BASES TÉCNICAS DA CIRURGIA DO CÓLON E RETO
Transcript of BASES TÉCNICAS DA CIRURGIA DO CÓLON E RETO
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BASES TÉCNICAS DA
CIRURGIA DO CÓLON E RETO
Dr. MARCELO RODRIGUES BORBA
HOSPITAL UNIVERSITÁRIO DA USP
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Apendicectomia Convencional
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Apendicectomia Laparoscópica
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Técnica Operatória
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10 mm
12 mm
5 mm
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D. Inflamatórias
Ad. jovem
Neoplasias
> 50 anos
D. Diverticular
> 60 anos
Angiodisplasias
> 60 anos
Megacólon chagásico
BASES TÉCNICAS DA CIRURGIA DO CÓLON E RETO
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França ...... 28,8
Japão ........ 21,6
Índia .......... 5,8
Austrália ... 37,7
EUA .......... 44,3
Brasil ....... 25,0
Havaí ......... 39,6
França ...... 28,8
Japão ........ 21,6
Índia .......... 5,8
Austrália ... 37,7
EUA .......... 44,3
Brasil ....... 25,0
Havaí ......... 39,6
N / 100 mil N / 100 mil
CANCER COLORRETAL
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LOCALIZAÇÃO
DiSario et al, Dis Colon Rectum 37:1277, 1994
34%
66%
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TUMOR DE COLON SINAIS E SINTOMAS
DIREITO
ANEMIA
PERDA PESO
MASSA
PALPAVEL
DOR
ALT HABITO
ESQUERDO
SANGRAMENTO
MUCO
ALT HABITO
DOR
PERDA PESO
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TUMOR DE COLON TRATAMENTO
•CIRÚRGICO
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TRATAMENTO CIRÚRGICO DO CÂNCER DO CÓLON
CÓLON DIREITO CECO
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GRAMPEADOR LINEAR CORTANTE
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GRAMPEADOR LINEAR CORTANTE
BIGORNA TAMPA PROTETORA
DA RECARGA
BOTÃO DE
DISPARO
ALAVANCA DE FECHAMENTO
RECARGA
©1995 Ethicon Endo-Surgery, Inc.
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TRATAMENTO CIRÚRGICO DO CÂNCER DO CÓLON
CÓLON TRANSVERSO
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TRATAMENTO CIRÚRGICO DO CÂNCER DO CÓLON
FLEXURA ESPLÊNICA
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TRATAMENTO CIRÚRGICO DO CÂNCER DO CÓLON
Colectomia subtotal
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TRATAMENTO CIRÚRGICO DO CÂNCER DO CÓLON
SIGMÓIDE
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GRAMPEADOR LINEAR
ARTICULÁVEL AX
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GATILHO
VISOR DE
DISPARO
BOTÃO DE
AJUSTE
TRAVA DE
SEGURANÇA
CABEÇA ALOJAMENTO
DE GRAMPOS
OBTURADOR
GRAMPEADOR CIRCULAR
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Retossigmoidectomia
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5mm
12mm
Retossigmoidectomia Laparoscópica
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Retossigmoidectomia Laparoscópica
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Retossigmoidectomia Laparoscópica
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TRATAMENTO CIRÚRGICO DO CÂNCER DO CÓLON
TUMORES SINCRÔNICOS
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ADENOCARCINOMA DE RETO
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TRATAMENTO CIRÚRGICO DO CÂNCER DO RETO
EXCISÃO TOTAL DO MESORETO
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CÂNCER DO RETO
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05
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CÂNCER DO RETO BAIXO
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ADENOCARCINOMA DE RETO
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CÂNCER DO RETO BAIXO
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• RCUI
• PROCTOCOLECTOMIA TOTAL E RECONSTRUCAO
COM BOLSA ILEAL .
DOENÇA INFLAMATÓRIA INTESTINAL
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05
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05
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Megacolon chagásico
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VOLVO DE SIGMÓIDE
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• HADDAD, RAIA E CORRÊA NETTO (1965)
CIRURGIA DE DUHAMEL-HADDAD
MEGACÓLON CHAGÁSICO - TRATAMENTO CIRÚRGICO
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MEGACÓLON CHAGÁSICO - TRATAMENTO CIRÚRGICO
• HADDAD, RAIA E CORRÊA NETTO
(1965)
CIRURGIA DE
DUHAMEL-HADDAD
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• HADDAD, RAIA E CORRÊA NETTO (1965)
• DUHAMEL-HADDAD
MEGACÓLON CHAGÁSICO - TRATAMENTO CIRÚRGICO
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EXTERIORIZAÇÃO DO MEGASSIGMÓIDE
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INCISÃO DO FOLHETO LATERAL DO MEGASSIGMÓIDE EXTENDENDO-SE PELA FACE ANTERIOR DO RETO ATÉ NÍVEL DA REFLEXÃO
PERITONEAL
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INCISÃO DO FOLHETO MEDIAL DO MEGASSIGMÓIDE PROLONGAMENTO DISTAL ATÉ O NÍVEL DA REFLEXÃO
PERITONEAL, ATÉ ENCONTRAR A INCISÃO CONTRALATERAL
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APÓS LIBERAÇÃO DO RETO NA REFLEXÃO PERITONEAL, PINÇAMENTO, SECÇÃO E LIGADURA
DA ARTÉRIA RETAL SUPERIOR
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SEPULTAMENTO DO COTO RETAL COM SUTURA MECÂNICA AO NÍVEL DA REFLEXÃO PERITONEAL
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DISSECÇÃO DA FACE POSTERIOR DO RETO, COM BISTURI ELÉTRICO, ATRAVÉS DO TECIDO
CONJUNTIVO FROUXO
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ENCAXE DA OGIVA NO GRANPEADOR. INICIAR APROXIMAÇÃO DA OGIVA AO
GRAMPEADOR
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ASPECTO FINAL DA ANASTOMOSE COLORRETAL
TÉRMINO LATERAL POSTERIOR
MEGACÓLON CHAGÁSICO - TRATAMENTO CIRÚRGICO
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• NEOPLASIA OBSTRUTIVA DE COLON .
• DIVERTICULITE AGUDA.
• TRAUMA.
• DII.
COLOSTOMIAS
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