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Biomedical subjects

J Tubía Landaberea

Publications and source records attributed to J Tubía Landaberea.

4 recordsLinked to original sources

[The recurrence of colorectal cancer and blood transfusion].

Report of a retrospective study on 303 patients operated from colorectal carcinoma to whom colonic resection was done in B and C stages of Astler-Coller's classification. The aim was to try to find a relation between blood transfusion and colorectal carcinoma recurrence. The statistical study is made with the program LOGIT, studying the surgical incision, evolutive stage and blood transfusion variables. The significant contribution of each variable in the occurrence of recurrence is studied with the Wald Test. As a result it can be deduced that the prognosis of colorectal cancer is influenced by three factors: the evolutive stage, the surgical incision (1.87 times more frequent for the abdomino-perineal) and the transfusion of more of three units of blood in the perioperative period which multiplies by 2.85 the risk of recurrence of colorectal carcinoma. In our hospital almost exclusively red cell concentrates (including red cells, white cells and minimal fraction of plasma), are transfused; possibly the white cells are responsible for the recurrence.

Adenocarcinoma↗

[Solid and papillary tumor on ectopic pancreas in transversal mesocolon].

A solid and papillary neoplasm of a mesocolonic ectopic pancreas, 6 cm of diameter, was found by chance in a woman age 33 and resected surgically. The histologic study showed a well delimited tumor made up of uniform eosinophilic cells forming papillae, with solid and cystics areas. Pancreatic tissue was detected in the periphery of the neoplasm. The presence of ectopic pancreas with a solid and papillary tumor is extremely rare. We have only found one case in the literature (5).

Adult↗

[Hernias of Morgagni. Presentation of 2 cases which presented with gastric volvulus].

Morgagni's hernia is an uncommon type of diaphragmatic hernia. We present two cases presenting as gastric volvulus; the patients underwent elective surgery after resolution of the acute event. The clinical manifestations and diagnostic procedures to reach the diagnosis before surgery are explained, as well as the advantages of the abdominal over the thoracic approach.

Aged↗

[Colonic surgery in the elderly. Comparative study with other age groups].

From 1980 to 1986, 569 patients with colonic disease underwent surgery in the General Surgery Service of "Nuestra Sra. de Aránzazu" Hospital, 131 of them over 75 and representing 23% of the total. In this group, neoplasms were the most common lesion, for a total of 108 cases (83.2%). Among nontumoral diseases, half corresponded to diverticula. Colonic surgery was practiced as an emergency in 35.87% of the cases and in 72.7% of the non-neoplastic lesions, with an overall operative mortality of 28 patients (21.37%). We analyze the distribution of the different lesions of the colon, the urgency of the operation and operative mortality as related to age, evaluating the limitations in elderly patients and their increased surgical risk.

Age Factors↗