Name: Terapia Endoscópica a Vácuo para Tratamento de Vazamento Anastomótico após Gastrectomia Total com Esofagojejunostomia (Vídeo) | JoVE Journal
Uploaded: 2025-08-22T13:55:00.000+00:00
Duration: 4 min 5 s
Description: Aprenda a terapia endoscópica a vácuo para tratamento de vazamento anastomótico após gastrectomia total com esofagojejunostomia. Este método minimamente invasivo acelera a recuperação e reduz complicações.

ai_agent_IP

ai_agent

maintenance

instantTrialDurationMinutes

isBiopharma

enableNewMyJoveSectionDesign

educationFeatures

seoMetaApi

ai_copilot_institution_blacklist

ai_chat_institution_blacklist

freeAccessWindow

ssoRoleCapture

scheduledMaintenanceBanner

joveLabsFeatures

disable_autoplay_for_bots

extended_trial_duration

5 minutes

<ol><li>Oh, S. J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Yonsei+gastric+cancer+clinic.+Complications+requiring+reoperation+after+gastrectomy+for+gastric+cancer%3A+17+years+experience+in+a+single+institute%5BTitle%5D)+AND+%22J+Gastrointest+Surg%22%5BJournal%5D)">Yonsei gastric cancer clinic. Complications requiring reoperation after gastrectomy for gastric cancer: 17 years experience in a single institute.</a> J Gastrointest Surg. 13 (2), 239-245 (2009).</li>
<li>Li, Q. G., Li, P., Tang, D., Chen, J., Wang, D. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Impact+of+postoperative+complications+on+long-term+survival+after+radical+resection+for+gastric+cancer%5BTitle%5D)+AND+%22World+J+Gastroenterol%22%5BJournal%5D)">Impact of postoperative complications on long-term survival after radical resection for gastric cancer.</a> World J Gastroenterol. 19 (25), 4060-4065 (2013).</li>
<li>Sierzega, M., Kolodziejczyk, P., Kulig, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Polish+Gastric+Cancer+Study+Group.+Impact+of+anastomotic+leakage+on+long-term+survival+after+total+gastrectomy+for+carcinoma+of+the+stomach%5BTitle%5D)+AND+%22Br+J+Surg%22%5BJournal%5D)">Polish Gastric Cancer Study Group. Impact of anastomotic leakage on long-term survival after total gastrectomy for carcinoma of the stomach.</a> Br J Surg. 97 (7), 1035-1042 (2010).</li>
<li>Migita, K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Risk+factors+for+esophagojejunal+anastomotic+leakage+after+elective+gastrectomy+for+gastric+cancer%5BTitle%5D)+AND+%22J+Gastrointest+Surg%22%5BJournal%5D)">Risk factors for esophagojejunal anastomotic leakage after elective gastrectomy for gastric cancer.</a> J Gastrointest Surg. 16 (9), 1659-1665 (2012).</li>
<li>Kanaji, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Can+the+intraoperative+leak+test+prevent+postoperative+leakage+of+esophagojejunal+anastomosis+after+total+gastrectomy%5BTitle%5D)+AND+%22Surg+Today%22%5BJournal%5D)">Can the intraoperative leak test prevent postoperative leakage of esophagojejunal anastomosis after total gastrectomy.</a> Surg Today. 46 (7), 815-820 (2016).</li>
<li>Yoo, H. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Negative+impact+of+leakage+on+survival+of+patients+undergoing+curative+resection+for+advanced+gastric+cancer%5BTitle%5D)+AND+%22J+Surg+Oncol%22%5BJournal%5D)">Negative impact of leakage on survival of patients undergoing curative resection for advanced gastric cancer.</a> J Surg Oncol. 104 (7), 734-740 (2011).</li>
<li>Makuuchi, R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Esophagojejunal+anastomotic+leakage+following+gastrectomy+for+gastric+cancer%5BTitle%5D)+AND+%22Surg+Today%22%5BJournal%5D)">Esophagojejunal anastomotic leakage following gastrectomy for gastric cancer.</a> Surg Today. 49 (3), 187-196 (2019).</li>
<li>Sauvanet, A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Mortality+and+morbidity+after+resection+for+adenocarcinoma+of+the+gastroesophageal+junction%3A+predictive+factors%5BTitle%5D)+AND+%22J+Am+Coll+Surg%22%5BJournal%5D)">Mortality and morbidity after resection for adenocarcinoma of the gastroesophageal junction: predictive factors.</a> J Am Coll Surg. 201 (2), 253-262 (2005).</li>
<li>Lang, H., Piso, P., Stukenborg, C., Raab, R., Jähne, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Management+and+results+of+proximal+anastomotic+leaks+in+a+series+of+1114+total+gastrectomies+for+gastric+carcinoma%5BTitle%5D)+AND+%22Eur+J+Surg+Oncol%22%5BJournal%5D)">Management and results of proximal anastomotic leaks in a series of 1114 total gastrectomies for gastric carcinoma.</a> Eur J Surg Oncol. 26 (2), 168-171 (2000).</li>
<li>Mandarino, F. V., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+%28EVT%29+versus+selfexpandable+metal+stent+%28SEMS%29+for+anastomotic+leaks+after+upper+gastrointestinal+surgery%3A+systematic+review+and+metaanalysis%5BTitle%5D)+AND+%22Life+%28Basel%29%22%5BJournal%5D)">Endoscopic vacuum therapy (EVT) versus selfexpandable metal stent (SEMS) for anastomotic leaks after upper gastrointestinal surgery: systematic review and metaanalysis.</a> Life (Basel). 13 (2), 287(2023).</li>
<li>Azevedo, I., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Anastomotic+leakages+after+surgery+for+gastroesophageal+cancer%3A+a+systematic+review+and+metaanalysis+on+endoscopic+versus+surgical+management%5BTitle%5D)+AND+%22GE+Port+J+Gastroenterol%22%5BJournal%5D)">Anastomotic leakages after surgery for gastroesophageal cancer: a systematic review and metaanalysis on endoscopic versus surgical management.</a> GE Port J Gastroenterol. 30 (3), 192-203 (2023).</li>
<li>Weidenhagen, R., Gruetzner, K. U., Wiecken, T., Spelsberg, F., Jauch, K. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuumassisted+closure+of+anastomotic+leakage+following+anterior+resection+of+the+rectum%3A+a+new+method%5BTitle%5D)+AND+%22Surg+Endosc%22%5BJournal%5D)">Endoscopic vacuumassisted closure of anastomotic leakage following anterior resection of the rectum: a new method.</a> Surg Endosc. 22 (8), 1818-1825 (2008).</li>
<li>Saxena, V., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Vacuumassisted+closure%3A+microdeformations+of+wounds+and+cell+proliferation%5BTitle%5D)+AND+%22Plast+Reconstr+Surg%22%5BJournal%5D)">Vacuumassisted closure: microdeformations of wounds and cell proliferation.</a> Plast Reconstr Surg. 114 (5), 1086-1096 (2004).</li>
<li>Argenta, L. C., Morykwas, M. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Vacuumassisted+closure%3A+a+new+method+for+wound+control+and+treatment%3A+clinical+experience%5BTitle%5D)+AND+%22Ann+Plast+Surg%22%5BJournal%5D)">Vacuumassisted closure: a new method for wound control and treatment: clinical experience.</a> Ann Plast Surg. 38 (6), 563-576 (1997).</li>
<li>Pines, G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Modified+endoscopic+vacuum+therapy+for+nonhealing+esophageal+anastomotic+leak%3A+technique+description+and+review+of+literature%5BTitle%5D)+AND+%22J+Laparoendosc+Adv+Surg+Tech+A%22%5BJournal%5D)">Modified endoscopic vacuum therapy for nonhealing esophageal anastomotic leak: technique description and review of literature.</a> J Laparoendosc Adv Surg Tech A. 28 (1), 33-40 (2018).</li>
<li>Pattynama, L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+for+anastomotic+leakage+after+upper+gastrointestinal+surgery%5BTitle%5D)+AND+%22Endoscopy%22%5BJournal%5D)">Endoscopic vacuum therapy for anastomotic leakage after upper gastrointestinal surgery.</a> Endoscopy. 55 (11), 1019-1025 (2023).</li>
<li>Luttikhold, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+for+esophageal+perforation%3A+a+multicenter+retrospective+cohort+study%5BTitle%5D)+AND+%22Endoscopy%22%5BJournal%5D)">Endoscopic vacuum therapy for esophageal perforation: a multicenter retrospective cohort study.</a> Endoscopy. 55 (9), 859-864 (2023).</li>
<li>do Monte Junior, E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+versus+endoscopic+stenting+for+upper+gastrointestinal+transmural+defects%3A+systematic+review+and+metaanalysis%5BTitle%5D)+AND+%22Dig+Endosc%22%5BJournal%5D)">Endoscopic vacuum therapy versus endoscopic stenting for upper gastrointestinal transmural defects: systematic review and metaanalysis.</a> Dig Endosc. 33 (6), 892-902 (2021).</li>
<li>Gutschow, C. A., Schlag, C., Vetter, D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+in+the+upper+gastrointestinal+tract%3A+when+and+how+to+use+it%5BTitle%5D)+AND+%22Langenbecks+Arch+Surg%22%5BJournal%5D)">Endoscopic vacuum therapy in the upper gastrointestinal tract: when and how to use it.</a> Langenbecks Arch Surg. 407 (3), 957-964 (2022).</li>
<li>Pattynama, L. M. D., Eshuis, W. J., Seewald, S., Pouw, R. E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Multimodality+management+of+defects+in+the+gastrointestinal+tract%3A+where+the+endoscope+meets+the+scalpel%3A+endoscopic+vacuum+therapy+in+the+upper+gastrointestinal+tract%5BTitle%5D)+AND+%22Best+Pract+Res+Clin+Gastroenterol%22%5BJournal%5D)">Multimodality management of defects in the gastrointestinal tract: where the endoscope meets the scalpel: endoscopic vacuum therapy in the upper gastrointestinal tract.</a> Best Pract Res Clin Gastroenterol. 70, 101901(2024).</li>
<li>Zhang, C. C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Feasibility%2C+effectiveness%2C+and+safety+of+endoscopic+vacuum+therapy+for+intrathoracic+anastomotic+leakage+following+transthoracic+esophageal+resection%5BTitle%5D)+AND+%22BMC+Gastroenterol%22%5BJournal%5D)">Feasibility, effectiveness, and safety of endoscopic vacuum therapy for intrathoracic anastomotic leakage following transthoracic esophageal resection.</a> BMC Gastroenterol. 21 (1), 72(2021).</li>
<li>Wedemeyer, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Management+of+major+postsurgical+gastroesophageal+intrathoracic+leaks+with+an+endoscopic+vacuumassisted+closure+system%5BTitle%5D)+AND+%22Gastrointest+Endosc%22%5BJournal%5D)">Management of major postsurgical gastroesophageal intrathoracic leaks with an endoscopic vacuumassisted closure system.</a> Gastrointest Endosc. 71 (2), 382-386 (2010).</li>
<li>Ruggiero, R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Postoperative+peritonitis+due+to+anastomotic+dehiscence+after+colonic+resection%3A+multicentric+experience%2C+retrospective+analysis+of+risk+factors+and+review+of+the+literature%5BTitle%5D)+AND+%22Ann+Ital+Chir%22%5BJournal%5D)">Postoperative peritonitis due to anastomotic dehiscence after colonic resection: multicentric experience, retrospective analysis of risk factors and review of the literature.</a> Ann Ital Chir. 82 (5), 369-375 (2011).</li>
<li>Scognamiglio, P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+versus+stenting+for+postoperative+esophagoenteric+anastomotic+leakage%3A+systematic+review+and+metaanalysis%5BTitle%5D)+AND+%22Endoscopy%22%5BJournal%5D)">Endoscopic vacuum therapy versus stenting for postoperative esophagoenteric anastomotic leakage: systematic review and metaanalysis.</a> Endoscopy. 52 (8), 632-642 (2020).</li>
<li>Guo, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Choice+of+therapeutic+strategies+in+intrathoracic+anastomotic+leak+following+esophagectomy%5BTitle%5D)+AND+%22World+J+Surg+Oncol%22%5BJournal%5D)">Choice of therapeutic strategies in intrathoracic anastomotic leak following esophagectomy.</a> World J Surg Oncol. 12, 402(2014).</li>
<li>Leeds, S. G., Burdick, J. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Management+of+gastric+leaks+after+sleeve+gastrectomy+with+endoluminal+vacuum+%28EVac%29+therapy%5BTitle%5D)+AND+%22Surg+Obes+Relat+Dis%22%5BJournal%5D)">Management of gastric leaks after sleeve gastrectomy with endoluminal vacuum (EVac) therapy.</a> Surg Obes Relat Dis. 12 (7), 1278-1285 (2016).</li>
<li>Tavares, G., Tustumi, F., Tristão, L. S., Bernardo, W. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Endoscopic+vacuum+therapy+for+anastomotic+leak+in+esophagectomy+and+total+gastrectomy%3A+a+systematic+review+and+metaanalysis%5BTitle%5D)+AND+%22Dis+Esophagus%22%5BJournal%5D)">Endoscopic vacuum therapy for anastomotic leak in esophagectomy and total gastrectomy: a systematic review and metaanalysis.</a> Dis Esophagus. 34 (5), doaa132(2021).</li>
<li>Smallwood, N. R., Fleshman, J. W., Leeds, S. G., Burdick, J. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((The+use+of+endoluminal+vacuum+%28EVac%29+therapy+in+the+management+of+upper+gastrointestinal+leaks+and+perforations%5BTitle%5D)+AND+%22Surg+Endosc%22%5BJournal%5D)">The use of endoluminal vacuum (EVac) therapy in the management of upper gastrointestinal leaks and perforations.</a> Surg Endosc. 30 (6), 2473-2480 (2016).</li>
<li>Laukoetter, M. G., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Successful+closure+of+defects+in+the+upper+gastrointestinal+tract+by+endoscopic+vacuum+therapy+%28EVT%29%3A+a+prospective+cohort+study%5BTitle%5D)+AND+%22Surg+Endosc%22%5BJournal%5D)">Successful closure of defects in the upper gastrointestinal tract by endoscopic vacuum therapy (EVT): a prospective cohort study.</a> Surg Endosc. 31 (6), 2687-2696 (2017).</li>
<li>Aziz, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Safety+and+effectiveness+of+endoluminal+vacuumassisted+closure+for+esophageal+defects%3A+systematic+review+and+metaanalysis%5BTitle%5D)+AND+%22Endosc+Int+Open%22%5BJournal%5D)">Safety and effectiveness of endoluminal vacuumassisted closure for esophageal defects: systematic review and metaanalysis.</a> Endosc Int Open. 9 (9), E1371-E1380 (2021).</li>
<li>Pardo, E., Camus, M., Verdonk, F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Anesthesia+for+digestive+tract+endoscopy%5BTitle%5D)+AND+%22Curr+Opin+Anaesthesiol%22%5BJournal%5D)">Anesthesia for digestive tract endoscopy.</a> Curr Opin Anaesthesiol. 35 (4), 528-535 (2022).</li>
<li>Grund, K. E., Schweizer, U., Zipfel, A., DuckworthMothes, B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Learning+of+flexible+endoscopy%2C+particularly+endoscopic+vacuum+therapy+%28EVT%29%5BTitle%5D)+AND+%22Chirurg%22%5BJournal%5D)">Learning of flexible endoscopy, particularly endoscopic vacuum therapy (EVT).</a> Chirurg. 93 (1), 56-63 (2022).</li>
<li>RodriguesPinto, E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((International+multicenter+expert+survey+on+endoscopic+treatment+of+upper+gastrointestinal+anastomotic+leaks%5BTitle%5D)+AND+%22Endosc+Int+Open%22%5BJournal%5D)">International multicenter expert survey on endoscopic treatment of upper gastrointestinal anastomotic leaks.</a> Endosc Int Open. 7 (12), E1671-E1682 (2019).</li>
<li>Chon, S. H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((VACStent%3A+a+new+option+for+endoscopic+vacuum+therapy+in+patients+with+esophageal+anastomotic+leaks+after+upper+gastrointestinal+surgery%5BTitle%5D)+AND+%22Endoscopy%22%5BJournal%5D)">VACStent: a new option for endoscopic vacuum therapy in patients with esophageal anastomotic leaks after upper gastrointestinal surgery.</a> Endoscopy. 52 (5), E166-E167 (2020).</li>
<li>Lange, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((The+VACStent+trial%3A+combined+treatment+of+esophageal+leaks+by+covered+stent+and+endoscopic+vacuum+therapy%5BTitle%5D)+AND+%22Surg+Endosc%22%5BJournal%5D)">The VACStent trial: combined treatment of esophageal leaks by covered stent and endoscopic vacuum therapy.</a> Surg Endosc. 37 (5), 3657-3668 (2023).</li>
<li>Chon, S. H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((A+new+hybrid+stent+using+endoscopic+vacuum+therapy+in+treating+esophageal+leaks%3A+a+prospective+singlecenter+experience+of+its+safety+and+feasibility+with+midterm+followup%5BTitle%5D)+AND+%22Dis+Esophagus%22%5BJournal%5D)">A new hybrid stent using endoscopic vacuum therapy in treating esophageal leaks: a prospective singlecenter experience of its safety and feasibility with midterm followup.</a> Dis Esophagus. 35 (4), doab067(2022).</li>
</ol>

<table><tbody><tr><td>Tubo de conexão de sucção externa descartável</td><td>Henna Tuoren Melhor Equipamento Médico Co., Ltd.</td><td>Tipo II-2.0</td><td></td></tr><tr><td>Dispositivo descartável de drenagem de pressão negativa</td><td>Henna Tuoren Melhor Equipamento Médico Co., Ltd.</td><td>Tipo II-1: 2000 mL</td><td></td></tr><tr><td>Tubo de drenagem</td><td>Yangzhou Huawei Medical Equipment Co., Ltd.</td><td>6,0 mm (Fr18)</td><td></td></tr><tr><td>Endoscópio</td><td>Olimpo</td><td>GIF-H170</td><td></td></tr><tr><td>Pinça endoscópica</td><td>Changzhou JIUHONG Medical Instruments Co., Ltd.</td><td>JHY-FB-23-160-O-O</td><td></td></tr><tr><td>Tubo de alimentação nasojejunal</td><td>Fresenius kabi AG</td><td>CH/FR 15.100 CM</td><td></td></tr><tr><td>Esponja de poliuretano de célula aberta</td><td>Guangdong Meiji Biotechnology Co., Ltd.</td><td>MJ-03B4</td><td></td></tr><tr><td>Sutura não absorvível de polipropileno</td><td>ÍCONE</td><td>8522H</td><td></td></tr></tbody></table>

terapia endoscópica a vácuo para tratamento de vazamento anastomótico após gastrectomia total com esofagojejunostomia

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Neste caso representativo, o paciente foi submetido à substituição de EVTDD três vezes. O tempo médio de procedimento para colocação do EVTDD foi de 37 min, e o tempo total de internação hospitalar na unidade foi de 21 dias. Nenhuma complicação foi observada durante ou após os procedimentos de EVT.
Durante o primeiro procedimento de EVT, a endoscopia revelou um vazamento de 1 cm × 1,5 cm na anastomose esofagojejunal, circundada por um revestimento purulento amarelo-esbranquiçado, com linhas de...

Terapia Endoscópica a Vácuo para Tratamento de Vazamento Anastomótico após Gastrectomia Total com Esofagojejunostomia

Endoscopic vacuum therapy (EVT) offers an effective alternative for the treatment of anastomotic leakage. Current treatment options for leakage include ...

endoscopic-vacuum-therapy-for-treatment-anastomotic-leakage-after

Research

JoVE Journal

Medicine

Medicina

Descrevemos uma nova técnica anastogásótica intratorácica, projetada para criar uma anastomose de grande diâmetro, mantendo simultaneamente o suprimento sanguíneo do conduíte para minimizar a incidência de vazamentos e estratos. A construção e orientação do conduíte estomacal projetado para otimizar a função do trato gastrointestinal superior também é descrita.

Uma esofactomia de Ivor Lewis projetada para minimizar complicações anastomóticas e otimizar a função do conduíte

Para minimizar a dificuldade técnica e melhorar a segurança da miotomia endoscópica peroral (POEM), descrevemos um protocolo para o uso de uma faca tipo tesoura para as principais etapas do POEM, incluindo incisão mucosa, tunelamento submucoso, miotomia e hemostasia.

Uso da faca tipo tesoura durante o procedimento de miotomia por endoscopia peroral para o tratamento da acalasia

A cirurgia do intestino anterior Redo está associada ao aumento da morbidade do paciente e apresenta um desafio técnico para o cirurgião. Descrevemos nossa abordagem e considerações ao realizar um reparo de hérnia de hiato para fornecer um guia para outros cirurgiões e melhorar os resultados dos pacientes.

Considerações técnicas e abordagem para refazer a cirurgia do intestino anterior

O protocolo apresenta uma abordagem robótica da miotomia de Heller para o tratamento da acalasia.

Miotomia robótica de Heller para avanços no tratamento cirúrgico da acalasia

A gastrectomia proximal laparoscópica de incisão única mais um portal com anastomose de canal duplo foi inicialmente empregada para a ressecção radical do câncer gástrico proximal. Este estudo demonstrou a viabilidade do procedimento e lançou as bases para pesquisas futuras.

Incisão única mais uma gastrectomia proximal laparoscópica de uma porta com anastomose de canal duplo para tratamento de câncer gástrico

A escleroterapia por injeção endoscópica subaquática pode ser uma escolha para pacientes com varizes gastroesofágicas (GEVs). A diminuição do peristaltismo do esôfago debaixo d'água pode aumentar a taxa de sucesso da injeção intravascular e estabilizar a visão.

Escleroterapia de injeção endoscópica subaquática para varizes gastroesofágicas

Uma nova metodologia que é utilizada para o tratamento de glioblastomas recorrentes é descrito. Esta abordagem de tratamento emprega a aplicação alternada de tumor eléctrico tratamento campos (TTFields), conhecido como TTF terapia em combinação com bevacizumab, um agente direccionado que está actualmente aprovado pela FDA como monoterapia.

Tumor Tratar Terapia campo em combinação com bevacizumabe para o tratamento do glioblastoma recorrente

Este protocolo descreve um procedimento para rastrear a evolução das medidas da rede mesial em pacientes com epilepsia do lobo temporal (ELT). Baseia-se na combinação de registros intracranianos com uma nova técnica numérica para análise de dados. Especificamente, apresentamos um protocolo para análises de rede de registros do forame oval.

Análise de Redes de forame oval Eletrodo Recordings na epilepsia do lobo temporal Os pacientes resistentes a drogas

Maturação in vitro (IVM) antes da operação ginecológica (OP-IVM) combina IVM após recuperação de oócito com cirurgia ginecológica de rotina e serve como uma extensão das aplicações convencionais de IVM para preservação da fertilidade.

OP-IVM: Combinando Maturação In vitro após Recuperação de Oócito com Cirurgia Ginecológica

Este artigo descreve dois protocolos: 1) laserterapia com diodo adjuvante para o tratamento da periodontite e 2) terapia probiótica com Lactobacilos para o tratamento da doença peri-implante, com ênfase no modo de uso do laser (dentro ou fora da bolsa), regime de aplicação do laser (sessões únicas ou múltiplas) e um protocolo probiótico de administração profissional e domiciliar.

Terapia a Laser com Diodo Adjuvante e Terapia Probiótica de Lactobacilos no Tratamento de Periodontite e Doença Peri-Implante

Aprenda a terapia endoscópica a vácuo para tratamento de vazamento anastomótico após gastrectomia total com esofagojejunostomia. Este método minimamente invasivo acelera a recuperação e reduz complicações.

Terapia Endoscópica a Vácuo para Tratamento de Vazamento Anastomótico após Gastrectomia Total com Esofagojejunostomia

Explorar mais vídeos