<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822018000100071</article-id>
<article-id pub-id-type="doi">10.30944/20117582.49</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Esofagectomía en un centro suramericano de tratamiento del cáncer]]></article-title>
<article-title xml:lang="en"><![CDATA[Esophagectomy at a South American cancer care center]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borráez-Segura]]></surname>
<given-names><![CDATA[Bernardo A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montoya-Botero]]></surname>
<given-names><![CDATA[Jaime A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meneses]]></surname>
<given-names><![CDATA[Paula A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abadía]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinilla]]></surname>
<given-names><![CDATA[Raúl E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveros]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Cancerología Departamento de Cirugía Gastrointestinal y Endoscopia Digestiva ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Tecnológica de Pereira  ]]></institution>
<addr-line><![CDATA[Pereira ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>33</volume>
<numero>1</numero>
<fpage>71</fpage>
<lpage>78</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822018000100071&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822018000100071&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822018000100071&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción.  Suramérica es un área geográfica de incidencia intermedia de cáncer de esófago, con un aumento progresivo y diagnóstico temprano poco común. A pesar de que la resección quirúrgica es la piedra angular del tratamiento, todavía la tasa de supervivencia es pobre y la de complicaciones es alta. El objetivo del presente estudio fue describir la frecuencia de complicaciones de la esofagectomía para el tratamiento del cáncer de esófago extirpable en un centro de tratamiento para el cáncer en Bogotá, Colombia.  Pacientes y métodos.  Se hizo una revisión retrospectiva de una base de datos prospectiva. Se incluyeron 30 pacientes sometidos a esofagectomía por cáncer de esófago, 22 por técnica abierta y 8 mediante laparoscopia, en un único centro de tratamiento para el cáncer entre 2012 y 2016. Se documentaron las complicaciones posoperatorias y se comparó su frecuencia, incluyendo las fugas de la anastomosis, entre la anastomosis latero-lateral y la término-lateral, entre la esofagectomía cervical y la intratorácica; entre la sutura mecánica y la manual, y entre la sutura mecánica circular y la lineal.  Resultados.  Se presentaron complicaciones posoperatorias en 56,7 % de los pacientes y, fugas de la anastomosis, en 30 %. La tasa de mortalidad fue de 6,7 %. Las fugas de la anastomosis fueron más frecuentes en pacientes mayores y mujeres (p=0,0116 y p=0,0301, respectivamente). No se presentó diferencia estadísticamente significativa entre las diferentes técnicas anastomóticas.  Conclusiones.  Los resultados de este estudio demuestran que, a pesar de ser un área de incidencia intermedia de cáncer de esófago, esta sigue siendo una enfermedad poco frecuente con una tasa de complicaciones representativa. Los resultados sugieren que las fugas anastomóticas se presentan más frecuentemente en pacientes ancianos y mujeres.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  South America is a geographical area of intermediate incidence of esophageal cancer, with a progressive increased incidence and uncommon early diagnosis. Even though the surgical resection is the keystone treatment, survival rates are still poor, with a high rate of complications. The aim of this study was to describe the rate of complications after esophagectomy in the treatment of resectable esophageal cancer at a cancer center in Bogotá, Colombia.  Methods:  A retrospective review of a prospective database was done. Thirty patients underwent esophagectomy for esophageal cancer at a single tertiary level of cancer care center in the four-year period 2012-2016. Twenty-two open operations and 8 laparoscopic procedures were registered. We compared the postoperative complications and anastomotic leak rates in: a) side to side vs. end to side anastomosis; b) cervical vs. intra-thoracic anastomosis; c) stapler vs. hand made anastomosis; and d) circular vs. linear stapler.  Results:  Postoperative complications were present in 56.7% of patients. Anastomotic leak was present in 30% of patients. Mortality rate was 6.7 %. Anastomotic leaks were more frequent in older patients and female gender (p = 0.0116 and 0.0301 respectively). No statistical differences were present between: a) side to side vs. end to side anastomosis; b) cervical vs. intra-thoracic anastomosis; c) stapler vs. hand made anastomosis; and d) circular vs. linear stapler.  Conclusions:  The results of this study of patients in whom esophagectomy was performed at a South-American cancer care center showed that even though South America is an area of intermediate incidence of esophageal cancer, it is still an infrequent disease and our findings showed that anastomotic leaks may be more common in older and female gender patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[esófago]]></kwd>
<kwd lng="es"><![CDATA[neoplasias esofágicas]]></kwd>
<kwd lng="es"><![CDATA[esofagectomía]]></kwd>
<kwd lng="es"><![CDATA[laparoscopía.]]></kwd>
<kwd lng="en"><![CDATA[Esophagus]]></kwd>
<kwd lng="en"><![CDATA[esophageal neoplasms]]></kwd>
<kwd lng="en"><![CDATA[esophagectomy]]></kwd>
<kwd lng="en"><![CDATA[laparoscopy.]]></kwd>
</kwd-group>
</article-meta>
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