Resumo

ENCINA, W et al. GASTROSTOMÍAS MÍNIMAMENTE INVASIVAS. EXPERIENCIA EN EL INSTITUTO NACIONAL DEL CÁNCER "PROF. DR. MANUEL RIVEROS ": MINIMAL INVASIVES GASTROSTOMIES . THE EXPERIENCE AT THE NATIONAL INSTITUTE OF CANCER "PROF. DR. MANUEL RIVEROS ". Rev. Cir. Parag. [online]. 2014, vol.38, n.2, pp.12-15. ISSN 2307-0420.

ABSTRACT Objective: To analyze the indications, advantages and surgical approaches to minimally invasive Gastrostomy. Materials and Methods: Prospective, Longitudinal, Analytical study of non-randomized quasi-experimental intervention in oncological patients and indication that underwent surgery under local anesthesia in minimally access in the National Cancer Institute Prof. Dr. Manuel Riveros in the period from May 2013 to Sep- tember 2014. RESULTS: 25 patients diagnosed with cancer were successfully submitted to the sf Minimum Access gastrostomy under local anesthesia in 100% of the procedures in which there have been no intraoperative complications although in the medium term five minor complications, 4 consisted of erythema perisonda loss of gastric contents for mishandling the gastrostomy tube and discharge one wall abscess in a male patient at the point of attachment was recorded. The average operative time was 20 minutes and the beginning of the introduction of gavage feeding of 5% dextrose solution was immediate with good tolerance and an average of 3.2 days in hospital. Conclusion: The results of this initial case series suggests that the minimum approach to the realization of the gastrostomy due to the low number of complications, are effective and provide a unique, fast and secure access to adequate nutritional management in cancer patients with quick recovery.

Palavras-chave : Gastrostomy; Minimally Invasive Procedure; Advantages.

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