<?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>S0034-74932019000100004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cirugía abdominal laparoscópica en el adulto mayor]]></article-title>
<article-title xml:lang="en"><![CDATA[Laparoscopic Abdominal Surgery in the Aged Adult]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morera Pérez]]></surname>
<given-names><![CDATA[Maricela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Roque González]]></surname>
<given-names><![CDATA[Rosalba]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González León]]></surname>
<given-names><![CDATA[Tania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Piñero]]></surname>
<given-names><![CDATA[Rolando O.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olivé González]]></surname>
<given-names><![CDATA[Juan B.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Nacional de Cirugía de Mínimo Acceso  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</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>58</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932019000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932019000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932019000100004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La cirugía de mínimo acceso en general y en particular la abdominal laparoscópica ha revolucionado la cirugía ofreciendo mejoría en la calidad de vida de los pacientes lo cual se hace más evidente en los adultos mayores.  Objetivo: Describir la efectividad y seguridad de la cirugía abdominal laparoscópica en el adulto mayor.  Métodos:  Se realizó una investigación descriptiva en una serie consecutiva de 204 adultos mayores con indicación de cirugía abdominal laparoscópica en el Centro Nacional de Cirugía de Mínimo Acceso en el primer semestre del año 2017.  Resultados:  La edad mediana fue de 68,0 (60-90) años, predominó el sexo femenino (71,6 %). La comorbilidad en 180 pacientes (88,2 %). La litiasis vesicular (43,2 %), hernia inguinal (14,1 %) y afecciones colorrectales (12,2 %) fueron los diagnósticos más frecuentes mientras que la colecistectomía laparoscópica (44,1 %), hernioplastia inguinal (14,1 %) y la cirugía colorrectal (12,2 %) las técnicas más realizadas. La mediana del tiempo quirúrgico fue 60,0 (15-360) minutos. Hubo una tasa de complicaciones de 6,9 %, de conversión de 3,4 %, reintervención de 2,0 % y mortalidad de 0,5 %. La mediana de la estadía hospitalaria fue de 1,0 (1-52) días. El antecedente de cirugía por cáncer se asoció con la presencia de complicaciones, p=0,000.  Conclusiones:  La cirugía abdominal laparoscópica constituye una opción efectiva y segura para el adulto mayor.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Minimal access surgery in general, and particularly laparoscopic abdominal surgery, have revolutionized surgery that offers improvement in the quality of life of patients, which is more evident in older adults.  Objective: To describe the effectiveness and safety of laparoscopic abdominal surgery in the aged adult.  Methods:  A descriptive investigation was carried out in a consecutive series of 204 aged adults with indication for laparoscopic abdominal surgery, at the National Center for Minimal Access Surgery, in the first semester of 2017.  Results:  The median age was 68.0 (60-90) years. The female sex predominated (71.6%). Comorbidity in 180 patients (88.2%). Vesicular lithiasis (43.2%), inguinal hernia (14.1%) and colorectal disorders (12.2%) were the most frequent diagnoses, while laparoscopic cholecystectomy (44.1%), inguinal hernioplasty (14.1%) %) and colorectal surgery (12.2%) were the most performed techniques. The median surgical time was 60.0 (15-360) minutes. There was a complication rate of 6.9%, a conversion rate of 3.4%, reintervention of 2.0% and mortality of 0.5%. The median of the hospital stay was 1.0 (1-52) days. The history of surgery for cancer was associated with the presence of complications, p=0.000.  Conclusions: Laparoscopic abdominal surgery is an effective and safe option for the aged adult.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirugía abdominal laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[adulto mayor]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[cáncer colorrectal]]></kwd>
<kwd lng="es"><![CDATA[hernia inguinal laparoscópica]]></kwd>
<kwd lng="en"><![CDATA[laparoscopic abdominal surgery]]></kwd>
<kwd lng="en"><![CDATA[aged adult]]></kwd>
<kwd lng="en"><![CDATA[laparoscopic cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[colorectal cancer]]></kwd>
<kwd lng="en"><![CDATA[laparoscopic inguinal hernia]]></kwd>
</kwd-group>
</article-meta>
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<source><![CDATA[Surgical Endoscopy]]></source>
<year>2013</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>295-302</page-range></nlm-citation>
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</article>
