<?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>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202019000200019</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2019.agosto.19-23</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efecto de los protocolos perioperatorios de recuperación mejorada y convencional sobre la glicemia y el porcentaje de linfocitos en pacientes icon cáncer colorrectal en el Instituto Nacional del Cáncer &#8220;Prof. Dr. Manuel Riveros&#8221;]]></article-title>
<article-title xml:lang="en"><![CDATA[Effect of perioperative protocols of improved and conventional recovery on glycemia and the percentage of lymphocytes in patients with colorectal cancer at the National Institute of Cancer "Prof. Dr. Manuel Riveros"]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Lourdes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dure&#769;]]></surname>
<given-names><![CDATA[Zuely Orella]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villalba]]></surname>
<given-names><![CDATA[Willian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Encina]]></surname>
<given-names><![CDATA[Wilfrido]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arandia]]></surname>
<given-names><![CDATA[Jualbert]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arandia]]></surname>
<given-names><![CDATA[Rilbert]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Joy]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Báez]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Burgos]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional del Cáncer  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>43</volume>
<numero>2</numero>
<fpage>19</fpage>
<lpage>23</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202019000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202019000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202019000200019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  Este estudio se realizó basado en las evidencias científicas de los protocolos ERAS® y ACERTO, a partir de los cuales, se armó el Protocolo de Recuperación Mejorada adaptado a las posibilidades del Instituto Nacional del Cáncer, con lo que se busca reducir el estrés metabólico, la respuesta inmunológica y favorecer la recuperación postoperatoria del paciente.  Objetivo: Comparar el efecto de los protocolos perioperatorios de recuperación mejorada y convencional sobre la glicemia y el porcentaje de linfocitos en pacientes con cáncer colorrectal.  Materiales y Métodos:  Se realizó un ensayo clínico cuasi-experimental, no aleatorizado sin enmascaramiento, de 34 pacientes con cáncer colorrectal sometidos a cirugía abierta. Un grupo control con manejo convencional (n=18) y el grupo de intervención (n=16) en quienes se aplicó el protocolo de recuperación mejorada; la variable de resultado fue la glicemia y el recuento de linfocitos; se midieron otras variables clínicas como complicaciones y demográficas.  Resultados:  La diferencia glicémica entre el pre y postoperatorio en pacientes del grupo de estudio fue de 42±32,09 mg/dL y 5,25 ±52,81 mg/dL en el grupo de intervención con una p=0,009; el porcentaje de linfocitos en el grupo control fue de 13,77±10,95% y de 7,18±5,21% en el grupo de intervención, con una p=0,015; estadísticamente significativos.  Conclusión: Aplicar el Protocolo de Recuperación Mejorada es factible y disminuye el impacto glicémico y el porcentaje de linfocitos en relación al manejo convencional.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  This study was conducted based on the scientific evidence of the implementation of the ERAS and ACERTO protocols, of which the protocol called Enhanced Recovery was put together. It was adapted to the socioeconomic reality of the National Cancer Institute and seeks to reduce metabolic stress, the immune response and promote the patient's postoperative recovery.  Objective:  To compare the effect of the perioperative protocols of improved and conventional recovery on glycaemia and the percentage of lymphocytes in patients with colorectal cancer.  Materials and Methods:  A quasi-experimental, nonrandomized, non-masked clinical trial of 34 patients with colorectal cancer undergoing open surgery was performed. A control group with conventional management (n = 18) and the intervention group (n = 16) in whom the improved recovery protocol was applied; the outcome variable was glycemia and lymphocyte count; Likewise, other clinical variables such as complications and demographics were measured.  Results:  The perioperative glycemic response in patients in the study group was 42±32.09 mg/dL and 5.25±52.81mg/dL in the intervention group with p=0.009; the percentage of lymphocytes in the control group was 13.77±10.95% and 7.18±5.21% in the intervention group, with p=0.015; statistically significant.  Conclusion: Applying the Improved Recovery Protocol is feasible and decreases the glycemic impact and the percentage of lymphocytes in relation to conventional management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfoque multimodal, cáncer colorrectal, ERAS®]]></kwd>
<kwd lng="es"><![CDATA[ACERTO, hiperglicemia]]></kwd>
<kwd lng="en"><![CDATA[multimodal approach, colorectalcancer, ERAS]]></kwd>
<kwd lng="en"><![CDATA[ACERTO, hyperglycemia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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