<?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>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992016000200072</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento mínimamente invasivo de úlceras pépticas perforadas en el Hospital General &#8220;Dr. Manuel Gea González&#8221;]]></article-title>
<article-title xml:lang="en"><![CDATA[Minimally invasive approach to perforated peptic ulcer at the General Hospital &#8220;Dr. Manuel Gea González&#8221;]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Espínola]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trejo-Ávila]]></surname>
<given-names><![CDATA[Mario Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valenzuela-Salazar]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solórzano-Vicuña]]></surname>
<given-names><![CDATA[Danilo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-Loera]]></surname>
<given-names><![CDATA[Luz Sujey]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno-Portillo]]></surname>
<given-names><![CDATA[Mucio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General &#8220;Dr. Manuel Gea González&#8221;  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General &#8220;Dr. Manuel Gea González&#8221;  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General &#8220;Dr. Manuel Gea González&#8221; Servicio de Cirugía General y Endoscópica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General &#8220;Dr. Manuel Gea González&#8221; Servicio de Cirugía General y Endoscópica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital General &#8220;Dr. Manuel Gea González&#8221;  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<volume>38</volume>
<numero>2</numero>
<fpage>72</fpage>
<lpage>77</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992016000200072&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992016000200072&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992016000200072&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El abordaje quirúrgico por mínima invasión es actualmente una técnica atractiva que permite la identificación y reparación de la perforación, el lavado peritoneal, y evita las comorbilidades de la laparotomía.  Material y métodos: Serie de casos retrospectiva en la que se incluyeron individuos con úlcera péptica perforada (gástrica o duodenal) tratados de manera laparoscópica en el Hospital General &#8220;Dr. Manuel Gea González&#8221; entre agosto de 2014 y diciembre de 2015.  Resultados:  Se analizó un total de 13 casos. La perforación se reparó con cierre primario (76.9%), con nudo extracorpóreo tipo Gea (84.6%) y parche de epiplón (76.9%). En 46.1% se realizó endoscopia transquirúrgica con toma de biopsias y prueba neumática. En 53.8% se llevó a cabo lavado peritoneal. Tiempo quirúrgico promedio: 103 min. Ningún caso se convirtió a laparotomía. En 92.3% se inició dieta antes de las 72 horas. El promedio de estancia hospitalaria fue de 5.8 días. No hubo ninguna reintervención.  Conclusiones: Se observó la posibilidad de abordar a todos los pacientes de manera laparoscópica, con buenos resultados a corto plazo y pocas complicaciones postquirúrgicas]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Minimally invasive approach of peptic ulcer disease is an attractive alternative for repairing perforations, peritoneal lavage, and avoiding complications associated with the open surgery approach.  Material and methods:  We reviewed records of patients with perforated peptic ulcer treated with laparoscopic surgery from August 2014 to December 2015 in our hospital.  Results:  We included 13 patients in our study, all of which were approached initially with laparoscopic surgery. The perforation was repaired with primary closure (76.9%) with &#8220;Gea&#8221; extracorporeal sliding knot (84.6%), with omental patch (76.9%). We used intraoperative endoscopy in some cases (46.1%) for complementary diagnosis, biopsies and review of the closure. The peritoneal cavity was thoroughly irrigated with normal saline solution in 53.8%. All surgeries finished laparoscopically. The mean operating time was 103 min. In 92.3%, we started enteral nutrition before 72 hrs. The mean hospital stay was 5.8 days. None of the patients required reintervention.  Conclusions:  In our study, we observed the possibility of approaching all perforated peptic ulcers laparoscopically, with good results at short follow-up and few postoperative complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Úlcera péptica perforada]]></kwd>
<kwd lng="es"><![CDATA[cirugía laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[cierre primario]]></kwd>
<kwd lng="es"><![CDATA[endoscopia transquirúrgica]]></kwd>
<kwd lng="en"><![CDATA[Perforated peptic ulcer]]></kwd>
<kwd lng="en"><![CDATA[laparoscopic surgery]]></kwd>
<kwd lng="en"><![CDATA[primary closure]]></kwd>
<kwd lng="en"><![CDATA[intraoperative endoscopy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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