{"id":1200,"date":"2010-07-25T12:44:50","date_gmt":"2010-07-25T12:44:50","guid":{"rendered":"https:\/\/www.hospitalaleman.org.ar\/?p=1200"},"modified":"2025-01-10T16:38:44","modified_gmt":"2025-01-10T19:38:44","slug":"cirugia-laparoscopica-de-colon-resultados-alentadores","status":"publish","type":"post","link":"https:\/\/www.hospitalaleman.org.ar\/mujeres\/cirugia-laparoscopica-de-colon-resultados-alentadores\/","title":{"rendered":"Cirug\u00eda Laparosc\u00f3pica de Colon: Resultados alentadores"},"content":{"rendered":"\n<p>La <strong>cirug\u00eda laparosc\u00f3pica<\/strong> es una t\u00e9cnica quir\u00fargica <strong>\u201cm\u00ednimamente invasiva\u201d<\/strong>, utilizada originalmente para tratar problemas ginecol\u00f3gicos y para extraer la ves\u00edcula. En los \u00faltimos 10 a\u00f1os el uso de este procedimiento se ha diversificado, incluyendo as\u00ed a las <strong>enfermedades del colon y recto<\/strong>.<\/p>\n\n\n\n<p>En la cirug\u00eda tradicional \u201cabierta\u201d el cirujano realiza una incisi\u00f3n abdominal amplia mientras que en el abordaje laparosc\u00f3pico se utilizan peque\u00f1as incisiones de 0,5 a 1cm. A trav\u00e9s de \u00e9stas, el cirujano usa una c\u00e1mara de video que le permite observar la cavidad abdominal con una alta resoluci\u00f3n. Con un instrumental especial se realizan las mismas operaciones que con la cirug\u00eda tradicional pero <strong>evitando las grandes heridas<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Las ventajas m\u00e1s reconocidas de la laparoscop\u00eda<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00a0Menor dolor despu\u00e9s de la cirug\u00eda (postoperatorio)<\/li>\n\n\n\n<li>Reducci\u00f3n en el tiempo de hospitalizaci\u00f3n.<\/li>\n\n\n\n<li>Reinicio m\u00e1s temprano a una dieta s\u00f3lida.<\/li>\n\n\n\n<li>Actividad m\u00e1s acelerada de la funci\u00f3n intestinal.<\/li>\n\n\n\n<li>Pronto reintegro a las actividades normales de la vida diaria (incluyendo regreso al trabajo)<\/li>\n\n\n\n<li>Mejores resultados est\u00e9ticos por la ausencia de cicatrices grandes.<\/li>\n<\/ul>\n\n\n\n<p>La mayor\u00eda de las cirug\u00edas colorrectales pueden ser realizadas por laparoscopia; simplemente el m\u00e9dico cirujano debe definir quienes son los pacientes apropiados para ser tratados con este m\u00e9todo.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Algunas de las patolog\u00edas que pueden intervenirse<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>P\u00f3lipos de dif\u00edcil acceso o de gran tama\u00f1o.<\/li>\n\n\n\n<li>tumores o c\u00e1ncer de colon y recto.<\/li>\n\n\n\n<li>resecci\u00f3n del colon por enfermedad diverticular.<\/li>\n\n\n\n<li>prolapso rectal.<\/li>\n\n\n\n<li>enfermedades inflamatorias (enfermedad de Crohn y colitis ulcerosa)<\/li>\n\n\n\n<li>v\u00f3lvulo del sigmoides.<\/li>\n\n\n\n<li>sangrado intestinal bajo que requiera resecci\u00f3n.<\/li>\n<\/ul>\n\n\n\n<p>Los riesgos de que se presenten dificultades en este tipo de intervenciones son los mismos que existen en las cirug\u00edas convencionales. Hace algunos a\u00f1os, se puso en tela de juicio la seguridad de la cirug\u00eda laparosc\u00f3pica para el tratamiento del c\u00e1ncer; los resultados arrojados fruto de estudios realizados a pacientes, demostraron que este m\u00e9todo es seguro para curar a los pacientes con c\u00e1ncer. Este no es un tema menor ya que, en la Argentina, el <strong>c\u00e1ncer colorrectal <\/strong>es la <strong>segunda causa de muerte,<\/strong> luego del c\u00e1ncer de pulm\u00f3n.<\/p>\n\n\n\n<p>La Secci\u00f3n Coloproctolog\u00eda del Servicio de Cirug\u00eda del <span translate=\"no\">Hospital Alem\u00e1n<\/span> comenz\u00f3 un programa de desarrollo de este m\u00e9todo en el a\u00f1o 2000; dicho programa est\u00e1 a cargo de cirujanos colorrectales con entrenamiento en el exterior del pa\u00eds. Los resultados obtenidos con esta cirug\u00eda han sido <strong>muy satisfactorios<\/strong> y son comparables a los observados en los Centros de referencia mundial. Se han presentado m\u00faltiples publicaciones cient\u00edficas tanto a nivel nacional como internacional que confirman lo antedicho.<\/p>\n\n\n\n<p><strong>La Secci\u00f3n Coloproctolog\u00eda del Servicio de Cirug\u00eda del <span translate=\"no\">Hospital Alem\u00e1n<\/span> ha realizado m\u00e1s de 500 cirug\u00edas utilizando este m\u00e9todo, lo que nos convierte en la instituci\u00f3n con m\u00e1s experiencia del pa\u00eds.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La cirug\u00eda laparosc\u00f3pica es una t\u00e9cnica quir\u00fargica \u201cm\u00ednimamente invasiva\u201d, utilizada originalmente para tratar problemas ginecol\u00f3gicos y para extraer la ves\u00edcula. 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