Complicaciones de la cirugía biliar

Rituerto, Daniel Casanova

doi:10.1016/s0009-739x(01)71739-3

Cited by 8 publications

(2 citation statements)

References 21 publications

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“…Inmediatamente, lo comunicó a los gobiernos francés y británico . 1441 El 5 de octubre visitó asimismo la cancillería en Praga, donde se entrevistó con el jefe de la sección política, Pavel Wellner . Como el gobierno republicano lo había apartado de su cargo, Wellner le concedió una audiencia privada.…”

Section: El Armamento Para La República Españolaunclassified

La sociedad checa y México, 1821-1939

Perutka

2024

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Qué bonito es el amor cuando llega.Se asoma, te atrapa y vuela. La Pegatina … el amor es lo que pasa un día al año un año de cada diez…Charles BukowskiMe enamoré de México allá por 2005 mientras leía México insurgente, la famosa obra de John Reed . 1 Este libro me inspiró a escribir la tesis de mi maestría sobre la Revolución mexicana . El estilo de ese trabajo se podría resumir a la perfección con el término Lento aprendizaje 2 de Thomas Pynchon, pero desde ese momento el país se ganó un hueco eterno en mi corazón . En 2012, por primera vez, visité México gracias a la beca que el Ministerio de Relaciones Exteriores del país destinó a la investigación de mi tesis doctoral . Allí me percaté de que, en esos momentos, el país poco se parecía al descrito en el libro de John Reed y que ahora se enfrentaba a nuevos y diferentes desafíos . Sin embargo, disfruté al máximo de mi estancia, de las ciudades, de los monumentos, del campo, de la gastronomía, de la cultura y de su gente en general . Queda claro que experimenté la exaltación tan bien descrita por Slavoj Žižek en el momento en el que acepté ese amor "… con todos sus fracasos, estupideces y defectos" . 3 Durante esa estancia de seis meses también descubrí los primeros documentos que cautivaron mi interés: las cartas que el presidente Lázaro Cárdenas envió a su amigo Vlastimil Kybal, antiguo ministro checoslovaco que acabó jubilándose en México . Fue justamente en ese momento cuando decidí profundizar en el tema de las relaciones entre Checoslovaquia y México, lo que me llevó a escribir mi trabajo sobre aquellos checos y moravos que, al igual que yo, sentían pasión por ese país . En el año 2012 todavía seguía teniendo la duda de si el tema de investigación merecía un libro y, por ese motivo, decidí sumergirme en los archivos de ambos lados del Atlántico . Conforme iba avanzando en mis investigaciones, iban surgiendo nuevas preguntas e información de la que ir tirando. Al final, fue necesario hacer 1

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Section: El Armamento Para La República Españolaunclassified

La sociedad checa y México, 1821-1939

Perutka

2024

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“…La colecistectomía es la extirpación quirúrgica de la vesícula biliar a causa de la colecistitis. La etiología de la colecistitis es por definición, el bloqueo del conducto cístico, seguido de una distensión y posterior inflamación química de la vesícula biliar (Casanova-Rituerto, 2001). Esta condición puede estar asociada a la presencia o no de cálculos biliares, que se muestra de manera súbita (aguda) o durante un periodo prolongado de tiempo (crónica) (Keus et al, 2006).…”

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Association between Socioeconomic Factors and Postoperative Complications of Cholecystectomy

Ramírez

Albán²,

Meneses

et al. 2021

IJMSS

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The article´s goal isto determine if socioeconomic factors influence the postoperative complications of cholecystectomy. For this, the observational study was defined, analytical and quantitative study was conducted in 100 patients who underwent cholecystectomy. A logistic regression model was applied in which risk factors, socioeconomic characteristics, along with a control variable, were incorporated as variables. Three models were run with alternative dependent variables that are delimited by the type of postoperative complication recorded. The results found showed that women show a higher risk of presenting complications after cholecystectomy, the same occurs in older patients. Likewise, the risk is much lower in people with higher education levels and in patients who underwent laparoscopic cholecystectomy, they only have a 5% risk of presenting complications. Postoperative complications after cholecystectomy are minimized by using the laparoscopic technique and socioeconomic factors would influence the risk of suffering postoperative complications after said surgery, which makes laparoscopic cholecystectomy a safe operation with many other benefits and advantages over traditional or conventional surgery.

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Laparoscopic iatrogeny of the hepatic hilum as an indication for liver transplantation

et al. 2004

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The introduction of biliary laparoscopic surgery led to an increase in the incidence of liver hilum injuries. These types of lesions are very serious, because they can lead to secondary biliary cirrhosis or fulminant hepatic failure and the need for liver transplantion (LT). We present three cases of liver hilum injuries, which were treated with LT; one case was due to severe and persistent cholangitis, and two cases were due to fulminant hepatic failure. The world literature is also reviewed, and published cases of iatrogenic lesions of the liver hilum caused by laparoscopic surgery and requiring LT are presented. These iatrogenic lesions of the hepatic hilum are complex and technically demanding, due to their high morbidity and mortality and even the need for LT. In conclusion, these lesions must be always managed in centers with experience in hepatobiliary surgery. (Liver Transpl 2004; 10:147-152.) T he incidence of iatrogenic lesions of the bile duct during open surgery has remained constant at 0.1-0.3% (approximately 1 case per 500 cholecystectomies). However, the introduction of laparoscopic surgery in the 1980s led to an extraordinary increase in this incidence, reaching 0.3-1% (1 per 200 cholecystectomies). 1-3 The lesions were considered to be much more serious due to a higher location in the hepatoduodenal ligament, often affecting the intrahepatic bile ducts and frequently leading to loss of sections of biliary tree. When the bile duct is the only hilar element involved, secondary biliary cirrhosis may be result as a consequence of prolonged cholestasis. 4,5 Lesions affecting the vessels of the hepatic hilum may lead to fulminant hepatic failure 6 -8 and the need for emergency liver transplantion (LT). The aim of this article is to present three cases of laparoscopic-induced iatrogenic lesions of the liver hilum, which resulted in irreversible liver damage requiring LT. The world literature is also reviewed, and published cases of laparoscopic-induced iatrogenic lesions of the liver hilum requiring LT are presented in Table 1. Patients and MethodsThis report involves three cases (Table 1) of laparascopicinduced hilar injuries, two males and one female with a mean age of 50 years (range, 39 -65 years). All of the lesions were caused during laparoscopic surgery for cholelithiasis, uncomplicated in two cases, and for acute cholecystitis in the other. All injuries occurred in other hospitals, and all of the patients underwent reoperation for reconstruction of the injured bile duct (BD) in one case and for hemostasis in the two other cases. Case 1A 48-year-old woman without a history of comorbidities was diagnosed with symptomatic cholelithiasis and underwent elective laparoscopic cholecystectomy in 1994. Bleeding occurred during the operation, and initial attempts to control the bleeding were done by the "blind" placement of multiple clips. As this appeared insufficient, conversion to open surgery was done, which achieved hemostasis with sutures in the liver hilum. During the postoperative period, the pat...

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Complicaciones de la cirugía biliar

Cited by 8 publications

References 21 publications

La sociedad checa y México, 1821-1939

La sociedad checa y México, 1821-1939

Association between Socioeconomic Factors and Postoperative Complications of Cholecystectomy

Laparoscopic iatrogeny of the hepatic hilum as an indication for liver transplantation

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