- Colorectal Cancer Surgical Treatments
- Colorectal and Anal Carcinomas
- Colorectal Cancer Treatments and Studies
- Colorectal Cancer Screening and Detection
- Gastric Cancer Management and Outcomes
- Diverticular Disease and Complications
- Genetic factors in colorectal cancer
- Radiomics and Machine Learning in Medical Imaging
- Reconstructive Surgery and Microvascular Techniques
- Anorectal Disease Treatments and Outcomes
- Women's cancer prevention and management
- Intraperitoneal and Appendiceal Malignancies
- Head and Neck Cancer Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Stoma care and complications
- Anatomy and Medical Technology
- Hidradenitis Suppurativa and Treatments
- Male Reproductive Health Studies
- Esophageal and GI Pathology
- Metabolism and Genetic Disorders
- Adrenal and Paraganglionic Tumors
- Enhanced Recovery After Surgery
- Infectious Diseases and Tuberculosis
- Skin Diseases and Diabetes
- Alcoholism and Thiamine Deficiency
Hospital Universitário da Universidade de São Paulo
2024
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2007-2024
Universidade de São Paulo
2008-2023
Instituto do Câncer do Estado de São Paulo
2016-2023
Instituto de Oncologia do Paraná
2022
Instituto de Gastroenterología
2022
Hôpitaux Universitaires de Strasbourg
2018
Laboratoire des Sciences de l'Ingénieur, de l'Informatique et de l'Imagerie
2018
Hospital Israelita Albert Einstein
2018
American Society of Colon and Rectal Surgeons
2016
Abstract BACKGROUND: Neoadjuvant chemoradiation (CRT) therapy may result in significant tumor regression patients with rectal cancer. Patients who develop complete have been managed by treatment strategies that are alternatives to standard total mesorectal excision. Therefore, assessment of response positron emission tomography/computed tomography (PET/CT) after neoadjuvant offer relevant information for the selection receive alternative strategies. METHODS: clinical T2 (cT2) through cT4NxM0...
Chemoradiotherapy has the potential to downsize and downstage tumors before surgery, decrease locoregional recurrence, induce a complete sterilization of tumor cells for middle low locally advanced rectal cancer. A watch-and-wait tactic been proposed patients with clinical response.The purpose this study was verify our ability identify response in cancer based on radiologic criteria.This prospective study.The conducted at single institution, setting randomized trial.Consecutive stage T3...
Hidradenitis suppurativa is a chronic inflammatory disease of the skin and subcutaneous tissue. Extensive gluteal perianal represents challenge presentation. The aim this study was to present results management extensive hidradenitis in gluteal, perineal, inguinal areas.From January 1980 May 2000, 56 patients underwent treatment areas through wide excision; 52 (93 percent) were male 36 (64 white. Mean age 40 years. We evaluated distribution disease, associated conditions, use diverting...
To evaluate the incidence surgical results and prognostic factors of locally advanced colorectal cancer.Cohort study including 679 cancer patients treated from 1997 to 2007. Clinical, histological data were analyzed.Ninety (females 61%; median age 59 years) for carcinomas (13.2%), either in colon (66%) or rectum (34%). Extended resections most commonly involved small bowel (19.8%), bladder (16.4%), uterus (12.9%) ovaries (11.2%). Postoperative morbidity mortality occurred 23 (25.6%) 3 (3.3%)...
Clinical complete responders after chemoradiation for rectal cancer are increasingly being managed by a watch-and-wait strategy. Nonetheless, significant proportion will experience local regrowth, and the long-term oncological outcomes of these patients is not totally known.The purpose this study was to analyze who submitted strategy developed compare results with sustained clinical responders.This retrospective study.Single institution, tertiary center involved in alternatives organ...
Since the outbreak of novel coronavirus disease 2019 (COVID-19), all health services worldwide underwent profound changes, leading to suspension many elective surgeries. This study aimed evaluate safety colorectal surgery during pandemic.This was a retrospective, cross-sectional, single-center study. Patients who COVID-19 pandemic between March 10 and September 9, 2020, were included. Patient data on sex, age, diagnosis, types procedures, hospital stay, mortality, severe acute respiratory...
CONTEXT: Controversy regarding the best operative choice for familial adenomatous polyposis lays between morbidity of restorative proctocolectomy and supposed mortality due to rectal cancer after ileorectal anastomosis. OBJECTIVES: To evaluate complications oncological outcome anastomosis proctocolectomy. METHODS: Charts from patients treated 1977 2006 were retrospectively analyzed. Clinical endoscopic data, results treatment, pathological reports information early late recorded. RESULTS:...
to evaluate the incidence, epidemiological characteristics, diagnosis and evolution of patients who returned emergency care units Albert Einstein Hospital in São Paulo/SP with signs symptoms suggestive colonoscopy complications up 30 days after procedure.we conducted a retrospective, uni-institutional study submitted 2014 Emergency department (ED) within procedure.8968 underwent colonoscopies, 95 (1.06%) whom had complaints related possible complications. Most procedures were elective ones....
OBJECTIVES: This study sought to determine the clinical and pathological factors associated with perioperative morbidity, mortality oncological outcomes after multivisceral en bloc resection in patients colorectal cancer.METHODS: Between January 2009 February 2014, 105 primary cancer selected for were identified from a prospective database.Clinical factors, morbidity obtained medical records.Estimated local recurrence overall survival compared using log-rank method, Cox regression analysis...
The treatment of malignant or benign colorectal pathologies that require more complex management are priorities in tertiary hospitals such as "Hospital das Clínicas" University São Paulo Medical Center (HCFMUSP). Therefore, benign, uncomplicated orifice conditions relegated to second place. number patients with hemorrhoids, perianal fistulas, fissures, condylomas and pilonidal cysts who seek at the HFMUSP is very great, resulting over-crowding outpatient clinics a long waiting list for...
A obstrução intestinal constitui complicação freqüente, de etiologia multifatorial, apresentação clínica variável e alta morbidade. Uma vez esgotados os recursos conservadores em casos específicos, a laparotomia exploradora é empregada para o diagnóstico final tratamento grande número pacientes. Apesar do sucesso da via laparoscópica no manuseio diversas afecções, utilização desta na abordagem inicial intestino delgado tem sido bastante limitada alvo numerosas críticas. Entretanto, acúmulo...
Prognostic factors for local recurrence in patients with rectal cancer submitted to neoadjuvant chemoradiotherapy and total mesorectal excision.
Introdução O Ministério da Saúde, MS, vem adquirindo inovações promissoras e controvertidas as testando mediante estudos controlados em polos de referência Rede SUS. Apresenta-se o exemplo aquisição um robô cirúrgico visando avaliar segurança, efetividade sua relação custo-efetividade UNACON. Métodos Estudo controlado randomizado por blocos conforme os tipos cirurgia câncer contratualizados pelo MS nas especialidades gastroenterologia, ginecologia, cirurgias cabeça pescoço, urologia...