Experiencia en el manejo de cancer colorrectal en el hospital universitario mayor - Mederi
| Contribuinte(s) |
Figueroa Avendaño, Carlos Edgar |
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| Data(s) |
06/11/2015
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| Resumo |
Introducción: El cáncer colorrectal es el tercer cáncer más diagnosticado en los hombres y el segundo en las mujeres a nivel mundial. Hasta 1.000 casos nuevos se diagnostican en Colombia cada año, por lo que es importante conocer la experiencia con esta patología en un centro de experiencia recientemente creado en el “Méderi, Hospital Universitario Mayor”. Materiales y métodos: Se realizó un estudio de corte transversal de la población con diagnóstico de cáncer colorrectal atendida entre agosto 2012 y diciembre 2014 que corresponde al tiempo de funcionamiento del servicio de Coloproctología. Resultados: Se atendieron un total de 152 pacientes con cáncer colorrectal en la institución. Se operó el 91% de los pacientes. El estadío más frecuente fue el IV. Solo el 4.9% presentó dehiscencia de anastomosis, datos concordantes con la literatura cuando el manejo es a cargo de expertos. El subtipo histológico más frecuente fue adenocarcinoma moderadamente diferenciado y la mortalidad perioperatoria de 2.63%. Discusión: El cáncer colorrectal es una entidad con alta morbimortalidad lo cual puede cambiar si se realizan pruebas de tamizaje, para realizar un manejo temprano y oportuno. Además juega un papel importante la experiencia del cirujano y la discusión de los pacientes en juntas multidisciplinarias. Palabras clave: cáncer de colon, cáncer de recto, epidemiología, estadificación Introduction: Colorectal cancer is the third most diagnosed cancer in men and second in women worldwide, up to 1,000 new cases are diagnosed each year in Colombia; due to its importance it is important to know the experience in a Experience Center recently created at the University Hospital Mayor Mederi . Methods: A cross-sectional study was conducted including all the population with a diagnosis of colorectal cancer who attended our institution in the period between August 2012 and December 2014, the period of creation of the Department of Coloproctology. Results: A total of 152 patients with colorectal cancer were treated in the institution, 91% of patients underwrnt a surgical treatment.. The most common postoperative stage was IV. Only 4.9% had anastomotic dehiscence, data consistent with literature in the management of this pathology in expert hands. The most common histological subtype was adenocarcinoma moderately differentiated, and perioperative mortality was 2.69%. . Discussion: Colorectal cancer is an entity with high morbidity and mortality which could change if screening tests are performed, to make and early and timely management. The surgeon´s experience and discussion of patients in multidisciplinary meetings also play an important role for them Keywords: colon cancer, rectal cancer, epidemiology, staging |
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application/pdf |
| Identificador | |
| Idioma(s) |
spa |
| Publicador |
Facultad de Medicina |
| Direitos |
info:eu-repo/semantics/openAccess |
| Fonte |
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| Palavras-Chave | #Cirugía #617.55 #Cirugía colorrectal #Neoplasias colorrectales #colon cancer, rectal cancer, epidemiology, staging |
| Tipo |
info:eu-repo/semantics/bachelorThesis info:eu-repo/semantics/acceptedVersion |
