<?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>S1405-00992017000300152</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia de manejo de cáncer pancreático con Whipple laparoscópico en el Hospital General y Central de Chihuahua]]></article-title>
<article-title xml:lang="en"><![CDATA[Experience in handling pancreatic cancer with laparoscopic Whipple at the General and Central Hospital of Chihuahua]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aragón Quintana]]></surname>
<given-names><![CDATA[César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guevara López]]></surname>
<given-names><![CDATA[Javier Antero]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casas García]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castillo Frausto]]></surname>
<given-names><![CDATA[Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General &#8220;Dr. Salvador Zubirán Anchondo&#8221; Hospital Central de Chihuahua Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Chihuahua ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Central de Chihuahua Servicio de Cirugía ]]></institution>
<addr-line><![CDATA[Chihuahua ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Estatal de Cancerología  ]]></institution>
<addr-line><![CDATA[Chihuahua ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Central de Chihuahua  ]]></institution>
<addr-line><![CDATA[Chihuahua ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>39</volume>
<numero>3</numero>
<fpage>152</fpage>
<lpage>156</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992017000300152&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992017000300152&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992017000300152&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Los cánceres de páncreas son neoplasias malignas usualmente agresivas con altas tasas de mortalidad, pueden ser sólidas o quísticas. Las neoplasias pancreáticas sólidas más comunes son el adenocarcinoma ductal pancreático (ACDP) y tumores neuroendocrinos pancreáticos (TNEP). En México el cáncer de páncreas es la quinta neoplasia más frecuente en hombres y la séptima en mujeres. La presentación clínica de cáncer de páncreas depende principalmente de la localización del tumor dentro del páncreas. La mayoría (85%) de los tipos de cáncer pancreáticos se desarrollan dentro de la cabeza del páncreas. Alrededor de 10% se producen en el cuerpo del páncreas y 5% en la cola. El diagnóstico de cáncer de páncreas puede ser difícil de establecer en pacientes que se presentan con ictericia obstructiva, la sospecha de cáncer de páncreas es muy alta, de manera que se realizan diversos estudios de imagen como ecografía abdominal o tomografía axial computarizada (TAC) de abdomen o ambos. La cirugía de Whipple o pancreatoduodenectomía es la única terapia potencialmente curativa para el tratamiento del cáncer resecable de páncreas. La tasa de mortalidad operatoria en cirujanos experimentados es inferior a 5% y de 20 a 30% en cirujanos no experimentados. Las muertes postoperatorias se deben a complicaciones como fístulas pancreáticas y biliares, hemorragia e infección. Los estudios de comparación entre pancreatoduodenectomía abierta (OPD) y laparoscópica (LPD) revelaron disminución de la pérdida de sangre, mayor tiempo quirúrgico, un índice similar de complicaciones postoperatorias, disminución del dolor y estancia hospitalaria corta en pacientes sometidos a LPD. En este estudio se intervinieron ocho pacientes con edad media de 53 años (52.87) y diagnóstico de cáncer de páncreas resecable. Los estudios de imagen obtenidos fueron tomografía computarizada y colangiopancreatografía retrógrada endoscópica. En cinco pacientes se realizó pancreatoduodenectomía (tiempo operatorio promedio 280 minutos y pérdida sanguínea de 837.5 ml), dos de los pacientes se convirtieron a cirugía abierta y dos fallecieron. Como complicaciones del procedimiento se encontraron: fístula pancreática de alto gasto, fuga biliar y abscesos intraabdominales. La estancia hospitalaria media fue de 11 días.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Pancreatic cancers are usually aggressive malignancies with high mortality rates, which can be solid or cystic. The most common solid pancreatic neoplasms are pancreatic ductal adenocarcinoma (PDAC) and pancreatic neuroendocrine tumors (PNET). In Mexico, pancreatic cancer is the fifth most common malignancy in men and seventh in women. The clinical presentation of pancreatic cancer depends primarily on the location of the tumor within the pancreas. Most (85%) of pancreatic cancers develop inside the head of the pancreas. About 10% occur in the pancreatic body and 5% in the tail. Diagnosis of pancreatic cancer is established may be difficult to diagnose, in those patients who present with obstructive jaundice, suspicion of pancreatic cancer is very high are performed various imaging studies such as abdominal ultrasound or CT scan of the abdomen, or both. Whipple surgery or pancreatoduodenectomy is the only potentially curative therapy for the treatment of resectable pancreatic cancer. The operative mortality rate in experienced surgeons is less than 5% and high as 20%-30%. Postoperative deaths are due to complications such as pancreatic and biliary fistulas, bleeding and infection. Studies comparing open pancreatoduodenectomy (OPD) and laparoscopic pancreatoduodenectomy (LPD) found decreased blood loss, longer surgical time, similar rate of post-operative complications, decreased pain and shorter length of hospital stay in patients undergoing LPD. In this study, 8 patients with a mean age of 53 years (52.87) and a diagnosis of resectable pancreatic cancer were involved. The imaging studies obtained were computed tomography and endoscopic retrograde cholangiopancreatography. Pancreatoduodenectomy was performed in 5 patients (average operating time 280 minutes and blood loss of 837.5 ml), 2 of the patients were converted to open surgery, 2 of the patients died. Complications of the procedure included: high expenditure pancreatic fistula, biliary leakage and intra-abdominal abscesses. The average hospital stay was 11 days.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cáncer de páncreas]]></kwd>
<kwd lng="es"><![CDATA[cirugía de Whipple o pancreatoduodenectomía]]></kwd>
<kwd lng="es"><![CDATA[tratamiento del cáncer resecable de páncreas]]></kwd>
<kwd lng="es"><![CDATA[pancreatoduodenectomía abierta versus laparoscópica]]></kwd>
<kwd lng="en"><![CDATA[Pancreatic cancer]]></kwd>
<kwd lng="en"><![CDATA[Whipple&#8217;s surgery or pancreatoduodenectomy]]></kwd>
<kwd lng="en"><![CDATA[treatment of resectable pancreatic cancer]]></kwd>
<kwd lng="en"><![CDATA[open versus laparoscopic pancreatoduodenectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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