- Gastric Cancer Management and Outcomes
- Metastasis and carcinoma case studies
- Esophageal and GI Pathology
- Gastrointestinal Tumor Research and Treatment
- Esophageal Cancer Research and Treatment
- Pancreatic and Hepatic Oncology Research
- Congenital Diaphragmatic Hernia Studies
- Renal cell carcinoma treatment
- Gallbladder and Bile Duct Disorders
- Abdominal vascular conditions and treatments
- Occupational and environmental lung diseases
- Muscle metabolism and nutrition
- Gastroesophageal reflux and treatments
- Renal and related cancers
- Hormonal and reproductive studies
- Intraperitoneal and Appendiceal Malignancies
- Economic and Financial Impacts of Cancer
- Liver Disease and Transplantation
- Abdominal Surgery and Complications
- Trauma Management and Diagnosis
- Sexual Differentiation and Disorders
- Multiple and Secondary Primary Cancers
- Pancreatitis Pathology and Treatment
- Tracheal and airway disorders
- Colorectal Cancer Surgical Treatments
Complejo Asistencial Sótero del Río
2020-2025
Pontificia Universidad Católica de Chile
2007-2024
University of Chile
2008-2011
Hospital San Borja Arriarán
2011
<title>Abstract</title> <bold>Objective:</bold> To evaluate postoperative morbidity and mortality up to 90 days long-term survival in patients with locally advanced gastric cancer (GC) who underwent total gastrectomy pancreatosplenectomy (TGPS) <bold>Summary Background Data: </bold>Resection without residual tumor (R0) is the only curative treatment for (GC). TGPS improves of GC clinical pancreatic invasion (cT4b), however increased mortality. <bold>Methods:</bold> We enrolled elective cT4b...
Different esophagojejunostomy (EJ) reconstruction methods are used after totally laparoscopic total gastrectomy (TLTG), and none is considered a standard technique. This report describes 2-layer hand-sewn EJ technique during TLTG; we also evaluated postoperative morbidity associated with this technique.This retrospective cohort study included all consecutive patients who underwent TLTG for gastric cancer (GC) from 2012 to 2016 at 2 affiliated teaching hospitals. All participating surgeons...
ABSTRACT Background: Gastrectomy is the main treatment for gastric and Siewert type II-III esophagogastric junction (EGJ) cancer. This surgery associated with significant morbidity. Total morbidity rates vary across different studies few have evaluated postoperative according to complication severity. Aim: To identify predictors of severe Methods: was a retrospective cohort study from prospective database. We included patients treated gastrectomy or EGJ cancers between January 2012 December...
Laparoscopic gastrectomy has numerous perioperative advantages, but the long-term survival of patients after this procedure been less studied.To compare survival, oncologic and outcomes between completely laparoscopic vs. open for early gastric cancer.This study was retrospective, our main were overall disease-specific 5-year lymph node count R0 resection rate. Our secondary outcome postoperative morbidity.Were included 116 (59% men, age 68 years, comorbidities 73%, BMI 25) who underwent 50...
AIM:To review the post-operative morbidity and mortality of total esophagogastrectomy (TEG) with second barrier lymphadenectomy (D2) interposition a transverse colon to determine oncological outcomes TEG D2 colon. METHODS:This study consisted retrospective patients cancer diagnosis who underwent between 1997 2013.Demographic data, surgery
Objectives Amylase level in drains (ALD) has been proposed as a predictor for the development of clinically significant pancreatic fistula (CS-PF) patients undergoing major surgery. This study aimed to determine if ALD who developed CS-PF after pancreatoduodenectomy is higher than that with transient fistulae and establish threshold value CS-PF. Methods From January 2002 December 2012, all were enrolled. At least 1 measurement on postoperative day 3 was obtained. Pancreatic (PF) defined...
Gastric cancer is the second leading cause of death by worldwide. Endoscopic submucosal dissection (ESD) a technique that allows en bloc resection early lesions digestive tract. It has curative potential in selected patients and benefits over gastrectomy for treatment gastric (EGC). The aim this study to present results ESD EGC high-volume center Chile.Retrospective descriptive who underwent at Doctor Sótero del Río Hospital.A total 100 ESDs were performed 96 between 2008 2020. Fifty-five...
Totally laparoscopic gastrectomy for the treatment of gastric tumorsBackground: The approach tumors has many advantages.Aim: To evaluate results a program developed in public hospital.Patients and Methods: Retrospective review epidemiological, perioperative follow-up data patients who were treated with due to between 2006 2013.A totally technique was used all cases.Complications evaluated according Clavien-Dindo classification.Results: Fifty one patients, aged 65 (36-85) years, underwent...
ABSTRACT BACKGROUND: Laparoscopic gastrectomy offers advantages in the postoperative period compared to open approach. Most studies have been performed on distal gastrectomies; however, laparoscopic total (LTG) is not universally accepted. AIM: The aim of this study was assess results LTG, morbidity outcomes and long-term survival. METHODS: This a retrospective cohort from prospective database patients who underwent 2005 2022, due early advanced gastric cancer. A totally technique utilized,...
The laparoscopic approach for the treatment of gastric cancer has many advantages. However, outside Asia there are few large case series.To evaluate postoperative morbidity, long-term survival, changes in indication, and results gastrectomy.We included all patients treated with a gastrectomy from 2005 to 2014. We compared across 2 time periods: 2005-2011 2012-2014. Median follow-up was 39 months.Two hundred eleven underwent (median age 64 years, 55% male patients). In 135 (64%) patients,...
RESUMENLa amiloidosis es una patología de causa no precisada, la cual tiene distintas formas presentación clínica según proteína que se deposita.Este material amorfo puede depositarse en cualquier órgano, forma aislada o como parte enfermedad generalizada.El compromiso del tiroides ocurre el 50 a 80% los casos sistémica y corresponde, general, infiltración difusa leve determina aumento tamaño glandular ni alteraciones funcionales.El bocio amiloideo define crecimiento determinado por depósito...
Prevention of peritoneal recurrence gastric cancerThe cavity is the main site cancer after curative surgery.When this occurs, patients may experience bowel obstruction, dehydration and multiple hospital admissions.The therapeutic options that decrease rate increase five years survival are intraoperative hyperthermic chemotherapy, extensive lavage routine bursectomy.We herein review oncological results surgery for cancer, its failure patterns risk factors recurrence.We also studies aiming to...
Ten years survival of patients operated for an incipient gastric cancerBackground: Five after surgery cancer is high.However there a paucity information longer follow up periods.Aim: To analyze long term cancer.Material and Methods: Review medical records with oncologic 10 or more.Results: Data from 161 patients, aged 25 to 88 years, 55% males, was retrieved.Eight percent tumors were multifocal mean 17 lymph nodes per patient, dissected.There node involvement in 11 3% submucosal mucosal...
Concordance between the surgical piece observation by surgeon and fi nal pathological report for gastric cancerBackground: The systematic dissection of piece, performed during treatment cancer, gives information about borders lymph node involvement.Aim: To determine concordance ndings initial report.Material Methods: Prospective study 48 patients aged 64 ± 10 years (74% males) subjected to curative surgery cancer.Patients were staged according 2010 TNM classifi cation.Stomach size from...
Emergency total gastrectomy for patients with gastric cancer who are in shock carries a high risk of esophagojejunal anastomosis leakage. No alternatives have been reported to reduce this risk. This study reports two were and underwent emergency two-stage good results. In the first stage, immediately after gastrectomy, esophagus was attached Roux-en-Y jejunal loop that prevented retraction into mediastinum. second surgery, completed under better clinical conditions.
Chronic mesenteric ischemia. Report of two cases ischemia is uncommon and often not recognized by clinicians. We report pa- tients with the disease. A 61 years old female a history abdominal pain, diarrhea, anorexia weight loss. arteriography showed critical stenosis celiac artery. The patient was operated retrograde bypass from iliac to artery placed. Digestive symptoms cea- sed gained weight. 49 smoker female, pain loss, without diarrhea. doppler ultrasonography arteries angiography confi...
Introducción El tratamiento quirúrgico del cáncer esofágico se asocia a una alta morbimortalidad. abordaje mÃnimamente invasivo ha introducido con el objetivo de disminuir la morbilidad postoperatoria.