<?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>S0034-74932018000400003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación de opciones terapéuticas para la enfermedad diverticular del colon]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of therapeutic options for diverticular disease of the colon]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Garcia]]></surname>
<given-names><![CDATA[Leandros Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vinardell Almira]]></surname>
<given-names><![CDATA[Lisandra María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico &#8220;Lucía Íñiguez Landín&#8221;  ]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>57</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932018000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932018000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932018000400003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La enfermedad diverticular del colon es una entidad de reciente aparición, con un aumento manifiesto en el siglo XX. El manejo quirúrgico más apropiado ha sido siempre controvertido con respecto a su estado más grave: la diverticulitis. Existen principalmente dos opciones terapéuticas: la cirugía de Hartmann y la resección con anastomosis primaria.  Objetivo:  Evaluar las opciones terapéuticas para la peritonitis diverticular de colon izquierdo Grado III de Hinchey.  Métodos:  Se realizó un estudio descriptivo, de serie de casos, a partir de la discusión e implementación de un método de tratamiento estándar aplicado a esa patología en el &#8220;Hospital Clínico Quirúrgico&#8221; de Holguín desde 2014 hasta 2016. El universo y la muestra coinciden con 78 pacientes intervenidos.  Resultados:  El proceder quirúrgico más utilizado fue la resección con anastomosis primaria. La mayor parte de las intervenciones tuvo una duración de más de 2 horas. El proceder de Hartmann fue el que más complicaciones y mortalidad posoperatorias presentó.  Conclusiones:  Se determinó que entre las técnicas quirúrgicas actuales para el tratamiento de la diverticulitis Grado III de Hinchey. El proceder de RAP constituye la terapéutica más adecuada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The diverticular disease of the colon is a recent ailment having remarkable increase in the 20th century. The most appropriate surgical management of this disease has always been a topic of controversy about its most severe condition, that is, diverticulitis. There are two main therapeutic options: Hartmann&#8217;s surgery and primary anastomosis resection.  Objective: To evaluate the therapeutic options for Hinchey III left-sided colon diverticular peritonitis.  Methods: A descriptive case-series study was conducted on the basis of discussion and implementation of a standard method of treatment used for this pathology in the Clinical and Surgical Hospital of Holguin from 2014 to 2016. The universe and the sample were the same, with 78 surgical patients.  Results: The most used surgical procedure was primary anastomosis resection. Most of the interventions lasted more than 2 hours. Hartmann&#8217;s procedure was the one with more complications and high postoperative mortality.  Conclusions: Among the current surgical techniques for the treatment of Hinchey III diverticulitis, it was established that the primary anastomosis resection is the most adequate therapy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[diverticulitis del colon]]></kwd>
<kwd lng="es"><![CDATA[anastomosis quirúrgica]]></kwd>
<kwd lng="en"><![CDATA[colonic diverticulitis]]></kwd>
<kwd lng="en"><![CDATA[surgical anastomosis]]></kwd>
</kwd-group>
</article-meta>
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