A5023906497- Lung Cancer Diagnosis and Treatment
- Pleural and Pulmonary Diseases
- Tracheal and airway disorders
- Pneumothorax, Barotrauma, Emphysema
- Occupational and environmental lung diseases
- Antibiotics Pharmacokinetics and Efficacy
- Management of metastatic bone disease
- Cancer Diagnosis and Treatment
- Myasthenia Gravis and Thymoma
- Salivary Gland Tumors Diagnosis and Treatment
- Thyroid Cancer Diagnosis and Treatment
- Congenital Diaphragmatic Hernia Studies
- Metastasis and carcinoma case studies
- Anatomy and Medical Technology
- Ultrasound in Clinical Applications
- Central Venous Catheters and Hemodialysis
- Urinary Tract Infections Management
- Surgical site infection prevention
- Cleft Lip and Palate Research
- Pericarditis and Cardiac Tamponade
- Oral and Maxillofacial Pathology
- Testicular diseases and treatments
- Cystic Fibrosis Research Advances
- Soft tissue tumor case studies
- Healthcare during COVID-19 Pandemic
Universidade de São Paulo
2013-2025
Instituto do Câncer do Estado de São Paulo
2013-2025
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2011-2025
Hospital Sírio-Libanês
2018-2021
Instituto do Coração
2019
Hospital São Paulo
2019
Hospital Israelita Albert Einstein
2019
Objective: To compare 90-day morbidity in patients undergoing lung lobectomy performed by either robotic-assisted thoracic surgery (RATS) or video-assisted (VATS). Intraoperative complications, drainage time, length of hospital stay, postoperative pain, quality life, and readmissions within 90 days were also compared. Methods: This was a two-arm randomized clinical trial including with lesions (primary cancer metastasis) who candidates for lobectomy. Patients comorbidities that precluded...
Sistemas de saúde universais orientados pela Atenção Primária à Saúde (APS) apresentam melhores resultados para a população. Este artigo apresenta situação do acesso ao cuidado na APS brasileira, seus problemas, desafios e estratégias sua superação. Realizou-se uma revisão narrativa, incluindo estudos quali quantitativos. O aumentou com expansão da Estratégia Família (ESF), mas ainda permanece insuficiente. As principais barreiras incluem: subdimensionamento/subfinanciamento APS, excesso...
Chest wall reconstruction plays an important role in the outcomes of chest resection. However, there being a huge variety materials at disposable, best option has not yet been well defined. The Vitagraft® is synthetic and absorbable material, that works as osteoinduction osteoconduction for bone regeneration. It consists β-phase Tricalcium Phosphate Ceramic (β-TCP) Polylactic Glycolic Acid Polymer (PLGA). Therefore, this study intends to assess safety use wall. A prospective study, which...
Objective: Thymic tumors are a rare group of anterior mediastinal tumors. Surgery is the primary treatment. Adjuvant treatment used in select cases. The purpose this study was to evaluate outcomes patients with thymic tumors, submitted or not radiotherapy, and identify risk factors that could impact better support patient selection for RT. Methods: This single institution retrospective cohort study. Patients histologically proven thymoma carcinoma treated from July 2009 November 2020 were...
The management of long-term central venous catheter (LTCVC) infections by multidrug-resistant (MDR) bacteria in cancer patient is a challenge. objectives this study were to analyze outcomes patients with LTCVC-associated infection, identify risks for unfavorable outcomes, and determine the impact MDR antibiotic lock therapy (ALT) managing such infections. We evaluated all treated between January 2009 December 2016. Infections reported accordance international guidelines catheter-related...
To describe the epidemiology of infections related to use implantable central venous access devices (CVADs) in cancer patients and evaluate measures aimed at reducing rates such infections.Prospective cohort study.Referral hospital for São Paulo, Brazil.We prospectively evaluated all CVADs employed between January 2009 December 2011. Inpatients outpatients were followed until catheter removal, transfer another facility, or death.Outcome bloodstream infection pocket infection. We also effects...
ABSTRACT Objective: To describe the implementation of a robotic thoracic surgery program at public tertiary teaching hospital and to analyze its initial results. Methods: This was planned interim analysis randomized clinical trial aimed comparing video-assisted thoracoscopic in terms results obtained after pulmonary lobectomy. The developed Instituto do Câncer Estado de São Paulo, city Brazil, is multidisciplinary initiative involving various surgical specialties, as well anesthesiology,...
To describe the morbidity, mortality, and rate of complete resection associated with robotic surgery for treatment non-small cell lung cancer in Brazil, as well to report rates overall survival disease-free patients so treated.This was a retrospective study diagnosed carcinoma undergoing by at one six hospitals Brazil between February 2015 July 2018. Data were collected retrospectively from electronic medical records.A total 154 included. The mean age 65 ± 9.5 years (range, 30-85 years)....
RESUMO Objetivo: relatar nossa experiência inicial com a segmentectomia robótica, descrevendo técnica operatória, colocação preferencial dos portais, os resultados iniciais e desfechos. Métodos: dados clínicos de pacientes submetidos à entre janeiro 2017 dezembro 2018, foram obtidos um banco prospectivo cirurgia robótica. Todos tinham câncer pulmão, primário ou secundário, doenças benignas, operados usando o sistema Da Vinci três portais mais uma incisão utilitária 3cm. As estruturas hilares...
Empyema is a complication of talc-pleurodesis that may lead to further surgical intervention and death. Therefore, the present study's objective was identify risk factors for development post-pleurodesis empyema after talc slurry pleurodesis in order better select patients this procedure minimize its morbidity.Patients with malignant pleural effusion who underwent at institution from January 2018 2020 were retrospectively analyzed. Post-pleurodesis defined as infection up 30 days...
ABSTRACT Objective: in Latin America, especially Brazil, the use of a robotic platform for thoracic surgery is gradually increasing recent years. However, despite tuberculosis and inflammatory pulmonary diseases are endemic our country, there lack studies describing results surgical treatment bronchiectasis. This study aims to evaluate outcomes infective by determining extent resection, postoperative complications, operative time, length hospital stay. Methods: retrospective from database...
To evaluate the role of intrapleural positioning a pleural catheter in early lung expansion and pleurodesis success patients with recurrent malignant effusion (RMPE).This was retrospective study nested into larger prospective cohort including RMPE recruited from tertiary university teaching hospital between June 2009 September 2014. The underwent insertion followed by bedside pleurodesis. Chest CT scans were performed twice: immediately before (iCT) 30 days after (CT30). Catheter categorized...
Almost 20 % of patients with Non-Seminomatous Germinative Cell Tumors (NSGCT) will require intrathoracic metastasectomy after chemotherapy. The authors aim to determine their long-term survival rates. Retrospective study including NSGCT and metastasis systemic therapy from January 2011 June 2022. Treatment outcomes overall were analyzed the Kaplan-Meier method. Thirty-seven male included a median age 31.8 years. Six presented synchronous mediastinum lung metastasis, nine had only lung, 22...
João Paulo Cassiano de Macedo, Pedro Henrique Xavier Nabuco Araujo, José Ribas Milanez Campos, Manuel Pêgo-Fernandes
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...
Background and objectives Evaluate radiological characteristics of postpleurodesis pleural space patients with recurrent malignant effusion(RMPE). Methods Prospective cohort study including RPME treated bedside pleurodesis. We used CT scans to calculate cavity volume immediately before pleurodesis(iCT) 30 days after(CT30). Radiological evolution was calculated by the difference between volumes on CT30 iCT(Δvolume). categorized initial as small(<500 mL) or large space(≥500 Δvolume...
Malignant pleural effusion is one of the most important complications metastatic cancer, and recurrent effusions do not only have an impact on survival but also cause a huge repercussion patient's quality life.The main objective was to describe life status before after pleurodesis in patients with malignant effusion. Secondary, we aimed find predictors improvement such population.Retrospective analysis database collected prospectively. We included who underwent from June 2004 July 2014....