Seguridad del procedimiento de Whipple: experiencia de 10 años en un centro de tercer nivel / Whipple procedure safety: 10 year experience in a third level center / Whipple procedure safety: 10 year experience in a third level center
Metro cienc
; 29(1): 13-16, 2019/Jun. tab
Artigo
em Espanhol
| LILACS
| ID: biblio-1046118
Biblioteca responsável:
EC110.1
RESUMEN
Resumen Antecedentes el procedimiento de Whipple, apesar de los avances en cirugía, continúa siendo el procedimiento más complejo en cirugía general. Su principal indicación es la patología neoplásica de páncreas, duodeno y vías biliares que persiste como un desafío terapéutico debido a su alta morbilidad y mortalidad que en nuestro país alcanza 40% a 60% y de 15% a 30%, respectivamente. Objetivo:
determinar la seguridad del procedimiento de Whipple en una institución privada de tercer nivel. Materiales ymétodos:
se realizó un estudio observacional retrospectivo, desde 2007 hasta 2017 en el Hospital Metropolitano. Datos recolectados indicación quirúrgica, complicaciones, estancia hospitalaria, entre otros, que se analizaron con JASP 0.9.2.0.Resultados:
universo 30 pacientes, edad promedio 60,1 años IC (95% 39 a 79 años); mujeres 56%, hombres 44%. Estancia hospitalaria promedio 15 días con un DS15 días. Principales indicaciones adenocarcinoma de páncreas 33,3%, adenocarcinoma de ámpula de Vatter 16,7% colangiocarcinoma 16,7%. Según la escala Clavien Dindo, el 76,7% presentó complicaciones; sin embargo, de éstas el 59,9% fueron leves. Mortalidad intrahospitalaria 6,7%.Conclusiones:
atribuimos los resultados, entre otros motivos, a la disponibilidad de facilidades técnicas y a la experiencia del equipo quirúrgico que enfatiza en la prevención de las complicaciones o, si se presentare, al diagnóstico oportuno y tratamiento adecuado con todo el arsenal terapéutico requerido.ABSTRACT
Abstract Background:
The Whipple procedure, despite advances in surgery, remains the most complex procedure in general surgery, its main indication is the neoplastic pathology of pancreas, duodenum and bile ducts. This persists as a therapeutic challenge due to its high morbidity and mortality that in our country reaches from 40% to 60% and from 15% to 30%, respectively.Objective:
Determine the safety of performing the Whipple procedure in a third level private institution. Materials andmethods:
A retrospective observational study was conducted from 2007 to 2017 at the Hospital Metropolitano, the data collected included surgical indication, complications, hospital stay, among others; these were analyzed with JASP 0.9.2.0.Results:
We included 30 patients, their mean age was 60.1 years, 95% CI 39 -79 years; 56% were women and 44% men. The average hospital stay was 15 days with a SD15 days. The main indications were adenocarcinoma of the pancreas 33.3%, adenocarcinoma of the Vatter ampulla 16.7% and cholangiocarcinoma 16.7%. According to the Clavien Dindo scale, 76.7% presented complications, however, 59.9% of these were mild. In-hospital mortality reached 6.7%.Conclusions:
We attribute the results shown, among others, to the availability of technical facilities, as well as to the experience of the surgical team, emphasizing the prevention of complications or in the case of occurrence, provide a timely diagnosis and adequate treatment with allthe required therapeutic methods.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Doenças do Sistema Endócrino
/
Colecistite e Neoplasia do Sistema Biliar
/
Neoplasia Pancreática
Base de dados:
LILACS
Assunto principal:
Neoplasias Pancreáticas
/
Doença de Whipple
Tipo de estudo:
Estudo observacional
Limite:
Humanos
Idioma:
Espanhol
Revista:
Metro cienc
Assunto da revista:
Medicina
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Equador
Instituição/País de afiliação:
Hospital Metropolitano/EC
/
Ministerio de Salud Pùblica, Médico Rural/EC