Browsing by Author "Goulart, A"
Now showing 1 - 10 of 23
Results Per Page
Sort Options
- 231 colecistectomias em ambulatório... que resultados?Publication . Goulart, A; Delgado, M; Antunes, MC; Braga dos Anjos, J
- 231 laparoscopic cholecystectomy in ambulatory: what results?Publication . Goulart, A; Delgado, M; Antunes, MC; Braga dos Anjos, Jntroduction: Laparoscopic cholecystectomy is the gold standard procedure for the treatment of lithiasic gallblader pathology and acute cholecystitis. Whether or not it should be done as ambulatory surgery is still being discussed. The present study aims to analyze the quality and safety of laparoscopic cholecystectomy conducted by the Ambulatory Unit of Hospital de Braga and compare the results with those from other European surgical centers performing LC as ambulatory surgery. Material and Methods: Observational prospective study of patients submitted to laparoscopic cholecystectomy in ambulatory surgery during a period of 26 months. Data regarding patients' demography, peri- and postoperative complications, surgical time, time in recovery room, and readmission rates was collected. Results: A total of 231 patients were subjected to Laparoscopic cholecystectomy in the ambulatory unit with overnight stay (time to discharge less than 24 hours). Three patients presented with intra-operative complications, which needed conversion to laparotomy, and four patients were admitted after surgery. The mean time for the procedure was 58 minutes and the mean time for recovery was 19h19 minutes. Postoperative morbidity was 7.8% with 2 nonscheduled admission having occurred. Discussion: One of the controversies regarding laparoscopic cholecystectomy as an outpatient procedure is the need for overnight hospital surveillance. In our unit, we have started LC on an outpatient basis with an overnight stay. Using this protocol, over the past two years, we have operated 231 patients and our results show that this is a completely safe technique. Conclusions: Data from the study suggests that LC is a safe technique when performed in ambulatory practice, having similar results to other european surgical centers.
- 5 anos de GIST: experiência de uma unidade esófago-gástricaPublication . Goulart, A; Carneiro, T; Luís, D; Gomes, A
- Avaliação do risco cirúrgico nos doentes com cancro colo-rectal: POSSUM ou ACPGBIPublication . Goulart, A; Martins, SIntroduction: Several models have been developed with the purpose of predicting surgical risk of patients submitted to colorectal cancer surgery. However, to date, there isn’t any model that fulfills this purpose in a satisfactory manner. Methods: We consulted the clinical processes of 345 patients, who were submitted to surgical colorectal cancer treatment at the General Surgery department in Hospital de Braga, and calculated surgical risk based on the following risk assessment scales: Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity (POSSUM), Portsmouth POSSUM (P-POSSUM), ColoRectal POSSUM (CR-POSSUM), Association of Coloproctology of Great Britain and Ireland (ACPGBI) and modified ACPGBI. For all scales, we compared observed and previewed mortality and calculated Receiver Operating Characteristic (ROC) curve. Results and conclusion:The study included 345 patients submitted to colorectal cancer surgery of which 219 were male and 126 were female, with an average age of 68 years old. Most patients (69,0%) presented with colon cancer and 86,4% were submitted to elective surgery. Post-operatory mortality at 30 days was 3,768%. In the present study, despite no model being statistically better than the other, the ACPGBI model was the one that showed more discriminative properties which, along with easier applicability, makes it the best model for evaluating surgical risk in our population.
- Avaliação do risco cirúrgico nos doentes com cancro colo-rectal: POSSUM ou ACPGBI?Publication . Goulart, A; Martins, S
- Avaliação sistemática dos indicadores de qualidade e segurança em cirurgia de ambulatórioPublication . Goulart, A; Delgado, M; Antunes, MC; Braga dos Anjos, JM
- Divertículo de Meckel perfurado por palito: relato de um caso clínicoPublication . Goulart, A; Pereira, R; Leão, P; Gomes, C; Carvalho, A
- Divertículo de Meckel perfurado por palito: relato de um caso clínicoPublication . Goulart, A; Pereira, R; Leão, P; Gomes, C; Carvalho, A
- Doctor, How Much Weight Will I Lose?” – A Predictive Model Of Bariatric Surgery OutcomesPublication . Goulart, A; Maia da Costa, J; Manso, F; Leão, P
- Dois anos de experiência de hernioplastias inguinais com a prótese auto-adesiva ProGrip em regime de ambulatórioPublication . Goulart, A; Delgado, M; Antunes, MC; Braga dos Anjos, J
- «
- 1 (current)
- 2
- 3
- »