Pancreatoduodenectomía cefálica laparoscópica urgente. Reporte de caso Article Swipe

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Francisco Rivadeneira-Proaño , Antonio Torres , Carlos Roberto Ayora Nolivos , D. Molina , Miguel Angel Moreno Villavicencio ·

YOU? · · 2024 · Open Access · · DOI: https://doi.org/10.31790/inspilip.v8i26.632

Introduccion: El cáncer de páncreas es una neoplasia maligna que representa la octava causa de mortalidad en el mundo. Las manifestaciones clínicas más comunes son la ictericia, el dolor abdominal y la pérdida de peso. El diagnóstico se basa en la combinación de la clínica, los estudios de imagen y la biopsia. El tratamiento de elección es la resección quirúrgica, que es posible en el 15% de los casos. En los casos irresecables, se puede ofrecer quimioterapia o radioterapia. Caso clínico: Se presenta el caso de una paciente femenina de 62 años con ictericia, dolor abdominal y pérdida de peso. Los estudios de imagen mostraron una lesión ocupante en la cabeza del páncreas. La paciente fue sometida a una pancreatoduodenectomía cefálica laparoscópica con márgenes libres y el resultado histopatológico fue adenocarcinoma ductal pancreático. La evolución posquirúrgica fue favorable al alta y la paciente requirió control ambulatorio estricto por cirugía general y oncología. Discusión: El caso presentado es un ejemplo de un abordaje oportuno y exitoso del cáncer de páncreas en un hospital de tercer nivel en Ecuador. La paciente fue diagnosticada y tratada de manera adecuada, lo que le permitió tener una evolución favorable. Conclusiones El cáncer de páncreas es una enfermedad con mal pronóstico. Sin embargo, la resección quirúrgica representa la única posibilidad de curación. Es importante realizar un diagnóstico y tratamiento oportunos para mejorar las probabilidades de supervivencia de los pacientes.

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Type: article
Language: es
Landing Page: http://doi.org/10.31790/inspilip.v8i26.632
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DOI: https://doi.org/10.31790/inspilip.v8i26.632

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Title: Pancreatoduodenectomía cefálica laparoscópica urgente. Reporte de caso

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Type: article

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Language: es

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Publication year: 2024

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Publication date: 2024-09-05

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Authors: Francisco Rivadeneira-Proaño, Antonio Torres, Carlos Roberto Ayora Nolivos, D. Molina, Miguel Angel Moreno Villavicencio

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Landing page: https://doi.org/10.31790/inspilip.v8i26.632

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Open access: Yes

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OA status: diamond

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OA URL: https://doi.org/10.31790/inspilip.v8i26.632

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Concepts: Medicine

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