edgar delarosa @EdgarAlexDLRosa - Twitter Profile

⚠️ ¿Colecistectomía difícil y no logras la vista crítica de seguridad (CVS)? La colecistectomía subtotal laparoscópica (LSC) es la alternativa segura. Te explico técnica y clasificación (incluido videos) según el método de St. Joseph’s Health Centre. 🇨🇦🧵👇

drteoa's tweet photo. ⚠️ ¿Colecistectomía difícil y no logras la vista crítica de seguridad (CVS)?

La colecistectomía subtotal laparoscópica (LSC) es la alternativa segura.
Te explico técnica y clasificación (incluido videos) según el método de St. Joseph’s Health Centre. 🇨🇦🧵👇 https://t.co/QII3pue4ZO

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EdgarAlexDLRosa retweeted

Derby Pancreaticobiliary & Robotic AWR Unit

@DerbyPBunit

over 1 year ago

𝗥𝗼𝗯𝗼𝘁𝗶𝗰 𝗖𝗼𝗺𝗺𝗼𝗻 𝗕𝗶𝗹𝗲 𝗗𝘂𝗰𝘁 𝗘𝘅𝗽𝗹𝗼𝗿𝗮𝘁𝗶𝗼𝗻 𝗣𝗼𝘀𝘁 𝗖𝗵𝗼𝗹𝗲𝗰𝘆𝘀𝘁𝗲𝗰𝘁𝗼𝗺𝘆 Patient Presentation: 🔵Previous cholecystectomy 🔵2 previous ERCPs 🔵Recurrent large stone ➡️1.7 x 1.1 cm ➡️Failed endoscopic clearance ➡️Requirement for EHL 🔵MDT decision to proceed to bile duct exploration Surgical Approach: 🔴Careful dissection of adhesions in the GB fossa to expose the CBD 🔴ICG injected immediately following induction of anaesthesia 🔴Firefly mode used to confirm the CBD 🔴Vertical choledochotomy made with robotic shears 🔴Large stone extracted by milking it gently through the choledochotomy 🔴Check choledochoscopy to confirm clearance of the CBD 🔴Closure of the CBD with 4/0 Vicryl Benefit of Robotic Platform: 🟢Wristed instruments which improves ergonomics for suturing 🟢May reduce the learning curve for transductal CBDE when compared with laparoscopy

DerbyPBunit's tweet photo. 𝗥𝗼𝗯𝗼𝘁𝗶𝗰 𝗖𝗼𝗺𝗺𝗼𝗻 𝗕𝗶𝗹𝗲 𝗗𝘂𝗰𝘁 𝗘𝘅𝗽𝗹𝗼𝗿𝗮𝘁𝗶𝗼𝗻 𝗣𝗼𝘀𝘁 𝗖𝗵𝗼𝗹𝗲𝗰𝘆𝘀𝘁𝗲𝗰𝘁𝗼𝗺𝘆

Patient Presentation:
🔵Previous cholecystectomy
🔵2 previous ERCPs
🔵Recurrent large stone
➡️1.7 x 1.1 cm
➡️Failed endoscopic clearance
➡️Requirement for EHL
🔵MDT decision to proceed to bile duct exploration

Surgical Approach:
🔴Careful dissection of adhesions in the GB fossa to expose the CBD
🔴ICG injected immediately following induction of anaesthesia
🔴Firefly mode used to confirm the CBD
🔴Vertical choledochotomy made with robotic shears
🔴Large stone extracted by milking it gently through the choledochotomy
🔴Check choledochoscopy to confirm clearance of the CBD
🔴Closure of the CBD with 4/0 Vicryl

Benefit of Robotic Platform:
🟢Wristed instruments which improves ergonomics for suturing
🟢May reduce the learning curve for transductal CBDE when compared with laparoscopy

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edgar delarosa @EdgarAlexDLRosa

over 1 year ago

@NLamarka Cuál es ese lugar amor jajaj te amo

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edgar delarosa @EdgarAlexDLRosa

over 1 year ago

@NLamarka Te amo 👩🏻‍❤️‍💋‍👨🏿

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edgar delarosa @EdgarAlexDLRosa

almost 2 years ago

@NLamarka Yo arreglo eso preciosa

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edgar delarosa @EdgarAlexDLRosa

almost 2 years ago

@NLamarka Avísame bb

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edgar delarosa @EdgarAlexDLRosa

almost 2 years ago

@NLamarka Mis días favoritos son cuando te veo

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EdgarAlexDLRosa retweeted

Antelm Pujol, MD PhD

@AntelmPujol

almost 2 years ago

🚩💊ANTIDEPRESIVOS Vs EJERCICIO FÍSICO: ¿CUÁL ES MÁS EFECTIVO PARA LA DEPRESIÓN? 🤝El ejercicio físico es IGUAL de efectivo que los medicamentos anti-depresivos para el tratamiento de la depresión. 🚀A mayor intensidad del ejercicio físico, mayor beneficio. 📌Metanalisis de ensayos clínicos en 14100 personas (evidencia científica top).