<?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>S0034-74932022000100005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Beneficios del preoperatorio con recuperación acelerada en pacientes operados de colon por cirugía electiva]]></article-title>
<article-title xml:lang="en"><![CDATA[Preoperative Benefits with Accelerated Recovery on Patients Operated on for Colon Cancer by Elective Surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Malpica Quintero]]></surname>
<given-names><![CDATA[Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jordán Alonso]]></surname>
<given-names><![CDATA[Ariel Demetrio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Suárez]]></surname>
<given-names><![CDATA[Humberto Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda Veitía]]></surname>
<given-names><![CDATA[Vladimir]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marrero Domínguez]]></surname>
<given-names><![CDATA[Abel Dariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Jorge]]></surname>
<given-names><![CDATA[Josignacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar de Ejército Dr. &#8220;Mario Muñoz Monroy&#8221; Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[ Matanzas]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>61</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932022000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932022000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932022000100005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Con la introducción del programa de recuperación acelerada en el servicio de Cirugía General del Hospital Militar de Ejército &#8220;Dr. Mario Muñoz Monroy&#8221; han ocurrido cambios en la atención perioperatoria del paciente con cirugía electiva para el cáncer de colon. Es de vital importancia conocer sus beneficios en relación al procedimiento tradicional desde que se decide la intervención quirúrgica.  Objetivo:  Evaluar los beneficios de la recuperación acelerada en pacientes operados de colon por cirugía electiva.  Métodos:  Se realizó un estudio analítico de caso y control durante el período de enero de 2015 a diciembre de 2019. El grupo de casos cumplió con 12 acciones perioperatorias definidas por el programa de recuperación acelerada y el de control siguió el procedimiento tradicional. Se realizó análisis bivariable de Chi cuadrado y Odds Ratio con intervalo de confianza del 95 %.  Resultados: Con la implementación del programa de recuperación acelerada desde el preoperatorio, los pacientes llegaron a la cirugía con adecuada capacidad funcional y compensación de sus comorbilidades. Esta conducta favoreció la evolución posoperatoria, redujo las complicaciones en un 33 % Odds Ratio de 0,05 y la estadía hospitalaria en 5,67 días con Odds Ratio de 2[10,4-5,1].  Conclusiones:  Los pacientes con el procedimiento de recuperación acelerada en su preoperatorio recibieron beneficios en relación a reducir el estrés quirúrgico, mayores reservas fisiológicas y mejor recuperación posoperatoria. La estadía hospitalaria está asociada significativamente a la edad de los pacientes, las comorbilidades y número de estas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  With the introduction of the accelerated recovery program in the general surgery service of Dr. Mario Muñoz Monroy Military Hospital of the Army (Matanzas, Cuba), changes have occurred in the perioperative care of the patient with elective surgery for colon cancer. It is of vital importance to know its benefits with respect to the traditional procedure from the moment the surgical intervention is decided.  Objective:  To assess the benefits of accelerated recovery in patients undergoing elective colon surgery.  Methods:  An analytical case-control study was carried out during the period from January 2015 to December 2019. The case group completed 12 perioperative actions defined by the accelerated recovery program, while the control group followed the traditional procedure. A bivariate analysis of chi-square and odds ratio (OR) with 95% confidence interval was performed.  Results:  With the implementation of the accelerated recovery program from the preoperative period, patients arrived at surgery with adequate functional capacity and compensation of their comorbidities. This behavior favored postoperative evolution, reduced complications by 33% (OR: 0.05) and hospital stay by 5.67 days (OR: 2) [10.4-5.1].  Conclusions:  With the accelerated recovery procedure in their preoperative period, patients received benefits associated with reduced surgical stress, greater physiological reserves and better postoperative recovery. Hospital stay is significantly associated with patient age, comorbidities and number of comorbidities.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cáncer de colon]]></kwd>
<kwd lng="es"><![CDATA[recuperación acelerada]]></kwd>
<kwd lng="es"><![CDATA[preoperatorio]]></kwd>
<kwd lng="en"><![CDATA[colon cancer]]></kwd>
<kwd lng="en"><![CDATA[accelerated recovery]]></kwd>
<kwd lng="en"><![CDATA[preoperative]]></kwd>
</kwd-group>
</article-meta>
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