{"id":141467,"date":"2026-01-12T18:02:35","date_gmt":"2026-01-12T18:02:35","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-clinico-comparativo-de-tratamiento-con-cirugia-radioterapia-intraoperatoria-y-radioterapia-externa-post-operatoria-en-el-carcinoma-gastrico-localmente-avanzado\/"},"modified":"2026-01-12T18:02:35","modified_gmt":"2026-01-12T18:02:35","slug":"estudio-clinico-comparativo-de-tratamiento-con-cirugia-radioterapia-intraoperatoria-y-radioterapia-externa-post-operatoria-en-el-carcinoma-gastrico-localmente-avanzado","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-clinico-comparativo-de-tratamiento-con-cirugia-radioterapia-intraoperatoria-y-radioterapia-externa-post-operatoria-en-el-carcinoma-gastrico-localmente-avanzado\/","title":{"rendered":"Estudio clinico comparativo de tratamiento con cirugia, radioterapia intraoperatoria y radioterapia externa post-operatoria en el carcinoma gastrico localmente avanzado"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Cesar Benito Fernandez <\/strong><\/h2>\n<p>El objetivo del presente estudio fue realizar un analisis retrospectivo de 94 enfermos con carcinoma gastrico localmente avanzado resecado comparando la morbi-mortalidad, patrones de progresion y supervivencia en dos grupos de pacientes: 1) grupo control (n=62), tratado con cirugia sola y 2) grupo rio (n=32), tratado con cirugia radioterapia intraoperatoria (15 gy) y radioterapia externa (re) post-operatoria (46 gy). Todos los pacientes presentaban afectacion de serosa gastrica y\/o invasion ganglionar y ausencia de metastasis a distancia. El tratamiento con rio y re produjo un aumento significativo de la morbilidad, con tasas de 62.5% vs 32.5% en el grupo control (p 0.05), a expensas de complicaciones tardias, fundamentalmente hemorragia digestiva alta, colapso vertebral y enteritis radica, sin incremento de la morbi-mortalidad post-operatoria. Los pacientes tratados con rio y re presentaron una incidencia significativamente menor de recidivas, tanto loco-regionales (9% vs 27%, p 0.05) como a distancia (28% vs 51%, p 0.05). La mejoria en el control de la enfermedad se reflejo en un aumento significativo de la supervivencia, con tasas de supervivencia actuarial global a 5 a\u00f1os de 55.7% vs 25.9% en el grupo control (p 0.005).  el tratamiento con rio y re mejora significativamente el control y la supervivencia en pacientes con carcinoma gastrico avanzando resecable, aunque el aumento de la morbimortalidad observado en este estudio aconseja que su indicacion quede restringida a centros que realicen estudios controlados.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio clinico comparativo de tratamiento con cirugia, radioterapia intraoperatoria y radioterapia externa post-operatoria en el carcinoma gastrico localmente avanzado<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio clinico comparativo de tratamiento con cirugia, radioterapia intraoperatoria y radioterapia externa post-operatoria en el carcinoma gastrico localmente avanzado <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Cesar Benito Fernandez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1992<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jos\u00e9 Luis Hern\u00e1ndez Lizo\u00e1in<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan Voltas Baro <\/li>\n<li>Jes\u00fas Herreros Gonzalez (vocal)<\/li>\n<li>Francisco Javier Pardo Mind\u00e1n (vocal)<\/li>\n<li> Beltran De Heredia  Juan (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Cesar Benito Fernandez El objetivo del presente estudio fue realizar un analisis retrospectivo de 94 enfermos con [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","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":"","adv-header-id-meta":"","stick-header-meta":"","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":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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