7 documents found, page 1 of 1
THE TIME HAS COME FOR A COMMUNITY AND HOME-BASED PREHABILITATION: NARRATIVE OF ...
Lages, Patrícia; Oliveira, Gabriel; Simões, Joana; Matos Costa, PauloOptimizing patients’ condition before surgery, bringing patients to their best fitness status, has always been tried by surgeons, even if it was in stochastic models. Setting up a prehabilitation program should take into account patients and their circumstances. To ensure success, programs should be personalized (patient balanced) and aim to ensure patients’ regular support as well as easy and effective contact...
A HOME-BASED PREHABILITATION PROGRAM, DELIVERED THROUGH AN INTERNET-BASED PLATF...
Moreira-Gonçalves, Daniel; do Vale Fernandes, Antero; Daher Mota, Clara; Antunes, João; Canappele, Carina; Martins, Pedro; Santos, Fátima; Cabral, SóniaIntroduction: Prehabilitation is a multimodal strategy implemented in the preoperative period, aiming to increase preoperative functional reserve, leading to better postoperative functional recovery and reduced incidence of complications. The majority of the prehabiliation programs are developed under supervision in an outpatient clinic, which might be an obstacle for those patients with geographical and/or tra...
Methods for conducting international Delphi surveys to optimise global particip...
Alkhaffaf, Bilal; Blazeby, Jane M.; Metryka, Aleksandra; Glenny, Anne-Marie; Adeyeye, Ademola; Costa, Paulo M.; del Val, Ismael DiezBackground: Core outcome sets (COS) should be relevant to key stakeholders and widely applicable and usable. Ideally, they are developed for international use to allow optimal data synthesis from trials. Electronic Delphi surveys are commonly used to facilitate global participation; however, this has limitations. It is common for these surveys to be conducted in a single language potentially excluding those not...
PORTAL VEIN CROSSING UP IN FRONT OF THE HEPATIC ARTERY
Matos da Costa, Paulo; Esteves, Rui; Lages, PatríciaAn anatomic rare variation disclosed during a D2 dissection and total gastrectomy for gastric cancer.; An anatomic rare variation disclosed during a D2 dissection and total gastrectomy for gastric cancer.
The impact of negative lymph nodes in the survival outcomes of pN+ patients fol...
Costa, Paulo M.; Lages, Patrícia; Onofre, Susana; Ribeiro, Ruy M.The impact of negative lymph nodes (LNs) on survival of pN+ patients has been recognized. The weight of negative LNs in an inverse lymph node ratio (nR) should be related to its prognostic impact. Five hundred and two consecutive gastric cancer patients, who underwent radical gastrectomy, were included. Patients were split into groups according to the number of harvested nodes and a cross-tabulation with pTNM s...
Esophageal Cancer: Surgical Strategies
Costa, Paulo; Esteves, Rui; Lages, Patrícia; Ferreira, FilipaIntroduction: Oesophagectomy for cancer is associated to a significant morbidity and mortality. The superiority of transthoracic vs transhiatal is still a matter of controversy. The aim of this paper is to discuss the results of a series of patients submitted to either a transthoracic or a transhiatal according to the anatomic location regarding the carina.Material and Methods: Retrospective analysis of 52 cons...
Gastric tube pull-up after esophagectomy for cancer
Costa, Paulo; Esteves, Rui; Lages, Patrícia; Ferreira, FilipaIntroduction: Anastomotic complications are responsible for significant morbidity after oesophagectomy for cancer. Cervical oesophagogastrostomy is associated with high incidence of anastomotic leaks (0 – 18%) and stenosis (1- 43%). The aim of this study was to address the reliability of our method of preparation of the gastric tube, the pull-up of the gastric conduit and the esophagogastrostomy, based on a con...