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dc.contributor.advisorFigueroa Avendaño, Carlos Edgar 
dc.contributor.advisorChinchilla Hermida, Paola Andrea 
dc.creatorBaquero Zamarra, David Ricardo 
dc.date.accessioned2018-01-22T19:18:32Z
dc.date.available2018-01-22T19:18:32Z
dc.date.created2018-01-15
dc.date.issued2018
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/14219
dc.descriptionIntroducción: La fuga anastomótica es una complicación devastadora de la resección rectal por cáncer siendo el tubo endoanal una herramienta útil en su prevención. Objetivo: Evaluar el rol del tubo endoanal en prevención de la fuga anastomótica. Metodología: Realizamos un análisis retrospectivo basado en registros de historias clínicas de pacientes con cáncer de recto, que fueron llevados a cirugía en Méderi entre 2013 y 2017. Recopilamos información sociodemográfica y variables de interés. Se realizó un análisis estadístico para ajustar las variables de confusión y evaluar la relación con otras variables independientes. Resultados: Nuestra cohorte consistió en 152 pacientes, la mayoría hombres (52.6%). La edad promedio fue 62 (± 12.8) años. La incidencia de estenosis de la anastomosis fue de 10,6% y la incidencia global de fuga anastomótica fue de 13,8% (8,1% en el grupo expuesto y 17,8% en el no expuesto). Se encontró una asociación significativa con el íleo postoperatorio RR: 4.25 (IC 95% 1.90-9.52 p: 0.000), infección del sitio operatorio: RR: 3.34 (IC 95%: 1.38-8.05 p: 0.033), RR: 12.17 (IC 95% 6.16-24.04 p: 0.000), RR órgano-espacio: 15.88 (IC 95% 7.47-33.76 p: 0.000). No se encontraron asociaciones significativas entre el tubo endoanal y la fuga anastomótica. Conclusiones: El tubo endoanal es un dispositivo de bajo costo, sin morbilidad reportada, que puede reducir la incidencia de fuga anastomótica en pacientes llevados a cirugía por cáncer de recto. Se requieren investigaciones adicionales con adecuado tamaño de muestra para evaluar de manera efectiva la utilidad de este dispositivo en la prevención de complicaciones.
dc.description.abstractIntroduction: Anastomotic leakage is a devastating complication after low anterior rectal resection for cancer being the endoanal tube an useful tool in the prevention of this complication. Objective: Evaluate the role of endoanal tube in prevention and/or reduction of anastomotic leakage. Methodology: We conducted a retrospective analysis based on Electronic Medical records obtained from patients with rectal cancer, which were subject to surgical management at the Méderi Hospital network between 2013 and 2017. We collected sociodemographic information and variables of interest from such patients. Afterwards the statistical analysis consisted of logistical regressions to adjust for confusion variables, and evaluate relationship with other independent variables. Results: Our cohort consisted of 152 patients, mostly men (52. 6%). Being the average age was 62 (±12. 8) years. The incidence of stenosis of the anastomosis was found to be 10, 6%, and the overall incidence of anastomotic leak was 13. 8% (8. 1% in the endoanal tube group and 17. 8% in the unexposed group), also finding significant association with postoperative ileus RR: 4. 25 (IC 95%1. 90-9. 52 p: 0. 000), Surgical site infections: Superficial RR: 3. 34 (95% CI1. 38-8. 05 p: 0. 033), deep RR: 12. 17 (95% CI 6. 16-24. 04 p: 0. 000), organ-spatial RR: 15. 88 (95% CI 7. 47-33. 76 p: 0. 000). No significant associations were found between the endoanal tube and the anastomotic leak. Conclusions: The endoanal tube is a low cost device, with no reported morbidity, which can reduce the incidence of anastomotic leakage in patients undergoing surgical management of rectal cancer. Further investigation in this topic is required and the target accrual must be met in order to effectively assess the utility of this device in preventing complications.
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rights.urihttp://creativecommons.org/licenses/by-nd/2.5/co/
dc.sourcereponame:Repositorio Institucional EdocUR
dc.sourceinstname:Universidad del Rosario
dc.subjectCáncer de recto
dc.subjectFuga anastomótica
dc.subjectTubo endoanal
dc.subjectPrevención de complicaciones
dc.subjectAnastomosis colorrectal
dc.subject.ddcEnfermedades 
dc.subject.lembCáncer
dc.subject.lembRecto (Anatomía)::Cáncer
dc.titleEfectividad del tubo endoanal en la prevención de fuga anastomótica en pacientes llevados a cirugía laparoscópica por cáncer de recto
dc.typemasterThesis
dc.publisherUniversidad del Rosario
dc.creator.degreeEspecialista en Coloproctología
dc.publisher.programEspecialización en Coloproctología
dc.publisher.departmentFacultad de Medicina
dc.subject.keywordEndoanal tube
dc.subject.keywordRectal cancer
dc.subject.keywordAnastomotic leakage
dc.subject.keywordPrevention of complications
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.subject.decsFuga Anastomótica
dc.type.spaTrabajo de grado
dc.rights.accesoAbierto (Texto completo)
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
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dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.


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