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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Valorar la utilidad de la t&#233;cnica de colocaci&#243;n de arpones guiada con tomograf&#237;a computarizada para la localizaci&#243;n de n&#243;dulos pulmonares y su posterior resecci&#243;n mediante cirug&#237;a por videotoracoscopia asistida&#46; Describir el proceso y sus complicaciones</p> <span class="elsevierStyleSectionTitle">Pacientes Y M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se han localizado nueve n&#243;dulos pulmonares en 9 pacientes&#44; todos menores o iguales a 2 cm de di&#225;metro&#44; de car&#225;cter radiol&#243;gico indeterminado y sin diagn&#243;stico etiol&#243;gico&#46; Cuatro pacientes contaban con antecedentes de c&#225;ncer&#46; Los n&#243;dulos se localizaron mediante una aguja con arp&#243;n modelo Kopans&#44; guiada mediante tomograf&#237;a computarizada y se resecaron por videotoracoscopia</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El arp&#243;n se coloc&#243; correctamente en ocho de los pacientes y de forma incorrecta en uno de ellos&#46; En un enfermo fue preciso ampliar a toracotom&#237;a&#46; El diagn&#243;stico histol&#243;gico de los nueve n&#243;dulos fue de benignidad&#58; hamartoma en cinco casos&#44; n&#243;dulo necr&#243;tico o fibr&#243;tico en dos&#44; granuloma en uno y ganglio antrac&#243;tico en uno&#46; El tiempo de estancia hospitalaria oscil&#243; entre uno y 8 d&#237;as con una media de 3&#44;3 d&#237;as</p> <span class="elsevierStyleSectionTitle">Conclusione</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La localizaci&#243;n de n&#243;dulos pulmonares mediante aguja con arp&#243;n para su posterior resecci&#243;n por videotoracoscopia asistida es un m&#233;todo sencillo y seguro que facilita al cirujano la extirpaci&#243;n de los mismos&#44; en determinadas ocasiones&#44; para su diagn&#243;stico y tratamiento</p>"
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Localización mediante arpón de nódulos pulmonares para su resección por cirugía videotoracoscópica
Hookwire localization of pulmonary nodules for surgical resection
M.J. Soleto
, M.J. Olivera, P. Caballero
Y.W. Puna, R. Morenoa, S. Nietob
a Servicios de Radiología, Cirugía Torácica. Hospital de la Princesa. Universidad Autónoma de Madrid
b Servicios de Radiología, Anatomía Patológica. Hospital de la Princesa. Universidad Autónoma de Madrid
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To assess the usefulness of a technique for inserting hookwires guided by computed tomography to locate and resect pulmonary nodules by video-assisted thoracoscopy&#46; To describe the procedure and its complications</p> <span class="elsevierStyleSectionTitle">Patients And Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Nine pulmonary nodules were located in nine patients&#46; All were<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2 cm in diameter&#44; radiologically undefined and of unknown origin&#46; Four patients had a history of cancer&#46; The nodules were located using the needle&#47;hookwire system &#40;Kopans&#41;&#44; guided by computed tomography and were resected by video-assisted thoracic sur-gery</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The hookwire was placed correctly in 8 patients and incorrectly in 1&#46; Thoracotomy was necessary for 1 patient&#46; The histologic diagnosis was benign for all 9 nodules&#59; 5 were hamartomas&#44; 2 were necrotic or fibrotic nodules&#44; 1 was a granuloma and 1 was an anthracotic node&#46; Hospital stay ranged from 1 to 8 days &#40;mean 3&#46;3 days&#41;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The location of pulmonary nodes by hookwire and needle for later resection by video-assisted thoracoscopic surgery is a simple&#44; safe way to facilitate removal in some cases&#44; for diagnosis and treatment</p>"
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                            0 => "D&#46; Gossot"
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                      "titulo" => "Localization of pulmonary nodules for thoracoscopic rescetion&#58; use of needle&#47;wire breast biopsy system"
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                            3 => "M&#46;S&#46; Berger"
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                      "titulo" => "Lung nodules&#58; improved wire for CT-guided localization"
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Article information
ISSN: 03002896
Original language: Spanish
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