<?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>S0034-74932022000400010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultados con la utilización de prótesis en el cáncer de esófago y cardias]]></article-title>
<article-title xml:lang="en"><![CDATA[Results of Using Prosthesis in Esophageal and Cardia Cancer]]></article-title>
</title-group>
<contrib-group>
<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[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[Leal Mursulíz]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<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[Díaz]]></surname>
<given-names><![CDATA[Yuleidy Félix]]></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 &#8220;Miguel Enríquez&#8221; ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Hospital Universitario &#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>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>61</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932022000400010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932022000400010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932022000400010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El cáncer de esófago y cardias es una enfermedad grave, en el que más de tres cuartos de los enfermos que se tratan están en fase avanzada. En Cuba existe experiencia con las prótesis esofágicas originales o construidas en el país.  Objetivo:  Evaluar los resultados de la experiencia de los hospitales universitarios &#8220;Comandante Manuel Fajardo&#8221; y &#8220;Miguel Enríquez&#8221; con las prótesis transtumorales en el cáncer de esófago no resecable.  Métodos:  Se realizó un estudio observacional, descriptivo, retrospectivo, tipo serie de casos, con una muestra de 197 enfermos con cáncer avanzado del esófago en los Hospitales Universitarios &#8220;Comandante Manuel Fajardo&#8221; y &#8220;Miguel Enríquez&#8221; tratados con prótesis por presentar un cáncer avanzado del esófago en el período 1995-2020.  Resultados:  Predominó el sexo masculino, las edades más afectadas fueron la sexta y séptima década. La localización más frecuente del tumor fue en tercio inferior del esófago y cardias y el tipo histológico el carcinoma epidermoide. En el 71 % se utilizaron prótesis rígidas de tubos endotraqueales; en el 20,8 % prótesis de Heering y en el 8,2 % prótesis autoexpansible. En el Hospital Manuel Fajardo la prótesis que más se utilizó fue la rígida de construcción artesanal y en el Hospital Miguel Enríquez la de Heering. La menos utilizada fue la autoexpansible. Se presentó un 10,1 % de complicaciones, sin mortalidad quirúrgica.  Conclusiones:  Aunque las prótesis autoexpansible son de fácil colocación por endoscopia, es un método ideal pero costoso. La prótesis plástica rígida industrial o artesanal también puede ofrecer calidad de vida sin disfagia, evitan que el enfermo fallezca con una ostomía abdominal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Esophageal and cardia cancer is a serious disease, in which more than three quarters of the treated patients are in advanced stage. In Cuba there is experience with original esophageal prostheses or others domestically built.  Objective:  To evaluate the results of the experience of the Comandante Manuel Fajardo and Miguel Enriquez university hospitals with transtumoral prostheses in unresectable esophageal cancer.  Methods: An observational, descriptive, retrospective, case-series type study was carried out with a sample of 197 patients treated with prosthesis for advanced esophageal cancer in the university hospitals Comandante Manuel Fajardo and Miguel Enríquez in the period 1995-2020.  Results:  The male sex predominated, while the most affected ages were the sixth and seventh decades. The most frequent tumor location was the lower third of the esophagus and cardia, while squamous cell carcinoma was the most frequent histological type. Rigid prostheses of endotracheal tubes were used in 71 %; Heering prostheses, in 20.8 %; and self-expanding prostheses, in 8.2 %. The most commonly used prostheses at Manuel Fajardo and Miguel Enriquez hospitals were the rigid prosthesis of handmade construction and the Heering prosthesis, respectively. The least used was the self-expanding prosthesis. There was a 10.1 % of complications, with no surgical mortality.  Conclusions:  Although self-expanding prostheses are easy to place by endoscopy, it is an expensive method, even being ideal. The industrial or handmade rigid plastic prosthesis can also offer quality of life without dysphagia, avoiding the patient's death with an abdominal ostomy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirugía paliativa]]></kwd>
<kwd lng="es"><![CDATA[cáncer de esófago]]></kwd>
<kwd lng="es"><![CDATA[prótesis]]></kwd>
<kwd lng="en"><![CDATA[palliative surgery]]></kwd>
<kwd lng="en"><![CDATA[esophageal cancer]]></kwd>
<kwd lng="en"><![CDATA[prosthesis]]></kwd>
</kwd-group>
</article-meta>
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