{"id":12079,"date":"2025-09-25T10:24:15","date_gmt":"2025-09-25T14:24:15","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/salvage-surgery\/"},"modified":"2025-09-25T10:24:15","modified_gmt":"2025-09-25T14:24:15","slug":"cirugia-de-rescate","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/cirugia-de-rescate\/","title":{"rendered":"Cirug\u00eda de Rescate"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[],"class_list":["post-12079","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures"],"acf":{"gt-definition":"<p>La cirug\u00eda de rescate se refiere a procedimientos quir\u00fargicos de rescate realizados despu\u00e9s del fracaso de tratamientos anteriores, particularmente en el contexto de la recurrencia del c\u00e1ncer.<sup>1<\/sup> En la pr\u00e1ctica urol\u00f3gica, la cirug\u00eda de rescate m\u00e1s com\u00fanmente implica la extirpaci\u00f3n quir\u00fargica de la gl\u00e1ndula prost\u00e1tica (prostatectom\u00eda radical de rescate) o la vejiga (cistoprostatectom\u00eda de rescate) despu\u00e9s de una radioterapia fallida u otros tratamientos primarios no quir\u00fargicos.<sup>2<\/sup> La cirug\u00eda de rescate representa una opci\u00f3n terap\u00e9utica cr\u00edtica para pacientes con recurrencia localizada de la enfermedad, ofreciendo el potencial de curaci\u00f3n cuando los tratamientos iniciales han fallado.<sup>3<\/sup> El procedimiento tiene como objetivo eliminar por completo el tejido canceroso residual y al mismo tiempo minimizar el da\u00f1o a las estructuras circundantes, aunque t\u00e9cnicamente es m\u00e1s desafiante que la cirug\u00eda primaria debido a los cambios en el tejido y las cicatrices inducidos por la radiaci\u00f3n.<sup>4<\/sup><\/p>","gt-synonyms":"Prostatectom\u00eda radical de rescate (PRS), Prostatectom\u00eda radical rob\u00f3tica de rescate (sRRP), Cistoprostatectom\u00eda de rescate, Linfadenectom\u00eda de rescate, Cirug\u00eda de rescate, Intervenci\u00f3n quir\u00fargica secundaria","gt-citation":"[1] Ward JF, Sebo TJ, Blute ML, Zincke H. Salvage surgery for radiorecurrent prostate cancer: contemporary outcomes. J Urol. 2005 Apr;173(4):1156-60. DOI: 10.1097\/01.ju.0000155534.54711.60\n\n[2] Bochner BH, Figueroa AJ, Skinner EC, Lieskovsky G, Petrovich Z, Boyd SD, Skinner DG. Salvage radical cystoprostatectomy and orthotopic urinary diversion following radiation failure. J Urol. 1998 Jul;160(1):29-33. PMID: 9628599\n\n[3] Kaffenberger SD, Smith JA. Salvage robotic radical prostatectomy. Indian J Urol. 2014 Oct-Dec;30(4):429-433. DOI: 10.4103\/0970-1591.142074","gt-clinical-context":"<p>La cirug\u00eda de rescate est\u00e1 cl\u00ednicamente indicada cuando hay evidencia de recurrencia o persistencia del c\u00e1ncer despu\u00e9s del tratamiento primario no quir\u00fargico, particularmente radioterapia.<sup>1<\/sup> La selecci\u00f3n de pacientes es crucial para obtener resultados \u00f3ptimos; los candidatos ideales tienen una esperanza de vida de al menos 10 a 15 a\u00f1os, enfermedad en estadio cl\u00ednico \u2264T3, recurrencia localizada comprobada por biopsia y sin evidencia de met\u00e1stasis en el preoperatorio. im\u00e1genes.<sup>3<\/sup><\/p>\n    \n    <p>La decisi\u00f3n de proceder con la cirug\u00eda de rescate requiere una consideraci\u00f3n cuidadosa de varios factores, incluidos los niveles preoperatorios de PSA, la puntuaci\u00f3n de Gleason de la biopsia, el tiempo de duplicaci\u00f3n del PSA y el intervalo entre la terapia primaria y la recurrencia, ya que se ha demostrado que estos par\u00e1metros predicen la recurrencia bioqu\u00edmica y el desarrollo de enfermedad metast\u00e1sica despu\u00e9s de los procedimientos de rescate.<sup>1,3<\/sup><\/p>\n    \n    <p>Los enfoques quir\u00fargicos incluyen prostatectom\u00eda radical de rescate abierta, prostatectom\u00eda radical de rescate asistida por robot y cistoprostatectom\u00eda de rescate con derivaci\u00f3n urinaria.<sup>2<\/sup> La plataforma rob\u00f3tica ha ganado popularidad en los \u00faltimos a\u00f1os debido a ventajas potenciales que incluyen menor p\u00e9rdida de sangre, estad\u00edas hospitalarias m\u00e1s cortas y visualizaci\u00f3n mejorada del campo quir\u00fargico, lo cual es particularmente valioso dada la naturaleza desafiante del rescate. procedimientos.<sup>3<\/sup><\/p>\n    \n    <p>Hist\u00f3ricamente, la cirug\u00eda de rescate se ha asociado con complicaciones significativas, con tasas de lesi\u00f3n rectal que se acercan al 15% y tasas de estenosis anastom\u00f3ticas de hasta el 32% en las primeras series.<sup>3<\/sup> Sin embargo, las t\u00e9cnicas quir\u00fargicas modernas y la mayor experiencia han mejorado sustancialmente los perfiles de seguridad, con tasas contempor\u00e1neas de lesi\u00f3n rectal que caen a 2-5%.<sup>1,3<\/sup> Los resultados funcionales siguen siendo una preocupaci\u00f3n importante: la continencia urinaria (definida como la ausencia de toallas sanitarias) se logra en el 43-56 % de los pacientes, y un 20 % adicional requiere una o menos toallas sanitarias al d\u00eda.<sup>1<\/sup> La disfunci\u00f3n sexual es com\u00fan despu\u00e9s de los procedimientos de rescate debido a la dificultad para preservar los haces neurovasculares despu\u00e9s de la radiaci\u00f3n. ajuste.<sup>4<\/sup><\/p>\n    \n    <p>Los resultados oncol\u00f3gicos a largo plazo son alentadores, con tasas generales de supervivencia espec\u00edfica del c\u00e1ncer a 10 a\u00f1os de aproximadamente el 65 % e incluso mejores resultados (77 % de supervivencia espec\u00edfica del c\u00e1ncer a 10 a\u00f1os) para los pacientes sometidos a prostatectom\u00eda radical de rescate en comparaci\u00f3n con aquellos que requieren procedimientos m\u00e1s extensos.<sup>1<\/sup> Varias caracter\u00edsticas patol\u00f3gicas de la pr\u00f3stata extirpada, incluida la ploid\u00eda del tumor, el porcentaje de enfermedad de grado 4\/5 de Gleason, y el estadio patol\u00f3gico, se han identificado como fuertes predictores de supervivencia despu\u00e9s de una cirug\u00eda de rescate.<sup>1<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":79},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Cirug\u00eda de Rescate<\/title>\n<meta name=\"description\" content=\"La cirug\u00eda de rescate se refiere a los procedimientos de rescate realizados despu\u00e9s de tratamientos anteriores fallidos...\" \/>\n<meta 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