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2004, Número 1

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Cir Gen 2004; 26 (1)


Conducta y tratamiento quirúrgico de las lesiones pancreáticas (Parte II)

Asensio JA, García JC, Petrone P, Roldán G, Pardo M, Martín GW, Karsidag T, Pak-art R, Kuncir E

Idioma: Español
Referencias bibliográficas: 84
Paginas: 35-44
Archivo PDF: 126.96 Kb.


RESUMEN

Propósito: Revisar algunos aspectos relevantes acerca del diagnóstico y el tratamiento quirúrgico de las lesiones pancreáticas.
Obtención de la información: Revisión de la literatura sobre el tema en las bases de datos Medlars (83 referencias). Selección de los estudios: A través de un análisis crítico de cada artículo, se obtuvo la información más relevante sobre dos aspectos: métodos de diagnóstico y métodos quirúrgicos.
Sede: Hospital universitario.
Resultados: El retraso en el diagnóstico y el tratamiento quirúrgico de las lesiones traumáticas del páncreas, correlaciona directamente con elevación significativa de las tasas de morbi–mortalidad. Los métodos de diagnóstico de que dispone el cirujano en la actualidad son de gran valor, incluyen el análisis clínico de la anamnesis y la exploración física a la llegada del paciente al área de urgencias del hospital, el empleo de pruebas de laboratorio (amilasa principalmente), el ultrasonido, la tomografía abdominal computarizada y la colangio–pancreatografía-retrógrada–endoscópica (CPRE). Una vez hecho el diagnóstico, el cirujano debe abordar cada caso mediante una metodología unificada para la exposición quirúrgica de la glándula, destacando que es imprescindible clasificar el tipo de lesión pancreática, para así indicar el método quirúrgico más apropiado para cada caso.
Conclusión: Hacer el diagnóstico oportuno de la lesión pancreática y emplear la operación apropiada, repercutirá favorablemente en la morbi–mortalidad de estos pacientes.


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