11 documents found, page 1 of 2
Clinical Impact of Preoperative Biliary Drainage in Patients with Ductal Adenoc...
Amaral, Maria João; Freitas, João; Amaral, Mariana; Serôdio, Marco; Oliveira, Rui Caetano; Donato, Paulo; Tralhão, José GuilhermeOur aim was to study the association between preoperative biliary drainage (PBD) and morbidity following cephalic pancreaticoduodenectomy (CPD) for pancreatic ductal adenocarcinoma (PDAC) and its prognostic impact, which is still controversial in the literature. A retrospective study was conducted, which included 128 patients who underwent CPD for PDAC, divided into two groups: those who underwent PBD (group 1)...
Tumor Stroma Area and Other Prognostic Factors in Pancreatic Ductal Adenocarcin...
Amaral, Maria João; Amaral, Mariana; Freitas, João; Oliveira, Rui Caetano; Serôdio, Marco; Cipriano, Maria Augusta; Tralhão, José GuilhermePancreatic ductal adenocarcinoma (PDAC) has a dense stroma, responsible for up to 80% of its volume. The amount of stroma can be associated with prognosis, although there are discrepancies regarding its concrete impact. The aim of this work was to study prognostic factors for PDAC patients submitted to surgery, including the prognostic impact of the tumor stroma area (TSA). A retrospective study with PDAC patie...
ABDOMINAL WALL CATASTROPHE, THERAPEUTIC STRATEGY – A CASE REPORT AND REVIEW OF ...
Amaral, Maria João; Serôdio, Marco; Ramos, Sara; Manso, António; Alexandrino, Henrique; Tralhão, José GuilhermeA complete abdominal wall defect (AWD) is life-threatening, has a functional and cosmetic impact on patients’ quality of life and represents a significant challenge for surgeons, requiring a multidisciplinary treatment strategy. The goals of the reconstructive surgery in the management of these defects are to provide stable coverage of the abdominal contents, restore function and achieve complete wound closure....
Technical requirements for a safe performance of TAMIS during COVID-19 pandemic...
Amaral, Maria João; Vaz, Mariana; Manso, António; Rosete, Manuel; Gonçalves, Nídia; Serôdio, Marco; Tralhão, José GuilhermeCoronavirus disease 2019 (COVID-19) pandemic is challenging healthcare systems. Surgical care during the COVID-19 pandemic presents numerous challenges regarding not only patient and community safety, but also the safety of physicians and operating room (OR) staff. In the OR, general anaesthesia poses a risk of aerosolization during the intubation process. There is also concern about minimally invasive surgery ...
Advanced hepatic vasculobiliary imaging segmentation and 3D reconstruction as a...
Pereira da Silva, Nuno; Abreu, Inês; Serôdio, Marco; Ferreira, Luís; Alexandrino, Henrique; Donato, PauloBackground: Three-dimensional (3D) models are increasingly used to help surgeons, guiding them through the complex hepatic vasculobiliary anatomy. The biliary tract is a relatively untapped territory with only a few case reports described in medical literature. Our aim is to present an innovative 3D reconstruction methodology for biliary imaging and surgical planning, applied to a case of iatrogenic biliary str...
Prognostic Factors After Hepatectomy for Gastric Adenocarcinoma Liver Metastase...
Temido, Maria José; Oliveira, Rui Caetano; Martins, Ricardo; Serôdio, Marco; Costa, Beatriz; Carvalho, César; Santos, Eva; Ferreira, LuísPurpose: Hepatectomy (Hp) is an alternative approach for the treatment of gastric carcinoma liver metastases (GCLM). However, prognostic factors that may assist patient selection are still controversial. Several pathologic features, such as the growth pattern (GP), associated with prognosis in colorectal cancer liver metastases, were never investigated in GCLM. Our principal aim was to assess if the GP has prog...
Ruptured Hemorrhagic Hepatic Cyst: An Unusual Case Report
Amaral, Maria João; Serôdio, Marco; Koch, Maria João; Almeida, Rui; Campos, José Carlos; Tralhão, José GuilhermeBackground: Hemorrhagic rupture of a hepatic cyst is rare. To date, very few cases have been reported in the literature. Case Report: A patient with a history of a suspected liver hydatid cyst presented to the emergency department with abdominal pain and fever. She was admitted with the presumptive diagnosis of acute cholecystitis. During hospitalization, the patient presented with hemodynamic instability and a...
Intrahepatic Colangiocarcinoma
Sousa, Francisco Castro; da Silva, Edgar Tavares; Tralhão, José Guilherme; Costa, Beatriz; Martins, Mónica; Serôdio, Marco; Martins, RicardoIntroduction: intrahepatic cholangiocarcinoma (CCIhp) is a rare malignant tumor usually diagnosed at an advanced stage. This study intends to assess the treatment results of CCIhp and to define the prognostic factors of survival in treated at our department. Material and methods: Twenty-one patients undergoing treatment for CCIhp in recent years, of which eleven were operated with curative intent: four left hep...
Evolution of nutritional status and body composition after major elective surgery
Costa, Beatriz Pinto; Miranda, Andreia; Serôdio, Marco; Fernandes, Miguel; Sousa, F. CastroIntroduction: Despite recognition of its high prevalence and adverse clinical impact, malnutrition remains undervalued and often aggravates during the hospital stay. Objective: To characterize the progression of nutritional status and body composition in the early postoperative period of major elective surgery and to correlate results with the clinical evolution. Material and methods: Prospective study includin...
Value of Citrullinemia on Intestinal Function Evaluation in Short Bowel Syndrome
Costa de Almeida, Beatriz Pinto; Serôdio, Marco; Simões, Marta; Veríssimo, Carla; Grazina, Manuela; Sousa, F. CastroIntroduction: Several studies suggest that citrullinemia may represent an objective and reproducible parameter of the enterocyte mass and function. Objectives: To study the value of citrullinemia in intestinal function evaluation of short bowel syndrome. Material and methods: A case-control study, including 11 patients with short bowel syndrome subsequent to massive enterectomy and 11 healthy controls, was unde...