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Surgical Management Of Congenital Thoracic Disorders: A 15-Year Center Experience

Pereira Moita, Catarina; Figueiredo, Catarina; Cruz, Zenito; Maciel, João; Costa, Ana Rita; Santos Silva, João; Reis, João Eurico; Calvinho, Paulo

Introduction: Congenital thoracic disorders represent a spectrum of fetal lung bud development abnormalities, which may affect breathing capacity and quality of life. We aim to evaluate the impact of surgery in the treatment of 4 major congenital conditions. Materials and Methods: We performed a retrospective cohort analysis of patients who underwent surgical treatment in our tertiary center, from 2007 to 2022....


Segmentectomies: 5-Year Experience Of A Center

Nunes Figueiredo, Catarina; Moita, Catarina; Cruz, Zenito; Costa, Ana Rita; Santos Silva, João; Reis, João Eurico; Maciel, João; Calvinho, Paulo

Introduction: Segmental anatomical resections have been a subject of debate in recent years. There is increasing evidence that these procedures may offer some advantages in the treatment of early-stage lung cancer, with overall survival (OS) and disease-free survival (DFS) similar to those seen in lobar anatomical resections. Materials and Methods: We conducted a retrospective analysis of patients who underwent...


Pancoast Tumors: 11-Year Single-Centre Experience

Pereira Moita, Catarina; Figueiredo, Catarina; Cruz, Zenito; Costa, Ana Rita; Maciel, João; Santos Silva, João; Eurico Reis, João; Calvinho, Paulo

Introduction: Pancoast tumors encompass any tumor located on the lung apex, extending into structures in the thoracic inlet and, often, leading to the characteristic clinical syndrome. The main goal of this study is to analyze the response to multimodal treatment and outcome of patients with Pancoast tumors. Materials and Methods: We performed a retrospective cohort single center study of patients with superior...


Sequential Double-Lung Transplantation In Kartagener Syndrome: A Case Report

Nunes Figueiredo, Catarina; Santos Silva, João; Maciel, João; Semedo, Luísa; Calvinho, Paulo

Kartagener syndrome (KS) is a rare congenital disorder, characterized by sinusitis, bronchiectasis and situs inversus. Lung transplantation is an effective treatment for end-stage lung failure, but dextrocardia and differences between hilar structures and pulmonary lobes require adjustments to conventional surgical technique. We present a case of a double-lung transplant without extracorporeal oxygenation in a ...


Analgesia Regional em Medicina Intensiva – Posição de Consenso no Centro Hospit...

Veiga, Mariano; Galacho, João; Santos Silva, João; Ribeiro, João Miguel; Ormonde, Lucindo

A qualificação dos serviços de saúde representa um objetivo nuclear, inscrito na demanda da melhoria contínua dos cuidados. Definir modelos de intervenção com impacto incontornável na qualidade da medicina é, pois, um imperativo de atuação. A gestão da dor, sintoma nuclear com maior capacidade de afetar a qualidade de vida dos doentes, é determinante na prossecução desse objetivo. Em Medicina Intensiva, a dor é...


COMMUNITY-ACQUIRED THORACIC EMPYEMA – DOES MICROBIOLOGICAL IDENTIFICATION MATTER?

Silva, David; Costa, Ana Rita; Santos Silva, João; Reis, João Eurico; Emiliano, Madalena; Calvinho, Paulo; Cardoso, João

Objectives: To describe the clinical characteristics, comorbidities and clinical outcome of hospitalized patients with the diagnosis of community acquired thoracic empyema in our hospital, with particular emphasis on the impact of identification of the causative agent. Methods: We performed a retrospective review of the clinical files of hospitalized adult patients diagnosed with community acquired thoracic emp...


ISOLATED PULMONARY MUCORMYCOSIS IN AN IMMUNOCOMPETENT PATIENT

Santos Silva, João; Torres, Carolina; Clemente, Susana; Calvinho, Paulo

Mucormycosis is a life-threatening fungal infection that occurs mainly in immunocompromised patients. Its occurrence isolated in the lung rare and carries a high mortality risk if untreated. We report the case of a 76-year old male immunocompetent patient, under treatment for pulmonary tuberculosis, admitted to the emergency department with hemoptysis. Bronchoscopy was performed and active bleeding from the mid...


LONG TERM FOLLOW-UP IN SURGICAL STAGE I NON-SMALL CELL LUNG CANCER – A SINGLE C...

Dantas, Carolina; Campos Silva, Sara; Tavares Silva, David; Santos Silva, João; Costa, Ana Rita; Reis Paulo Calvinho, João Eurico

Introduction: Lung cancer has a high mortality rate with an overall survival of 18% at 5 years. Surgical treatment is the gold standard for early stages and is associated with high rates of resolution with a 5-year survival of 80% reported in large studies. Purpose: To determinethe survival of patients with non-small cell lung cancer (NSCLC) in stage IA (T1N0M0) undergoing surgical treatment with curative inten...


MAJOR PULMONARY SURGERY IN PATIENTS WITH COMPROMISED LUNG FUNCTION

Gonçalves Pereira, Rita; Branco, Joana; Narciso Rocha, Filipa; Figueiredo, Catarina; Costa, Ana Rita; Santos Silva, João; Reis, João Eurico

Introduction: The risk stratification of lung resection is fundamentally based on the results of pulmonary function tests. In patients considered to be at risk, major surgery is generally denied, opting for potentially less curative therapies. Objective: To evaluate the postoperative outcomes of major lung surgery in a group of patients deemed high risk. Methods: We performed a retrospective review of clinical ...


Manejo de la Reproducción

Santos Silva, João; Williams, Sara; Barrales, Hérnan; Charneca, Rui; Tirapicos Nunes, José Luís; Garcia Artiga, Carlos; De Loera Ortega, Yasmin

O capitulo inclui os pontos: Selecção de reprodutores; Maneio dos animais de substituição, Maneio das porcas; Maneio dos leitões do parto ao desmame; Maneio do varrasco; Métodos de treino; Maneio de varrascos em monta natural; Avaliação do sémen; Preparação e conservação de doses seminais.


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