<?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>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902018000200048</article-id>
<article-id pub-id-type="doi">10.29193/rmu.34.2.3</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Calidad oncológica en cirugía del cáncer de recto]]></article-title>
<article-title xml:lang="en"><![CDATA[Oncologic quality of the surgical resection in rectum cancer]]></article-title>
<article-title xml:lang="pt"><![CDATA[Qualidade oncológica na cirurgia de câncer de reto]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chinelli]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[Juan Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muto]]></surname>
<given-names><![CDATA[Macarena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escobar]]></surname>
<given-names><![CDATA[Viviana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Temesio]]></surname>
<given-names><![CDATA[Gustavo Rodríguez]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Maciel Clínica Quirúrgica 2 ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Maciel Clínica Quirúrgica 2 ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Maciel Clínica Quirúrgica 2 ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Maciel Departamento de Anatomía Patológica ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Maciel Clínica Quirúrgica 2 ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>34</volume>
<numero>2</numero>
<fpage>48</fpage>
<lpage>66</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902018000200048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902018000200048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902018000200048&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el pronóstico del cáncer de recto depende, entre otros factores, de la calidad oncológica de la resección quirúrgica, entre los que se deben incluir la correcta disección del mesorrecto y un adecuado número de ganglios linfáticos.  Objetivos:  describir los principales factores que determinan la calidad de la cirugía de resección por cáncer de recto en la Clínica Quirúrgica 2 del Hospital Maciel.  Pacientes y método:  36 pacientes operados de coordinación en el período 2012 a 2016.  Resultados:  la disección mesorrectal fue completa en el 60% de los casos, y en más del 50% se obtuvo un número aceptable de ganglios linfáticos.  Discusión:  la calidad oncológica de la cirugía por cáncer de recto depende de mútiples factores, entre los que destacamos el volumen anual de cirugías, la experiencia del equipo, factores del paciente (sexo, índice de masa corporal) y de la enfermedad (topografía baja, estadio, respuesta a la neoadyuvancia).  Conclusiones:  los resultados obtenidos pueden considerarse oncológicamente satisfactorios.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  The prognosis of rectal cancer depends, among other factors, on the oncologic quality of the surgical resection, including the correct dissection of the meso-rectum and adequate lymph node dissection  Objectives:  to describe the prognostic factors present in rectal cancer resections at the Surgical Clinic 2 of the Maciel Hospital.  Patients and methods:  36 patients underwent coordinated surgery procedures between 2012 and 2016.  Results:  meso-rectal dissection was complete in 60% of the cases, and an acceptable number of lymph nodes were obtained in over 50% of cases.  Discussion:  the quality of oncologic surgery for rectal cancer depends on several factors, being it possible to highlight the number of surgeries per year, the team&#8217;s experience, patient&#8217;s factors (sex, body mass index) and disease (low topography, stage, response to neoadyuvancy), among others.  Conclusions:  the results obtained can be considered oncologically satisfactory.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  o prognóstico do câncer de reto depende, entre outros fatores, da qualidade oncológica da ressecção cirúrgica, da correta dissecção mesorretal e do número adequado de gânglios linfáticos obtidos.  Objetivos:  descrever os principais fatores que determinam a qualidade da cirurgia de ressecção por câncer de reto na Clínica Quirúrgica 2 do Hospital Maciel.  Pacientes e métodos:  36 pacientes operados em cirurgias eletivas no período 2012-2016.  Resultados:  a dissecção mesorretal foi completa em 60% dos casos, e em mais de 50% um número aceitável de gânglios linfáticos foi obtido.  Discussão:  a qualidade oncológica da cirurgia por câncer de reto depende de múltiplos fatores entre os quais destacamos o volume anual de cirurgias, a experiência da equipe cirúrgica, os fatores do paciente (sexo e índice de massa corporal) e da enfermidade (topografia baja, estádio, resposta à terapia neoadjuvante).  Conclusões:  os resultados obtidos podem ser considerados satisfatórios do ponto de vista oncológico.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cáncer de recto]]></kwd>
<kwd lng="es"><![CDATA[Escisión mesorrectal]]></kwd>
<kwd lng="en"><![CDATA[Rectal cancer]]></kwd>
<kwd lng="en"><![CDATA[Meso-rectum excision]]></kwd>
<kwd lng="pt"><![CDATA[Câncer do reto]]></kwd>
<kwd lng="pt"><![CDATA[Excisão mesorretal]]></kwd>
</kwd-group>
</article-meta>
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