Palliative treatment of the hepatic hilus through Soupault- Couinaud surgery
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
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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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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1797042233275318272 |