{"id":87646,"date":"2000-01-12T00:00:00","date_gmt":"2000-01-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/fisiopatologia-del-neumoperitoneo-analisis-comparativo-de-uso-del-co2-frente-a-tecnica-sin-gas-en-la-colecistectomia-laparoscopica\/"},"modified":"2000-01-12T00:00:00","modified_gmt":"2000-01-12T00:00:00","slug":"fisiopatologia-del-neumoperitoneo-analisis-comparativo-de-uso-del-co2-frente-a-tecnica-sin-gas-en-la-colecistectomia-laparoscopica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/fisiopatologia-del-neumoperitoneo-analisis-comparativo-de-uso-del-co2-frente-a-tecnica-sin-gas-en-la-colecistectomia-laparoscopica\/","title":{"rendered":"Fisiopatolog\u00eda del neumoperitoneo: analisis comparativo de uso del co2 frente a t\u00e9cnica sin gas en la colecistectomia laparoscopica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Carlos Aparicio Medrano <\/strong><\/h2>\n<p>La instauraci\u00f3n de neumoperitoneo con co2 durante la colecistectom\u00eda laparosc\u00f3pica, produce diversas alteraciones hemodin\u00e1micas, metab\u00f3licas, respiratorias, sobre el sistema nervioso central e inmunol\u00f3gicas, derivadas del aumento de la presi\u00f3n intrabdominal y de la absorci\u00f3n del gas por el peritoneo. Adem\u00e1s se han comprobado alteraciones isqu\u00e9micas en el territorio esplacnico durante la cirug\u00eda, empleando carboperitoneo y tambi\u00e9n en el postoperatorio inmediato. Dichas alteraciones pueden objetivarse mediante la realizaci\u00f3n de mediciones de la pco2 y del ph de la mucosa gastrointestinal con una sonda de tonometr\u00eda intrag\u00e1strica(pco2 y del ph de la mucosa gastrointestinal con una sonda de tonometr\u00eda intrag\u00e1strica(pco2i, phi respectivamente).  puesto que las alteraciones referidas se atribuyen al empleo del co2, para la realizaci\u00f3n del neumoperitoneo, no deber\u00edan producirse si se realiza la colecistectom\u00eda laparosc\u00f3pica en condiciones isob\u00e1ricas, esto es, empleando retractores de la pared abdominal para la exposici\u00f3n del campo quir\u00fargico.  en este trabajo se plantea la hip\u00f3tesis de que, realizada en condiciones de ausencia de neumoperitoneo con co2, la colecistectom\u00eda laparosc\u00f3pica, no se producen alteraciones hemodin\u00e1micas generales ni espl\u00e1cnicas, metab\u00f3licas o de otros sistemas, o lo hacen en menor grado que cuando se realiza empleando este gas. Para ello se comparan de forma prospectiva dos grupos de pacientes sometidos a dicha intervenci\u00f3n en las dos condiciones mencionadas, estudiandose diversos par\u00e1metros cardiovasculares, anal\u00edticos y con mediciones de la vascularizaci\u00f3n del territorio espl\u00e1cnico mediante sonda de tonometr\u00eda intrag\u00e1strica, con el fin de responder adecuadamente a los siguientes objetivos del estudio:  -an\u00e1lisis comparativo de par\u00e1metros pre y postoperatorios en ambos grupos de hemogloina, hematocrito, ldh,ggt, urea y creatinina.  -an\u00e1lisis comparativo de las curvas de pco2,ph<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Fisiopatolog\u00eda del neumoperitoneo: analisis comparativo de uso del co2 frente a t\u00e9cnica sin gas en la colecistectomia laparoscopica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Fisiopatolog\u00eda del neumoperitoneo: analisis comparativo de uso del co2 frente a t\u00e9cnica sin gas en la colecistectomia laparoscopica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Carlos Aparicio Medrano <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/12\/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>represa \u00e1lvarez Fern\u00e1ndez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Simon martin <\/li>\n<li> Bayena crespo Miguel angel (vocal)<\/li>\n<li>julio angel Mayol Martinez (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 Jos\u00e9 Carlos Aparicio Medrano La instauraci\u00f3n de neumoperitoneo con co2 durante la colecistectom\u00eda laparosc\u00f3pica, produce diversas alteraciones [&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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