{"id":78091,"date":"2018-03-09T23:23:41","date_gmt":"2018-03-09T23:23:41","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/colecistectomia-transcilindrica-utilidad-aplicacion-y-ventajas\/"},"modified":"2018-03-09T23:23:41","modified_gmt":"2018-03-09T23:23:41","slug":"colecistectomia-transcilindrica-utilidad-aplicacion-y-ventajas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/colecistectomia-transcilindrica-utilidad-aplicacion-y-ventajas\/","title":{"rendered":"Colecistectomia transcilindrica. utilidad, aplicaci\u00f3n y ventajas"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Enrique Javier Grau Talens <\/strong><\/h2>\n<p>Introducci\u00f3n     la laparosopia es la v\u00eda de elecci\u00f3n para la colecistectom\u00eda. Las ventajas sobre la laparotom\u00eda cl\u00e1sica son irrefutables, pero sobre la minilaparotom\u00eda no han sido bien establecidas. La minilaparotom\u00eda puede tener dificultades con la exposici\u00f3n del campo quir\u00fargico. El desarrollo de un separador cil\u00edndrico que estabilice el campo quir\u00fargico podr\u00eda ser un avance.  hip\u00f3tesis y objetivos del estudio     desde agosto de 1993 hasta enero de 2005 los pacientes diagnosticados de colelitiasis sintom\u00e1tica, los convalecientes de pancreatitis aguda biliar leve\/moderada o con colecistitis aguda o sospecha de coledocolitiasis han sido tratados por colecistectom\u00eda transcil\u00edndrica (ctc). Un total de 330 pacientes han sido tratados por este m\u00e9todo.  resultados     la ctc simple se ha practicado en 273 pacientes, la duraci\u00f3n de la intervenci\u00f3n fue de 46,4 (16,5) minutos de media (de), ampliaci\u00f3n de la incisi\u00f3n en 13 (4,6%), fuga biliar postoperatoria en 2 (0,7%), un caso de muerte (0,4%), una reintervenci\u00f3n por hemoperitoneo y una estancia media de 2,0 d\u00edas. Los resultados de las espirometr\u00edas muestra una reducci\u00f3n postoperatoria de la cvf y fev1 que se sit\u00faa alrededor del 25%, similar en ambos grupos. En 59 se trat\u00f3 de colecistitis aguda. La coledocotom\u00eda transcil\u00eddrica se intent\u00f3 en 24 casos. El estudio comparativo de la ctc con la clp demuestra un mayor rendimiento de la ctc y un coste de 1.215 euros menor.  conclusiones     la colecistectom\u00eda simple por minilaparotom\u00eda a trav\u00e9s de un separador cil\u00edndrico, ctc, es una t\u00e9cnica eficaz. El coste de la ctc es considerablemente menor que la clp. La repercusi\u00f3n sobre la fisiolog\u00eda respiratoria es similar en ambas t\u00e9cnicas. La ctc ha sido eficaz en el tratamiento de la colecistitis aguda y la litiasis de la v\u00eda biliar principal.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Colecistectomia transcilindrica. utilidad, aplicaci\u00f3n y ventajas<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Colecistectomia transcilindrica. utilidad, aplicaci\u00f3n y ventajas <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Enrique Javier Grau Talens <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/12\/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>Antonio  Jose Torres Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Baldidrea cantero Jos\u00e9 Luis <\/li>\n<li>Jos\u00e9 Antonio Rodr\u00edguez montes (vocal)<\/li>\n<li> Teller de peralta Francisco (vocal)<\/li>\n<li>Jos\u00e9 Mir pallard\u00f3 (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Enrique Javier Grau Talens Introducci\u00f3n la laparosopia es la v\u00eda de elecci\u00f3n para la colecistectom\u00eda. Las ventajas [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[15009,167968,167967,3775,27237,167969],"class_list":["post-78091","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-antonio-jose-torres-garcia","tag-baldidrea-cantero-jose-luis","tag-enrique-javier-grau-talens","tag-jose-antonio-rodriguez-montes","tag-jose-mir-pallardo","tag-teller-de-peralta-francisco"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/78091","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=78091"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/78091\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=78091"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=78091"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=78091"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}