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| 1 | Analysis of the postoperative hemostatic profile of colorectal cancer patients subjected to liver metastasis resection surgery显示文摘BACKGROUND Liver resection surgery has advanced greatly in recent years,and the adoption of fasttrack programs has yielded good results.Combination anesthesia (general anesthesia associated to epidural analgesia) is an anesthetic-analgesic strategy commonly used for the perioperative management of patients undergoing surgery of this kind,though there is controversy regarding the coagulation alterations it may cause and which can favor the development of spinal hematomas.AIM To study the postoperative course of liver resection surgery,an analysis was made of the outcomes of liver resection surgery due to colorectal cancer metastases in our centre in terms of morbiditymortality and hospital stay according to the anesthetic technique used (general vs combination anesthesia).METHODS A prospective study was made of 61 colorectal cancer patients undergoing surgery due to liver metastases under general and combination anesthesia between January 2014 and October 2015.The patient characteristics,intraoperative variables,postoperative complications,evolution of hemostatic parameters,and stay in intensive care and in hospital were analyzed.RESULTS A total of 61 patients were included in two homogeneous groups: general anesthesia (n = 30) and combination anesthesia (general anesthesia associated to epidural analgesia)(n = 31).All patients had normal coagulation values before surgery.The international normalized ratio (INR) in both the general and combination anesthesia groups reached maximum values at 2448 h (mean 1.37 and 1.45 vs 1.39 and 1.41,respectively),followed by a gradual decrease.There was less intraoperative bleeding in the combination anesthesia group (769 mL) than in the general anesthesia group (1200 mL)(P < 0.05).Of the 61 patients,38.8% in the general anesthesia group experienced some respiratory complication vs 6.6% in the combination anesthesia group (P < 0.001).The time to gastrointestinal tolerance was significantly correlated to the type of anesthesia,though not so the stay in critical care or the time to hospital discharge.CONCLUSION Epidural analgesia in liver resection surgery was seen to be safe,with good results in terms of pain control and respiratory complications,and with no associated increase in complications secondary to altered hemostasis. | Guillermo Perez Navarro Ana Maria Pascual Bellosta Sonia María Ortega Lucea Mario Serradilla Martín Jose Manuel Ramirez Rodriguez Javier Martinez Ubieto | 2019 | World Journal of Clinical Cases2019，7，17： | 4 |
| 2 | Surgical, oncological, and obstetrical outcomes after abdominal radical trachelectomy — A systematic literature review显示文摘 | René Pareja Gabriel J. Rendón Carlos Millán Sanz-Lomana Otto Monzón Pedro T. Ramirez | 2013 | Gynecologic Oncology2013，，： | 2 |
| 3 | Floating knee injuries treated with single-incision technique versus traditional antegrade femur fixation:a comparative study显示文摘 | Rios JA Ho-Fung V Ramirez N Hernandez RA | 2004 | Am J Orthop2004，33，9： | 1 |
| 4 | Fiber-rich functional fish food from stripped mullet using amidated low methoxyl pectin显示文摘 | RAMIREZ J A RODRIGUEZ N R URESTI R M etal | 2007 | Food HydrocoUoids2007，21，4： | 1 |
| 5 | Effect of slag properties on mixing phenomena in gas - stirred ladles by physical modeling 显示文摘 | Amaro -villeda A M Ramirez -Argaez M A Conejo A N | 2014 | ISIJ International2014，54，1： | 1 |
| 6 | Laparoscopic radical trachelectomy显示文摘 | Rendón GJ Ramirez PT Frumovitz M | 2012 | JSLS2012，16，3： | 1 |
| 7 | Randomized phase 2 trial to evaluate the clinical efficacy of two high-dosage tigecycline regimens versus imipenem-cilastatin for treatment of hospital-acquired pneumonia显示文摘 | Ramirez J Dartois N Gandjini H | 2013 | Antimicrob Agents Chemother2013，57，4： | 1 |
| 8 | High-resolution electron microscopy study of phosphorus-containing MoS2/ Al2O3 hydrotreating catalysts显示文摘 | RAMIREZ J CASTANO V N LECLERCQ C LOPEZ AGUDO A | 1992 | Appl Catal A1992，83，2： | 1 |
| 9 | Expression of a single-chain Fv antibody fragment specific for the hepatitis B surface antigen in transgenic tobacco plants 显示文摘 | Ramirez N Ayala M Lorenzo D | 2002 | Trans Res2002，11，： | 1 |
| 10 | Trypanosoma cruzi ealreticulin: A possible role in Chagas' disease autoimmunity 显示文摘 | RIBEIRO C H LOPEZ N C RAMIREZ G A | 2009 | Molecular Immunology2009，46，6： | 1 |
| 11 | Medical Image Registration in Computational Intelligence Framework: A Review显示文摘 | Ramirez L Durdle N G Raso V J | 2003 | Electricaland Computer Engineering2003，5，2： | 1 |
| 12 | Colonic J pouch-anal anastomosis after rectal excision for carcinoma: functional outcome 显示文摘 | Mortensen NJ Ramirez JM Takeuchi N | 1995 | Br J Surg1995，82，： | 1 |
| 13 | HIV - 1 Tat - mediated activation of glycogen synthase kinase - 3beta contributes to Tat - mediated neurotoxicity 显示文摘 | MAGGIRWAR S B TONG N RAMIREZ S | 1999 | J Neurochem1999，73，2： | 1 |
| 14 | Anger mid anger expression in adults with high ADHD symptoms显示文摘 | RAMIREZ C A ROSE'N L A DEFFENBACHER J L | 1997 | Journal of Attention Disorders1997，2，2： | 1 |
| 15 | Efficient production of hydrogen over supported cobalt catalysts from ethanol steam reforming 显示文摘 | LLORCA J HOMS N SALES J RAMIREZ de la PISCINA P | 2002 | J Catal2002，209，2： | 1 |
| 16 | Effect of the antimicrobial peptide indolicidin on the green peach aphid Myzus persicae(Sulzer)显示文摘 | LE-FEUVRE R R RAMIREZ C C OLEA N | 2007 | J Appl Entomol2007，131，2： | 1 |
| 17 | Structure and correlations of the flux line lattice in crystalline Nb through the peak effect显示文摘 | Gammel P L Yaron U Ramirez A P Bishop D J Chang A M Ruel R Pfeiffer L N Bucher E D'Anna G Huse D A Mortensen K Eskildsen M R Kes P H | | 0，，： | 1 |
| 18 | Mathematical modeling of the melting rate of metallic particles in the electric arc furnace 显示文摘 | Gonzalez O J P Ramirez - Argaez M A Conejo A N | 2010 | ISIJ International2010，50，1： | 1 |
| 19 | Floraing knee injuries treated with single-incision technique versus traditional antegrade remur fixation : a comparative study显示文摘 | Rios JA Ho-Fung V Ramirez N | 2004 | American Orthopedics2004，，33： | 1 |
| 20 | Surface analyses and immune reactivities of major cell wall-assoclated proteins of group a streptococcus 显示文摘 | Cole J N Ramirez R D Currie B J | 2005 | Infection and Immunity2005，73，5： | 1 |
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