{"id":14126,"date":"2020-07-09T15:58:27","date_gmt":"2020-07-09T13:58:27","guid":{"rendered":"https:\/\/idibell.cat\/?p=14126"},"modified":"2020-08-25T16:23:45","modified_gmt":"2020-08-25T14:23:45","slug":"un-assaig-clinic-coordinat-des-de-lidibell-i-el-hub-valida-una-cirurgia-menys-agressiva-per-al-cancer-de-recte-baix","status":"publish","type":"post","link":"https:\/\/idibell.cat\/2020\/07\/un-assaig-clinic-coordinat-des-de-lidibell-i-el-hub-valida-una-cirurgia-menys-agressiva-per-al-cancer-de-recte-baix\/","title":{"rendered":"Un assaig cl\u00ednic coordinat des de l\u2019IDIBELL i el HUB valida una cirurgia menys agressiva per al c\u00e0ncer de recte baix"},"content":{"rendered":"<p><strong>Entre els diferents tipus de c\u00e0ncer, el colorectal \u00e9s el m\u00e9s diagnosticat<\/strong> a Espanya, per davant dels de pr\u00f2stata, pulm\u00f3 i mama. Segons dades de la <a href=\"https:\/\/seom.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Sociedad Espa\u00f1ola de Oncologia M\u00e8dica<\/a> (SEOM), durant el 2020 es registraran a Espanya m\u00e9s de 30.000 nous casos de c\u00e0ncer de c\u00f2lon i m\u00e9s de 14.000 de recte. L\u2019extirpaci\u00f3 quir\u00fargica dels tumors situats a la part baixa del recte, quan es pot realitzar una intervenci\u00f3 oncol\u00f2gicament radical amb preservaci\u00f3 dels esf\u00ednters anals, comporta en la majoria dels casos l&#8217;associaci\u00f3 d&#8217;una ileostomia de protecci\u00f3. La ileostomia, que consisteix en abocar a la paret abdominal l&#8217;intest\u00ed prim, pret\u00e9n evitar les greus complicacions relacionades amb l&#8217;anastomosi (uni\u00f3) coloanal. Tot i aix\u00f2, la ileostomia pot provocar una s\u00e8rie de problemes relacionats amb complicacions en la reintervenci\u00f3 per al seu tancament o deshidrataci\u00f3 per p\u00e8rdua excessiva d&#8217;excrements l\u00edquids, fins a d\u2019altres de car\u00e0cter m\u00e9s psicol\u00f2gic, que afecten la qualitat de vida dels pacients ostomitzats.<\/p>\n<p>L\u2019assaig cl\u00ednic multic\u00e8ntric, que ha coordinat el <a href=\"https:\/\/idibell.cat\/en\/research\/translational-medicine-area\/digestive-system-diagnostics-pharmacogenetics-care-support-and-clinical-prevention-program\/digestive-tract-pathology\/\" target=\"_blank\" rel=\"noopener noreferrer\">Grup de Patologia del Tub Digestiu<\/a> de l\u2019IDIBELL i el Servei de Cirurgia General i Digestiva de l\u2019Hospital de Bellvitge, ha avaluat en prop d\u2019un centenar de pacients una t\u00e8cnica alternativa per a l\u2019abordatge quir\u00fargic del c\u00e0ncer de recte ultra baix que evita la ileostomia i l\u2019impacte que se\u2019n deriva. Es tracta de la t\u00e8cnica de Turnbull-Cutait, desenvolupada inicialment en la d\u00e8cada dels 50. Aquesta t\u00e8cnica resol la uni\u00f3 entre c\u00f2lon i anus despr\u00e9s de la resecci\u00f3 del c\u00e0ncer de forma diferida en dos temps, separats per 7 dies. En una primera acci\u00f3 es fa sortir per l\u2019anus una porci\u00f3 d\u2019uns 7-10 cm del c\u00f2lon. Durant els 7 dies seg\u00fcents, la connexi\u00f3 coloanal es consolida sense necessitat de sutura i \u00e9s procedeix al tall de la porci\u00f3 sobresortint. \u201cL\u2019objectiu final \u00e9s que un pacient amb un c\u00e0ncer de recte baix pugui marxar de l\u2019hospital sense haver de practicar-li una ileostomia\u201d, tal com explica el <strong>Dr. Sebastiano Biondo<\/strong>, cap del grup de Patologia del Tub Digestiu de l\u2019IDIBELL, del Servei de Cirurgia General i Digestiva de l\u2019Hospital Universitari de Bellvitge i coordinador de l\u2019assaig.<\/p>\n<blockquote><p>\u201cLa comparaci\u00f3 dels resultats finals entre els dos procediments confirma que la t\u00e8cnica Turnbull-Cutait \u00e9s segura per al pacient i evita la realitzaci\u00f3 de la ileostomia\u201d, explica el Dr. Biondo. La t\u00e8cnica Turnbull-Cutait ja \u00e9s utilitzada de forma habitual a Bellvitge en els c\u00e0ncers rectals de localitzaci\u00f3 molt baixa.<\/p><\/blockquote>\n<p>Les conclusions de l\u2019assaig cl\u00ednic, en el qual tamb\u00e9 han participat l\u2019Hospital Universitari Vall d\u2019Hebron i el Instituto Nazionale Tumori Fondazione G. Pascale\u2013Istituto di Ricovero e Cura a Carattere Scientifico de N\u00e0pols, mostren uns resultats molt semblants entre l\u2019\u00fas de la t\u00e8cnica Turnbull-Cutait i la coloanal est\u00e0ndard amb ileostomia pel que fa a les complicacions postoperat\u00f2ries despr\u00e9s de la resecci\u00f3 del tumor.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>El treball ha estat publicat per la revista de cirurgia JAMA Surgery, la m\u00e9s prestigiosa del m\u00f3n del seu \u00e0mbit, i l\u2019ha liderat el Dr Sebastiano Biondo, de l\u2019IDIBELL i l\u2019Hospital Universit\u00e0ri de Bellvitge.<\/p>\n","protected":false},"author":8,"featured_media":14127,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[472],"tags":[],"class_list":["post-14126","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-patologia-del-tub-digestiu"],"publishpress_future_action":{"enabled":false,"date":"2024-12-28 15:30:33","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/14126","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/comments?post=14126"}],"version-history":[{"count":0,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/14126\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media\/14127"}],"wp:attachment":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media?parent=14126"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/categories?post=14126"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/tags?post=14126"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}