ALFREDO LUIZ JACOMO
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Cirurgia, Faculdade de Medicina - Docente
LIM/02 - Laboratório de Anatomia Médico-Cirúrgica, Hospital das Clínicas, Faculdade de Medicina
LIM/02 - Laboratório de Anatomia Médico-Cirúrgica, Hospital das Clínicas, Faculdade de Medicina
89 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 89
conferenceObject Cadaver donation program and anatomy teaching at the University of Sao Paulo Medical School, Brazil(2014) JACOMO, Alfredo; HOJAIJ, Flavio; RIBEIRO, Joao; ANDRADE, Mauro; AKAMATSU, FlaviaconferenceObject Deltoid muscle innervation in cadaveric specimens: A statistical analysis of the axillary nerve entering sites-preliminary results(2019) HARA, Lucas; AKAMATSU, Flavia Emi; LIMA, Larissa Barbosa; ITEZEROTE, Ana Maria; HOJAIJ, Flavio; ANDRADE, Mauro; JACOMO, Alfredo Luiz- Local recurrences after mammary adenectomy with clear retroareolar margin for the treatment of early infiltrating breast carcinomas(2022) HEINZEN, Rebeca Neves; BARROS, Alfredo CarlosSimoesDornellas de; JACOMO, Alfredo; CINQUINI, Marcella
- Suction versus slow-pull for endoscopic ultrasound-guided fine-needle aspiration of pancreatic tumors: a prospective randomized trial(2020) CHENG, Spencer; BRUNALDI, Vitor O.; MINATA, Mauricio K.; CHACON, Danielle A.; SILVEIRA, Eduardo B.; MOURA, Diogo T. H. de; SANTOS, Marcos E. L. Dos; MATUGUMA, Sergio E.; CHAVES, Dalton M.; FRANCA, Raony F.; JACOMO, Alfredo L.; ARTIFON, Everson L. A.Background: Suction (S) is commonly used to improve cell acquisition during endoscopic ultrasoundguided fine-needle aspiration (EUS-FNA). Slow-pull (SP) sampling is another technique that might procure good quality specimens with less bloodiness. We aimed to determine if SP improves the diagnostic yield of EUS-FNA of pancreatic masses. Methods: Patients with pancreatic solid masses were randomized to four needle passes with both techniques in an alternate fashion. Sensitivity, specificity, positive, and negative predictive values were calculated. Cellularity and bloodiness of cytological samples were assessed and compared according to the technique. Results: Sensitivity, specificity, and accuracy of suction vs. SP were 95.2% vs. 92.3%; 100% vs. 100; 95.7% vs. 93%, respectively. As to the association of methods, they were 95.6, 100 and 96%, respectively. Positive predictive values for S and SP were 100%. There was no difference in diagnostic yield between S and SP (p = 0.344). Cellularity of samples obtained with SP and Suction were equivalent in both smear evaluation (p = 0.119) and cell-block (0.980). Bloodiness of SP and suction techniques were similar as well. Conclusions: S and SP techniques provide equivalent sensitivity, specificity, and accuracy. Association of methods seems to improve diagnostic yield. Suction does not increase the bloodiness of samples compared to slow-pull.
conferenceObject Histopathologic changes in gastric mucosa after experimental gastric restriction(2017) MOTA FILHO, Guilherme; ITEZEROTE, Ana Maria; SALEH, Samir; HOJAIJ, Flavio; ANDRADE, Mauro; MARTINEZ, Carlos Augusto Real; AKAMATSU, Flavia Emi; JACOMO, Alfredo LuizconferenceObject Lymph Drainage of the Upper Limb and Mammary Region to the Mille. Anatomical Study in Stillbirths(2015) CUADRADO, Guilherme; ANDRADE, Mauro; AKAMATSU, Flavia; JACOMO, Alfredo- Polyethylene Glycol fusion associated with anti-oxidants: A new promise in the treatment of traumatic paralysis (vol 40, pg 1489, 2018)(2018) SALOMONE, Raquel; JACOMO, Alfredo Luiz; BENTO, Ricardo F.; NASCIMENTO, Silvia Bona do; LEZIROVITZ, Karina; HOJAIJ, Flavio Carneiro; COSTA, Heloisa J. Z. R.
article 0 Citação(ões) na Scopus Rendez-Vous laparoendoscopic after ERCP failure in patient with Billroth II gastrectomy(2018) KREVE, Fernanda; LOSS, Francisco S; GATTO, Janaina; TAKADA, Jonas; DANTAS, Juliana; INOUE, Karina; JACOMO, Alfredo L; ARTIFON, Everson L.AEndoscopic retrograde cholangiopancreatography (ERCP) is the treatment of choice in patients with choledocholithiasis. However, despite its high success rate, in some cases it is not successful, requiring alternative therapy. Billroth II partial gastrectomy is a condition associated with an important failure rate of ERCP. When endoscopic treatment fails, surgical exploration of the bile duct is the most common approach. However, the surgery is related to a greater complexity of execution and morbimortality. We describe the case of a patient with choledocholithiasis and Billroth II partial gastrectomy, submitted to the combined treatment called rendez-vous laparoendoscopic, after failure of ERCP, which unites in a single stage the endoscopic treatment of choledocholithiasis and laparoscopic removal of the gallbladder. We conclude that this therapeutic approach was effective, safe, with low cost and without complications.- Efficacy and safety of a device used to prevent fogging and residue buildup on surgical optics during video-assisted thoracic surgical procedures (LacrimaSurg): a pilot in vivo study in 30 patients(2022) ABREU, Igor Renato Louro Bruno de; SILVA, Alessandra Rodrigues; CHIOVATTO, Eduardo; ABRAO, Fernando Conrado; YOUNES, Riad N; JACOMO, Alfredo LuizIntroduction Nowadays the majority of the surgical procedures are video surgeries. Despite technological advances, some problems remain. The buildup of residues in front of the lens is an example of this problem. To solve it, Abreu et al. (Surg Technol Int 26:43-47, 2015) developed LacrimaSurg, which works as a lacrimal duct in the optics preventing fogging and residues buildup on it. This had 98.1% of efficiency in an experimental study. Objective Study feasibility and safety of the device under real surgical conditions. Materials and Methods A pilot study included 30 patients undergoing thoracic procedures using LacrimaSurg. Procedures were recorded for further analysis by investigators. The characteristics of patients (age, sex, body mass index, Charlton comorbidity index), data of environment (Temperatures variances), and data of procedures (type of surgery and duration of it) were recorded. The investigators watched the videos and recorded the residue buildup and fogging events that impaired surgeon's vision. The number of times the optics got dirty, need for further jets of crystalloid solution, and need for mechanical cleaning were collected to evaluate efficacy. Comparative serum measurements of electrolytes before and after surgery were studied. Data were organized and analyzed by simple linear correlations and t test for continuous variables and Fisher's test for categorical variables. Results The use of the device allowed 97% of the procedures to be performed without interruption. No characteristics inherent to the patients or to the procedures that lead to fogging or filth of the optics were identified. There were no statistically significant differences between pre- and postoperative serum ions, and no postoperative complications related to the use of the device were observed. Conclusion The device was effective in preventing interruption of surgical procedures due to dirt or fogging, its use was considered safe, and did not cause postoperative complications.
conferenceObject Colonic mucosa is affected by gastric restriction in an animal model(2017) FONTES, Luiz Gustavo; ITEZEROTE, Ana; SALEH, Samir; HOJAIJ, Flavio; ANDRADE, Mauro; MARTINEZ, Carlos Augusto Real; AKAMATSU, Flavia Emi; JACOMO, Alfredo Luiz