\/li>\n<li>jordi Klamburg pujol (vocal)<\/li>\n<li>manel Monreal bosch (vocal)<\/li>\n<li>albert Font pous (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fernando Rafael Armestar Rodriguez Trabajo realizado para identificar los factores pron\u00f3sticos del postoperatorio de los pacientes sometidos [&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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