<?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>S2307-04202026000100013</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2026.abril.13</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo laparoscópico de patologías esofágicas benignas en la Primera Cátedra de Clínica Quirúrgica del Hospital de Clínicas (Paraguay), 2014-2022]]></article-title>
<article-title xml:lang="en"><![CDATA[Laparoscopic management of benign esophageal pathologies at the first chair of surgical clinic of the hospital de clínicas (Paraguay), 2014-2022]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Páez]]></surname>
<given-names><![CDATA[Esteban Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chávez Rivaldi]]></surname>
<given-names><![CDATA[Cristhian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas Primera Cátedra de Clínica Quirúrgica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2026</year>
</pub-date>
<volume>50</volume>
<numero>1</numero>
<fpage>13</fpage>
<lpage>16</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202026000100013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202026000100013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202026000100013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción: Las patologías esofágicas benignas, como la acalasia, la hernia hiatal y la enfermedad por reflujo gastroesofágico, afectan de forma importante la calidad de vida de los pacientes y suelen manifestarse con disfagia, dolor retroesternal y reflujo. En este contexto, el abordaje laparoscópico se ha consolidado como una alternativa quirúrgica mínimamente invasiva para su tratamiento. Objetivo: Describir el manejo laparoscópico de las patologías esofágicas benignas en la Primera Cátedra de Clínica Quirúrgica del Hospital de Clínicas del Paraguay durante el periodo comprendido entre enero de 2014 y diciembre de 2022. Material y métodos: Estudio observacional, descriptivo, transversal y retrospectivo. Se realizó un muestreo no probabilístico de casos consecutivos mediante revisión de historias clínicas de pacientes mayores de 18 años, de ambos sexos, con diagnóstico de patología esofágica benigna sometidos a tratamiento laparoscópico en el periodo de estudio. Resultados: Se incluyeron 20 pacientes. Predominó el sexo femenino (55%) y el grupo etario de 50 a 69 años (60%). La disfagia fue el síntoma más frecuente (60%). La acalasia constituyó el diagnóstico principal (55%), seguida de hernia hiatal (30%) y ERGE asociada a hernia hiatal (15%). Las técnicas quirúrgicas más empleadas fueron la fundoplicatura de Nissen (45%) y la miotomía de Heller asociada a fundoplicatura (55%). El tiempo quirúrgico predominante fue de 3 a 4 horas (80%), la estancia hospitalaria más frecuente fue de 1 a 6 días (90%) y la conversión a cirugía abierta ocurrió en el 10% de los casos. Conclusión: En esta serie, el manejo laparoscópico de las patologías esofágicas benignas se caracterizó por el predominio de acalasia y hernia hiatal, con mayor utilización de fundoplicatura de Nissen y miotomía de Heller asociada a fundoplicatura. La conversión a cirugía abierta fue infrecuente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction: Benign esophageal pathologies, such as achalasia, hiatal hernia, and gastroesophageal reflux disease, significantly affect patients' quality of life and usually present with dysphagia, retrosternal pain, and reflux. Objective: To describe the laparoscopic management of benign esophageal pathologies at the First Chair of Surgical Clinic of the Hospital de Clínicas, Paraguay, from January 2014 to December 2022. Materials and methods: Observational, descriptive, cross-sectional, and retrospective study. A non-probabilistic consecutive case sampling was performed through review of medical records of patients older than 18 years, of both sexes, diagnosed with benign esophageal pathology and treated laparoscopically during the study period. Results: Twenty patients were included. Females predominated (55%), and the most frequent age group was 50 to 69 years (60%). Dysphagia was the most common symptom (60%). Achalasia was the main diagnosis (55%), followed by hiatal hernia (30%) and GERD associated with hiatal hernia (15%). The most frequently used surgical techniques were Nissen fundoplication (45%) and Heller myotomy associated with fundoplication (55%). Operative time was predominantly 3 to 4 hours (80%), hospital stay was most commonly 1 to 6 days (90%), and conversion to open surgery occurred in 10% of cases. Conclusion: In this series, laparoscopic management of benign esophageal pathologies was mainly represented by achalasia and hiatal hernia, with Nissen fundoplication and Heller myotomy associated with fundoplication being the most commonly performed procedures. Conversion to open surgery was uncommon.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Acalasia]]></kwd>
<kwd lng="es"><![CDATA[Hernia hiatal]]></kwd>
<kwd lng="es"><![CDATA[Reflujo gastroesofágico]]></kwd>
<kwd lng="es"><![CDATA[Disfagia]]></kwd>
<kwd lng="es"><![CDATA[Laparoscopia]]></kwd>
<kwd lng="en"><![CDATA[Achalasia]]></kwd>
<kwd lng="en"><![CDATA[Hiatal hernia]]></kwd>
<kwd lng="en"><![CDATA[Gastroesophageal reflux]]></kwd>
<kwd lng="en"><![CDATA[Dysphagia]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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