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Literatura académica sobre el tema "EPATECTOMIE"
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Artículos de revistas sobre el tema "EPATECTOMIE"
Fuks, D., H. Tranchart y B. Gayet. "Epatectomie con accesso laparoscopico". EMC - Tecniche Chirurgiche Addominale 23, n.º 4 (diciembre de 2017): 1–11. http://dx.doi.org/10.1016/s1283-0798(17)87063-7.
Texto completoCastaing, D. y C. Salloum. "Tecniche delle epatectomie mediante laparotomia". EMC - Tecniche Chirurgiche Addominale 17, n.º 2 (enero de 2011): 1–16. http://dx.doi.org/10.1016/s1283-0798(11)70631-3.
Texto completoCastaing, D., F. Perdigao Cotta y C. Salloum. "Condotta generale delle epatectomie mediante laparotomia". EMC - Tecniche Chirurgiche Addominale 17, n.º 3 (enero de 2011): 1–19. http://dx.doi.org/10.1016/s1283-0798(11)70641-6.
Texto completoSavier, E., D. Eyraud, J. Taboury, J. C. Vaillant y L. Hannoun. "Tecniche e modalità dell’esclusione vascolare del fegato e delle epatectomie estreme". EMC - Tecniche Chirurgiche Addominale 14, n.º 4 (enero de 2008): 1–20. http://dx.doi.org/10.1016/s1283-0798(08)70462-5.
Texto completoRocca, Aldo, Enrico Andolfi, Anna Ginevra Immacolata Zamboli, Giuseppe Surfaro, Domenico Tafuri, Gianluca Costa, Barbara Frezza et al. "Management of complications of first instance of hepatic trauma in a liver surgery unit: Portal vein ligation as a conservative therapeutic strategy". Open Medicine 14, n.º 1 (21 de mayo de 2019): 376–83. http://dx.doi.org/10.1515/med-2019-0038.
Texto completoRahbari, Nuh N., Heike Elbers, Moritz Koch, Thomas Bruckner, Patrick Vogler, Fabian Striebel, Peter Schemmer, Arianeb Mehrabi, Markus W. Büchler y Jürgen Weitz. "C lamp-Cru shin g versus s tapler h epatectomy for transection of the parenchyma in elective hepatic resection (CRUNSH) - A randomized controlled trial (NCT01049607)". BMC Surgery 11, n.º 1 (4 de septiembre de 2011). http://dx.doi.org/10.1186/1471-2482-11-22.
Texto completoTesis sobre el tema "EPATECTOMIE"
RUSSOLILLO, NADIA. "ALCOLIZZAZIONE ASSOCIATA ALLA LEGATURA PORTALE: UNA TECNICA EFFICACE PER INCREMENTARE LA RIGENERAZIONE EPATICA". Doctoral thesis, 2016. http://hdl.handle.net/11562/939243.
Texto completoBACKGROUND AND AIM: Portal vein occlusion by ligation (PVL) or embolization (PVE) is routinely performed to increase inadequate future liver remnant volume (FLRV) . The higher liver regeneration rate observed after PVE than after PVL may be due to the formation in the latter of intrahepatic porto-portal collaterals between the portal branches of segment 4 and the branches of the adjacent right segments 5 and 8. The aim of the study was to compare liver regeneration rate following portal vein ligation (PVL) with (Alc+) and without (Alc-) simultaneous intraportal alcohol injection METHODS: Forty-two patients with colorectal liver metastases who underwent PVL between January 2004 and June 2014 were analyzed. Beginning in September 2011, absolute alcohol was injected prior to right PVL. Future liver remnant volume (FLRV) was assessed by CT-scan. CT-scans were reviewed to assess recanalization and/or cavernous transformation of the occluded portal vein. Liver regeneration was assessed as Volumetric Increase (VI) [(FLRVpost% – FLRVpre%)/FLRVpre%]. RESULTS: The Alc+ (n=23) and Alc- (n=19) groups were similar in age, sex, diabetes, pre-PVL FLRV and administration of chemotherapy. The rate of recanalization of the occluded portal vein was significantly higher (63.1% vs. 4.3%, p<0.001) and the rate of cavernous transformation higher (36.8% vs. 8.7%, p=0.055) in the Alc- than in the Alc+ group. Post-PVL FLRV (43.3±14.3% vs. 34.6±6.4%, p=0.013) and VI (0.44±0.24 vs. 0.28±0.20, p=0.029) were significantly higher in the Alc+ group. Univariate analysis showed that male sex (0.23±024 vs.0.40±0.19, p=0.005) and PVL without alcohol injection (0.35±0.24 vs. 0.26±0.20, p=0.035) were negatively correlated with VI. Multiple regression analysis showed that male sex (B=−0.149, p=0.035) and alcohol injection (B=0.143 p=0.041) significantly predicted VI [F(1,40)=5.200, p=0.010]. CONCLUSIONS: Alcohol injection prior to PVL significantly increased regeneration rate of the future liver remnant, reducing recanalization of the occluded portal vein.
RUSSO, Francesco. "FATTORI PROGNOSTICI DI MORTALITA’ E MORBIDITA’ POST-EPATECTOMIA NUOVO ALGORITMO DI RIFERIMENTO". Doctoral thesis, 2014. http://hdl.handle.net/11562/708166.
Texto completoBackground: The history of modern liver surgery has started since 1956 with the description of the functional anatomy of the liver by Couinaud. In the following decades many advances have been made. Data in the literature indicate a rate of complications including 1.2% and 40% and a mortality rate of between 3% and 20%. Our work aims is to identify prognostic factors of complications in the pre-surgical phase, to develop a mathematical model for the prediction of risk and on it,to identify in pre-surgical phase three categories of patients ; low risk, medium risk high risk. Methods: From 1991 to 2011, a period of 20 years,2100 hepatectomy were studied in 2100 patients, operated in two highly specialized centers in liver surgery. We considered appropriate to distinguish patients in two cohorts in relation to the time period in which they were subjected to hepatectomy. The first cohort consists of 950 patients, 523 males and 427 females, with a mean age of 47,5 years, undergoing surgery in the years 1991-2001. The second cohort consists of 1150 patients, 690 males and 460 females, with a mean age of 55 years, who underwent surgery during the period 2002-2011. The model used for the standardization of the complications is the classification of surgical complications of Clavien-Dindo. The prognostic factors that we have studied for the definition of risk are: age of the patients, the BMI, the type of hepatectomy who had undergone a function of its extension, MELD staus, ASA staus, Child status, the presence or absence of a chemotherapeutic treatment neo-adjuvant, gender. We have adopted a logistic regression model where the dependent variable is the type of surgical complication on the basis of the classification proposed by Clavien-Dindo (2009). We used to identify the role of prognostic factors in determining complications, the statistical model of multinomial logistic regression. In order to test the significance also of possible interaction effects between two or more factors that are statistically significant, the multinomial logistic regression models were reestimated between the predictors also considering possible interactions. Results: The total collective for the period 1991-2011 is made up of 2100 patients for whom it is noted a complication rate of 19.48 % or , in absolute terms, in 409 patients with an average age of just over fifty years and a half. The first cohort consists of 950 patients , 523 males and 427 females, with a mean age of 47 years and a half , undergoing surgery in the years 1991-2001 ; in this period , complications involving the 15,16% of the subjects operated that , in absolute value, corresponding to 144 patients . More precisely , the distribution of patients with post-operative complications on the basis of the classification of Clavien - Dindo was as follows : grade I: 57 ( 39.58 % ) , grade II : 44 ( 30.55 % ) , grade III : 36 ( 25%), grade IV: 5 (3.47 %) , grade V: 2 (1.4%) . The second cohort consists of 1150 patients , 690 males and 460 females, with a mean age of 55 years, who underwent surgery during the period 2002-2011 ; complications observed in this time period were of 23.04 %, which, in absolute value, corresponding to 265 patients . In detail, the distribution of patients by level of complications can be summarized as follows : grade I: 104 ( 39.36 %) , grade II: 62 ( 23.47 %) , grade III: 82 ( 31.05 %) , grade IV: 12 (4.4%) , grade V: 5 (1.72 %). With the exception of the gender for which there is no evidence ever an important link with the type of complication, other variables seem to express almost always a significant relationship; therefore, though with some important differences, age, status ASA, the body mass index (BMI), the MELD, the CHILD status, together with the extension of hepatectomy and the presence of a chemotherapeutic treatment, are classified among the main significant predictors of the probability of complications for both cohorts of patients. By the analysis of the interaction of prognostic factors was possible to identify three possible scenarios , depending on the possibility to observe in detail complications,are considered low risk, subjects relatively young aged between 15 and 50 years , normal weight or overweight (ie , with a BMI over medium-high ) , with a MELD indicator between 15 and 20 , ASA status I and II , CHILD status A and B , who underwent limited hepatectomy or larger, and that, do not follow any neo-adjuvant chemotherapy . The second group ( medium risk ) belong to the subjects of higher age , between 50 and 70 years , in underweight and , therefore , with a body mass index corpora to below 20 , a status MELD between 20 and 30 , ASA II or III status CHILD B, underwent major hepatectomy or enlarged and chemotherapy. Finally, the group at highest risk subjects from 70 to 80 years , with a BMI between 17 and 18.5 , a MELD status between 30 and 39 ASA III or IV , CHILD status B or C , operated for extended hepatectomy or super-large and subjected to neo-adjuvant chemotherapy. Was finally developed a binary logistic model to develop a predictive algorithm of complications. Conclusion: This study proposes a model of prediction of surgical risk in patients undergoing hepatectomy ,for identifies three classes of risk in relation to the probability of observing complications (low, medium, high) in the post-for surgical phase. We have attempted to fill a gap currently present in the literature, between technical and technological advancement of this surgery and the high morbidity and mortality still present. We fill however, the need to validate the mathematical model of risk prediction with a prospective study.