INTRODUÇÃO As pericondrites são infecções de evolução lenta, localizadas na cartila-gem auricular... more INTRODUÇÃO As pericondrites são infecções de evolução lenta, localizadas na cartila-gem auricular. Resultam de lacerações, contusões, cirurgias e outras afecções. A pericondrite do pavilhão auricular induzi-da por piercing é uma afecção freqüente entre jovens. O ...
... Devido à dilatação pré-estenótica comprometer o óstio das artérias subclávia e carótida comum... more ... Devido à dilatação pré-estenótica comprometer o óstio das artérias subclávia e carótida comum esquer-das, optamos pela realização de ponte da artéria subclá-via direita para as artérias subclávia e carótida esquer-das. ...
BACKGROUND: The laparoscopic transhiatal esophagectomy for benign or malignant disease is a compl... more BACKGROUND: The laparoscopic transhiatal esophagectomy for benign or malignant disease is a complex operation associated with a high rate of morbidity and mortality. In the last decade this procedure gained popularity and acceptance for treatment of the esophagus cancer and other benign diseases. AIM: To perform a retrospective analysis in patients with esophageal cancer that was underwent a laparoscopic transhiatal esophagectomy, demonstrated pre and post operative complications and immediate result. METHODS: From November 1993 to June 2005, 72 patients underwent laparoscopic transhiatal esophagectomy. Sixty-four with malignant neoplasm of esophagus. The males are predominant, and the mean age was 56.5 years. The abdominal part of the operation was totally laparoscopic and the cervical one was made the conventional way. The stomach was pulled up to the neck by the posterior mediastinum. RESULTS: The laparoscopic transhiatal esophagectomy was initiated in 64 patients. Four patients were converted to open surgery. The mean operation time was 153 minutes. The incidence of cervical fistula was 14.06%. The mortality rate 5.6%. CONCLUSION: Laparoscopic transhiatal esophagectomy is a secure option in experience centers. The morbility is low, with a faster return to normal activity. Maybe in fact this procedure may be reminded and ponder in the treatment of esophageal disease.
Surgical Endoscopy and Other Interventional Techniques, 2007
Background Laparoscopic transhiatal esophagectomy, indicated for benign and malignant esophageal ... more Background Laparoscopic transhiatal esophagectomy, indicated for benign and malignant esophageal diseases, is a complex operation, often associated with a high rate of morbidity and mortality. During the past decade this technique has became well accepted among specialized surgeons for the treatment of esophageal cancer, avoiding thoracotomy and reducing open access complications. The aim of the present study was to retrospectively analyze patients with esophageal cancer who underwent laparoscopic transhiatal esophagectomy. Methods From November 1993 to August 2006, 78 patients underwent laparoscopic transhiatal esophagectomy. There were 68 cases of esophageal cancer (57 males and 21 females, age range = 28–73 years) with a predominant rate of squamous cell carcinoma (60.2%). Results The conversion rate was 6.4%. The mean operative time was 153 min with a 12.8% rate of cervical leak and a postoperative (30-day) mortality rate of 5.1%. The four-year survival rate was 19% as determined within a subgroup of 21 patients whose followup during the period was possible. Conclusions Laparoscopic transhiatal esophagectomy is a safe alternative for experienced professionals. This access can improve mortality, hospital stay, and other outcomes when compared with open methods.
Coarctação da aorta constitui um estreitamento de origem congênita na porção inicial da aorta tor... more Coarctação da aorta constitui um estreitamento de origem congênita na porção inicial da aorta torácica. Tem incidência de 6 a 8% em nascidos vivos. A apresentação clínica é variada. O tratamento de escolha é o cirúrgico. Relatamos um caso de paciente do sexo feminino de 31 anos, com queixa de dor constrictiva na região cervical, dispnéia e claudicação intermitente em membros inferiores, sendo diagnosticada coarctação da aorta associada a estenose aórtica grave, que foi tratada com combinação das técnicas implantação de stent endovascular e angioplastia por balão.
INTRODUÇÃO As pericondrites são infecções de evolução lenta, localizadas na cartila-gem auricular... more INTRODUÇÃO As pericondrites são infecções de evolução lenta, localizadas na cartila-gem auricular. Resultam de lacerações, contusões, cirurgias e outras afecções. A pericondrite do pavilhão auricular induzi-da por piercing é uma afecção freqüente entre jovens. O ...
... Devido à dilatação pré-estenótica comprometer o óstio das artérias subclávia e carótida comum... more ... Devido à dilatação pré-estenótica comprometer o óstio das artérias subclávia e carótida comum esquer-das, optamos pela realização de ponte da artéria subclá-via direita para as artérias subclávia e carótida esquer-das. ...
BACKGROUND: The laparoscopic transhiatal esophagectomy for benign or malignant disease is a compl... more BACKGROUND: The laparoscopic transhiatal esophagectomy for benign or malignant disease is a complex operation associated with a high rate of morbidity and mortality. In the last decade this procedure gained popularity and acceptance for treatment of the esophagus cancer and other benign diseases. AIM: To perform a retrospective analysis in patients with esophageal cancer that was underwent a laparoscopic transhiatal esophagectomy, demonstrated pre and post operative complications and immediate result. METHODS: From November 1993 to June 2005, 72 patients underwent laparoscopic transhiatal esophagectomy. Sixty-four with malignant neoplasm of esophagus. The males are predominant, and the mean age was 56.5 years. The abdominal part of the operation was totally laparoscopic and the cervical one was made the conventional way. The stomach was pulled up to the neck by the posterior mediastinum. RESULTS: The laparoscopic transhiatal esophagectomy was initiated in 64 patients. Four patients were converted to open surgery. The mean operation time was 153 minutes. The incidence of cervical fistula was 14.06%. The mortality rate 5.6%. CONCLUSION: Laparoscopic transhiatal esophagectomy is a secure option in experience centers. The morbility is low, with a faster return to normal activity. Maybe in fact this procedure may be reminded and ponder in the treatment of esophageal disease.
Surgical Endoscopy and Other Interventional Techniques, 2007
Background Laparoscopic transhiatal esophagectomy, indicated for benign and malignant esophageal ... more Background Laparoscopic transhiatal esophagectomy, indicated for benign and malignant esophageal diseases, is a complex operation, often associated with a high rate of morbidity and mortality. During the past decade this technique has became well accepted among specialized surgeons for the treatment of esophageal cancer, avoiding thoracotomy and reducing open access complications. The aim of the present study was to retrospectively analyze patients with esophageal cancer who underwent laparoscopic transhiatal esophagectomy. Methods From November 1993 to August 2006, 78 patients underwent laparoscopic transhiatal esophagectomy. There were 68 cases of esophageal cancer (57 males and 21 females, age range = 28–73 years) with a predominant rate of squamous cell carcinoma (60.2%). Results The conversion rate was 6.4%. The mean operative time was 153 min with a 12.8% rate of cervical leak and a postoperative (30-day) mortality rate of 5.1%. The four-year survival rate was 19% as determined within a subgroup of 21 patients whose followup during the period was possible. Conclusions Laparoscopic transhiatal esophagectomy is a safe alternative for experienced professionals. This access can improve mortality, hospital stay, and other outcomes when compared with open methods.
Coarctação da aorta constitui um estreitamento de origem congênita na porção inicial da aorta tor... more Coarctação da aorta constitui um estreitamento de origem congênita na porção inicial da aorta torácica. Tem incidência de 6 a 8% em nascidos vivos. A apresentação clínica é variada. O tratamento de escolha é o cirúrgico. Relatamos um caso de paciente do sexo feminino de 31 anos, com queixa de dor constrictiva na região cervical, dispnéia e claudicação intermitente em membros inferiores, sendo diagnosticada coarctação da aorta associada a estenose aórtica grave, que foi tratada com combinação das técnicas implantação de stent endovascular e angioplastia por balão.
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