Estadificación y tratamiento del cáncer ginecológico, aplicación de la cirugá mínima invasiva Instituto Oncológico Nacional sede Guayaquil experiencia 2013 - 2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El objetivo que pretende alcanzar este trabajo es realizar un análisis de los aspectos crítico relacionado a la aplicación de la cirugía mínimo invasiva en la estadificación y tratamiento de ginecología oncología. El termino de cirugía mínima invasiva se los define como cirugía de mínimo abordaje en la se explora la cavidad abdominopèlvica por medio de una endocàmara y pinza este instrumento se introduce a través de una incisión de piel que varía entre 5 a 10 mm. La ventaja de este procedimiento es reducir la morbilidad, disminuye la respuesta inflamatoria, mejora la respuesta inmunológica, disminuye el dolor debido a la ausencia de incisión, disminuye la infección intraabdominal, disminuye la lista de espera. El estudio se realizado con la recolección de datos del expediente clínico guardando la confidencialidad, es un estudio retrospectivo, con análisis cuantitativo y de incidencia, por consiguiente la recolección de datos, se estructura una plantilla cuyos datos importante son: edad, tipo de cirugía, histología del tumor y compromiso ganglionar, complicaciones. Encontramos que en el periodo del 2013 - 2015 se efectuaron 1601 de cirugía convencional y de los cuales 171 casos de cirugía mínima invasiva corresponden 85 casos a Histerectomía Total laparoscópica y 42 casos a Histerectomía vaginal asistida por laparoscopía. Mencionaremos que la cirugía mínima invasiva es un procedimiento seguro, confiable, efectivo y comparable a la cirugía convencional.
This paper aims to review the indications, results and usefulness Invasive Surgery Minina the Gynecology Service of the National Cancer Institute "Dr. Juan Tanca Marengo "SOLCA Guayaquil for a period covering the years 2013 to 2015. Materials and methods: This study is observational, retrospective and analytic by records of clinical records obtained statistical area of Guayaquil SOLCA National Cancer Institute where 171 cases of malignant gynecological pathology treated with minimally invasive surgery were collected. Of the total of patients undergoing a surgical procedure during this period was 1701 cases. The basic parameters were evaluated hospital stay, type of tumors, the most common complications, conversion rate and the percentage of minimally invasive surgery in relation to conventional surgery. Results: In the period between January 2013 and December 2015 we performed 1,701 surgical procedures in the department of gynecology at the National Cancer Institute which which were performed laparoscopically were: 171 cases (10.05%) being hysterectomy Total simply the most common procedure 74.26% (127), radical hysterectomy 3.5% (6) 6.4% cystectomy, oophorectomy at 10.52%, conservative ovarian surgery 0, 58% in the ovarian cancer staging at 1.16% and laparoscopically diagnosed in 2.2%. Complications occurred in 10 patients (5.84%) and conversion in 3 patients (1.75%) by vascular injury, bladder perforation and postoperative blLaparoscopy, gynecologic, minimally invasive surgery
This paper aims to review the indications, results and usefulness Invasive Surgery Minina the Gynecology Service of the National Cancer Institute "Dr. Juan Tanca Marengo "SOLCA Guayaquil for a period covering the years 2013 to 2015. Materials and methods: This study is observational, retrospective and analytic by records of clinical records obtained statistical area of Guayaquil SOLCA National Cancer Institute where 171 cases of malignant gynecological pathology treated with minimally invasive surgery were collected. Of the total of patients undergoing a surgical procedure during this period was 1701 cases. The basic parameters were evaluated hospital stay, type of tumors, the most common complications, conversion rate and the percentage of minimally invasive surgery in relation to conventional surgery. Results: In the period between January 2013 and December 2015 we performed 1,701 surgical procedures in the department of gynecology at the National Cancer Institute which which were performed laparoscopically were: 171 cases (10.05%) being hysterectomy Total simply the most common procedure 74.26% (127), radical hysterectomy 3.5% (6) 6.4% cystectomy, oophorectomy at 10.52%, conservative ovarian surgery 0, 58% in the ovarian cancer staging at 1.16% and laparoscopically diagnosed in 2.2%. Complications occurred in 10 patients (5.84%) and conversion in 3 patients (1.75%) by vascular injury, bladder perforation and postoperative blLaparoscopy, gynecologic, minimally invasive surgery
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Estadificación de neoplasias, Neoplasias de los genitales femeninos, Cirugía, Estudios retrospectivos, Hospital SOLCA de Guayaquil, Cantón Guayaquil, Ecuador, Laparoscopía, Tratamiento