{"id":73753,"date":"2018-03-09T23:18:42","date_gmt":"2018-03-09T23:18:42","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-comparativo-de-la-funcion-renal-en-pacientes-intervenidos-por-laparotoma%c2%ada-versus-laparoscopia\/"},"modified":"2018-03-09T23:18:42","modified_gmt":"2018-03-09T23:18:42","slug":"estudio-comparativo-de-la-funcion-renal-en-pacientes-intervenidos-por-laparotoma%c2%ada-versus-laparoscopia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-comparativo-de-la-funcion-renal-en-pacientes-intervenidos-por-laparotoma%c2%ada-versus-laparoscopia\/","title":{"rendered":"Estudio comparativo de la funci\u00f3n renal en pacientes intervenidos por laparotom\u00edaversus laparoscopia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jorge Diaz Roldan <\/strong><\/h2>\n<p>Introducci\u00f3n y objetivos: la introducci\u00f3n de la laparoscopia como nueva t\u00e9cnica de acceso quir\u00fargico al abdomen ha supuesto una revoluci\u00f3n en el campo de la cirug\u00eda. Se atribuyen a la laparoscopia una serie de ventajas derivadas, principalmente, de una menor agresi\u00f3n sobre la pared abdominal; sin embargo,  tambi\u00e9n se conocen efectos adversos derivados, sobre todo, del neumoperitoneo. sus repercusiones sobre la funci\u00f3n renal han sido poco estudiadas, encontrando datos que indican pueden llegar a ser muy importantes. Nos planteamos estudiar el efecto de la laparoscopia sobre diversos par\u00e1metros, desde cl\u00ednicos, hemodin\u00e1micas, respiratorios, de respuesta a la agresi\u00f3n quir\u00fargica hasta finalmente valorar la funci\u00f3n renal aplicando modernas t\u00e9cnicas de laboratorio que no se ven intluenciadas por la agresi\u00f3n quir\u00fargica.  material y m\u00e9todos: dise\u00f1amos un estudio prospectivo con distribuci\u00f3n aleatoria de pacientes a dos grupos: grupo 1: cirug\u00eda laparosc\u00f3pica o grupo 11: cirug\u00eda abierta. Fijamos la presi\u00f3n del neumoperitoneo en 12 mm hg. Incluimos pacientes con patolog\u00eda susceptible de tratamiento por ambas  t\u00e9cnicas y sin comorbilidad. Se estudi\u00f3 similitud preoperatorio: edad, sexo, peso, talla, \u00edndice de masa corporal, antecedentes personales, riesgo anest\u00e9sico (asa), y presi\u00f3n arterial, hematocrito y saturaci\u00f3n de  ox\u00edgeno basal. Para valorar la estabilidad intra y postoperatoria: dolor postoperatorio, tiempo operatorio, v\u00f3mitos, complicaciones intra y postoperatorias, presencia de hipotensi\u00f3n severa intraoperatoria,  hematocrito pre y postoperatorio, saturaci\u00f3n de ox\u00edgeno, presi\u00f3n parcial de co2 al final de la espiraci\u00f3n (et co2), frecuencia card\u00edaca (fe), presi\u00f3n arterial sist\u00f3lica (pas) y diast\u00f3lica (pad); as\u00ed como par\u00e1metros evolutivos metab\u00f3licos de respuesta a la agresi\u00f3n en las primeras 24 horas: leucocitos,  neutrofilos, velocidad de sedimentaci\u00f3n globular, productos de degradaci\u00f3n<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio comparativo de la funci\u00f3n renal en pacientes intervenidos por laparotom\u00edaversus laparoscopia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio comparativo de la funci\u00f3n renal en pacientes intervenidos por laparotom\u00edaversus laparoscopia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jorge Diaz Roldan <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/04\/2005<\/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> Ortega Bevi\u00e1 Jos\u00e9 M.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Fuente perucho agust\u00edn de la <\/li>\n<li>rogelio Garrido teruel (vocal)<\/li>\n<li>beatriz Perez cabrera (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jorge Diaz Roldan Introducci\u00f3n y objetivos: la introducci\u00f3n de la laparoscopia como nueva t\u00e9cnica de acceso quir\u00fargico [&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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