{"id":84760,"date":"2018-03-10T00:09:08","date_gmt":"2018-03-10T00:09:08","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronosticos-de-resecabilidad-morbimortalidad-y-supervivencia-en-los-tumores-de-la-confluencia-biliar\/"},"modified":"2018-03-10T00:09:08","modified_gmt":"2018-03-10T00:09:08","slug":"factores-pronosticos-de-resecabilidad-morbimortalidad-y-supervivencia-en-los-tumores-de-la-confluencia-biliar","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-pronosticos-de-resecabilidad-morbimortalidad-y-supervivencia-en-los-tumores-de-la-confluencia-biliar\/","title":{"rendered":"Factores pronosticos de resecabilidad, morbimortalidad y supervivencia en los tumores de la confluencia biliar"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Marina Manzanera Diaz <\/strong><\/h2>\n<p>El objetivo de esta tesis es el estudio de los factores que influyen en la supervivencia a largo plazo de los pacientes con colangiocarcinoma hiliar. Material y m\u00e9todos: estudio retrospectivo de una muestra de 108 pacientes, divididos en cuatro grupos en funci\u00f3n del tratamiento al que fueron sometidos, a saber: grupo i de pacientes resecados; grupo ii de pacientes sometidos a laparotom\u00eda exploradora; grupo iii de pacientes sometidos a paliaci\u00f3n quir\u00fargica y grupo iv, de pacientes sometidos a paliaci\u00f3n no quir\u00fargica(endopr\u00f3tesis). Las variables estudiadas se han dividido cronol\u00f3gicamente en preoperatorias(cl\u00ednicas, laboratorio, exploraciones complementarias), intraoperatorias(t\u00e9cnica quir\u00fargica, necesidad de transfusiones), relacionadas con la paliaci\u00f3n no quir\u00fargica(colangitis, hemobilia,obstrucci\u00f3n de la pr\u00f3tesis) y postoperatorias (morbilidad, reingresos). Las variables significativas (p&lt; 0,05) en el an\u00e1lisis univariante fueron incluidas en el an\u00e1lisis multivariante de cos. Resultados: la supervivencia acumulada en los pacientes resecados es de 74,2%, 32,3% y 25,2% a 1,3 y 5 a\u00f1os, respectivamente, significativamente superior(p&lt;0,01) a la alcanzada por los otros m\u00e9todos de tratamiento. En el estudio multivariable de los pacientes resecados, los factores independientes relacionados con una mayor supervivencia a largo plazo son: sexo var\u00f3n, ausencia de infiltraci\u00f3n ganglionar en la pieza de resecci\u00f3n (no), resecci\u00f3n radical(ro), ausencia de implantes tumorales alejadas del tumor primario(mo). en cuanto a los factores pron\u00f3sticos de resecabilidad entre los pacientes sometidos a laparotom\u00eda, observamos que el hallazgo de una imangen de infiltraci\u00f3n de l\u00f3bulo cuadado en la tac preoperatoria se ha relacionado con una tasa de resecabilidad significativamente menor. No obstante, pensamos que el \u00fanico m\u00e9todo capaz de valorar la resecabilidad significativamente menor. no obstante, pensamos que el \u00fanico m\u00e9todo cap<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores pronosticos de resecabilidad, morbimortalidad y supervivencia en los tumores de la confluencia biliar<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pronosticos de resecabilidad, morbimortalidad y supervivencia en los tumores de la confluencia biliar <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Marina Manzanera Diaz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 31\/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>Enrique Moreno Gonz\u00e1lez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Balibrea  cantero <\/li>\n<li>Luis Perez ruiz (vocal)<\/li>\n<li>Jos\u00e9 Antonio Bondia navarro (vocal)<\/li>\n<li>pedro Carda abella (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Marina Manzanera Diaz El objetivo de esta tesis es el estudio de los factores que influyen en [&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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