{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T13:17:40Z","timestamp":1747228660900,"version":"3.40.5"},"reference-count":0,"publisher":"Sociedad Argentina de Gastroenterologia","issue":"2","license":[{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ACTA"],"abstract":"<jats:p>Introducci\u00f3n. El c\u00e1ncer de colon localmente avanzado representa del 5% al 22% del total de los c\u00e1nceres de colon. En aquellos pacientes con c\u00e1ncer de colon derecho con invasi\u00f3n de p\u00e1ncreas y\/o duodeno, la cirug\u00eda recomendada es la resecci\u00f3n en bloque. Sin embargo, la morbilidad y la mortalidad asociadas con el procedimiento pueden condicionar la toma de decisiones con respecto a la elecci\u00f3n del tratamiento.\nObjetivos. Analizar los resultados de las resecciones en bloque en pacientes con c\u00e1ncer de colon derecho localmente avanzado con infiltraci\u00f3n duodenal y\/o pancre\u00e1tica en un centro de referencia.\nMateriales y m\u00e9todos. Se realiz\u00f3 un an\u00e1lisis retrospectivo descriptivo de pacientes con c\u00e1ncer de colon derecho con infiltraci\u00f3n a duodeno y\/o cabeza de p\u00e1ncreas, evaluados entre noviembre de 2013 y noviembre de 2019, a quienes se les realiz\u00f3 una resecci\u00f3n en bloque con duodenopancreatectom\u00eda cef\u00e1lica.\nResultados. Se incluyeron 7 pacientes con c\u00e1ncer de colon localmente avanzado. El 42,85% (n= 3) presentaba infiltraci\u00f3n tumoral hacia el duodeno, mientras que el 42,85% (n= 3) infiltraba duodeno y cabeza de p\u00e1ncreas y el 14,28% (n= 1) no infiltraba estructuras. El per\u00edodo libre de enfermedad fue de 41,93 meses (12-95) y el 28,57% (n= 2) de los pacientes present\u00f3 recurrencia de la enfermedad.\nConclusiones. Los pacientes con c\u00e1ncer de colon derecho localmente avanzado sometidos a duodenopancreatectom\u00eda cef\u00e1lica, independientemente del tama\u00f1o y de la infiltraci\u00f3n tumoral, presentan una alta tasa de morbilidad y de mortalidad como consecuencia de la cirug\u00eda. Sin embargo, el procedimiento ofrece una supervivencia favorable a largo plazo.<\/jats:p>","DOI":"10.52787\/agl.v53i2.325","type":"journal-article","created":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T21:35:00Z","timestamp":1689197700000},"page":"169-174","source":"Crossref","is-referenced-by-count":0,"title":["Duodenopancreatectom\u00eda cef\u00e1lica en pacientes con c\u00e1ncer de colon derecho localmente avanzado"],"prefix":"10.52787","volume":"53","author":[{"given":"Gerardo","family":"Miranda Devora","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Horacio No\u00e9","family":"L\u00f3pez-Basave","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9298-5617","authenticated-orcid":false,"given":"Flavia","family":"Morales-V\u00e1squez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angel","family":"Herrera-G\u00f3mez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0793-858X","authenticated-orcid":false,"given":"Carolina","family":"Castillo-Morales","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro Eduardo","family":"Padilla-Rosciano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"30608","published-online":{"date-parts":[[2023,6,30]]},"container-title":["Acta Gastroenterol\u00f3gica Latinoamericana"],"original-title":[],"link":[{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/325\/638","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/325\/648","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/325\/648","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T21:35:01Z","timestamp":1689197701000},"score":1,"resource":{"primary":{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/view\/325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,30]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,6,30]]}},"URL":"https:\/\/doi.org\/10.52787\/agl.v53i2.325","relation":{},"ISSN":["2469-1119"],"issn-type":[{"type":"print","value":"2469-1119"}],"subject":[],"published":{"date-parts":[[2023,6,30]]}}}