<?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>S0034-74932021000400007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización de la fuga anastomótica en operados por cáncer del esófago en Cuba]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of Anastomotic Leak in Patients Operated on for Esophageal Cancer in Cuba]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castellanos González]]></surname>
<given-names><![CDATA[Juan Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mederos Curbelo]]></surname>
<given-names><![CDATA[Orestes Noel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrera Ortega]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero Díaz]]></surname>
<given-names><![CDATA[Carlos Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Adefna Pérez]]></surname>
<given-names><![CDATA[Radamés Isaac]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leal Mursulí]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Hospital Universitario Clínico Quirúrgico &#8220;Comandante Manuel Fajardo&#8221; ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>60</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932021000400007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932021000400007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932021000400007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La fuga anastomótica es la principal complicación de la cirugía del esófago, con altos índices de incidencia y mortalidad.  Objetivo:  Identificar los factores involucrados en la aparición de la fuga anastomótica en pacientes operados de cáncer de esófago en Cuba en el periodo de 1988 al 2020.  Métodos:  Se realizó una investigación observacional clínico epidemiológica multicéntrica, no randomizada, en el periodo de 1988 al 2020. El universo y la muestra quedaron constituidos por 2844 y 595 enfermos de 9 centros hospitalarios. Algunas variables estudiadas incluyeron sexo, edad, variedad histológica, intervención quirúrgica realizada, comorbilidades y su interrelación con la fuga anastomótica.  Resultados:  La fuga anastomótica predominó en el grupo de mayores de 55 años (17,8 %), en el sexo femenino 65 (10,9 %), en los no fumadores 79 (13,3 %) y en los que no ingerían bebidas alcohólicas con 100 pacientes (16,8 %). En enfermos con niveles de albúmina normales 98 (16,5 %), con proteínas bajas 94 (15,7%) y cifras normales de hemoglobina 105 (17,6 %). En la variedad histológica adenocarcinoma 65 (10,9 %), la técnica quirúrgica transhiatal 69 (11,6 %), realizada de forma manual 123 (20,7 %), de localización cervical 111 (18,6 %), en cara anterior 57 (9,6 %), en un plano 78 (13,1 %), en la variante término-lateral 120 (20,2 %).  Conclusiones:  La fuga anastomótica predominó en mujeres mayores de 50 años, con adenocarcinoma, operadas con técnicas transhiatales, manuales, en un plano, termino-laterales, en cara anterior y con hipoproteinemia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Anastomotic leak is the main complication of esophageal surgery, with high incidence and mortality rates.  Objective: To identify the factors involved in the appearance of anastomotic leak in patients operated on for esophageal cancer in Cuba in the period from 1988 to 2020.  Methods: A nonrandomized, multicenter, clinical-epidemiological and observational investigation was carried out in the period from 1988 to 2020. The universe and the sample consisted of 2844 and 595 patients from nine hospital centers. Some of the variables studied included sex, age, histological variety, surgical intervention performed, comorbidities, and their interrelation with anastomotic leak.  Results: Anastomotic leak prevailed in the group aged over 55 years (17.8%), in the female sex (65; 10.9%), in nonsmokers (79; 13.3%) and in those who did not ingest alcoholic beverages (100, 16.8%); as well as in patients with normal albumin levels (98; 16.5%), with low proteins (94; 15.7%) and with normal levels of hemoglobin (105; 17.6%). In the histological variety of adenocarcinoma (65; 10.9%), there was a predominance of the transhiatal surgical technique (69; 11.6%), performed manually (123; 20.7%), of cervical location (111; 18.6%), in the anterior face (57; 9.6%), in one plane (78; 13.1%), and in the termino-lateral variant (120; 20.2%).  Conclusions: Anastomotic leak prevailed in women aged over 50 years, with adenocarcinoma, operated on through transhiatal techniques, manually, in one plane, using the termino-lateral variant, in the anterior face and with hypoproteinemia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cáncer de esófago]]></kwd>
<kwd lng="es"><![CDATA[esofagectomía]]></kwd>
<kwd lng="es"><![CDATA[fuga anastomótica]]></kwd>
<kwd lng="en"><![CDATA[esophageal cancer]]></kwd>
<kwd lng="en"><![CDATA[esophagectonyu]]></kwd>
<kwd lng="en"><![CDATA[anastomotic leak]]></kwd>
</kwd-group>
</article-meta>
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