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Tècniques de Reconstrucció en Cirurgia de Cap de Pàncreas: Pancreaticogastrostomia versus Pancreaticojejunostomia

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Description

La Duodenopancreatectomia Cefàlica és la intervenció quirúrgica d’elecció pel tractament de la patologia maligna i de casos seleccionats de patologia benigna de la regió periampul·lar. La mortalitat en aquesta cirurgia ha disminuït respecte les dècades precedents, i actualment és del 5% o una mica inferior en centres d’alt volum. Però la morbiditat segueix sent elevada, entre el 30 i el 60%; i dins aquestes, les 3 complicacions més freqüents són el retard del buidament gàstric, les infeccions i la fístula pancreàtica. La tècnica més utilitzada per tractar el romanent de la cua pancreàtica és l’anastomosi pancreàtico-digestiva tipus Pancreaticojejunostomia; però la Pancreaticogastrostomia, segons els nostres resultats, presenta una menor incidència i gravetat de fístula pancreàtica. A més, redueix la taxa de reingressos. La incidència de complicacions greus, reintervencions i mortalitat és equivalent en ambdós grups. La reconstrucció tipus pancreaticogastrostomia presenta una millor funció exocrina i una menor pèrdua de pes en el seguiment a 3 mesos; sense observar diferències significatives en la funció endocrina.

Product Specifications

Format
paperback
Domain
Amazon UK
Release Date
05 July 2017
Listed Since
29 July 2017

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