Revista Portuguesa de Cirurgia
Not a member yet
711 research outputs found
Sort by
O estadiamento ganglionar na actualidade
Get PDFThe need to perform an Axillary Dissection when the Sentinel Node is metastasized, in Breast Cancer patients, is being questioned. Most part of the patients do not have any additional metastasis in the Non Sentinel Nodes and, in many cases, the decision to perform adjuvant treatments is not dependent on the axillary nodes analysis. The recent publication of the randomized trial ACOSOG Z0011 launched the discussion on the need and usefulness of the axillary lymph node dissection. Keywords: Breast Cancer; Node Staging, Sentinel Node, Non-Sentinel Node, Axillary Radiotherapy, Lymphedema. A necessidade de realizar Esvaziamento Ganglionar Axilar quando o Gânglio Sentinela está metastizado, em doentes com Cancro da Mama, está a ser questionada. A maior parte dos doentes não apresenta metástases adicionais em Gânglios Não Sentinela e, em muito casos, a decisão de realizar tratamentos adjuvantes não necessita da informação adicional fornecida pelo estudo dos gânglios axilares. A publicação recente do ensaio randomizado ACOSOG Z0011 veio relançar a discussão sobre a necessidade e a utilidade do Esvazia- mento Ganglionar Axilar. Palavras-chave: Cancro da Mama, Estadiamento Ganglionar, Gânglio Sentinela, Gânglio Não Sentinela, Radioterapia Axilar, Linfedema.
Bile duct injuries during laparoscopic cholecystectomy
Get PDFIntroduction: Most studies on the subject have shown that bile duct injury (BDI) occurs more commonly in laparoscopic cholecystectomy than in the open procedure. Even though there is a certain awareness of this problem, more attention should be paid to early recognition and prevention of BDI. Methods: A review of English language literature from the last 15 years on the occurrence, management and prevention of bile duct injury was performed. Older benchmark articles on the subject were also included. Data resources: PubMed and Scopus database research. Results: Approximately 1500 articles came as a result of searching the keywords “bile duct injuries”and “laparoscopic cholecystectomy”. A selection of 68 articles was made based on the abstract, directed according the subject of interest for the discussion of this review and 49 were included on the bibliography, for being considered of most interest. Conclusions: Bile duct injury could be avoided by proper and precise anatomical identification and careful dissection. Intraoperative cholangiography helps in decreasing incidence and early recognition, in case of an injury. Improved outcome is related to early detection and repair
