Estadísticas

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      "titulo" => "Originales Estudio económico y consumo de grapadoras mecánicas en cirugía gástrica"
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          "autoresLista" => "JC Ruiz de Adana, S Fuerte Ruiz, J López Herrero, R Tobalina, JM Gil López, E Martín García Almenta, C Martínez Santos, D Fernández Luengas, M Moreno Azcoita"
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      "titulo" => "Originales Linfoma de tiroides. Aportación de 11 casos"
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    "titulo" => "Originales Riesgo en la cirugía tiroidea y paratiroidea: nervio laríngeo inferior no recurrente"
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        "titulo" => "Risk in thyroid and parathyroid surgery: non recurrent inferior laryngeal nerve"
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        "resumen" => "<span class="elsevierStyleBold">Introducci&#243;n&#46;</span> La identificaci&#243;n y disecci&#243;n sistem&#225;tica del nervio lar&#237;ngeo inferior recurrente &#40;NLIR&#41; constituye un gesto prioritario de seguridad en la cirug&#237;a tiroidea y de las gl&#225;ndulas paratiroides&#46; La anomal&#237;a anat&#243;mica de un nervio lar&#237;ngeo inferior no recurrente constituye un peligro quir&#250;rgico de lesi&#243;n iatrog&#233;nica&#46; <br/> <span class="elsevierStyleBold"><span class="elsevierStyleBold">Pacientes y M&#233;todos&#46;</span></span> Se revisan las intervenciones quir&#250;rgicas sobre tiroides y paratiroides llevadas a cabo durante los &#250;ltimos 15 a&#241;os&#44; examinando la conducta seguida por el hallazgo de un nervio lar&#237;ngeo inferior no recurrente &#40;NLINR&#41;&#46; <br/> <span class="elsevierStyleBold">Resultados&#46;</span> Fueron revisados los protocolos quir&#250;rgicos de 1&#46;672 tiroidectom&#237;as y 96 exploraciones cervicales por hiperparatiroidismo&#46; Se encontraron 8 casos de NLINR en el lado derecho&#44; lo que corresponde al 0&#44;5&#37; de esta cirug&#237;a&#46; En todos los casos ante el no hallazgo del nervio en su posici&#243;n habitual se procedi&#243; a la disecci&#243;n del neumog&#225;strico&#46; <br/> <span class="elsevierStyleBold">Conclusiones&#46;</span> Aunque la existencia de un NLINR es rara en el lado derecho y excepcional en el lado izquierdo&#44; debe sospecharse esta posibilidad cuando no se encuentra el nervio en su posici&#243;n anat&#243;mica habitual&#44; llev&#225;ndonos a la identificaci&#243;n del neumog&#225;strico y disecci&#243;n del mismo hasta la salida del nervio&#46; Adem&#225;s del neumog&#225;strico&#44; la entrada del nervio en el surco cricotiroideo constituye otro punto de referencia&#46;"
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        "resumen" => "Background&#46; The identification and systematic disection of the recurrent inferior laryngeal nerve &#40;RILN&#41; represent a priority safety measure in thyroid surgery of the parathyroid glands&#46; The anatomical abnormality of a non recurrent inferior laryngeal nerve constitutes a surgical danger of iatrogenic lesion&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> The surgery performed in the thyroidand parathyroid glands over the last 15 years was reviewed with the procedure to follow when a non recurrent inferior laryngeal nerve &#40;NRILN&#41; is encountered being studied&#46; <br/> <span class="elsevierStyleBold">Results&#46;</span> The surgical protocols of 1&#44;672 thyroidectomies and 96 cervical explorations for hyperparathyroidism were re viewed&#46; Eight cases of NRILN were observed on the right side&#44; corresponding to 0&#46;5&#37; in this type of surgery&#46; In all the cases in which the nerve was not found to be in its usual po sition&#44; neumogastric dissection was undertaken&#46; <br/> <span class="elsevierStyleBold">Conclusions&#46;</span>&#46; Although NRILN is rare on the right side and exceptional on the left&#44; this possibility should be suspect when the nerve is not found in its usual anatomical position&#44; leading to the identification of the neumogastric nerve and dissection of the same up to the terminal portion of the nerve&#46; In addition to the neumogastric nerve&#44; the entrance of the nerve and the level of the cricothyroideal sulcus represents another reference point"
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