{"id":176,"date":"2018-04-17T10:40:27","date_gmt":"2018-04-17T08:40:27","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/?p=176"},"modified":"2018-04-17T10:40:27","modified_gmt":"2018-04-17T08:40:27","slug":"cirurgia-del-pancrees-agressiva","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/","title":{"rendered":"La cirurgia del p\u00e0ncrees \u00bf\u00e9s sempre agressiva o hi ha excepcions?"},"content":{"rendered":"

La\u00a0cirurgia del p\u00e0ncrees<\/strong><\/a>\u00a0sempre ha tingut la fama de ser d’una gran agressivitat, en la gran majoria dels casos com a conseq\u00fc\u00e8ncia del\u00a0c\u00e0ncer de p\u00e0ncrees<\/strong><\/a>\u00a0.<\/span>\u00a0Davant la perspectiva d’haver de sotmetre’s a una\u00a0cirurgia pancre\u00e0tica<\/a>,<\/strong>\u00a0els pacients estan inquiets per les possibles conseq\u00fc\u00e8ncies de la mateixa, tant a curt termini (problemes en el per\u00edode postoperatori) com a llarg termini (problemes relacionats amb la p\u00e8rdua de la\u00a0funci\u00f3 normal del p\u00e0ncrees).<\/strong><\/span><\/span><\/p>\n

CIRURGIA DEL P\u00c0NCREES PER C\u00c0NCER, UN PROCEDIMENT AGRESSIU<\/strong><\/span><\/h2>\n

En efecte, el procediment quir\u00fargic que s’ha de fer davant un cas de\u00a0c\u00e0ncer de p\u00e0ncrees<\/strong>\u00a0\u00e9s agressiu i associa una gens menyspreable mortalitat perioperat\u00f2ria (al voltant del 5% en diverses s\u00e8ries publicades i complicacions postoperat\u00f2ries que ronden en molts casos el 50%).<\/span>\u00a0A m\u00e9s, la\u00a0p\u00e8rdua de\u00a0funci\u00f3 digestiva del p\u00e0ncrees\u00a0despr\u00e9s de la cirurgia<\/strong>\u00a0comporta desnutrici\u00f3 i infiltraci\u00f3 grassa del fetge.<\/span>\u00a0Pel que, amb freq\u00fc\u00e8ncia, els pacients necessiten suplements enzim\u00e0tics i la pres\u00e8ncia d’una\u00a0diabetis<\/strong>\u00a0pot comportar problemes a llarg termini.<\/span>\u00a0Aix\u00f2 \u00e9s aix\u00ed perqu\u00e8\u00a0en la\u00a0cirurgia del p\u00e0ncrees\u00a0s’extirpa una quantitat important de teixit pancre\u00e0tic<\/strong>\u00a0(al voltant del 50%),<\/strong>\u00a0aix\u00ed com altres estructures, en el cas del\u00a0cap del p\u00e0ncrees<\/strong>\u00a0amb la finalitat d’extirpar completament el tumor.<\/span><\/p>\n

\n

\"dr-santiago-sanchez-Cabus\"<\/h4>\n

“En la cirurgia del p\u00e0ncrees (per tractar un c\u00e0ncer) s’extirpa una quantitat important de teixit pancre\u00e0tic,<\/strong>al voltant del 50%”<\/strong><\/span><\/h4>\n

Dr.\u00a0Santiago S\u00e1nchez Cab\u00fas<\/a><\/span><\/p><\/blockquote>\n

LA CIRURGIA DEL P\u00c0NCREES ‘MENYS AGRESSIVA’<\/span><\/h2>\n

No obstant aix\u00f2, hi ha pacients amb\u00a0patologia pancre\u00e0tica<\/strong>\u00a0que no \u00e9s maligna (o amb un comportament incert) que poden ser tractats de forma satisfact\u00f2ria sense haver de sacrificar una gran quantitat de teixit pancre\u00e0tic.<\/span>\u00a0Aquest tipus d’intervencions\u00a0estalviadores de teixit pancre\u00e0tic<\/em><\/a>\u00a0aconsegueixen salvar la major part del teixit no tumoral i, per tant, la p\u00e8rdua de funci\u00f3 pancre\u00e0tica despr\u00e9s de la cirurgia \u00e9s m\u00ednima.<\/span>\u00a0La major part d’aquestes intervencions s\u00f3n la\u00a0enucleaci\u00f3<\/strong>\u00a0, la\u00a0pancreatectomia central<\/strong>\u00a0i la\u00a0uncinectom\u00eda.\u00a0<\/strong><\/span>Han de reservar-se per a malalties benignes o amb un baix potencial maligne.<\/span>\u00a0Per\u00f2, per la seva complexitat, s’han de realitzar en centres amb experi\u00e8ncia i ha de dur-les a terme\u00a0un professional experimentat en aquest tipus d’intervencions<\/a>.<\/span>\u00a0Excepte la enucleaci\u00f3 (que de vegades tamb\u00e9 pot ser complexa per la seva localitzaci\u00f3), les altres t\u00e8cniques tenen una complexitat t\u00e8cnica similar o fins i tot superior a altres t\u00e8cniques quir\u00fargiques.<\/span>\u00a0A m\u00e9s, el seu benefici \u00e9s fonamentalment a llarg termini, ja que en el per\u00edode postoperatori presenten complicacions amb freq\u00fc\u00e8ncia, encara que solen ser de poca import\u00e0ncia.<\/span><\/p>\n

\n

\"dr-santiago-sanchez-Cabus\"“Hi ha pacients amb\u00a0patologies pancre\u00e0tiques<\/strong>\u00a0‘no malignes’ que poden ser tractats sense haver de sacrificar una gran quantitat de teixit pancre\u00e0tic.<\/span>\u00a0En aquests casos la p\u00e8rdua de funci\u00f3 pancre\u00e0tica despr\u00e9s de la cirurgia ser\u00e0 m\u00ednima “<\/span><\/h4>\n

Dr.\u00a0Santiago S\u00e1nchez Cab\u00fas<\/a><\/span><\/p><\/blockquote>\n

QUAN VAL LA PENA FER UNA CIRURGIA DEL P\u00c0NCREES ‘ESTALVIADORA’?<\/span><\/h2>\n

Per aquest motiu, i donades les conseq\u00fc\u00e8ncies a llarg termini de la\u00a0p\u00e8rdua de funci\u00f3 pancre\u00e0tica<\/strong>, \u00e9s fonamental, en els casos que ho requereixin, poder realitzar una\u00a0cirurgia pancre\u00e0tica<\/a> estalviadora<\/strong>\u00a0amb els conseq\u00fcents beneficis.<\/span>\u00a0I, insistim, es tracta de procediments d’alta complexitat que s’han de fer \u00fanicament en centres amb experi\u00e8ncia i per\u00a0un cirurgi\u00e0 expert<\/a>.<\/span><\/p>\n

\n

\"cita-sanchez-cabus-cirugia-del-pancreas\"<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

La\u00a0cirurgia del p\u00e0ncrees\u00a0sempre ha tingut la fama de ser d’una gran agressivitat, en la gran majoria dels casos com a conseq\u00fc\u00e8ncia del\u00a0c\u00e0ncer de p\u00e0ncrees\u00a0.\u00a0Davant la perspectiva d’haver de sotmetre’s a una\u00a0cirurgia pancre\u00e0tica,\u00a0els pacients estan inquiets per les possibles conseq\u00fc\u00e8ncies de la mateixa, tant a curt termini (problemes en el per\u00edode postoperatori) com a llarg termini […]<\/p>\n","protected":false},"author":2,"featured_media":174,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[44],"tags":[50,49,51],"yoast_head":"\nLa cirurgia del p\u00e0ncrees \u00bf\u00e9s sempre agressiva o hi ha excepcions? - Blog de Cirug\u00eda del P\u00e1ncreas<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La cirurgia del p\u00e0ncrees \u00bf\u00e9s sempre agressiva o hi ha excepcions? - Blog de Cirug\u00eda del P\u00e1ncreas\" \/>\n<meta property=\"og:description\" content=\"La\u00a0cirurgia del p\u00e0ncrees\u00a0sempre ha tingut la fama de ser d’una gran agressivitat, en la gran majoria dels casos com a conseq\u00fc\u00e8ncia del\u00a0c\u00e0ncer de p\u00e0ncrees\u00a0.\u00a0Davant la perspectiva d’haver de sotmetre’s a una\u00a0cirurgia pancre\u00e0tica,\u00a0els pacients estan inquiets per les possibles conseq\u00fc\u00e8ncies de la mateixa, tant a curt termini (problemes en el per\u00edode postoperatori) com a llarg termini […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Cirug\u00eda del P\u00e1ncreas\" \/>\n<meta property=\"article:published_time\" content=\"2018-04-17T08:40:27+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/wp-content\/uploads\/sites\/5\/cirugia-del-pancreas.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"barnacl\u00ednic+\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"barnacl\u00ednic+\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/\",\"url\":\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/\",\"name\":\"La cirurgia del p\u00e0ncrees \u00bf\u00e9s sempre agressiva o hi ha excepcions? - Blog de Cirug\u00eda del P\u00e1ncreas\",\"isPartOf\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/#website\"},\"datePublished\":\"2018-04-17T08:40:27+00:00\",\"dateModified\":\"2018-04-17T08:40:27+00:00\",\"author\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/#\/schema\/person\/54cdc3d8a00f80c3057b6dbc23ba7e07\"},\"breadcrumb\":{\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/#breadcrumb\"},\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"La cirurgia del p\u00e0ncrees \u00bf\u00e9s sempre agressiva o hi ha excepcions?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/#website\",\"url\":\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/\",\"name\":\"Blog de Cirug\u00eda del P\u00e1ncreas\",\"description\":\"En este blog ofrece informaci\u00f3n sobre cirug\u00eda del p\u00e1ncreas el Dr. Santiago S\u00e1nchez Cab\u00fas, experto del servicio de Cirug\u00eda General y Hepatobiliopancre\u00e1tica de barnacl\u00ednic+\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"ca\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/#\/schema\/person\/54cdc3d8a00f80c3057b6dbc23ba7e07\",\"name\":\"barnacl\u00ednic+\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ca\",\"@id\":\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/2dceb63b73aa111ce672136eaa610fd2?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/2dceb63b73aa111ce672136eaa610fd2?s=96&d=mm&r=g\",\"caption\":\"barnacl\u00ednic+\"},\"url\":\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/author\/alex\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"La cirurgia del p\u00e0ncrees \u00bf\u00e9s sempre agressiva o hi ha excepcions? - Blog de Cirug\u00eda del P\u00e1ncreas","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/","og_locale":"ca_ES","og_type":"article","og_title":"La cirurgia del p\u00e0ncrees \u00bf\u00e9s sempre agressiva o hi ha excepcions? - Blog de Cirug\u00eda del P\u00e1ncreas","og_description":"La\u00a0cirurgia del p\u00e0ncrees\u00a0sempre ha tingut la fama de ser d’una gran agressivitat, en la gran majoria dels casos com a conseq\u00fc\u00e8ncia del\u00a0c\u00e0ncer de p\u00e0ncrees\u00a0.\u00a0Davant la perspectiva d’haver de sotmetre’s a una\u00a0cirurgia pancre\u00e0tica,\u00a0els pacients estan inquiets per les possibles conseq\u00fc\u00e8ncies de la mateixa, tant a curt termini (problemes en el per\u00edode postoperatori) com a llarg termini […]","og_url":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/","og_site_name":"Blog de Cirug\u00eda del P\u00e1ncreas","article_published_time":"2018-04-17T08:40:27+00:00","og_image":[{"width":800,"height":350,"url":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/wp-content\/uploads\/sites\/5\/cirugia-del-pancreas.jpg","type":"image\/jpeg"}],"author":"barnacl\u00ednic+","twitter_card":"summary_large_image","twitter_misc":{"Escrit per":"barnacl\u00ednic+","Temps estimat de lectura":"3 minuts"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/","url":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/","name":"La cirurgia del p\u00e0ncrees \u00bf\u00e9s sempre agressiva o hi ha excepcions? - Blog de Cirug\u00eda del P\u00e1ncreas","isPartOf":{"@id":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/#website"},"datePublished":"2018-04-17T08:40:27+00:00","dateModified":"2018-04-17T08:40:27+00:00","author":{"@id":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/#\/schema\/person\/54cdc3d8a00f80c3057b6dbc23ba7e07"},"breadcrumb":{"@id":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/#breadcrumb"},"inLanguage":"ca","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-del-pancrees-agressiva\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/"},{"@type":"ListItem","position":2,"name":"La cirurgia del p\u00e0ncrees \u00bf\u00e9s sempre agressiva o hi ha excepcions?"}]},{"@type":"WebSite","@id":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/#website","url":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/","name":"Blog de Cirug\u00eda del P\u00e1ncreas","description":"En este blog ofrece informaci\u00f3n sobre cirug\u00eda del p\u00e1ncreas el Dr. Santiago S\u00e1nchez Cab\u00fas, experto del servicio de Cirug\u00eda General y Hepatobiliopancre\u00e1tica de barnacl\u00ednic+","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"ca"},{"@type":"Person","@id":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/#\/schema\/person\/54cdc3d8a00f80c3057b6dbc23ba7e07","name":"barnacl\u00ednic+","image":{"@type":"ImageObject","inLanguage":"ca","@id":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/2dceb63b73aa111ce672136eaa610fd2?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2dceb63b73aa111ce672136eaa610fd2?s=96&d=mm&r=g","caption":"barnacl\u00ednic+"},"url":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/author\/alex\/"}]}},"_links":{"self":[{"href":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/wp-json\/wp\/v2\/posts\/176"}],"collection":[{"href":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/wp-json\/wp\/v2\/comments?post=176"}],"version-history":[{"count":1,"href":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/wp-json\/wp\/v2\/posts\/176\/revisions"}],"predecessor-version":[{"id":177,"href":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/wp-json\/wp\/v2\/posts\/176\/revisions\/177"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/wp-json\/wp\/v2\/media\/174"}],"wp:attachment":[{"href":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/wp-json\/wp\/v2\/media?parent=176"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/wp-json\/wp\/v2\/categories?post=176"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/wp-json\/wp\/v2\/tags?post=176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}