<?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>S1405-00992019000100006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Apendicitis aguda: abordaje laparoscópico versus cirugía abierta; costos y complicaciones]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute appendicitis: laparoscopic approach versus open surgery; costs and complications]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magaña-Mainero]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luna-Gallardo]]></surname>
<given-names><![CDATA[Daniel De-]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Picazo-Ferrera]]></surname>
<given-names><![CDATA[Katia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sainz-Hernández]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz de la Peña-Rodríguez]]></surname>
<given-names><![CDATA[Jorge Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico ABC  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico ABC  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Médico ABC  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Nacional de Cancerología  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro Médico ABC  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>41</volume>
<numero>1</numero>
<fpage>6</fpage>
<lpage>11</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992019000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992019000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992019000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La apendicitis aguda representa una de las urgencias quirúrgicas más comunes durante la práctica quirúrgica diaria. La decisión de realizar una cirugía abierta versus laparoscópica sigue dependiendo de los recursos y entrenamiento del cirujano.  Objetivo:  El objetivo general del presente trabajo es comparar el tratamiento quirúrgico, tanto laparoscópico como abierto, de la apendicitis aguda en una serie de casos, analizando las complicaciones más comunes y costos que se generan para el paciente.  Material y métodos:  Realizamos un estudio observacional retrospectivo con todos los casos operados por apendicitis aguda en un periodo de 23 meses. Llevamos a cabo un análisis tomando como variables la demografía, hallazgos transoperatorios, días de estancia intrahospitalaria, complicaciones postquirúrgicas, estancia en la unidad de terapia intensiva y costos totales.  Resultados:  En una población total de 713 pacientes, se realizó apendicectomía laparoscópica a 647 (90.74%) y apendicectomía por abordaje abierto a 66; ocho (1.24%) y cuatro (6.06%) pacientes, respectivamente, presentaron alguna complicación postoperatoria durante su tratamiento, lo que generó un incremento considerable en los costos, así como en el promedio de días de estancia intrahospitalaria.  Conclusiones:  El tratamiento laparoscópico de la apendicitis aguda ofrece beneficios, como menor tiempo de estancia intrahospitalaria y menor porcentaje de complicaciones. A diferencia de la cirugía abierta, los abscesos residuales postoperatorios a la cirugía laparoscópica no requirieron reintervención y no hubo casos con dehiscencia de la herida. A pesar de ser más costosa, en promedio, la cirugía laparoscópica ofrece dentro de sus beneficios menos complicaciones, y sus costos, al ser comparados con los generados por la cirugía abierta, son menores.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Acute appendicitis represents one of the most common surgical emergencies during daily surgical practice. The decision to perform open versus laparoscopic surgery continues to depend on the resources and training of the surgeon.  Objective:  The general objective of this study is to compare the surgical treatment of acute appendicitis, both laparoscopic and open, in a series of cases, analyzing the most common complications and costs generated for the patient.  Material and methods:  We conducted an observational, retrospective study with all cases operated for acute appendicitis in a period of 23 months. We performed an analysis taking as variables the demographics, transoperative findings, days of in-hospital stay or any postoperative complications.  Results:  With a total population of 713 patients, laparoscopic appendectomy was performed on 647 (90.74%) and appendectomy by open approach on 66; eight (1.24%) and four (6.06%) patients, respectively, presented postoperative complications during their treatment, which generated a considerable increase in costs, as well as in the average days of in-hospital stay.  Conclusions:  Laparoscopic management of acute appendicitis offers benefits such as shorter intrahospital stay and a lower percentage of complications. Unlike open surgery, residual abscesses postoperative to laparoscopic surgery did not require reoperation, and there were no cases with wound dehiscence. Although laparoscopic surgery is more expensive on average, it offers less serious complications and its costs, when compared to those generated by open surgery, are lower.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[apendicectomía]]></kwd>
<kwd lng="es"><![CDATA[laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[laparoscopia]]></kwd>
<kwd lng="es"><![CDATA[cirugía abierta]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="en"><![CDATA[Acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[appendectomy]]></kwd>
<kwd lng="en"><![CDATA[laparoscopic]]></kwd>
<kwd lng="en"><![CDATA[laparoscopy]]></kwd>
<kwd lng="en"><![CDATA[open surgery]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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