MANEJO DEL QUILOTORAX PDF
March 13, 2020 | by admin
Request PDF on ResearchGate | On Jan 1, , E. Pérez-Rodríguez and others published Linfangiomiomatosis y quilotorax. Conflictos en el manejo del. El presente estudio analizó la efectividad del manejo conservador, incluyendo pleurodesis, del quilotórax como complicación de la resección. Laparoscopic transhiatal esophagectomy with Akiyama tube reconstruction for a terminal achalasia. AM Pereira, R Ferreira de Almeida, G Gonçalves.
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Totally thoracoscopic and laparoscopic Ivor Lewis esophagectomy using a circular stapler or manual anastomosis has recently been described by a few authors.
J Thorac Cardiovasc Surg, 76pp.
Manejo toracoscópico de quilotórax após esofagectomia
Operating room set up, position of patient and equipment, instruments used are thoroughly described. We performed this challenging technique with a completely thoracoscopic hand-sewn esophagogastric anastomosis in two obese patients in prone position one female and one maleaffected by an adenocarcinoma of the lower third of the esophagus without lymph node invasion pT2 N0 and with a BMI quilotoax 35 and 32 respectively.
Thoracoscopic esophageal diverticulectomy and myotomy. The digestibility quilotorac was carried out by total feces collection method.
A new technique of continuous pleural irrigation with minocycline administration for refractory chylothorax. Br J Surg, 85pp. Treatment strategy for chylothorax after pulmonary resection and lymph node dissection for lung cancer.
This video demonstrates technical details of a laparoscopic enucleation of a hoseshoe-shaped leiomyoma of the distal esophagus.
Ann Thorac Surg, 73pp. Surgical management of chylothorax. The postoperative period was uneventful. Laparoscopic enucleation of a horseshoe-shaped leiomyoma of the distal esophagus.
This can be associated to chylous ascites in patients with systemic lymphatic disturbances, as in lymphangiectasia, due to defects in the lymphatic-veined transport of chylo from thoracic cavity to systemic circulation. Nutritional therapy and digestibility in canine chylotorax. In case of either high flow rate chylothorax or failure of conservative treatment, reoperation is indicated. Chylothorax complicating pulmonary resection. Blunt dissection was preferred.
Compared to the healthy control dog, animal with lymphangiectasia showed reduced digestibility of all analyzed nutrients. In obese patients, although the technique is foremost challenging, the advantages of minimally invasive surgery are undeniable —better intraoperative respiratory function avoiding selective lung exclusion and less complicated postoperative course. Ann Thorac Surg, 93pp.
The video demonstrates the thoracoscopic resection of a leiomyoma on the upper thoracic third of the esophagus with the patient in a prone position, which brings an excellent exposure of the operative field and decreases lung injuries as we do not use any retractor.
The procedure was performed using 5 trocars. The patients had an uneventful postoperative course and were discharged on postoperative day 12 and 10, respectively. Esophageal muscle layers were closed. De Paula was the first to report a large series of 48 patients undergoing a total laparoscopic transhiatal esophagectomy LTH.
The patient first undergoes a laparoscopic Heller’s myotomy but does not experience significant improvement in his symptoms. Fine needle aspiration biopsy was compatible with a leiomyoma. The treatment consists in a diverticulectomy combined with an esophageal myotomy, which aims to treat motor disorders and to prevent fistula at the level of the diverticulectomy area.
Quilotorax post quirúrgico by marco rojas on Prezi
The treatment of achalasia has undergone a dramatic evolution over the past years with the introduction of advanced laparoscopic techniques. The patient was admitted to hospital for surgery, and a laparoscopic transhiatal enucleation of the esophageal leiomyoma was performed.
Thoracoscopic management of chylothorax after esophagectomy. It is based on three quilotorzx Ask a question to the author You must be logged in to ask a question to authors.
Thorac Cardiovasc Surg, 59pp. Routine intraoperative endoscopy and liberal addition of a Collis gastroplasty is a key factor to prevent recurrences. The leiomyoma was completely enucleated. Br J Surg, 88pp. In the preoperative work-up, gastroscopy and endoscopic ultrasonography revealed a cm multilobulated submucosal mass.
Conventional esophagectomy requires either a laparotomy with a transhiatal dissection or a laparotomy combined with mmanejo and it is associated with significant morbidity and mortality. Thoracoscopic resection of thoracic esophageal diverticula. The phrenoesophageal membrane was divided. Treatment by talc pleurodesis. A study of the lymph from a patient with thoracic duct fistula.
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Management of thoracic duct injuries after oesophagectomy. Optimal management of chylothorax can decrease mortality. Thoracoscopic resection of an esophageal leiomyoma.
Two cases of postoperative chylothorax successfully managed thoracoscopically are mwnejo. They usually arise as intramural growths, most commonly along the distal two thirds of the esophagus.
Thorac Cardiovasc Surg, 57pp. Eur J Cardiothorac Surg, 14pp. Chylothorax complicating thoracic surgery: