JOURNAL OF SURGICAL AND CLINICAL RESEARCH https://periodicos.ufrn.br/jscr <p style="margin: 0px;"><strong>Journal of Surgical and Clinical Research</strong> is the official Journal of the Department of Surgery and Nucleus of Experimental Surgery of the Federal University of Rio Grande do Norte, Brazil. It is a multidisciplinary peer-reviewed journal of interest to researchers from surgical, clinical practice and teaching, as well as from all the other health areas. The journal emphasizes and covers reports of clinical investigations or fundamental research of general interest to a broad range of researchers. Special attention is done to Scientific Initiation involving undergraduate students. The Journal of Surgical and Clinical Research also features review articles and special articles relating to educational research, or social issues of interest to the academic community. Authors can submit their articles in the continuous flux system. All <strong>submissions are free</strong>, meaning that no charge or fee are needed.</p> <p>The online appearance of&nbsp;<em>Journal of Surgical and Clinical Research</em>&nbsp;allows the immediate publication of accepted articles to ensure that new research is disseminated as efficiently and quickly as possible to the scientific community.</p> <p><strong>The Journal adheres to the Code of Conduct and Best Practice Guidelines set forth by the Committee on Publication Ethics (COPE).&nbsp;</strong></p> <p style="margin: 0px; text-align: left;"><strong>Área do conhecimento</strong>:Multidisciplinar <strong>Qualis/CAPES</strong>:B4 <strong>e-ISSN</strong>:2179-7889 <strong>Contato</strong>:<a title="E-mail" href="mailto:aldom@uol.com.br" target="_blank" rel="noopener">ufrn.jscr@gmail.com</a></p> FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL en-US JOURNAL OF SURGICAL AND CLINICAL RESEARCH 2179-7889 <p>Uma vez aceito o artigo para publicação, os autores transferem os Direitos Autorais (<em>copyright) </em>para o J Surg Cl Res, responsabilizam-se pelo conteúdo do trabalho, confirmam sua originalidade e se comprometem a não publicá-lo em outros periódicos na íntegra ou em parte.</p> THE PRE- AND POST-OPERATIVE PRINCIPLES https://periodicos.ufrn.br/jscr/article/view/34703 <p><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Objetivo:</span></span></span></span></span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> O manejo pré e pós-operatório dos pacientes requer conhecimento da complexa atividade cirúrgica e dos fatores que acompanham o preparo para a cirurgia. </span></span></span></span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Esta revisão teve como objetivo examinar e identificar os principais aspectos para o preparo pré-operatório e manejo pós-operatório. </span></span></span></span></span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Métodos:</span></span></span></span></span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Bases de dados eletrônicos incluindo Embase, PubMed e Scielo foram pesquisadas em busca de artigos de pesquisa relevantes. </span></span></span></span></span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Descrição:</span></span></span></span></span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Pacientes com reserva funcional orgânica prejudicada quando submetidos à cirurgia podem apresentar alguma incidência de morbidade e mortalidade. </span></span></span></span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">A história clínica e o exame físico fornecem pistas importantes. </span></span></span></span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Exames laboratoriais não são necessários, a menos que haja alterações na história ou no exame físico. </span></span></span></span></span><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Nesta revisão enfatizamos a indicação cirúrgica, a história clínica e o exame físico, o risco cirúrgico, os medicamentos comumente usados, a sedação, a profilaxia antibiótica, os preparativos especiais e os cuidados pós-operatórios. </span></span></span></span></span></span><strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;">Conclusão:</span></span></span></span></span></span></strong><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"><span style="vertical-align: inherit;"> Foi produzido um texto didático destacando aspectos relevantes do preparo pré-operatório dos pacientes e manejo pós-operatório.</span></span></span></span></span></span></p> Antônio Medeiros Dantas-Filho Aldo Cunha Medeiros Irami Araujo-Filho Wendell Ricardo de Medeiros Alves Fernandes Copyright (c) 2023 JOURNAL OF SURGICAL AND CLINICAL RESEARCH http://creativecommons.org/licenses/by-nc-sa/4.0 2023-12-28 2023-12-28 14 2 92 106 10.20398/jscr.v14i2.34703 GASTRIC CANCER - UPDATE https://periodicos.ufrn.br/jscr/article/view/34976 <p><strong>Objective:</strong> This review aims to provide an update on the recent advances in the diagnosis, biomarkers, chemotherapy and&nbsp; surgical treatment of gastric câncer (GC). <strong>Methods:</strong> For the preparation of this review, the authors used the PubMed, Embase and SciELO data-bases. The following keywords were used: gastric cancer, risk factors, epidemiology, biomarkers, chemotherapy, gastrectomy, lymphadenectomy, multimodal treatment. <strong>Conclusion:</strong> This review includes comments regarding classification, risk factors, epidemiology of gastric câncer, diagnostic, surgery and multimodal treatment. Besides the advances in the management of GC, currently, patients with early and advanced gastric cancer are still mainly treated by surgery, (D-2 gastrectomy) combined with chemotherapy and chemoradiotherapy, as well as targeting therapy to improve surgical treatment.</p> <p><strong>Key-words:</strong> Gastric câncer. risk factors. Biomarkers. Chemotherapy. Gastrectomy. Lymphadenectomy. Multimodal treatment.</p> Antônio Medeiros Dantas-Filho Aldo Cunha Medeiros Irami Araújo-Filho Wendell Ricardo de Medeiros Alves Fernandes Copyright (c) 2023 JOURNAL OF SURGICAL AND CLINICAL RESEARCH http://creativecommons.org/licenses/by-nc-sa/4.0 2023-12-28 2023-12-28 14 2 107 119 10.20398/jscr.v14i2.34976