Estadísticas

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  "cita" => "Cir Esp. 1998;63:48-52"
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      "titulo" => "Cáncer de pulmón: hacia un nuevo concepto de marcador tumoral"
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          "titulo" => "Lung cancer: toward a new concept of the tumor marker"
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    "cita" => "Cir Esp. 1998;63:44-7"
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      "titulo" => "El origen de la pinza hemostática moderna"
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          "titulo" => "The origin of the modern hemostatic clamp"
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    "titulo" => "Complicaciones de los reservorios venosos subcutáneos. Factores determinantes"
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        "titulo" => "Complications with implantable venous access systems: determinants"
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        "resumen" => "<span class="elsevierStyleBold">Introducci&#243;n&#46;</span> M&#250;ltiples estudios han demostrado la utilidad de los reservorios venosos subcut&#225;neos para tratamientos intravenosos de larga duraci&#243;n&#46; Nuestro objetivo es analizar las complicaciones desarrolladas por nuestros casos e identificar algunos de los factores implicados en su aparici&#243;n&#46; <br/> <span class="elsevierStyleBold"><span class="elsevierStyleBold">Pacientes y M&#233;todos&#46;</span></span> Se revisan 152 casos propios&#46; Analizamos los siguientes par&#225;metros&#58; edad&#44; cirujano&#44; v&#237;a de acceso&#44; lado de implantaci&#243;n y complicaciones&#46; Determinamos si la variaci&#243;n de cuatro par&#225;metros &#40;cirujano&#44; t&#233;cnica&#44; lado y edad&#41; influyen en la aparici&#243;n de complicaciones&#46; <br/> <span class="elsevierStyleBold">Resultados&#46;</span> La mayor experiencia del cirujano y la edad menor de 65 a&#241;os supuso un n&#250;mero significativamente menor de complicaciones&#46; La elecci&#243;n de la t&#233;cnica &#40;cef&#225;lica frente a subclavia&#41; o el lado no supuso un aumento de &#233;stas&#46; <br/> <span class="elsevierStyleBold">Conclusiones&#46;</span>Los reservorios venosos subcut&#225;neos deben ser implantados por cirujanos con amplia experiencia en la t&#233;cnica si se quiere disminuir la tasa de complicaciones&#46; En pacientes de edad avanzada&#44; cabe esperar una mayor incidencia de complicaciones&#46; Creemos que la punci&#243;n subclavia ser&#237;a una alternativa razonable a la disecci&#243;n cef&#225;lica&#44; dado que no evidenciamos un aumento de complicaciones tras su utilizaci&#243;n"
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        "resumen" => "<span class="elsevierStyleBold">Introduction&#46;</span> A number of studies have demonstrated the utility of implantable venous access devices for long-term intravenous therapy&#46; Our objective is to analyze the complications developed by our patients and identify some of the factors implicated in their onset&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> We review 152 of our own cases&#44; analyzing the following parameters&#58; age&#44; surgeon&#44; access route&#44; implantation side and complications&#46; We determine whether differences in four parameters &#40;surgeon&#44; technique&#44; side and age&#41; have any impact on the onset of complications&#46; <br/> <span class="elsevierStyleBold">Results&#46;</span> The greater experience of the surgeon and patient age of under 65 years were associated with a significantly lower number of complications&#46; The choice of technique &#40;cephalic versus subclavian vein&#41; and the side had no impact on the rate of complications&#46; <br/> <span class="elsevierStyleBold">Conclusions&#46;</span>&#46; Indwelling venous access devices should be implanted by surgeons with ample experience in this technique&#46; The rate of complications is greater in elderly patients&#46; We consider subclavian puncture to be a reasonable alternative to cephalic vein dissection since there was no evidence of a rise in the incidence of complications when it was used"
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