<?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>S2011-75822019000100055</article-id>
<article-id pub-id-type="doi">10.30944/20117582.98</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia quirúrgica de 10 años de cáncer gástrico en un hospital de tercer nivel, 2007-2016]]></article-title>
<article-title xml:lang="en"><![CDATA[Ten year surgical experience with gastric cancer at a third level of care hospital, 2007-2016]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas]]></surname>
<given-names><![CDATA[Sandra Milena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pino]]></surname>
<given-names><![CDATA[Rafael Hernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas]]></surname>
<given-names><![CDATA[Luis Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Surcolombiana  ]]></institution>
<addr-line><![CDATA[Neiva ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Hernando Moncaleano Perdomo  ]]></institution>
<addr-line><![CDATA[Neiva ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>34</volume>
<numero>1</numero>
<fpage>55</fpage>
<lpage>59</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822019000100055&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822019000100055&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822019000100055&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo. Caracterización de los pacientes con cáncer gástrico, evaluación del resultado quirúrgico y supervivencia.  Materiales y métodos. Se trata de un estudio descriptivo, de tipo serie de casos, cuyos datos fueron recolectados y analizados en el programa SPSS&#8482;, versión 21.  Resultados. Se incluyeron 358 pacientes. El síntoma más común fue la epigastralgia (72,9 %) y, según la clasificación macroscópica de Bormann, el tipo III fue el más frecuente (62,8 %). En el estudio de histopatología, predominó el tipo intestinal (52,2 %). En el 77,9 % de los casos, el procedimiento se practicó con laparotomía y, en el 22,1 %, con laparoscopia. Las intervenciones quirúrgicas fueron: gastrectomía total (36,9 %), gastrectomía subtotal (32,4 %), gastroyeyunostomía (8,9 %), laparotomía exploratoria (17 %) y laparoscopia diagnóstica (4,7 %). En 39 % de los pacientes se encontraron metástasis en otros órganos. Solo en 4,7 % se presentó alguna complicación intraoperatoria y, en 9,1 %, alguna posoperatoria. El promedio del tiempo quirúrgico fue de 122 minutos y la estancia hospitalaria fue de 8,7 días. Durante el seguimiento, fallecieron 131 (36,6 %) pacientes y 34,1% presentaron recaída. Mediante la prueba de ji al cuadrado, se encontró una relación estadísticamente significativa entre el tipo de cirugía y el estadio de la lesión (p=0,007), entre el tipo según la clasificación de Bormann y el grado de diferenciación (p=0,008), y entre según la clasificación de Bormann y la mortalidad (p=0,000). Se elaboró una curva de supervivencia mediante el método de Kaplan-Meier, obteniéndose un log rank de 0,010.  Conclusiones. El cáncer gástrico sigue siendo muy común en nuestro medio. Se diagnostica en estadios muy avanzados, lo que imposibilita su manejo integral, disminuye la supervivencia y, en muchas ocasiones, imposibilita el manejo quirúrgico por compromiso tumoral avanzado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  Observation of characterization of patients with gastric cancer, evaluation of surgical outcome and survival.  Materials and methods: Descriptive study, observational, data collected and analyzed with the statistical program SPSS version 21.  Results: We included 358 patients, the most common symptom being epigastric pain in 72.9%. The most common macroscopic classification was Bormann III, 62.8%. In the histopathology study the intestinal type predominated, with 52.2% of the cases. In 77.9% of the patients, the operative procedure was performed by laparotomy and in 22.1% by laparoscopy. The surgical interventions performed were: total gastrectomy 36.9%, followed by subtotal gastrectomy 32.4%, gastrojejunostomy 8.9%, exploratory laparotomy 17%, diagnostic laparotomy 4.7%. Metastases in other organs were encountered in 39%. An intraoperative complication occurred only in 4.7%, and some postoperative complication in 9.1% of the patients. The average operating time was 122 minutes, the hospital stay 8,7 days; 131 patients died during follow-up, corresponding to 36.6%, and 34.1% relapsed. Chi-square test was performed, finding a statistically significant relationship between the type of surgery and the stage of the lesion (p=0.007), between the Bormann classification and mortality (p=000), the degree of differentiation (p=0.008), Borman and mortality (p=0.000). A survival curve was performed according to the Kaplan Meier method obtaining a log rank of 0.010.  Conclusions: Gastric cancer continues to be a very common pathology in our environment. It is diagnosed in advanced stages, which makes the integral management of this pathology impossible, decreasing survival and, in many cases, the impossibility of surgical management due to the advanced tumor compromise.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neoplasias gástricas]]></kwd>
<kwd lng="es"><![CDATA[gastrectomía]]></kwd>
<kwd lng="es"><![CDATA[complicaciones intraoperatorias]]></kwd>
<kwd lng="es"><![CDATA[complicaciones posoperatorias]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="en"><![CDATA[stomach neoplasms]]></kwd>
<kwd lng="en"><![CDATA[gastrectomy]]></kwd>
<kwd lng="en"><![CDATA[intraoperative complications]]></kwd>
<kwd lng="en"><![CDATA[postoperative complications]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
</kwd-group>
</article-meta>
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