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dc.contributor.authorLópez Gómez, Luis Ernesto
dc.contributor.authorDomínguez-Alvarado, Gonzalo Andrés
dc.contributor.authorDvera Camargo , Daniela
dc.contributor.authorLozano-Eslava, Luis Alejandro
dc.contributor.authorMartinez-Rojas, Paula Andrea
dc.date.accessioned2020-10-27T14:19:14Z
dc.date.available2020-10-27T14:19:14Z
dc.date.issued2020-07-22
dc.identifier.issn2382-4603
dc.identifier.issn0123-7047
dc.identifier.urihttp://hdl.handle.net/20.500.12749/9901
dc.description.abstractIntroducción. El cáncer de colon es una de las principales causas de morbimortalidad a nivel mundial. En Colombia se presentan cerca de 145,600 casos nuevos al año. Cada vez son más los reportes de este tipo de patologías intervenidas por vía laparoscópica, aunque son pocos en Colombia. El objetivo de este artículo es mostrar el abordaje de esta patología mediante un procedimiento mínimamente invasivo: la colectomía derecha por vía laparoscópica, el cual es poco utilizado en el país. Caso clínico. Paciente de 86 años que consulta por pérdida de peso, adinamia y dolor abdominal en flanco derecho. Presenta además anemia ferropénica y sangre oculta en materia fecal. Las endoscopias digestivas muestran lesión ulcerada vegetante de aspecto neoplásico a nivel del ciego. La biopsia revela adenocarcinoma infiltrante moderadamente diferenciado con áreas de necrosis. Se realiza una colectomía derecha por técnica laparoscópica. Se hace seguimiento con neoadyuvancia por parte de Oncología Clínica. Discusión. El adenocarcinoma es uno de los cánceres primarios más comunes en el colon. La resección quirúrgica es una excelente alternativa para el manejo y tratamiento de estos tumores. En Colombia, la mayoría de estas resecciones se realizan por vía abierta. La resección por vía laparoscópica es un método que demuestra similar eficacia, ofreciendo una disminución en la respuesta inflamatoria, con mejor control del dolor y limitaciones funcionales. Conclusiones. La colectomía por vía laparoscópica para resección de tumores de colon es un método seguro, eficaz y reproducible. Sin embargo, exige tecnología de alto costo y debe ser realizada por un grupo quirúrgico con habilidad y experiencia en sutura manual laparoscópica.
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dc.language.isospa
dc.publisherUniversidad Autónoma de Bucaramanga UNAB
dc.relationhttps://revistas.unab.edu.co/index.php/medunab/article/view/3829/3287
dc.relationHttps://revistas.unab.edu.co/index.php/medunab/article/view/3829/3300
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dc.relation.urihttps://revistas.unab.edu.co/index.php/medunab/article/view/3829
dc.rightsDerechos de autor 2020 MedUNAB
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.sourceMedUNAB; Vol. 23 Núm. 2 (2020): agosto - noviembre 2020: Cirugía general, Coronavirus, Hemorroides; 281-287
dc.subjectColectomía
dc.subjectLaparoscopía
dc.subjectEnfermedades del Colon
dc.subjectProcedimientos Quirúrgicos Mínimamente Invasivos
dc.subjectNeoplasias del Colon
dc.subjectNeoplasias del Recto
dc.titleHemicolectomía radical laparoscópica: opción de mínima invasión para el cáncer de colon
dc.title.translatedLaparoscopic radical hemicolectomy: minimally invasive option for colon cancer
dc.type.driverinfo:eu-repo/semantics/article
dc.type.localArtículospa
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1f
dc.subject.keywordsColectomy
dc.subject.keywordsLaparoscopy
dc.subject.keywordsColonic Diseases
dc.subject.keywordsMinimally Invasive Surgical Procedures
dc.subject.keywordsColonic Neoplasms
dc.subject.keywordsRectal Neoplasms
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga UNAB
dc.type.hasversionInfo:eu-repo/semantics/publishedVersioneng
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.description.abstractenglishIntroduction. Colon cancer is one of the main causes of morbimortality in the world. Colombia counts near 145,600 new cases per year. The reports of laparoscopic intervention in this pathology are growing, but in Colombia there is little recent work on the matter. The aim of this article is to show how this pathology can be addressed through a minimally invasive procedure, laparoscopic right colectomy, which is not frequently used in the country. Clinical case. An 86-year-old patient consults due to weight loss, adynamia and abdominal pain on right side. Iron-deficiency anemia and hidden blood in feces was reported. The digestive endoscopies show the presence of a vegetant and ulcerated lesion of neoplastic appearance in the cecum. A biopsy revealed a moderately differentiated, invasive adenocarcinoma with areas of necrosis. A laparoscopic right colectomy is conducted. Definitive report of moderately differentiated and ulcerated, invasive, mucinous adenocarcinoma, with lesion up to the serous membrane. Follow up is conducted with neoadjuvant therapy by the Clinical Oncology service. Discussion. Adenocarcinoma is one of the most common primary cancers in the colon. Surgical still an excellent alternative for the management of this kind of tumor. In Colombia, the majority of these resections are carried out by open surgery. However, laparoscopic resection is a method that offers similar outcomes to the traditional procedure, while providing a reduction in the inflammatory response, with better pain control and control of functional limitations. Conclusions. Laparoscopic colectomy for the resection of colonic tumors is a safe, effective and reproducible method. However, it requires high-cost technology and it must be conducted by a surgical team skilled and experienced in manual laparoscopic suturing.
dc.identifier.doi10.29375/01237047.3829
dc.type.redcolhttp://purl.org/redcol/resource_type/CJournalArticle
dc.rights.creativecommonsAttribution-NonCommercial 4.0 International*


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