<?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>S0034-74932019000200007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resección anterior del recto ultrabaja laparoscópica con anastomosis coloanal en cáncer del recto bajo]]></article-title>
<article-title xml:lang="en"><![CDATA[Laparoscopic Ultralow Anterior Rectal Resection with Coloanal Anastomosis in Low Rectum Cancer]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barreras González]]></surname>
<given-names><![CDATA[Javier Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira Fraga]]></surname>
<given-names><![CDATA[Jorge Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Llorente Llano]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Alfonso]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Peña]]></surname>
<given-names><![CDATA[Rafael]]></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>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Clínico-Quirúrgico &#8220;Manuel Fajardo&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>58</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932019000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932019000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932019000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La resección anterior del recto ultrabaja laparoscópica con anastomosis coloanal evita la realización una colostomía definitiva.  Objetivo:  Determinar las indicaciones, describir la técnica quirúrgica y mostrar los resultados a largo plazo obtenidos en la realización de este proceder en el tratamiento del cáncer del recto bajo.  Método:  Se realizó un estudio observacional descriptivo y prospectivo de 53 pacientes con cáncer del recto bajo en el período comprendido entre octubre 2007 y noviembre 2018 en el Centro Nacional de Cirugía de Mínimo Acceso. Todas las resecciones fueron llevadas a cabo por un grupo dedicado a la cirugía colorrectal, en todos los casos se realizó la excisión total del mesorrecto.  Resultados:  Se operaron mediante esta técnica 53 pacientes, 30 masculinos y 23 femeninos con un promedio de edad de 57 años (rango 23-81) y de ellos 42 (79,2 %) después de terapia neoadyuvante. El promedio de tiempo quirúrgico fue de 195 min (rango 90-360) y las pérdidas hemáticas estimadas, de 72 mL. La incidencia de morbilidad mayor fue de 16,9 % (9/53) y la media de estadía hospitalaria de 6,3 días. La media del periodo de seguimiento fue de 40 meses (rango 1-132) con una recidiva local de 9,4 % (5/53) y una supervivencia global a los 5 años de 80,3 %.  Conclusiones:  La resección anterior del recto ultrabaja laparoscópica con anastomosis coloanal es una técnica segura con excelentes resultados en cuanto a recidiva local y supervivencia global.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Laparoscopic ultralow anterior rectal resection with coloanal anastomosis prevents the performance of a definitive colostomy.  Objective:  To determine the indications, describe the surgical technique and show the long-term outcome of performing this procedure in the treatment of cancer of the lower rectum.  Method:  A descriptive and prospective observational study of 53 patients with low rectal cancer was carried out in the period between October 2007 and November 2018, at the National Center for Minimum Access Surgery. All resections were carried out by a group dedicated to colorectal surgery. In all cases, the total mesorectal excision was performed.  Results:  53 patients (30 males and 23 females), with an average age of 57 years (range 23-81) and 42 (79.2%) after neoadjuvant therapy were operated using this technique. The average surgical time was 195 min (range 90-360) and the estimated blood loss was 72 mL. The incidence of major morbidity was 16.9% (9/53) and the average hospital stay was 6.3 days. The mean follow-up period was 40 months (range 1-132), with a local relapse of 9.4% (5/53) and a 5-year overall survival of 80.3%.  Conclusions:  Laparoscopic ultralow anterior resection of the rectum with coloanal anastomosis is a safe technique with excellent outcomes in terms of local relapse and overall survival.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cáncer del recto]]></kwd>
<kwd lng="es"><![CDATA[resección anterior del recto ultrabaja]]></kwd>
<kwd lng="es"><![CDATA[anastomosis coloanal]]></kwd>
<kwd lng="es"><![CDATA[excisión total del mesorrecto]]></kwd>
<kwd lng="es"><![CDATA[cirugía laparoscópica]]></kwd>
<kwd lng="en"><![CDATA[rectum cancer]]></kwd>
<kwd lng="en"><![CDATA[ultralow anterior rectal resection]]></kwd>
<kwd lng="en"><![CDATA[coloanal anastomosis]]></kwd>
<kwd lng="en"><![CDATA[total mesorectal excision]]></kwd>
<kwd lng="en"><![CDATA[laparoscopic surgery]]></kwd>
</kwd-group>
</article-meta>
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