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Main Author:	FERNANDO MALUENDA G.
Format:	Artículo científico
Language:	es
Published:	Sociedad de Cirujanos de Chile 2010
Subjects:	Medicina NOTUS Key words transumbilical Sleeve gastrectomy single incision laparoscopic
Online Access:	https://www.redalyc.org/articulo.oa?id=345531945006
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Gastrectomía vertical laparoscópica transumbilical FERNANDO MALUENDA G. JUAN LEÓN R. IVÁN TURU K. CRISTIAN CAVALLA C. JUAN ABARCA Z. JOSÉ MIGUEL MONTES S. JENNIFER HUMPHREYS M. CAROLINA GONZÁLEZ Z. Medicina NOTUS Key words transumbilical Sleeve gastrectomy single incision laparoscopic The transumbilical route can be used to perform sleeve gastrectomies. Aim: To report the experience with transumbilical sleeve gastrectomy. Material and Methods: A prospective protocol of transumbilical sleeve gastrectomy was applied among patients with a body mass index of 36 kg/m 2 or less, and a distance between the xiphoid process and the umbilicus of less than 22 cm. Results: Six female patients, with a body mass index between 32.5 and 35.3 kg/m 2 have been operated. The operative time ranged from 90 to 170 min. An additional 5 mm trochar was required in the fi rst two patients. The postoperative barium swallow showed a good distal passage and the absence of stenosis, residual fundus or fi ltrations in all patients. No patient had complications. Conclusions: Transumbilical sleeve gastrectomy is feasible among patients with a body mass index of less than 36 kg/m 2. 2010 artículo científico 0379-3893 https://www.redalyc.org/articulo.oa?id=345531945006 es http://www.redalyc.org/revista.oa?id=3455 Revista Chilena de Cirugía application/pdf Sociedad de Cirujanos de Chile Revista Chilena de Cirugía (Chile) Num.6 Vol.62

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// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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