Tratamento paliativo da obstrução maligna do hilo hepático pela operação de Soupault-Couinaud
DOI:
https://doi.org/10.32635/2176-9745.RBC.1997v43n1.2839Palabras clave:
Cancer Do Hilo Hepático, Anastomose Colangioentérica Paliativa, Sobrevida, Índice De ConfortoResumen
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.
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