Resumo Nesta entrevista inédita realizada pelo Fórum Permanente IEA-USP em 17 de dezembro de 2009, o historiador, crítico de arte, curador e dirigente cultural Walter Zanini fala sobre sua formação internacional em artes visuais, sua experiência como docente da Faculdade de Filosofia, Letras e Ciências Humanas da USP, da Escola de Comunicações e Artes da USP e da Fundação Alvaro Penteado; assim como seu papel na constituição e desenvolvimento das bases conceituais e curatoriais do Museu de Arte Contemporânea da USP, o primeiro museu de arte contemporânea no mundo, durante sua gestão (1963-1978). Relembra também sua atuação como curador de duas Bienais Internacionais de Arte de São Paulo no início dos anos 1980, que transformaram a matriz epistemológica desse evento que é uma centralidade no sistema da arte contemporânea no Brasil.

Abstract In this unpublished interview held by the Fórum Permanente IEA-USP on December 17, 2009, Walter Zanini, historian, art critic, curator and cultural manager, talks about his international training in the Visual Arts; his experience as a lecturer at Faculdade de Filosofia, Letras e Ciências Humanas da USP, Escola de Comunicações e Artes da USP and Fundação Alvaro Penteado; as well as his role in the constitution and development of the conceptual and curatorial bases of the Museu de Arte Contemporânea da USP, the first contemporary art museum in the world, during his tenure as director (1963-1978). He also recalls his role as curator of two International Art Biennials of São Paulo in the early 1980s that transformed the epistemological matrix of this event, which is a centrality in the contemporary art system in Brazil.

Objective: Determine the prognostic significance of metastatic lymph node ratio in 5-year survival of patients after curative distal gastrectomy for advanced gastric carcinoma. Materials and methods: This study survival analysis, prospective, observational, longitudinal, analyzed data from 68 patients with resectable advanced gastric adenocarcinoma treated at the Regional Institute of Neoplastic Disease Luis Pinillos Ganoza during the period 2008-2013. Results: The number of metastatic lymph nodes ranged from 0-29 (mean, 3.9±5.8) and the number of resected lymph nodes understood ranges from 13 to 66 (mean 35.34±12.60). There was no significant correlation between the number of metastatic lymph nodes and number of resected lymph nodes (r=0.208, p=0.089). Survival of the total number at 5 years was 55.9%, with a median survival of 44.11±3.38 months According to regional nodal status (N) of the 7th edition of the UICC, patients with N0 (n=27), pN1 (n=12), pN2 (n=17) and pN3 (n=12) showed survival rates at 5 years of 77.2%, 27.2%, 46.3% and 40% respectively (p=0.005). Patients were stratified into NR0 (reason 0%), NR1 (ratio 1-59%) and NR2 (ratio >60%). Their survival rates at 5 years were 77.2%, 40.9% and 33.3% respectively (p=0.013). Conclusions: The metastatic lymph node ratio is a predictor system actuarial survival at 5 years compared consistent with regional nodal status (N) classification system of the International Union Against Cancer

Objetivo: Determinar la significancia pronóstica de la razón ganglionar metastásica en la sobrevida a 5 años de pacientes luego de gastrectomía distal curativa por carcinoma gástrico avanzado. Materiales y métodos: Estudio de análisis de sobrevida que analizó información de 68 pacientes con adenocarcinoma gástrico avanzado resecable atendidos en el Instituto Regional de Enfermedad Neoplásicas Luis Pinillos Ganoza durante el período 2008-2013. Resultados: El número de ganglios linfáticos metastásicos osciló entre 0-29 (media: 3,9±5,8) y el número de ganglios linfáticos resecados comprendió los rangos de 13-66 (media: 35,34±12,60). No hubo correlación significativa entre el número de ganglios linfáticos metastásicos y el número de ganglios linfáticos extirpados (r=0,208, p=0,089). La sobrevida de la serie total a los 5 años fue de 55,9%. De acuerdo al estado ganglionar regional (N) de la 7ma edición de la UICC, los pacientes con N0 (n=27), pN1 (n=12), pN2 (n=17) y pN3 (n=12) mostraron tasas de sobrevida a los 5 años de 77,2%, 27,2%, 46,3% y 40% respectivamente (p=0,005). Los pacientes fueron estratificados en NR0 (razón 0%), NR1 (razón 1-59%) y NR2 (razón >60%). Sus tasas de sobrevida a 5 años fueron de 77,2%, 40,9% y 33,3% respectivamente (p=0,013). Conclusiones: La razón ganglionar metastásica constituye un sistema predictor de sobrevida actuarial a 5 años coherente en comparación con el estado ganglionar regional (N) del sistema de clasificación de la Unión Internacional Contra el Cáncer

Objective: To determine the impact of postoperative infectious complications in the long term survival of patients gastrectomized for gastric carcinoma with curative intent. Materials and methods: The present cohort study evaluated a series of 79 patients diagnosed with resectable advanced gastric carcinoma with curative intent. They were grouped in: Group A (N=28): patients with postoperative infectious complications and Group B (N=51): patients who did not develop postoperative infectious complications. The study covered the years 2008-2013. Results: In group A, the survival rates at 1, 3 and 5 years was 74%, 74% and 47.6% respectively. In group B, the survival rates at 1, 3 and 5 years was 80.3%, 56% and 49.8% respectively (p=0.365). The main postoperative infectious complications not related to the surgical technique were pneumonia (20.3%), followed by urinary tract infection (3.8%). The main postoperative infectious complications related to surgical technique was sepsis (n=5), two of which were related to dehiscence esophagojejunal anastomosis, two bye gastroyeyunal fistula, another bye enterocutaneous fistula and one patient who presented abscess and necrosis peripancreatic’s tissue. Conclusions: There was no impact on survival at 5 years in patients with postoperative infectious complications after gastrectomy with curative intent. However, further studies should be carried over.

Objetivo: Comprobar el impacto de las complicaciones infecciosas postoperatorias en la sobrevida a largo plazo de pacientes gastrectomizados por carcinoma gástrico con intención curativa. Materiales y métodos: El presente estudio de cohortes evaluó una serie de 79 pacientes con diagnóstico de carcinoma gástrico avanzado resecable con intención curativa. Se agruparon a su vez: Grupo A (N=28): Pacientes con complicaciones infecciosas postoperatorias y Grupo B (N=51): Pacientes que no presentaron complicaciones infecciosas postoperatorias. El estudio abarcó los años 2008-2013. Resultados: En el grupo A, las tasas de sobrevida a 1, 3 y 5 años fueron de 74%, 74% y 47,6% respectivamente. En el grupo B, las tasas de sobrevida a 1, 3 y 5 años fueron de 80,3%, 56% y 49,8% respectivamente (p=0,365). Las principales complicaciones infecciosas postoperatorias no relacionadas con la técnica quirúrgica fue la neumonía (20,3%), seguida de infección del tracto urinario (3,8%). Las principales complicaciones infecciosas postoperatorias relacionadas con la técnica quirúrgica fue la sepsis (n=5), dos de estos pacientes presentaron de dehiscencia de anastomosis esofagoyeyunal, dos presentaron fístula gastroyeyunal, uno fístula enterocutánea y por último un paciente presentó absceso y necrosis de tejido peripancreático. Conclusiones: No hubo un impacto en la sobrevida a 5 años en pacientes con complicaciones infecciosas postoperatorias post gastrectomía con intención curativa. Sin embargo, más estudios adicionales deberían efectuarse.