Estadísticas

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      "titulo" => "Multicentricidad y neoplasia primaria secundaria en pacientes con tumor carcinoide"
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          "titulo" => "Liver transplant and donation in Spain. Official report by the National Transplant Organization (ONT)"
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    "titulo" => "Agenesia de vena cava infrarrenal como causa no habitual de trombosis venosa reiterativa en el paciente joven"
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        "titulo" => "Elective versus emergency cholecystectomy in elderly patients"
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        "resumen" => "Las anomal&#237;as cong&#233;nitas que afectan a la vena cava inferior son relativamente frecuentes y muy diversas debido a su complejo desarrollo embriol&#243;gico&#46; La agenesia de la vena cava inferior infrarrenal es un tipo de malformaci&#243;n cong&#233;nita poco frecuente y&#44; por lo general&#44; se asocia a otras malformaciones como anomal&#237;as en la posici&#243;n del coraz&#243;n y alteraciones espl&#233;nicas&#46; Presentamos el caso de un var&#243;n de 27 a&#241;os&#44; que en el pe r&#237;odo de un a&#241;o&#44; presenta tres episodios de trombosis venosa profunda de miembro inferior izquierdo y que tras realizaci&#243;n de diferentes pruebas complementarias fue diagnosticado de agenesia de vena cava inferior infrarrenal&#46; <br/>El inter&#233;s del caso que presentamos radica en la presentaci&#243;n cl&#237;nica de la agenesia de vena cava inferior como trombosis venosa de repetici&#243;n&#46; Creemos que ante todo paciente joven con cl&#237;nica reiterativa de trombosis venosa profunda y sin factores de riesgo se debe realizar una TAC con el objetivo de identificar posibles alteraciones en el sistema venoso profundo&#46;"
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        "resumen" => "<span class="elsevierStyleBold">Introduction&#46;</span> The incidence of cholelithiasis increases with age&#44; and the symptoms it produces become more frequent and severe in elderly patients&#46; On the other hand&#44; emergency surgery is associated with elevated morbidity and mortality rates&#46; The objective of this study is to compare the results of emergency surgery with those of elective surgery to treat cholelithiasis in patients over 70 years of age&#44; to determine whether these patients should be considered a high-risk group in whom elective surgery must be performed with the least possible delay&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> A retrospective study was made of 407 patients over 70 years of age who underwent elective or emergency surgery to treatment cholelithiasis over a four-year period&#46; Age&#44; sex&#44; the number and type of organic constituents&#44; the incidence of choledocholithiasis&#44; intraoperative findings&#44; surgical technique&#44; histological findings&#44; morbidity and mortality were recorded in each case&#46; <br/> <span class="elsevierStyleBold">Results&#46;</span> Elective surgery was performed in 233 patients and emergency surgery in 174&#46; The mean patient age was 76&#46;87 years in the former group and 77&#46;35 years in the latter&#46; Two members of the emergency surgery group underwent cholecystostomy under local anesthesia&#59; 286 patients &#40;62&#46;89&#37;&#41; were subjected total cholecystectomy &#40;126 patients in the emergency group and 130 in the elective group&#41;&#59; and in 149 cases &#40;36&#46;6&#37;&#41;&#44; cholecystectomy was accompanied by bile duct involvement &#40;46 emergency cases and 103 elective cases&#41;&#46; <br/>The rate of complications was 13&#46;7&#37; in the group that underwent elective surgery and 22&#46;4&#37; among the emergency cases &#40;p &#60; 0&#46;05&#41;&#46; The rates of mortality were 0&#46;4&#37; and 7&#46;5&#37;&#44; respectively &#40;p &#60; 0&#46;001&#41;&#46; <br/>Conclusion&#46; The risks of elective cholecystectomy are relatively low&#44; while those associated with emergency surgery are considerable greater&#46; Thus&#44; elderly patients with symptomatic gallstones should be considered candidates for early elective cholecystectomy&#46;"
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