Browsing by Author "Jarufe Cassis, Nicolás"

Now showing 1 - 15 of 15
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    Amylase Level in Drains After Pancreatoduodenectomy as a Predictor of Clinically Significant Pancreatic Fistula
    (2014) Ceroni Villanelo, Marco; Galindo, J.; Guerra Castro, Juan Francisco; Salinas, J.; Martínez Castillo, Jorge; Jarufe Cassis, Nicolás
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    Anatomic hepatectomy as a definitive treatment for hepatolithiasis: a cohort study
    (2012) Jarufe Cassis, Nicolás; Figueroa, Eduardo; Muñoz Castro, César; Moisan Paravic, Fabricio Robertino; Varas Cohen, Julián; Valbuena Mora, José Rafael; Bambs S., Claudia; Martínez Castillo, Jorge; Pimentel Müller, Fernando
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    Complicaciones neurológicas en pacientes adultos sometidos a trasplante hepático ortotópico. Experiencia de un centro universitario
    (2008) Mellado T., Patricio; Peredo Orellana, Pilar Andrea; Valenzuela Mangini, Raúl Francisco; Arrese Jiménez, Marco; Pérez Ayuso, Rosa María; Domínguez, Pilar; Guerra Castro, Juan Francisco; Jarufe Cassis, Nicolás; Martínez Castillo, Jorge
    Background: Orthotopic liver transplantation (OLT) is the treatment of choice for multiple acute and chronic end-stage liver diseases as well as for selected cases of liver malignancy and liver-site metabolic disorders. Neurological impairment is a major source of morbidity and mortality following OLT. Aim: To describe the incidence and the type of neurological complications occurring in the post-operative period of OLT in patients transplanted in our hospital. Material and methods: Between March 1994 and August 2007, 76 adult patients underwent OLT. Data on incidence, time of onset, and outcome of central nervous system (CNS) complications have been obtained from our program data base and patient charts. Results: Twenty three patients (30.3%) had CNS complications following OLT. The leading complications were immunosuppressive drug-related neurological impairment in nine patients (39.1%), peripheral nerve damage in five patients (21.7%), central pontine myelinolysis in four patients (17.4%), cerebrovascular disease in three (13%) and CNS infection in three (13%). Most CNS events (90%) occurred in the first 2 weeks after OLT. Five patients with neurological complications died (22%). Conclusions: CNS complications occurred in almost one fifth of the population studied, and they had a poor outcome, as previously reported
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    Effectiveness of Learning Advanced Laparoscopic Skills in a Brief Intensive Laparoscopy Training Program
    (2015) Castillo, Richard; Buckel, Erwin; Leon, Felipe; Varas, Julián; Alvarado, Juan; Achurra Tirado, Pablo; Aggarwal, Rajesh; Jarufe Cassis, Nicolás; Boza, Camilo
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    Gallbladder Cancer : expert consensus statement
    (2015) Aloia, Thomas A.; Jarufe Cassis, Nicolás; Javle, Milind; Maithel, Shishir K.; Roa Strauch, Juan Carlos Enrique; Adsay, Volkan; Coimbra, Felipe J. F.; Jarnagin, William R.
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    Hepatectomía laparoscópica
    (2013) Jarufe Cassis, Nicolás; Marambio Granic, Andrés Javier; De La Llera K. J; Varas, Julián; Sanhueza García, Marcel Paolo; Martínez Castillo, Jorge
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    Hipotermia intravascular inducida en el manejo de la hipertensión intracraneana en insuficiencia hepática aguda. Caso clínico
    (2009) Castillo Fuenzalida, Luis Benito; Pérez Ríos, Cristián; Ruiz B., C.; Bugedo Tarraza, Guillermo; Hernández P., Glenn; Martínez Castillo, Jorge; Jarufe Cassis, Nicolás; Pérez Ayuso, Rosa María; Mellado T., Patricio; Domínguez, P.
    Acute liver failure has a mortality rate in excess of 80%. Most deaths are attributed to brain edema with intracranial hypertension and herniation of structures, where ammonium plays a major role in its generation. We report an 18 year-old female with a fulminant hepatic failure caused by virus A infection. The patient developed a profound sopor and required mechanical ventilation. A CT scan showed the presence of brain edema and intracranial hypertension. A Raudemic® catheter was inserted to measure intracranial pressure and brain temperature. Intracranial hypertension became refractory and intravascular hypothermia was started, reducing brain temperature to 33oC. Seventy two hours later, a liver transplantation was performed. After testing graft perfusion, rewarming was started, completing 122 hours of hypothermia at 33oC. The patient was discharged in good conditions after 69 days of hospitalization (Rev Méd Chile 2009; 137: 801-6).
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    Indicaciones inhabituales de trasplante hepático Resultados
    (2020) Briceño, Eduardo; Soriano Brucher, Humberto Eduardo; Gana Ansaldo, Juan Cristóbal; Benítez, Carlos; Barrera Martínez, Francisco; Montaña Rodríguez, Rodrigo; Concha P., Mario; Jarufe Cassis, Nicolás; Guerra Castro, Juan Francisco; Dib Marambio, Martín Javier; Martínez Castillo, Jorge; Troncoso T., Andrés; Cancino M., Alejandra; Dellepiane M., Paulina; Wolff R., Rodrigo; Pattillo Silva, Juan Carlos
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    Metástasis hepática de origen no colorrectal ni neuroendocrino. Tratamiento quirúrgico
    (2010) Yáñez M, R.; Gamboa C, C.; Crovari Eulufi, Fernando; Guzmán Bondiek, Sergio; Martínez Castillo, Jorge; Jarufe Cassis, Nicolás; Curi Tuma, Maximiliano; Weisse Ayach, Osvaldo; Guerra Castro, Juan Francisco
    Introducción: Existe un claro beneficio en el tratamiento quirúrgico de las metástasis hepáticas de origen colorrectal y neuroendocrinas; sin embargo, todavía no está bien definida la efectividad de la resección quirúrgica en tumores de origen diferente a los anteriores. El objetivo del presente estudio es dar a conocer los resultados del tratamiento quirúrgico en este grupo de pacientes. Pacientes y Método: Análisis de la base de datos electrónica de los pacientes con metástasis hepáticas de origen no colorrectal ni neuroendocrina que fueron sometidos a resección hepática en nuestro centro entre los años 2000-2009. Resultados: La serie estuvo constituida por 17 pacientes, nueve mujeres, mediana de edad de 51 años (rango, 22-78). Los principales sitios de origen del tumor primario fueron estómago, hígado, glándulas suprarrenales y útero. En dos casos se realizó cirugía sincrónica del primario y las metástasis; la técnica utilizada fue segmentectomía anatómica en 10 pacientes (58,8%) y resección anatómica mayor los siete restantes (41,2%). En 15 pacientes (88,2%) se logró borde quirúrgico libre de tumor, tres pacientes presentaron complicaciones postoperatorias y en tres hubo recidiva de la lesión hepática. No hubo mortalidad operatoria. Tras un seguimiento de 21 meses (rango, 9-56) la supervivencia al año, a los dos y a los tres años fue de 85%, 51% y 51% respectivamente. Discusión: El tratamiento quirúrgico de los pacientes con metástasis hepáticas de origen no colorrectal ni neuroendocrino es seguro y parece beneficioso en pacientes seleccionados, con baja tasa de complicaciones y con supervivencia favorable.
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    Minimally invasive approaches to extrapancreatic cholangiocarcinoma
    (2013) Gumbs, Andrew A.; Jarufe Cassis, Nicolás; Gayet, Brice
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    Necrosectomía laparoscópica en pancreatitis aguda
    (2010) Funke, Ricardo; Donoso, A.; Rondanelli, M. O.; Patillo, J. C.; Boza, Camilo; Crovari Eulufi, Fernando; Perez, G.; Pimentel Muller, Fernando; Ibañez Anrique, Luis; Guzmán Karadima, Sergio; Jarufe Cassis, Nicolás; Escalona, Alex; Funke, R.; Donoso, A.; Rondanelli, M. O.; Patillo, J. C.; Boza, Camilo; Crovari Eulufi, Fernando; Perez, G.; Pimentel Muller, Fernando; Ibañez Anrique, Luis; Guzman, S.; Jarufe Cassis, Nicolás; Escalona, A.
    Introducción: La pancreatitis aguda grave, asociada a necrosis pancreática infectada, tiene una elevada mortalidad. En la mayoría de los casos, el tratamiento es quirúrgico, sin embargo, este se asocia a una alta morbilidad. El desarrollo de la cirugía mí
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    Rol de la tomografía computada de abdomen y pelvis con contraste intravenoso en las decisiones clínicas de pacientes con obstrucción de intestino delgado por bridas
    (2014) Quezada Sanhueza, Nicolás; León, F.; Bachler, J.; Riquelme Pizarro, Carlos Rodrigo; Crovari Eulufi, Fernando; Jarufe Cassis, Nicolás; Quezada Sanhueza, Nicolás; León, F.; Bachler, J.; Riquelme, Carlos.; Crovari Eulufi, Fernando; Jarufe Cassis, Nicolás
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    Self-Confidence on acquired surgical skills to deal with severe trauma patients in recently graduated surgeons
    (2022) Vela Ulloa, Javier; Cárcamo Gruebler, Leonardo; Contreras Bartolo, Caterina; Rebolledo Acevedo, Rolando; Varas Cohen, Julián; Martínez Castillo, Jorge; Jarufe Cassis, Nicolás; Achurra Tirado, Pablo; Pontificia Universidad Católica de Chile. Escuela de Medicina
    Trauma is one of the leading causes of death in the world and proper surgical care is critical to impact mortality. In Chile, trauma associated death ranks first as mortality cause in population between 20 and 59 years old. Appropriate surgical skills are required to deal with these complex patients. Self-confidence to practice trauma procedures after the General Surgery Residency have not been reported in our country. Aim: Describe the level of self-confidence to deal with trauma procedures of surgeons who recently graduated from a General Surgery Residency. Method: Descriptive cross-sectional study. We designed and applied a survey in 2015, 2016 and 2017 to recently graduated surgeons, to inquire about self-confidence of surgical skills to deal with trauma scenarios. Eighteen trauma surgery procedures (including cervical, thoracic, abdominal and vascular procedures) were evaluated using a 5-grade Likert scale. The number of procedures performed during the residency was also queried. Results: Eighty-eight recently graduated surgeons from 11 different training programs in Chile were included. The report of competencies was high in procedures such as intestinal injuries, were 98% felt competent or very competent in their repair. On the other hand, in complex traumas such as major vessel injury, up to 76% reported not being competent. Self-confidence on procedures was directly associated with the number of procedures performed during residency. Conclusions: Recently graduated surgeons from General Surgery Programs report high levels of confidence to deal with low and intermediate complexity traumas, but a lower level of confidence to treat high complexity cases.
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    Tratamiento resectivo del hepatocarcinoma
    (2015) Bächler, Jean Phillipe; Martínez Castillo, Jorge; Guerra Castro, Juan Francisco; Jarufe Cassis, Nicolás
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    Validation of a Visual-Spatial Secondary Task to Assess Automaticity in Laparoscopic Skills
    (2018) Castillo, Richard; Alvarado, Juan; Moreno, Pablo; Billeke, Pablo; Martinez, Carlos; Varas, Julian; Jarufe Cassis, Nicolás