| Revista: | Revista do Colegio Brasileiro de Cirurgioes |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000189510 |
| ISSN: | 0100-6991 |
| Autores: | Pinotti, Henrique Walter1 Domene, Carlos Eduardo Volpe, Paula Santo, Marco Aurelio Onari, Pedro |
| Instituciones: | 1Universidade de Sao Paulo, Faculdade de Medicina, Hospital das Clinicas, Sao Paulo. Brasil |
| Año: | 2000 |
| Periodo: | Mar-Abr |
| Volumen: | 27 |
| Número: | 2 |
| Paginación: | 97-101 |
| País: | Brasil |
| Idioma: | Portugués |
| Tipo de documento: | Artículo |
| Enfoque: | Descriptivo |
| Resumen en inglés | The authors showed the results of 1772 laparoscopic cholecystectomies, 1700 of them consecutevely without mortality and low morbidity and fast post-operative recovery. From the 1772 patients, 12,4% were over 70 years old; 49% of them had associated diseases. Surgical risk were evaluated from ASA I to IV. Chronic cholecystitis were present in 94,8% of the patients while, 3,6% had acute cholecystitis, and 0,2% gallblader cancer. Intraoperative cholangiography was performed in 83% of the cases. There were 67 patients with choledocolithiasis, 29 of them with no pre-operative clinical suspection. Conversion rate was less than 1%. Operative technique was standartized, beginning with the patient position in operative bed, trocars positioning, gallblader presentation with the graspers, as well as the timing of the structures dissection. The importance of the technical sistematization utilized is underlined, as well as the use of special instruments for dissection. It is presented a working model for surgical formation on alimentary tract laparoscopic surgery, in a progressive and sistematized way. It begins with the organization of a motivated surgical team, working together in order to improve the laparoscopic surgery methodology. The model for surgica |
| Resumen en portugués | São apresentados os resultados de 1772 colecistectomias videolaparoscópicas, sendo 1.700 consecutivas sem mortalidade e baixa morbidade e rápida recuperação pós-operatória. Salienta-se a importância da sistematização técnica adotada para tais resultados, bem como do uso de instrumentos especiais de dissecção. É apresentada a estruturação de um modelo de trabalho para formação do cirurgião em cirurgia laparoscópica do aparelho digestivo, de maneira progressiva e sistematizada. O modelo implantado de formação e preparo do cirurgião, com rigor, profundidade e seriedade, é certamente responsável pelos resultados do nível de excelência obtidos |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Gastroenterología, Laparoscopia, Colecistectomía, Enseñanza, Educación médica |
| Keyword: | Medicine, Gastroenterology, Surgery, Laparoscopy, Cholecystectomy, Teaching, Medical education |
| Texto completo: | Texto completo (Ver HTML) |
