Estudio comparativo de dos técnicas de evaluación de derrame pleural en pacientes oncológicos : cateter turkel y toracostomía con drenaje cerrado, Instituto Oncológico Nacional SOLCA Dr. Juan Tanca Marengo 2005-2012
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El derrame pleural como una complicación de varios procesos oncológicos obliga a establecer procedimientos que permitan minimizar las complicaciones, disminuir los costos, optimizar los servicios hospitalarios y mejorar la calidad de vida del paciente que lo sufre.
El presente trabajo analiza y compara dos técnicas evacuatorias, la toracostomía con drenaje cerrado y el catéter Turkel. Se trata de un estudio retrospectivo transversal y observacional en el que se incluyeron 135 pacientes desde enero 2005 a diciembre 2012. Ambas presentan indicaciones, ventajas y complicaciones claramente establecidas, con la diferencia que el paciente con una Toracostomía cerrada fue manejado exclusivamente en hospital y sus complicaciones incrementaron considerablemente la estancia y todo lo que ésto representa; mientras que la otra técnica permite el manejo ambulatorio y domiciliario. Se concluye que cada paciente debe ser analizado en su contexto clínico particular y escoger cuidadosamente la técnica a la que será sometido, siendo el Catéter Turkel una alternativa válida para el manejo de éstos pacientes.
Pleural effusion is a complication of oncological processes which requires to establish procedures that allow minimize complications, reduce costs, optimize the hospital services and improve their quality of life. This paper analyzes and compares two evacuator´s techniques and Thoracotomy with closed drainage catheter Turkel. It is a transversal and observational retrospective study in which 135 patients were enrolled from January 2005 to December 2012. Both present indications, advantages and clearly established complications, with the difference that the patient with a closed Thoracotomy was managed exclusively in the hospital and its complications considerably increased hospital stay and that which representing. It is concluded that each patient must be analyzed in their particular clinical context and carefully choose the technique that will be submitted, catheter Turkel to be a valid alternative for the management of these patients
Pleural effusion is a complication of oncological processes which requires to establish procedures that allow minimize complications, reduce costs, optimize the hospital services and improve their quality of life. This paper analyzes and compares two evacuator´s techniques and Thoracotomy with closed drainage catheter Turkel. It is a transversal and observational retrospective study in which 135 patients were enrolled from January 2005 to December 2012. Both present indications, advantages and clearly established complications, with the difference that the patient with a closed Thoracotomy was managed exclusively in the hospital and its complications considerably increased hospital stay and that which representing. It is concluded that each patient must be analyzed in their particular clinical context and carefully choose the technique that will be submitted, catheter Turkel to be a valid alternative for the management of these patients
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Derrame pleural, Catéter Turkel, Toracostomía, Estudio comparativo, Estudios retrospectivos, Oncologia médica, Hospital SOLCA de Guayaquil, Cantón Guayaquil, Ecuador