O slideshow foi denunciado.
Utilizamos seu perfil e dados de atividades no LinkedIn para personalizar e exibir anúncios mais relevantes. Altere suas preferências de anúncios quando desejar.

Fundamentos Técnicos da Cirurgia Pancreática

899 visualizações

Publicada em

Aula Ministrada no Serviço de Cirurgia Geral do Hospital Carlos Macieira (São Luís do Maranhão - Brasil).

Publicada em: Saúde e medicina
  • DOWNLOAD THIS BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download Full EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download Full doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book THIS can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer THIS is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story THIS Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money THIS the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths THIS Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
       Responder 
    Tem certeza que deseja  Sim  Não
    Insira sua mensagem aqui
  • DOWNLOAD THIS BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download Full EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download Full doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book THIS can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer THIS is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story THIS Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money THIS the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths THIS Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
       Responder 
    Tem certeza que deseja  Sim  Não
    Insira sua mensagem aqui

Fundamentos Técnicos da Cirurgia Pancreática

  1. 1. CIRURGIA PANCREÁTICA Aspectos Técnicos Fundamentais Prof. Dr. Ozimo Gama Cirurgia do Aparelho Digestivo * 2015 *
  2. 2. Introdução • Aspectos Históricos • Indicações • Princípios Anatômicos • Tipos de Cirurgias • Vias de Acesso • Cuidados Perioperatórios Fundamentos da Cirurgia Pancreática
  3. 3. Georgio Wirsung, 1642
  4. 4. Paul Langerhans, 1869
  5. 5. Banting & Best, 1923
  6. 6. Indicações • Tumores • Lesões Císticas • Processos Inflamatórios • Trauma • Transplante Fundamentos da Cirurgia Pancreática
  7. 7. Anatomia • Situação • Direção • Meios de Fixação • Relações • Vasos e Nervos Fundamentos da Cirurgia Pancreática
  8. 8. Tipos de Cirurgia • Ressecções • Drenagens • Desbridamentos • Derivações Fundamentos da Cirurgia Pancreática
  9. 9. Vias de Acesso • Laparotomia • Laparoscopia Fundamentos da Cirurgia Pancreática
  10. 10. Cameron J. et al, 2015.
  11. 11. Pancreatite Crônica DOR ABDOMINAL - Obstrução - Hipertensão Portal Segmentar - Surto necrotizante - Câncer
  12. 12. Anatomia Ductal Tumoração Inflamatória
  13. 13. Cameron J. et al, 2015.
  14. 14. Cameron J. et al, 2015.
  15. 15. Cameron J. et al, 2015.
  16. 16. Pseudocisto Pancreático 6 – 6 – 6
  17. 17. Cameron J. et al, 2015.
  18. 18. Tumores Periampulares 60% - PANCREÁTICO • 20% Ampular • 15% ColangioCA • 5% Duodenal Fundamentos da Cirurgia Pancreática
  19. 19. 100 PACIENTES 40 PACIENTES 40 PACIENTES 20 PACIENTES 10 PACIENTES 30 PACIENTES
  20. 20. Lesões Císticas Fundamentos da Cirurgia Pancreática
  21. 21. Cameron J. et al, 2015.
  22. 22. Cirurgia de Whipple • Exposição • Divisão • Reconstrução Fundamentos da Cirurgia Pancreática
  23. 23. Cameron J. et al, 2015.
  24. 24. Cameron J. et al, 2015.
  25. 25. Pancreatite Aguda História Natural 1000 pcts 700 Edematosa 300 Necrotizante 185 Não Infectada 115 INFECTADA 10 ABSCESSO Fundamentos da Cirurgia Pancreática
  26. 26. “...recovery from this disease, apart from operation, is so rare that no case should be left untreated”. Moynihan B. ACUTE PANCREATITIS. Ann Surg , 1925
  27. 27. R. Manteke et al, 2015.
  28. 28. Cameron J. et al, 2015.
  29. 29. Trauma Pancreático • 5% dos casos • Cinemática • Amilase • Tomografia Fundamentos da Cirurgia Pancreática
  30. 30. PANCREATIC TRAUMA treat the pancreas like a crawfish, SUCK the head… EAT the tail.
  31. 31. Cameron J. et al, 2015.
  32. 32. Cameron J. et al, 2015.
  33. 33. Cuidados Perioperatórios • Icterícia • Desnutrição • Infecção • Hemorragia • Gastroparesia • FÍSTULA Fundamentos da Cirurgia Pancreática
  34. 34. Pancreaticojejunostomia • Reparos • Plano Posterior • Ducto-Mucosa • Stent • Plano Anterior Fundamentos da Cirurgia Pancreática
  35. 35. Fístula Pancreática • Distúrbios H.E. & A.B. • Sepse • Terapia Nutricional • Cuidados com a Pele • Inibidores de secreções Fundamentos da Cirurgia Pancreática
  36. 36. CIRURGIA PANCREÁTICA Aspectos Técnicos Fundamentais Prof. Dr. Ozimo Gama Cirurgia do Aparelho Digestivo * 2015 *

×