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2009, Número 3

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Cir Gen 2009; 31 (3)


Estado actual de la cirugía laparoscópica manualmente asistida del colon y recto

Cosme RC, Guerrero GVH , Belmonte MC

Idioma: Español
Referencias bibliográficas: 44
Paginas: 180-185
Archivo PDF: 47.05 Kb.


RESUMEN

Objetivo: Analizar el papel actual del abordaje manualmente asistido. Sede: Centros de tercer nivel de atención. Diseño: Trabajo de revisión. Métodos: Se realizó una búsqueda de los reportes de cirugía manualmente asistida a través de las bases de datos de MEDLINE y PubMed incluyendo los años 1991 a 2008. Se analizó si ofrece diferente seguridad, tiempo quirúrgico e índice de conversión con respecto al abordaje laparoscópico asistido. Resultados: Se identificaron un total de 37 artículos, de los cuales 10 correspondían a estudios descriptivos, 5 no aleatorios, 7 aleatorios y 1 metaanálisis. El abordaje manualmente asistido es seguro y sus resultados a corto plazo son similares al abordaje laparoscópico asistido. Sin embargo, tiene la ventaja de reducir los tiempos quirúrgicos en colectomías segmentarias y totales, así como un menor índice de conversión Conclusión: El abordaje manualmente asistido es una herramienta más para el cirujano que le permite estar mejor equipado para resolver un procedimiento de manera laparoscópica.


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