Common bile duct pressure after open intraoperative instrumentation in patients with uncomplicated choledocholithiasis
Background: Common bile duct pressure (CBDP) after surgical exploration has not been fully detailed. The objective was to describe the changes of CBDP after open surgical exploration in patients with choledocholithiasis, considering clinical scenarios in remote locations. Material and methods: A bef...
Ausführliche Beschreibung
Autor*in: |
David Saldaña-Cortés [verfasserIn] Abel Jalife-Montaño [verfasserIn] Noé I. Gracida-Mancilla [verfasserIn] Salvador Vega-Castro [verfasserIn] Francisco J. Galindo-González [verfasserIn] Carlos R. Cervantes-Sánchez [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch ; Spanisch |
Erschienen: |
2022 |
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Schlagwörter: |
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Übergeordnetes Werk: |
In: Cirugía y Cirujanos - Permanyer, 2021, 90(2022), 92 |
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Übergeordnetes Werk: |
volume:90 ; year:2022 ; number:92 |
Links: |
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DOI / URN: |
10.24875/CIRU.21000808 |
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Katalog-ID: |
DOAJ083646892 |
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520 | |a Background: Common bile duct pressure (CBDP) after surgical exploration has not been fully detailed. The objective was to describe the changes of CBDP after open surgical exploration in patients with choledocholithiasis, considering clinical scenarios in remote locations. Material and methods: A before-after study was designed. Patients with choledocholithiasis who required an open cholecystectomy with exploration of bile ducts were included in the study. Open cholecystectomy was performed and perioperative T-tube CBDP was registered immediately after the procedure and weekly thereafter, with a 6 week follow-up. Control T-tube cholangiogram was performed at week 6 to exclude residual stones. Data were analyzed with T test for paired samples. Results: Thirteen patients were included (age range, 17-69 years; 38.69 ± 17.97). Mean CBDP (cm H2O) registered were as follows: Initial = 19.5, week 1 = 16.2, week 2 = 14.3, week 3 = 13.0, week 4 = 12.1, week 5 = 11.1, and week 6 = 9.7. There were significant differences shown when comparing week 2 (p = 0.05), week 3 (p = 0.036), week 4 (p = 0.023), week 5 (p = 0.010), and week 6 (p = 0.004) with the initial value. Conclusions: CBDP decreases between 2nd and 3rd post-operative weeks. The use of choledochomanometry is useful in clinical scenarios with no access to imaging or interventionism facilities as in remote populations or rural locations. | ||
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10.24875/CIRU.21000808 doi (DE-627)DOAJ083646892 (DE-599)DOAJ6704e992332548babb45458b98cc5ab1 DE-627 ger DE-627 rakwb eng spa RD1-811 David Saldaña-Cortés verfasserin aut Common bile duct pressure after open intraoperative instrumentation in patients with uncomplicated choledocholithiasis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Common bile duct pressure (CBDP) after surgical exploration has not been fully detailed. The objective was to describe the changes of CBDP after open surgical exploration in patients with choledocholithiasis, considering clinical scenarios in remote locations. Material and methods: A before-after study was designed. Patients with choledocholithiasis who required an open cholecystectomy with exploration of bile ducts were included in the study. Open cholecystectomy was performed and perioperative T-tube CBDP was registered immediately after the procedure and weekly thereafter, with a 6 week follow-up. Control T-tube cholangiogram was performed at week 6 to exclude residual stones. Data were analyzed with T test for paired samples. Results: Thirteen patients were included (age range, 17-69 years; 38.69 ± 17.97). Mean CBDP (cm H2O) registered were as follows: Initial = 19.5, week 1 = 16.2, week 2 = 14.3, week 3 = 13.0, week 4 = 12.1, week 5 = 11.1, and week 6 = 9.7. There were significant differences shown when comparing week 2 (p = 0.05), week 3 (p = 0.036), week 4 (p = 0.023), week 5 (p = 0.010), and week 6 (p = 0.004) with the initial value. Conclusions: CBDP decreases between 2nd and 3rd post-operative weeks. The use of choledochomanometry is useful in clinical scenarios with no access to imaging or interventionism facilities as in remote populations or rural locations. Choledocholithiasis. Cholecystectomy. Common bile duct. Common bile duct pressure. Cholangiography. Common bile duct stones. Surgery Abel Jalife-Montaño verfasserin aut Noé I. Gracida-Mancilla verfasserin aut Salvador Vega-Castro verfasserin aut Francisco J. Galindo-González verfasserin aut Carlos R. Cervantes-Sánchez verfasserin aut In Cirugía y Cirujanos Permanyer, 2021 90(2022), 92 (DE-627)1760624756 2444054X nnns volume:90 year:2022 number:92 https://doi.org/10.24875/CIRU.21000808 kostenfrei https://doaj.org/article/6704e992332548babb45458b98cc5ab1 kostenfrei https://www.cirugiaycirujanos.com/frame_esp.php?id=782 kostenfrei https://doaj.org/toc/2444-054X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 90 2022 92 |
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10.24875/CIRU.21000808 doi (DE-627)DOAJ083646892 (DE-599)DOAJ6704e992332548babb45458b98cc5ab1 DE-627 ger DE-627 rakwb eng spa RD1-811 David Saldaña-Cortés verfasserin aut Common bile duct pressure after open intraoperative instrumentation in patients with uncomplicated choledocholithiasis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Common bile duct pressure (CBDP) after surgical exploration has not been fully detailed. The objective was to describe the changes of CBDP after open surgical exploration in patients with choledocholithiasis, considering clinical scenarios in remote locations. Material and methods: A before-after study was designed. Patients with choledocholithiasis who required an open cholecystectomy with exploration of bile ducts were included in the study. Open cholecystectomy was performed and perioperative T-tube CBDP was registered immediately after the procedure and weekly thereafter, with a 6 week follow-up. Control T-tube cholangiogram was performed at week 6 to exclude residual stones. Data were analyzed with T test for paired samples. Results: Thirteen patients were included (age range, 17-69 years; 38.69 ± 17.97). Mean CBDP (cm H2O) registered were as follows: Initial = 19.5, week 1 = 16.2, week 2 = 14.3, week 3 = 13.0, week 4 = 12.1, week 5 = 11.1, and week 6 = 9.7. There were significant differences shown when comparing week 2 (p = 0.05), week 3 (p = 0.036), week 4 (p = 0.023), week 5 (p = 0.010), and week 6 (p = 0.004) with the initial value. Conclusions: CBDP decreases between 2nd and 3rd post-operative weeks. The use of choledochomanometry is useful in clinical scenarios with no access to imaging or interventionism facilities as in remote populations or rural locations. Choledocholithiasis. Cholecystectomy. Common bile duct. Common bile duct pressure. Cholangiography. Common bile duct stones. Surgery Abel Jalife-Montaño verfasserin aut Noé I. Gracida-Mancilla verfasserin aut Salvador Vega-Castro verfasserin aut Francisco J. Galindo-González verfasserin aut Carlos R. Cervantes-Sánchez verfasserin aut In Cirugía y Cirujanos Permanyer, 2021 90(2022), 92 (DE-627)1760624756 2444054X nnns volume:90 year:2022 number:92 https://doi.org/10.24875/CIRU.21000808 kostenfrei https://doaj.org/article/6704e992332548babb45458b98cc5ab1 kostenfrei https://www.cirugiaycirujanos.com/frame_esp.php?id=782 kostenfrei https://doaj.org/toc/2444-054X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 90 2022 92 |
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10.24875/CIRU.21000808 doi (DE-627)DOAJ083646892 (DE-599)DOAJ6704e992332548babb45458b98cc5ab1 DE-627 ger DE-627 rakwb eng spa RD1-811 David Saldaña-Cortés verfasserin aut Common bile duct pressure after open intraoperative instrumentation in patients with uncomplicated choledocholithiasis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Common bile duct pressure (CBDP) after surgical exploration has not been fully detailed. The objective was to describe the changes of CBDP after open surgical exploration in patients with choledocholithiasis, considering clinical scenarios in remote locations. Material and methods: A before-after study was designed. Patients with choledocholithiasis who required an open cholecystectomy with exploration of bile ducts were included in the study. Open cholecystectomy was performed and perioperative T-tube CBDP was registered immediately after the procedure and weekly thereafter, with a 6 week follow-up. Control T-tube cholangiogram was performed at week 6 to exclude residual stones. Data were analyzed with T test for paired samples. Results: Thirteen patients were included (age range, 17-69 years; 38.69 ± 17.97). Mean CBDP (cm H2O) registered were as follows: Initial = 19.5, week 1 = 16.2, week 2 = 14.3, week 3 = 13.0, week 4 = 12.1, week 5 = 11.1, and week 6 = 9.7. There were significant differences shown when comparing week 2 (p = 0.05), week 3 (p = 0.036), week 4 (p = 0.023), week 5 (p = 0.010), and week 6 (p = 0.004) with the initial value. Conclusions: CBDP decreases between 2nd and 3rd post-operative weeks. The use of choledochomanometry is useful in clinical scenarios with no access to imaging or interventionism facilities as in remote populations or rural locations. Choledocholithiasis. Cholecystectomy. Common bile duct. Common bile duct pressure. Cholangiography. Common bile duct stones. Surgery Abel Jalife-Montaño verfasserin aut Noé I. Gracida-Mancilla verfasserin aut Salvador Vega-Castro verfasserin aut Francisco J. Galindo-González verfasserin aut Carlos R. Cervantes-Sánchez verfasserin aut In Cirugía y Cirujanos Permanyer, 2021 90(2022), 92 (DE-627)1760624756 2444054X nnns volume:90 year:2022 number:92 https://doi.org/10.24875/CIRU.21000808 kostenfrei https://doaj.org/article/6704e992332548babb45458b98cc5ab1 kostenfrei https://www.cirugiaycirujanos.com/frame_esp.php?id=782 kostenfrei https://doaj.org/toc/2444-054X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 90 2022 92 |
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10.24875/CIRU.21000808 doi (DE-627)DOAJ083646892 (DE-599)DOAJ6704e992332548babb45458b98cc5ab1 DE-627 ger DE-627 rakwb eng spa RD1-811 David Saldaña-Cortés verfasserin aut Common bile duct pressure after open intraoperative instrumentation in patients with uncomplicated choledocholithiasis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Common bile duct pressure (CBDP) after surgical exploration has not been fully detailed. The objective was to describe the changes of CBDP after open surgical exploration in patients with choledocholithiasis, considering clinical scenarios in remote locations. Material and methods: A before-after study was designed. Patients with choledocholithiasis who required an open cholecystectomy with exploration of bile ducts were included in the study. Open cholecystectomy was performed and perioperative T-tube CBDP was registered immediately after the procedure and weekly thereafter, with a 6 week follow-up. Control T-tube cholangiogram was performed at week 6 to exclude residual stones. Data were analyzed with T test for paired samples. Results: Thirteen patients were included (age range, 17-69 years; 38.69 ± 17.97). Mean CBDP (cm H2O) registered were as follows: Initial = 19.5, week 1 = 16.2, week 2 = 14.3, week 3 = 13.0, week 4 = 12.1, week 5 = 11.1, and week 6 = 9.7. There were significant differences shown when comparing week 2 (p = 0.05), week 3 (p = 0.036), week 4 (p = 0.023), week 5 (p = 0.010), and week 6 (p = 0.004) with the initial value. Conclusions: CBDP decreases between 2nd and 3rd post-operative weeks. The use of choledochomanometry is useful in clinical scenarios with no access to imaging or interventionism facilities as in remote populations or rural locations. Choledocholithiasis. Cholecystectomy. Common bile duct. Common bile duct pressure. Cholangiography. Common bile duct stones. Surgery Abel Jalife-Montaño verfasserin aut Noé I. Gracida-Mancilla verfasserin aut Salvador Vega-Castro verfasserin aut Francisco J. Galindo-González verfasserin aut Carlos R. Cervantes-Sánchez verfasserin aut In Cirugía y Cirujanos Permanyer, 2021 90(2022), 92 (DE-627)1760624756 2444054X nnns volume:90 year:2022 number:92 https://doi.org/10.24875/CIRU.21000808 kostenfrei https://doaj.org/article/6704e992332548babb45458b98cc5ab1 kostenfrei https://www.cirugiaycirujanos.com/frame_esp.php?id=782 kostenfrei https://doaj.org/toc/2444-054X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 90 2022 92 |
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10.24875/CIRU.21000808 doi (DE-627)DOAJ083646892 (DE-599)DOAJ6704e992332548babb45458b98cc5ab1 DE-627 ger DE-627 rakwb eng spa RD1-811 David Saldaña-Cortés verfasserin aut Common bile duct pressure after open intraoperative instrumentation in patients with uncomplicated choledocholithiasis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Common bile duct pressure (CBDP) after surgical exploration has not been fully detailed. The objective was to describe the changes of CBDP after open surgical exploration in patients with choledocholithiasis, considering clinical scenarios in remote locations. Material and methods: A before-after study was designed. Patients with choledocholithiasis who required an open cholecystectomy with exploration of bile ducts were included in the study. Open cholecystectomy was performed and perioperative T-tube CBDP was registered immediately after the procedure and weekly thereafter, with a 6 week follow-up. Control T-tube cholangiogram was performed at week 6 to exclude residual stones. Data were analyzed with T test for paired samples. Results: Thirteen patients were included (age range, 17-69 years; 38.69 ± 17.97). Mean CBDP (cm H2O) registered were as follows: Initial = 19.5, week 1 = 16.2, week 2 = 14.3, week 3 = 13.0, week 4 = 12.1, week 5 = 11.1, and week 6 = 9.7. There were significant differences shown when comparing week 2 (p = 0.05), week 3 (p = 0.036), week 4 (p = 0.023), week 5 (p = 0.010), and week 6 (p = 0.004) with the initial value. Conclusions: CBDP decreases between 2nd and 3rd post-operative weeks. The use of choledochomanometry is useful in clinical scenarios with no access to imaging or interventionism facilities as in remote populations or rural locations. Choledocholithiasis. Cholecystectomy. Common bile duct. Common bile duct pressure. Cholangiography. Common bile duct stones. Surgery Abel Jalife-Montaño verfasserin aut Noé I. Gracida-Mancilla verfasserin aut Salvador Vega-Castro verfasserin aut Francisco J. Galindo-González verfasserin aut Carlos R. Cervantes-Sánchez verfasserin aut In Cirugía y Cirujanos Permanyer, 2021 90(2022), 92 (DE-627)1760624756 2444054X nnns volume:90 year:2022 number:92 https://doi.org/10.24875/CIRU.21000808 kostenfrei https://doaj.org/article/6704e992332548babb45458b98cc5ab1 kostenfrei https://www.cirugiaycirujanos.com/frame_esp.php?id=782 kostenfrei https://doaj.org/toc/2444-054X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 90 2022 92 |
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2444054X |
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RD1-811 Common bile duct pressure after open intraoperative instrumentation in patients with uncomplicated choledocholithiasis Choledocholithiasis. Cholecystectomy. Common bile duct. Common bile duct pressure. Cholangiography. Common bile duct stones |
topic |
misc RD1-811 misc Choledocholithiasis. Cholecystectomy. Common bile duct. Common bile duct pressure. Cholangiography. Common bile duct stones. misc Surgery |
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misc RD1-811 misc Choledocholithiasis. Cholecystectomy. Common bile duct. Common bile duct pressure. Cholangiography. Common bile duct stones. misc Surgery |
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misc RD1-811 misc Choledocholithiasis. Cholecystectomy. Common bile duct. Common bile duct pressure. Cholangiography. Common bile duct stones. misc Surgery |
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Cirugía y Cirujanos |
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Common bile duct pressure after open intraoperative instrumentation in patients with uncomplicated choledocholithiasis |
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title_full |
Common bile duct pressure after open intraoperative instrumentation in patients with uncomplicated choledocholithiasis |
author_sort |
David Saldaña-Cortés |
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Cirugía y Cirujanos |
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Cirugía y Cirujanos |
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David Saldaña-Cortés Abel Jalife-Montaño Noé I. Gracida-Mancilla Salvador Vega-Castro Francisco J. Galindo-González Carlos R. Cervantes-Sánchez |
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David Saldaña-Cortés |
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10.24875/CIRU.21000808 |
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verfasserin |
title_sort |
common bile duct pressure after open intraoperative instrumentation in patients with uncomplicated choledocholithiasis |
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RD1-811 |
title_auth |
Common bile duct pressure after open intraoperative instrumentation in patients with uncomplicated choledocholithiasis |
abstract |
Background: Common bile duct pressure (CBDP) after surgical exploration has not been fully detailed. The objective was to describe the changes of CBDP after open surgical exploration in patients with choledocholithiasis, considering clinical scenarios in remote locations. Material and methods: A before-after study was designed. Patients with choledocholithiasis who required an open cholecystectomy with exploration of bile ducts were included in the study. Open cholecystectomy was performed and perioperative T-tube CBDP was registered immediately after the procedure and weekly thereafter, with a 6 week follow-up. Control T-tube cholangiogram was performed at week 6 to exclude residual stones. Data were analyzed with T test for paired samples. Results: Thirteen patients were included (age range, 17-69 years; 38.69 ± 17.97). Mean CBDP (cm H2O) registered were as follows: Initial = 19.5, week 1 = 16.2, week 2 = 14.3, week 3 = 13.0, week 4 = 12.1, week 5 = 11.1, and week 6 = 9.7. There were significant differences shown when comparing week 2 (p = 0.05), week 3 (p = 0.036), week 4 (p = 0.023), week 5 (p = 0.010), and week 6 (p = 0.004) with the initial value. Conclusions: CBDP decreases between 2nd and 3rd post-operative weeks. The use of choledochomanometry is useful in clinical scenarios with no access to imaging or interventionism facilities as in remote populations or rural locations. |
abstractGer |
Background: Common bile duct pressure (CBDP) after surgical exploration has not been fully detailed. The objective was to describe the changes of CBDP after open surgical exploration in patients with choledocholithiasis, considering clinical scenarios in remote locations. Material and methods: A before-after study was designed. Patients with choledocholithiasis who required an open cholecystectomy with exploration of bile ducts were included in the study. Open cholecystectomy was performed and perioperative T-tube CBDP was registered immediately after the procedure and weekly thereafter, with a 6 week follow-up. Control T-tube cholangiogram was performed at week 6 to exclude residual stones. Data were analyzed with T test for paired samples. Results: Thirteen patients were included (age range, 17-69 years; 38.69 ± 17.97). Mean CBDP (cm H2O) registered were as follows: Initial = 19.5, week 1 = 16.2, week 2 = 14.3, week 3 = 13.0, week 4 = 12.1, week 5 = 11.1, and week 6 = 9.7. There were significant differences shown when comparing week 2 (p = 0.05), week 3 (p = 0.036), week 4 (p = 0.023), week 5 (p = 0.010), and week 6 (p = 0.004) with the initial value. Conclusions: CBDP decreases between 2nd and 3rd post-operative weeks. The use of choledochomanometry is useful in clinical scenarios with no access to imaging or interventionism facilities as in remote populations or rural locations. |
abstract_unstemmed |
Background: Common bile duct pressure (CBDP) after surgical exploration has not been fully detailed. The objective was to describe the changes of CBDP after open surgical exploration in patients with choledocholithiasis, considering clinical scenarios in remote locations. Material and methods: A before-after study was designed. Patients with choledocholithiasis who required an open cholecystectomy with exploration of bile ducts were included in the study. Open cholecystectomy was performed and perioperative T-tube CBDP was registered immediately after the procedure and weekly thereafter, with a 6 week follow-up. Control T-tube cholangiogram was performed at week 6 to exclude residual stones. Data were analyzed with T test for paired samples. Results: Thirteen patients were included (age range, 17-69 years; 38.69 ± 17.97). Mean CBDP (cm H2O) registered were as follows: Initial = 19.5, week 1 = 16.2, week 2 = 14.3, week 3 = 13.0, week 4 = 12.1, week 5 = 11.1, and week 6 = 9.7. There were significant differences shown when comparing week 2 (p = 0.05), week 3 (p = 0.036), week 4 (p = 0.023), week 5 (p = 0.010), and week 6 (p = 0.004) with the initial value. Conclusions: CBDP decreases between 2nd and 3rd post-operative weeks. The use of choledochomanometry is useful in clinical scenarios with no access to imaging or interventionism facilities as in remote populations or rural locations. |
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Common bile duct pressure after open intraoperative instrumentation in patients with uncomplicated choledocholithiasis |
url |
https://doi.org/10.24875/CIRU.21000808 https://doaj.org/article/6704e992332548babb45458b98cc5ab1 https://www.cirugiaycirujanos.com/frame_esp.php?id=782 https://doaj.org/toc/2444-054X |
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Abel Jalife-Montaño Noé I. Gracida-Mancilla Salvador Vega-Castro Francisco J. Galindo-González Carlos R. Cervantes-Sánchez |
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Abel Jalife-Montaño Noé I. Gracida-Mancilla Salvador Vega-Castro Francisco J. Galindo-González Carlos R. Cervantes-Sánchez |
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up_date |
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