{"id":133,"date":"2026-09-17T04:57:25","date_gmt":"2026-09-17T04:57:25","guid":{"rendered":"https:\/\/testmed.click\/diegomunoz\/?page_id=133"},"modified":"2026-09-17T04:59:45","modified_gmt":"2026-09-17T04:59:45","slug":"cancer-de-recto","status":"publish","type":"page","link":"https:\/\/testmed.click\/diegomunoz\/cancer-de-recto\/","title":{"rendered":"C\u00e1ncer de recto"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"133\" class=\"elementor elementor-133\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8725799 e-con-full e-flex e-con e-parent\" data-id=\"8725799\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-aa5a4a8 e-con-full e-flex e-con e-child\" data-id=\"aa5a4a8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-629f27d elementor-widget elementor-widget-html\" 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.2s}.rectoca-nm .rwhite:hover{transform:translateY(-2px);box-shadow:0 10px 24px rgba(0,0,0,.18)}@media(max-width:900px){.rectoca-nm .rhero-grid,.rectoca-nm .rcta-grid{grid-template-columns:1fr}.rectoca-nm .rsym-grid{grid-template-columns:1fr 1fr}.rectoca-nm .rplan-grid{grid-template-columns:1fr}}@media(max-width:640px){.rectoca-nm .rw{width:min(100% - 32px,1400px)}.rectoca-nm .rhero,.rectoca-nm .rsec{padding:48px 0}.rectoca-nm .rcta{padding:44px 0}.rectoca-nm .rwm{display:none}.rectoca-nm .rsym-grid{grid-template-columns:1fr}.rectoca-nm .rfq{font-size:15.5px}}\r\n<\/style>\r\n<div class=\"rhero\"><img decoding=\"async\" class=\"rwm\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\"><div class=\"rw\"><nav class=\"rcb\" aria-label=\"breadcrumb\"><a href=\"\/diegomunoz\/home\/\">Inicio<\/a><span class=\"rs\">\/<\/span><a href=\"\/diegomunoz\/patologias\/\">Patolog\u00edas<\/a><span class=\"rs\">\/<\/span><span class=\"rc\">C\u00e1ncer de recto<\/span><\/nav><span class=\"rk\">Colon y enfermedad inflamatoria<\/span><div class=\"rhero-grid\"><div><h1 class=\"rh1\">C\u00e1ncer de recto<\/h1><p class=\"rlead\">Por su ubicaci\u00f3n, exige un manejo multidisciplinario y una t\u00e9cnica quir\u00fargica exigente.<\/p><\/div><aside class=\"rside\"><span class=\"rside-k\">Atenci\u00f3n especializada<\/span><h2>Dr. Nelson Mu\u00f1oz P\u00e9rez<\/h2><div class=\"rside-line\"><\/div><p>Cirujano General y Coloproct\u00f3logo \u00b7 CONACEM, Universidad de Chile<\/p><a class=\"rbtn\" href=\"#\"><svg width=\"17\" height=\"17\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>Escribir por WhatsApp<\/a><\/aside><\/div><\/div><\/div>\r\n<div class=\"rsec\"><div class=\"rw rnarrow\"><span class=\"rsect-k\">La perspectiva del cirujano<\/span><h2 class=\"rh2\">Un desaf\u00edo t\u00e9cnico distinto por su ubicaci\u00f3n dentro de la pelvis.<\/h2><p class=\"rbody\">El c\u00e1ncer de recto comparte el origen con el c\u00e1ncer de colon, pero su ubicaci\u00f3n \u2014dentro de la pelvis, rodeado de estructuras que controlan la continencia fecal, la funci\u00f3n urinaria y la funci\u00f3n sexual\u2014 lo convierte en un desaf\u00edo t\u00e9cnico distinto. En muchos casos, antes de operar coordinamos quimioterapia y radioterapia, porque reducir el tumor de entrada mejora tanto el resultado oncol\u00f3gico como la posibilidad de preservar el esf\u00ednter.<\/p><p class=\"rbody\">En la cirug\u00eda misma, mi objetivo es lograr una resecci\u00f3n oncol\u00f3gicamente completa \u2014una excisi\u00f3n total del mesorrecto\u2014 cuidando la funci\u00f3n cuando la anatom\u00eda del tumor lo permite.<\/p><blockquote class=\"rquote\">\"El objetivo es una resecci\u00f3n oncol\u00f3gicamente completa, cuidando la funci\u00f3n cuando la anatom\u00eda lo permite.\"<\/blockquote><\/div><\/div>\r\n<div class=\"rsec rsym-sec\"><div class=\"rw\"><span class=\"rsect-k\">Qu\u00e9 sentir, cu\u00e1ndo consultar<\/span><h2 class=\"rh2\">S\u00edntomas m\u00e1s comunes<\/h2><div class=\"rsym-grid\"><div class=\"rsym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Sangrado rectal, a veces confundido con hemorroides<\/div><div class=\"rsym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Cambio en el calibre o la forma de las deposiciones<\/div><div class=\"rsym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Sensaci\u00f3n persistente de evacuaci\u00f3n incompleta<\/div><div class=\"rsym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Dolor p\u00e9lvico o rectal<\/div><div class=\"rsym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Baja de peso no explicada<\/div><\/div><\/div><\/div>\r\n<div class=\"rsec rplan\"><div class=\"rw\"><span class=\"rsect-k\">Evaluaci\u00f3n y tratamiento<\/span><h2 class=\"rh2\">Un plan coordinado seg\u00fan cada caso.<\/h2><div class=\"rplan-grid\"><div class=\"rplan-card\"><span class=\"rstep\">1<\/span><h3>Estudio local<\/h3><p>Resonancia magn\u00e9tica p\u00e9lvica y colonoscop\u00eda con biopsia, esenciales para planificar el tratamiento.<\/p><\/div><div class=\"rplan-card\"><span class=\"rstep\">2<\/span><h3>Tratamiento previo a la cirug\u00eda<\/h3><p>Quimiorradioterapia neoadyuvante, en tumores localmente avanzados, para reducir el tumor y mejorar el resultado quir\u00fargico.<\/p><\/div><div class=\"rplan-card\"><span class=\"rstep\">3<\/span><h3>Cirug\u00eda y seguimiento<\/h3><p>Cirug\u00eda con excisi\u00f3n total del mesorrecto, buscando preservar el esf\u00ednter cuando la ubicaci\u00f3n del tumor lo permite, y seguimiento multidisciplinario posterior coordinado con oncolog\u00eda m\u00e9dica y radioterapia.<\/p><\/div><\/div><\/div><\/div>\r\n<div class=\"rsec\"><div class=\"rw rfaq\"><span class=\"rsect-k\">Lo que preguntan seguido<\/span><h2 class=\"rh2\">Preguntas frecuentes<\/h2><div class=\"rfitem\"><button class=\"rfq\" type=\"button\">\u00bfEl c\u00e1ncer de recto siempre requiere una ostom\u00eda definitiva?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"rfa\"><p>No siempre. Muchos pacientes logran preservar la funci\u00f3n y reconstituir el tr\u00e1nsito en el mismo tiempo quir\u00fargico, aunque en algunos casos \u2014seg\u00fan la ubicaci\u00f3n del tumor\u2014 una ostom\u00eda puede ser necesaria de forma temporal o definitiva.<\/p><\/div><\/div><div class=\"rfitem\"><button class=\"rfq\" type=\"button\">\u00bfPor qu\u00e9 a veces se da radioterapia antes de la cirug\u00eda y no despu\u00e9s?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"rfa\"><p>La radioterapia previa reduce el tama\u00f1o del tumor y mejora las condiciones para una cirug\u00eda con mejor margen oncol\u00f3gico y, en algunos casos, para preservar el esf\u00ednter.<\/p><\/div><\/div><div class=\"rfitem\"><button class=\"rfq\" type=\"button\">\u00bfC\u00f3mo es el seguimiento despu\u00e9s del tratamiento?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"rfa\"><p>Incluye controles cl\u00ednicos, im\u00e1genes y colonoscop\u00edas peri\u00f3dicas durante varios a\u00f1os, coordinados entre cirug\u00eda y oncolog\u00eda.<\/p><\/div><\/div><\/div><\/div>\r\n<div class=\"rcta\"><img decoding=\"async\" class=\"rcta-wm\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\"><div class=\"rw rcta-grid\"><div><span class=\"rcta-k\">Agenda tu hora<\/span><h2>Habla con un especialista en Temuco.<\/h2><p>El tratamiento correcto requiere una evaluaci\u00f3n cl\u00ednica real: de tu situaci\u00f3n, tus estudios y la etapa de la enfermedad. Un sitio web es un punto de partida, no un reemplazo.<\/p><p class=\"rcta-foot\">Dr. Nelson Mu\u00f1oz P\u00e9rez \u00b7 Cirujano General y Coloproct\u00f3logo \u00b7 Temuco, Chile<\/p><\/div><a class=\"rwhite\" href=\"#\"><svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>Escribir por WhatsApp<\/a><\/div><\/div>\r\n<script>(function(){var a=document.querySelectorAll('.rectoca-nm .rfitem');a.forEach(function(i){var b=i.querySelector('.rfq'),c=i.querySelector('.rfa');b.addEventListener('click',function(){var 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[&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","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":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","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-5)","background-image":"","background-repeat":"repeat","background-position":"center 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