{"id":84434,"date":"2000-09-05T00:00:00","date_gmt":"2000-09-05T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-determinantes-de-agresion-en-la-colecistectoma%c2%ada\/"},"modified":"2000-09-05T00:00:00","modified_gmt":"2000-09-05T00:00:00","slug":"factores-determinantes-de-agresion-en-la-colecistectoma%c2%ada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-determinantes-de-agresion-en-la-colecistectoma%c2%ada\/","title":{"rendered":"Factores determinantes de agresi\u00f3n en la colecistectom\u00eda."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Escart\u00ed Us\u00f3 Miguel Angel <\/strong><\/h2>\n<p>Objetivos  determinar la influencia de los factores intraoperatorios adem\u00e1s de la v\u00eda quir\u00fargica en la evoluci\u00f3n tras la colecistectom\u00eda laparosc\u00f3pica y convencional.  pacientes y m\u00e9todos  estudio prospectivo. 104 colecistectom\u00edas laparosc\u00f3picas (cxl) y 27 colecistectom\u00edas convencionales (cxc). Variables analizadas: intraoperatorias: dificualtad y duraci\u00f3n de la intervenci\u00f3n, v\u00eda quir\u00fargica-laparoscopia o convencional, evoluci\u00f3n en el postoperatorio inmediato, edad y sexo. en cxl, litros de co2 y n\u00famero de tr\u00f3cares (3\/4). Respuesta de fase aguda y neuroendocrina ( 24 y 28 horas postintervenci\u00f3n) vsg, prote\u00edna c reactiva, got, gtp, figrion\u00f3geno. Ilvi, %pmn, linfocitos, plaquetas, cortisol, glucosa insulina, glucag\u00f3n, c3 complemento, trasnferrina, alfa 1 antitripsina, hb, hto. Valoraci\u00f3n nutricional din\u00e1mica (7 y 30 d\u00edas): prote\u00ednas totales, alb\u00famina, prealb\u00famina, retinol y est\u00e1tica: peso, longitud de la circunferencia del brazo, pliegue bicipital y tricipital. Fatiga postoperatoria (7 y 30 d\u00edas).  m\u00e9todo estad\u00edstico: comparaci\u00f3n la parosc\u00f3picos vs convencionales (t de student). An\u00e1lisis cluster para clasificaci\u00f3n de los pacientes en funci\u00f3n del comportamiento de las variables en el postoperatorio e independientemente de la v\u00eda quir\u00fargica.An\u00e1lisis discriminante para determinar el papel d elos factores intraoperatorios en la probabilidad de pertenencia a uno u otro grupo.  conclusiones  en la colecistectom\u00eda (cxc o cxl) la dificultad y la duraci\u00f3n de la intervenci\u00f3n son los factores con mayor impacto en la agresi\u00f3n quir\u00fargica. la v\u00eda quir\u00fargica es el tercer factor en importancia. La edad y el sexo, as\u00ed como la evoluci\u00f3n postoperatoria no se asocian a una mayor agresi\u00f3n. en la cxl el volumen de co2 y el n\u00famero de tr\u00f3cares son elementos significativos. la utilizaci\u00f3n de 4 tr\u00f3cares conlleva una menor agresi\u00f3n que utilizar 3. en la cxl la respuesta de fase aguda y neuroendocrina es si<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores determinantes de agresi\u00f3n en la colecistectom\u00eda.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores determinantes de agresi\u00f3n en la colecistectom\u00eda. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Escart\u00ed Us\u00f3 Miguel Angel <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 09\/05\/2000<\/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>Salvador Lledo Matoses<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Carbonell antoli <\/li>\n<li>Fernando Gonzalez hermoso (vocal)<\/li>\n<li>Francisco Sanchez bueno (vocal)<\/li>\n<li> Rodrigo gomez Jos\u00e9 m. (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Escart\u00ed Us\u00f3 Miguel Angel Objetivos determinar la influencia de los factores intraoperatorios adem\u00e1s de la v\u00eda quir\u00fargica [&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":[9,141,387],"tags":[8543,178377,10018,8254,104138,12352],"class_list":["post-84434","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","tag-carlos-carbonell-antoli","tag-escarti-uso-miguel-angel","tag-fernando-gonzalez-hermoso","tag-francisco-sanchez-bueno","tag-rodrigo-gomez-jose-m","tag-salvador-lledo-matoses"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/84434","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=84434"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/84434\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=84434"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=84434"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=84434"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}