Palliative treatment of the hepatic hilus through Soupault- Couinaud surgery

Detalhes bibliográficos
Autor(a) principal: Rangel , Marcelo Fernandes
Data de Publicação: 2022
Outros Autores: Pinto, Francisco de Sales M., Silva, Marcus Valério Maia da, Trajano, Luanda Karla Dantas, Lucena, Vinícius Souza de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/2839
Resumo: The specialized literature has demonstrated that the survival of the patients with malignant jaundice, even when submited only to palliative treatment, is usually long. The authors present the results of the Soupault-Couinaud's operation, performed as palliative treatment in 17 consecutive patients with malignant jaundice. Among other variables, it was evaluated an index of life quality denominated Comfort Index, allowing for numerical comparison of results. There was an important regression of jaundice in 88.2% of cases, and a statistically relevant reduction of seric levels of bilirubins in the postoperative (P < 0.05). Hospital mortality rate was of 11.8%, and the Comfort Index was of 81.9%. These results allow to state that the proposiet technique represents an effective method for the resolution of cholestasis due to unresectable tumours of the hepatic hilus and that the Cornfort index of 81.9% proves this method to be an adequate pailiarive treatment for malignant jaundice.
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spelling Palliative treatment of the hepatic hilus through Soupault- Couinaud surgeryTratamento paliativo da obstrução maligna do hilo hepático pela operação de Soupault-CouinaudCancer Do Hilo HepáticoAnastomose Colangioentérica PaliativaSobrevidaÍndice De ConfortoCancer Of The Hepatic HilusPalliative Cholangioenteric AnastomosisSurvivalComfort IndexThe specialized literature has demonstrated that the survival of the patients with malignant jaundice, even when submited only to palliative treatment, is usually long. The authors present the results of the Soupault-Couinaud's operation, performed as palliative treatment in 17 consecutive patients with malignant jaundice. Among other variables, it was evaluated an index of life quality denominated Comfort Index, allowing for numerical comparison of results. There was an important regression of jaundice in 88.2% of cases, and a statistically relevant reduction of seric levels of bilirubins in the postoperative (P < 0.05). Hospital mortality rate was of 11.8%, and the Comfort Index was of 81.9%. These results allow to state that the proposiet technique represents an effective method for the resolution of cholestasis due to unresectable tumours of the hepatic hilus and that the Cornfort index of 81.9% proves this method to be an adequate pailiarive treatment for malignant jaundice.A grande dificuldade, na literatura, para a avaliação dos diferentes métodos utilizados no tratamento paliativo dos tumores irressecáveis do hilo hepático, foi a inexistência de um parâmetro que tornasse uniforme a linguagem dos seus resultados. Este estudo tem por finalidade analisar os resultados da anastomose colangioentérica intraparenquimatosa (ACEI) no dueto do seguimento III, realizada em 17 pacientes consecutivos, portadores de obstrução maligna do hilo hepático. Para tanto, foi avaliado, dentre outras variáveis, um índice de qualidade de vida, denominado índice de Conforto, que permite a comparação numérica dos resultados. Houve regressão importante da icterícia em 88,2% dos casos, e redução estatisticamente significativa dos niveis sericos das bilirrubinas no pos operatorio (p <0 05). A mortalidade hospitalar foi de 11 8% e o índice de Conforto foi equivalente a 81 9% Estcs resulta 45 dos permitem as seguintes conclusões: 1) A técnica proposta representa um método eficiente para resolução da colestase causada por tumores irressecáveis do hilo hepático; 2) O índice de Conforto de 81.9% credencia o método como adequado para o tratamento paliativo desta afecção.INCA2022-09-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/283910.32635/2176-9745.RBC.1997v43n1.2839Revista Brasileira de Cancerologia; Vol. 43 No. 1 (1997): Jan./Feb./Mar.; 45-55Revista Brasileira de Cancerologia; Vol. 43 Núm. 1 (1997): ene./feb./mar.; 45-55Revista Brasileira de Cancerologia; v. 43 n. 1 (1997): jan./fev./mar.; 45-552176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/2839/1715https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessRangel , Marcelo FernandesPinto, Francisco de Sales M. Silva, Marcus Valério Maia da Trajano, Luanda Karla Dantas Lucena, Vinícius Souza de2023-01-18T14:48:26Zoai:rbc.inca.gov.br:article/2839Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2023-01-18T14:48:26Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Palliative treatment of the hepatic hilus through Soupault- Couinaud surgery
Tratamento paliativo da obstrução maligna do hilo hepático pela operação de Soupault-Couinaud
title Palliative treatment of the hepatic hilus through Soupault- Couinaud surgery
spellingShingle Palliative treatment of the hepatic hilus through Soupault- Couinaud surgery
Rangel , Marcelo Fernandes
Cancer Do Hilo Hepático
Anastomose Colangioentérica Paliativa
Sobrevida
Índice De Conforto
Cancer Of The Hepatic Hilus
Palliative Cholangioenteric Anastomosis
Survival
Comfort Index
title_short Palliative treatment of the hepatic hilus through Soupault- Couinaud surgery
title_full Palliative treatment of the hepatic hilus through Soupault- Couinaud surgery
title_fullStr Palliative treatment of the hepatic hilus through Soupault- Couinaud surgery
title_full_unstemmed Palliative treatment of the hepatic hilus through Soupault- Couinaud surgery
title_sort Palliative treatment of the hepatic hilus through Soupault- Couinaud surgery
author Rangel , Marcelo Fernandes
author_facet Rangel , Marcelo Fernandes
Pinto, Francisco de Sales M.
Silva, Marcus Valério Maia da
Trajano, Luanda Karla Dantas
Lucena, Vinícius Souza de
author_role author
author2 Pinto, Francisco de Sales M.
Silva, Marcus Valério Maia da
Trajano, Luanda Karla Dantas
Lucena, Vinícius Souza de
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Rangel , Marcelo Fernandes
Pinto, Francisco de Sales M.
Silva, Marcus Valério Maia da
Trajano, Luanda Karla Dantas
Lucena, Vinícius Souza de
dc.subject.por.fl_str_mv Cancer Do Hilo Hepático
Anastomose Colangioentérica Paliativa
Sobrevida
Índice De Conforto
Cancer Of The Hepatic Hilus
Palliative Cholangioenteric Anastomosis
Survival
Comfort Index
topic Cancer Do Hilo Hepático
Anastomose Colangioentérica Paliativa
Sobrevida
Índice De Conforto
Cancer Of The Hepatic Hilus
Palliative Cholangioenteric Anastomosis
Survival
Comfort Index
description The specialized literature has demonstrated that the survival of the patients with malignant jaundice, even when submited only to palliative treatment, is usually long. The authors present the results of the Soupault-Couinaud's operation, performed as palliative treatment in 17 consecutive patients with malignant jaundice. Among other variables, it was evaluated an index of life quality denominated Comfort Index, allowing for numerical comparison of results. There was an important regression of jaundice in 88.2% of cases, and a statistically relevant reduction of seric levels of bilirubins in the postoperative (P < 0.05). Hospital mortality rate was of 11.8%, and the Comfort Index was of 81.9%. These results allow to state that the proposiet technique represents an effective method for the resolution of cholestasis due to unresectable tumours of the hepatic hilus and that the Cornfort index of 81.9% proves this method to be an adequate pailiarive treatment for malignant jaundice.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-27
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2839
10.32635/2176-9745.RBC.1997v43n1.2839
url https://rbc.inca.gov.br/index.php/revista/article/view/2839
identifier_str_mv 10.32635/2176-9745.RBC.1997v43n1.2839
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2839/1715
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 43 No. 1 (1997): Jan./Feb./Mar.; 45-55
Revista Brasileira de Cancerologia; Vol. 43 Núm. 1 (1997): ene./feb./mar.; 45-55
Revista Brasileira de Cancerologia; v. 43 n. 1 (1997): jan./fev./mar.; 45-55
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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