<?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>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932023000100009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Morbilidad y mortalidad de pacientes operados de cáncer de esófago]]></article-title>
<article-title xml:lang="en"><![CDATA[Morbidity and Mortality of Patients Operated on for Esophageal Cancer]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Columbié Barrios]]></surname>
<given-names><![CDATA[Pablo Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Fernández]]></surname>
<given-names><![CDATA[Zenén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cisneros Domínguez]]></surname>
<given-names><![CDATA[Carmen María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Falcón Vilariño]]></surname>
<given-names><![CDATA[Gilberto Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lubín García]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero García]]></surname>
<given-names><![CDATA[Lázaro Ibrahim]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Docente Saturnino Lora  ]]></institution>
<addr-line><![CDATA[ Santiago de Cuba]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Santiago de Cuba  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<volume>62</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932023000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932023000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932023000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El tratamiento principal del cáncer esofágico es la esofagectomía.  Objetivo:  Determinar la morbilidad y mortalidad de los pacientes operados de cáncer esofágico.  Métodos:  Se realizó un estudio observacional, descriptivo y transversal en 87 pacientes operados de cáncer esofágico en el Servicio de Cirugía General del Hospital Provincial Docente Saturnino Lora de Santiago de Cuba durante el período comprendido de 2014 a 2018.  Resultados: Dos pacientes en estadio II (100,0 %) recibieron tratamiento quirúrgico curativo y 12 en estadio III (17,9 %). Recibieron tratamiento quirúrgico paliativo 55 (82,1 %) enfermos en estadio III y 18 (100,0 %) en estadio IV. Predominó la técnica transhiatal de Denk-Sloan-Orringer aplicada en 10 (71,4 %) pacientes. La gastrostomía predominó como proceder paliativo para alimentación en 53 (76,2 %) pacientes. Se reportaron 45 complicaciones; el 53,3 % de tipo médica, en las que prevalecieron las respiratorias: bronconeumonía (13,3 %) y distrés respiratorio (11,1 %). En cambio, el 46,7 % de las complicaciones fueron de tipo quirúrgicas: infección del sitio operatorio (20,0 %), seguida de la fuga anastomótica (15,6 %). Fallecieron 16 (18,4 %) pacientes del total de la serie. Las causas de muerte predominantes fueron el distrés respiratorio (31,3 %) y la disfunción múltiple de órganos (25,0 %).  Conclusiones: La esofagectomía abierta o mínimamente invasiva se erige como el tratamiento quirúrgico de elección para el tratamiento del cáncer esofágico con intención curativa, proceder con elevada morbilidad y mortalidad a escala mundial. Los resultados de esta investigación coinciden con los reportados en la literatura médica nacional y extranjera.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The main treatment for esophageal cancer is esophagectomy.  Objective:  To determine the morbidity and mortality of patients operated on for esophageal cancer.  Methods:  An observational, descriptive and cross-sectional study was carried out with 87 patients operated on for esophageal cancer in the general surgery service of Hospital Provincial Docente Saturnino Lora, of Santiago de Cuba, during the period from 2014 to 2018.  Results:  Curative surgical treatment was received by 2 patients (100.0%) in stage II and 12 patients (17.9%) in stage III. Palliative surgical treatment was received by 55 ill patients (82.1%) in stage III and 18 ill patients (100.0%) in stage IV. There was a predominance of the Denk-Sloan-Orringer transhiatal technique, applied in 10 (71.4%) patients. Gastrostomy predominated in 53 (76.2%) patients as a palliative procedure for feeding. Forty-five complications were reported, 53.3% of which were medical, with respiratory complications prevailing: bronchopneumonia (13.3%) and respiratory distress (11.1%). On the other hand, 46.7% of the complications were surgical: surgical site infection (20.0%), followed by anastomotic leak (15.6%). Out of the total series, 16 (18.4%) patients died. The predominant causes of death were respiratory distress (31.3%) and multiple organ dysfunction (25.0%).  Conclusions:  Open or minimally invasive esophagectomy stands out as the surgical treatment of choice for esophageal cancer with curative purposes, being a procedure with high morbidity and mortality worldwide. The results of this research coincide with those reported in the national and foreign medical literature.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cáncer de esófago]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="es"><![CDATA[estadificación]]></kwd>
<kwd lng="es"><![CDATA[morbilidad]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="en"><![CDATA[esophageal cancer]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="en"><![CDATA[staging]]></kwd>
<kwd lng="en"><![CDATA[morbidity]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
</kwd-group>
</article-meta>
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