MARCO AURELIO SANTO FILHO
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
7 resultados
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conferenceObject ROBOTIC-ASSISTED REVISIONAL ROUX-EN-Y GASTRIC BYPASS FOR LARGE HIATAL HERNIA AND MASSIVE INTRATHORACIC SLEEVE MIGRATION(2023) SANTO FILHO, Marco Aurelio; DANTAS, Anna Carolina Batista; ARABI, Arthur Youssif Mota; PAJECKI, Denis; SANTO, Marco Aurelio- Diaphragmatic Hernia Repair After Esophagectomy: Technical Report and Lessons After a Series of Cases(2020) TAKEDA, Flavio R.; TUSTUMI, Francisco; FILHO, Marco A. S.; SILVA, Matheus O.; JUNIOR, Ulysses R.; SALLUM, Rubens A. A.; CECCONELLO, IvanIntroduction: Diaphragmatic hernia (DH) repair after esophagectomy is infrequent and technically challenging. Such hernias are mostly asymptomatic and have an estimated incidence of around 2.5%. Controversy continues over suture versus mesh cruroplasty. This article reports a series of cases and a description of the technique, showing this type of procedure being performed in the medical literature and its results. Methods: A DH was diagnosed, and repair was performed in eight out of 328 esophagectomies. All of them were performed through the following steps: (1) Pulling the hernia content down properly without handling the intestinal segment directly to not promote serosal lesions; (2) Lysis of adhesions-this should be done close to the diaphragmatic pillar, with precaution toward the vessels running in the epiplon and near the greater gastric curvature; and (3) Closure of the diaphragmatic hiatus achieved with anterior and posterior sutures. Mesh repair was performed across the DH defects that measured more than 5.5 cm. Results: The patients constituted five men (62.5%) with a mean age of 61.6 years. The main DH-related symptom was abdominal pain, reported by four patients (50%). The other symptoms mentioned were dyspnea (37.5%), thoracic pain (25%), and dysphagia (25%). The mean hospitalization period was 17.5 days and was related to the restoration of the respiratory function. Most of the DH repairs were performed by adopting a laparoscopic approach. Conclusions: DH is a rare complication following esophagectomy with most of the symptomatic manifestations. However, its repair is feasible and safe, with low morbidity (only respiratory complications) and no mortality.
- Management of Respiratory Failure Caused by COVID-19 after Thoracoscopic Esophagectomy(2021) TAKEDA, Flavio Roberto; OBREGON, Carlos de Almeida; NAVARRO, Yasmin Peres; SANTO FILHO, Marco Aurelio; RIBEIRO JUNIOR, Ulysses; SALLUM, Rubens Antonio Aissar; CECCONELLO, Ivan
- Stent migration requiring surgical removal: a serious adverse event after bariatric megastent placement(2018) MADRUGA NETO, Antonio C.; BRUNALDI, Vitor O.; OKAZAKI, Ossamu; SANTO FILHO, Marco A.; MIRANDA NETO, Antonio A.; ANAPAZ, Vera L.; MOURA, Eduardo G. H. de
- Feasibility of Large Liver Grafts in Adults(2020) LIMA, Marisa Rafaela Damasceno; WAISBERG, Daniel Reis; ZANINI, Leonardo Yuri; PINHEIRO, Rafael Soares; NACIF, Lucas Souto; ERNANI, Lucas; ARANTES, Rubens Macedo; LINS-ALBUQUERQUE, Marcos Vinicius; SANTO FILHO, Marco Aurelio; MARTINO, Rodrigo Bronze; ROCHA-SANTOS, Vinicius; DUCATTI, Liliana; HADDAD, Luciana Bertocco; SONG, Alice Tung; LEE, Andre Dong; GALVAO, Flavio Henrique; ANDRAUS, Wellington; CARNEIRO-D'ALBUQUERQUE, Luiz Augusto
- Long-term complete remission of large hepatocellular adenoma after bariatric surgery(2021) DANTAS, Anna Carolina Batista; SANTO FILHO, Marco Aurelio; JEISMANN, Vagner Birk; FARIA, Luisa Leitao de; MUNIZ, Renan Rosetti; ROCHA, Manoel de Souza; HERMAN, Paulo; SANTO, Marco AurelioWe report the case of an obese woman with a large hepatocellular adenoma (HCA) of 8.0 cm in diameter, followed for 5 years after Roux-en-Y Gastric Bypass, with a complete radiologic remission of the liver mass. Four other cases have been published with HCA regression after bariatric surgery, but none with longterm follow-up. As the association between obesity and HCA has been increasingly described, bariatric surgery should be considered a therapeutic option for stage 2 obese patients.
conferenceObject ROBOTIC-ASSISTED REVISIONAL BARIATRIC SURGERY FROM ROUX-EN-Y GASTRIC BYPASS TO INTESTINAL TRANSIT BIPARTITION(2023) SANTO FILHO, Marco Aurelio; DANTAS, Anna Carolina Batista; ARABI, Arthur Youssif Mota; OLIVEIRA, Daniel Riccioppo Cerqueira Ferreira de; PAJECKI, Denis; SANTO, Marco Aurelio