Experiencia multicéntrica de cirugía videotoracoscópica en el tratamiento de quistes y tumores del mediastino
Multicenter experience of video-assisted thoracic surgery to treat mediastinal cysts and tumors
Y.W. Pun
, R. Moreno Balsalobre, J. Prieto Vicente, L. Fernández Fau, en representación del Gccvt-Separ *
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ypunmail@jazzfree.com
Correspondencia: Servicio de Cirugía Torácica. Hospital Universitario de la Princesa.Diego de León, 62. 28006 Madrid
Correspondencia: Servicio de Cirugía Torácica. Hospital Universitario de la Princesa.Diego de León, 62. 28006 Madrid
Servicio de Cirugía Torácica. Hospital Universitario de la Princesa. Madrid
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"apellidos" => "Moreno Balsalobre" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Prieto Vicente" ] 3 => array:2 [ "nombre" => "L." "apellidos" => "Fernández Fau" ] 4 => array:2 [ "colaborador" => "en representación del Gccvt-Separ" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "fn0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Cirugía Torácica. Hospital Universitario de la Princesa. Madrid" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Servicio de Cirugía Torácica. Hospital Universitario de la Princesa.Diego de León, 62. 28006 Madrid" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Multicenter experience of video-assisted thoracic surgery to treat mediastinal cysts and tumors" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-01-03" "fechaAceptado" => "2002-02-12" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190456" "palabras" => array:3 [ 0 => "Cirugía videotoracoscópica" 1 => "Tumores mediastínicos" 2 => "Cirugía torácica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190455" "palabras" => array:3 [ 0 => "Video-assisted thoracic surgery" 1 => "Mediastinal tumors" 2 => "Chest surgery" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A pesar del perfeccionamiento de las técnicas de la imagen, se requiere con frecuencia algún procedimiento quirúrgico para la valoración diagnóstica y el tratamiento definitivo de las masas mediastínicas. El alcance de la cirugía videotoracoscópica (CVT) en este campo no está todavía bien definido. En el presente estudio se describe y se analiza la experiencia del Grupo Cooperativo de Cirugía Videotoracoscópica SEPAR (GCCVT-SEPAR), con el objetivo de conocer la utilidad de esta técnica en el tratamiento de quistes y tumores mediastínicos</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Durante 2 años y de forma prospectiva se han recogido datos de 1.573 procedimientos videotoracoscópicos consecutivos de 17 hospitales. Se analizan los datos completos de 64 procedimientos practicados para el diagnóstico y tratamiento de quistes y tumores del mediastino</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se obtuvo el diagnóstico definitivo en todos los casos. Hubo 19 tumores malignos y 45 lesiones benignas. Se realizaron 25 resecciones completas (39%): seis quistes pleuropericárdicos, cuatro quistes broncogénicos, ocho tumores neurogénicos y otras lesiones benignas. Las masas radiológicamente mal definidas y las de localización en el mediastino anterior y medio fueron operadas con más frecuencia con fines diagnósticos, mientras que las lesiones quísticas y las sólidas bien delimitadas del mediastino posterior lo fueron más bien con intenciones terapéuticas. El 11% de los casos precisó una conversión a toracotomía, debido principalmente a adherencias pleurales. Hubo cuatro complicaciones (6,3%) y no hubo mortalidad en la serie. La mediana de hospitalización posquirúrgica fue de 2,5 días. El 7,8% de los procedimientos se realizó mediante cirugía ambulatoria</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La CVT se llevó a cabo en múltiples lesiones mediastínicas en España. Se seleccionaron las lesiones quísticas y los tumores benignos para la resección. Las lesiones mal delimitadas y malignas fueron diagnosticadas mediante biopsia. La experiencia demuestra la eficacia y la se-guridad de esta técnica para los casos seleccionados</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">In spite of improvements in imaging techniques, surgical procedures are often needed to diagnose and definitively treat mediastinal masses. The range of application of video-assisted thoracic surgery (VATS) in this context is still poorly defined. The present study describes and analyzes the experience of the Cooperative Group for Video-assisted Thoracoscopic Surgery of the Spanish Society of Pneumology and Thoracic Surgery (GCCVT-SEPAR), with the aim of determining the usefulness of the technique for treating mediastinal cysts and tumors</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">For 2 years we gathered information prospectively on 1,573 consecutive VATS procedures in 17 hospitals. The data from 64 procedures performed for diagnosis and treatment of mediastinal cysts and tumors are analyzed</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A definitive diagnosis was reached in all cases. Nineteen were malignant tumors and 45 were benign lesions. Twenty-five complete resections (39%) were performed: 6 pleuropericardial cysts, 4 bronchogenic cysts, 8 neurogenic tumors and other benign lesions. Radiologically poorly defined masses and those located in the anterior and median parts of the mediastinum were most often the object of diagnostic procedures, whereas cysts and well-defined solid lesions on the posterior mediastinum were usually the object of therapeutic interventions. Eleven percent of the cases required conversion to thoracotomy, mainly due to pleural adhesions. Four complications (6.3%) were recorded and no deaths occurred. The median hospital stay after surgery was 2.5 days; 7.8% of the procedures were performed on outpatients</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">VATS is performed on many mediastinal lesions in Spain. Cysts and benign tumors are selected for resection. Poorly defined and malignant lesions were diagnosed by biopsy. The experience reported demonstrates the efficacy and safety of this technique for selected cases</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "nota" => "<p class="elsevierStyleNotepara">Los integrantes del Grupo Cooperativo de Cirugía Videotoracoscópica (GCCVT) de la Sociedad Española de Neumología y Cirugía Torácica (SEPAR) se exponen en el anexo I</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:28 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thoracoscopic diagnosis and treatment of mediastinal masses" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.A. Kern" 1 => "T.M. Daniel" 2 => "C.G. Tribble" 3 => "M.L. Silen" 4 => "B.M. Rodgers" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1993" "volumen" => "56" "paginaInicial" => "92" "paginaFinal" => "96" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8328882" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thoracoscopic resection of mediastinal cysts" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S.R. Hazelrigg" 1 => "R.J. Landreneau" 2 => "M.J. Mack" 3 => "T.E. Acuff" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1993" "volumen" => "56" "paginaInicial" => "659" "paginaFinal" => "660" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8379765" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thoracoscopic management of posterior mediastinal tumors" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D.A. Canvasser" 1 => "K.S. Naunheim" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Chest Surg Clin North Am" "fecha" => "1996" "volumen" => "6" "paginaInicial" => "53" "paginaFinal" => "67" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparative merits of thoracoscopy, mediastinoscopy and mediastinotomy for mediastinal biopsy" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E.A. Rendina" 1 => "F. Venuta" 2 => "T. De Giacomo" 3 => "P.P. Ciriaco" 4 => "E.O. Pescarmona" 5 => "F. Francioni" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1994" "volumen" => "57" "paginaInicial" => "992" "paginaFinal" => "995" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8166555" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Toracoscopia diagnóstica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A. Cantó" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1976" "volumen" => "12" "paginaInicial" => "24" "paginaFinal" => "27" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Resultados un año de funcionamiento del Grupo Cooperativo de Cirugía Videotoracoscópica (GCCVT-SEPAR) [resumen]" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.J. Rivas" 1 => "M. De la Torre" 2 => "M. Deu" 3 => "M. Carbajo" 4 => "M. Mateu" 5 => "A. Blanco" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Bronconeum" "fecha" => "1998" "volumen" => "34" "numero" => "Supl 1" "paginaInicial" => "15" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "y Grupo Cooperativo de Cirugía Videotoracoscópica SEPAR (GCCVT-SEPAR). Video-assisted thoracic surgery in Spain: a prospective multicenter study [abstract]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L. Molins" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "6th World Congress of Endoscopic Surgery" "fecha" => "1998 mayo 31-junio 6" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Video-assisted thoracic surgery: has technology found its place?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.J. Mack" 1 => "G.R. Scruggs" 2 => "K.M. Kelly" 3 => "H. Shennib" 4 => "R.J. Landreneau" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1997" "volumen" => "64" "paginaInicial" => "211" "paginaFinal" => "215" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9236363" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Resección del quiste broncogénico por video-toracoscopia" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Mouroux" 1 => "D. Benchimol" 2 => "J.L. Bernard" 3 => "A. Tran" 4 => "B. Padovani" 5 => "P. Rampal" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Press Med" "fecha" => "1991" "volumen" => "20" "paginaInicial" => "1768" "paginaFinal" => "1769" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thoracoscopic resection of a posterior mediastinal neurogenic tumor" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.J. Landreneau" 1 => "R.D. Dowling" 2 => "P.F. Ferson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1992" "volumen" => "102" "paginaInicial" => "1288" "paginaFinal" => "1290" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1395789" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Video Assisted Thoracic Surgery Study Group Data" "autores" => array:1 [ 0 => array:3 [ "colaboracion" => "and The Video Assisted Thoracic Surgery Study Group" "etal" => false "autores" => array:3 [ 0 => "S.R. Hazelrigg" 1 => "S.K. Nunchuck" 2 => "J. III Locicero J" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1993" "volumen" => "56" "paginaInicial" => "1039" "paginaFinal" => "1044" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8239797" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Videothoracoscopic excision of mediastinal masses: indications and technique" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "G. Roviaro" 1 => "C. Rebuffat" 2 => "F. Varoli" 3 => "C. Vergani" 4 => "M. Maciocco" 5 => "S.M. Scalambra" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1994" "volumen" => "58" "paginaInicial" => "1679" "paginaFinal" => "1683" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7979735" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnóstico y tratmiento de tumores mediastínicos por VATS [Medline]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Qu" 1 => "X. Gao" 2 => "W. Hou" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Zhonghua Wai Ke Za Zhi" "fecha" => "1997" "volumen" => "35" "paginaInicial" => "547" "paginaFinal" => "548" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10678030" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Multicenter VATS experience with mediastinal tumors" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "T.L. Demmy" 1 => "M.J. Krasna" 2 => "F.C. Detterbeck" 3 => "G.G. Kline" 4 => "L.J. Kohman" 5 => "J.r. DeCamp MM" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1998" "volumen" => "66" "paginaInicial" => "187" "paginaFinal" => "192" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9692462" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnostic role of videothoracoscopy in mediastinal diseases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L. Solaini" 1 => "P. Bagioni" 2 => "A. Campanini" 3 => "B.D. Poddie" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Cardiothorac Surg" "fecha" => "1998" "volumen" => "13" "paginaInicial" => "491" "paginaFinal" => "493" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9663526" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mediastinoscopia diagnóstica [resumen]. Nuestra experiencia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "Y.W. Pun" 1 => "L. Fernández Fau" 2 => "J. Prieto" 3 => "R. Moreno" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1997" "volumen" => "33" "numero" => "Supl 1" "paginaInicial" => "65" ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "El programa de Cirugía mayor ambulatoria en un servicio de cirugía torácica [resumen]" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "Y.W. pun" 1 => "R. Moreno" 2 => "J. Prieto" 3 => "L. Fernández Fau" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "1998" "volumen" => "34" "numero" => "Supl 1" "paginaInicial" => "97" ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mediastinoscopy vs thoracoscopy for mediastinal biopsy. Results of a prospective non randomized study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "D. Gossot" 1 => "L. Toledo" 2 => "S. Fritsch" 3 => "M. Celerier" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1996" "volumen" => "110" "paginaInicial" => "1328" "paginaFinal" => "1331" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8915241" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Video-assisted thoracic surgery for diseases within the mediastinum" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.C. Lin" 1 => "S.R. Hazelrigg" 2 => "R.J. Landreneau" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Surg Clin North Am" "fecha" => "2000" "volumen" => "80" "paginaInicial" => "1511" "paginaFinal" => "1533" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11059717" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thoracoscopic excision of mediastinal bronchogenic cysts: results in 20 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Martinod" 1 => "F. Pons" 2 => "J. Azorin" 3 => "J. Mouroux" 4 => "M. Dahan" 5 => "J.M. Faillon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "2000" "volumen" => "69" "paginaInicial" => "1525" "paginaFinal" => "1528" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10881835" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0105" "etiqueta" => "21." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "New technique for the cystic mediastinal tumor by video-assisted thoracoscopy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Iwasaki" 1 => "M. Hiratsuka" 2 => "K. Kawahara" 3 => "T. Shirakusa" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "2001" "volumen" => "72" "paginaInicial" => "632" "paginaFinal" => "633" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11515923" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0110" "etiqueta" => "22." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surgical treatment of mediastinal tumors. A 40 year experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A.R. Wychulis" 1 => "W.S. Payne" 2 => "O.T. Clagett" 3 => "L.B. Woolner" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Thorac Cardiovasc Surg" "fecha" => "1971" "volumen" => "62" "paginaInicial" => "379" "paginaFinal" => "392" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4331304" "web" => "Medline" ] ] ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0115" "etiqueta" => "23." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Videothoracoscopic excision of thoracic neurogenic tumors" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Riquet" 1 => "J. Mouroux" 2 => "F. Pons" 3 => "D. Debrosse" 4 => "A. Dujon" 5 => "M. Dahan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1995" "volumen" => "60" "paginaInicial" => "943" "paginaFinal" => "946" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7574999" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0120" "etiqueta" => "24." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thoracoscopic removal of intrathoracic neurogenic tumors: a combined Chinese experience" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "H.P. Liu" 1 => "A.P. Yim" 2 => "J. Wan" 3 => "H. Chen" 4 => "Y.C. Wu" 5 => "Y.H. Liu" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Surg" "fecha" => "2000" "volumen" => "232" "paginaInicial" => "187" "paginaFinal" => "190" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10903595" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0125" "etiqueta" => "25." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thoracoscopic excision of a posterior mediastinal “dumbbell” tumor using a combined approach" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.M. Heltzer" 1 => "M.J. Krasna" 2 => "F. Aldrich" 3 => "J.S. McLaughlin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1995" "volumen" => "60" "paginaInicial" => "431" "paginaFinal" => "433" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7646109" "web" => "Medline" ] ] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib0130" "etiqueta" => "26." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thoracoscopic excision of mediastinal parathyroid adenomas: a report of two cases and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Knight" 1 => "E.R. Ratzer" 2 => "M.E. Fenoglio" 3 => "J.T. Moore" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Coll Surg" "fecha" => "1997" "volumen" => "185" "paginaInicial" => "481" "paginaFinal" => "485" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9358094" "web" => "Medline" ] ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib0135" "etiqueta" => "27." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Videothoracoscopic approach to primary mediastinal pathology" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "G. Roviaro" 1 => "F. Varoli" 2 => "O. Nucca" 3 => "C. Vergani" 4 => "M. Maciocco" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2000" "volumen" => "117" "paginaInicial" => "1179" "paginaFinal" => "1183" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10767256" "web" => "Medline" ] ] ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib0140" "etiqueta" => "28." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comentario invitado" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P.C. Pairolero" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "paginaInicial" => "144" "serieVolumen" => "542" "serieTitulo" => "Thoracoscopic resection of an anterior mediastinal tumor. Ann Thorac Surg" "serieFecha" => "1992" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000003800000009/v1_201307081507/S0300289602752538/v1_201307081507/es/main.assets" "Apartado" => array:4 [ "identificador" => "9277" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000003800000009/v1_201307081507/S0300289602752538/v1_201307081507/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289602752538?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 3 | 6 |
| 2024 October | 36 | 22 | 58 |
| 2024 September | 31 | 16 | 47 |
| 2024 August | 49 | 40 | 89 |
| 2024 July | 37 | 25 | 62 |
| 2024 June | 36 | 17 | 53 |
| 2024 May | 46 | 35 | 81 |
| 2024 April | 30 | 24 | 54 |
| 2024 March | 37 | 31 | 68 |
| 2024 February | 23 | 35 | 58 |
| 2024 January | 0 | 2 | 2 |
| 2023 December | 0 | 4 | 4 |
| 2023 November | 0 | 3 | 3 |
| 2023 October | 0 | 3 | 3 |
| 2023 September | 0 | 4 | 4 |
| 2023 August | 0 | 5 | 5 |
| 2023 July | 0 | 4 | 4 |
| 2023 June | 0 | 10 | 10 |
| 2023 March | 8 | 3 | 11 |
| 2023 February | 23 | 10 | 33 |
| 2023 January | 39 | 17 | 56 |
| 2022 December | 43 | 32 | 75 |
| 2022 November | 45 | 14 | 59 |
| 2022 October | 64 | 23 | 87 |
| 2022 September | 20 | 33 | 53 |
| 2022 August | 77 | 34 | 111 |
| 2022 July | 53 | 28 | 81 |
| 2022 June | 24 | 30 | 54 |
| 2022 May | 29 | 25 | 54 |
| 2022 April | 27 | 23 | 50 |
| 2022 March | 24 | 41 | 65 |
| 2022 February | 31 | 20 | 51 |
| 2022 January | 25 | 26 | 51 |
| 2021 December | 17 | 40 | 57 |
| 2021 November | 25 | 37 | 62 |
| 2021 October | 20 | 34 | 54 |
| 2021 September | 15 | 43 | 58 |
| 2021 August | 18 | 31 | 49 |
| 2021 July | 10 | 20 | 30 |
| 2021 June | 22 | 34 | 56 |
| 2021 May | 21 | 25 | 46 |
| 2021 April | 25 | 43 | 68 |
| 2021 March | 23 | 16 | 39 |
| 2021 February | 23 | 15 | 38 |
| 2021 January | 21 | 18 | 39 |
| 2020 December | 16 | 7 | 23 |
| 2020 November | 9 | 17 | 26 |
| 2020 October | 18 | 7 | 25 |
| 2020 September | 14 | 8 | 22 |
| 2020 August | 11 | 6 | 17 |
| 2020 July | 18 | 17 | 35 |
| 2020 June | 13 | 8 | 21 |
| 2020 May | 9 | 4 | 13 |
| 2020 April | 19 | 10 | 29 |
| 2020 March | 17 | 22 | 39 |
| 2020 February | 9 | 16 | 25 |
| 2020 January | 22 | 26 | 48 |
| 2019 December | 22 | 23 | 45 |
| 2019 November | 4 | 10 | 14 |
| 2019 October | 7 | 7 | 14 |
| 2019 September | 5 | 17 | 22 |
| 2019 August | 15 | 7 | 22 |
| 2019 July | 15 | 30 | 45 |
| 2019 June | 4 | 16 | 20 |
| 2019 May | 22 | 27 | 49 |
| 2019 April | 6 | 22 | 28 |
| 2019 March | 12 | 16 | 28 |
| 2019 February | 10 | 10 | 20 |
| 2019 January | 7 | 5 | 12 |
| 2018 December | 9 | 17 | 26 |
| 2018 November | 25 | 14 | 39 |
| 2018 October | 22 | 12 | 34 |
| 2018 September | 10 | 5 | 15 |
| 2018 May | 6 | 1 | 7 |
| 2018 April | 5 | 11 | 16 |
| 2018 March | 6 | 7 | 13 |
| 2018 February | 7 | 10 | 17 |
| 2018 January | 10 | 8 | 18 |
| 2017 December | 9 | 16 | 25 |
| 2017 November | 8 | 9 | 17 |
| 2017 October | 8 | 10 | 18 |
| 2017 September | 5 | 17 | 22 |
| 2017 August | 10 | 15 | 25 |
| 2017 July | 3 | 4 | 7 |
| 2017 June | 12 | 18 | 30 |
| 2017 May | 11 | 8 | 19 |
| 2017 April | 9 | 7 | 16 |
| 2017 March | 3 | 16 | 19 |
| 2017 February | 4 | 10 | 14 |
| 2017 January | 6 | 8 | 14 |
| 2016 December | 17 | 11 | 28 |
| 2016 November | 24 | 14 | 38 |
| 2016 October | 14 | 17 | 31 |
| 2016 September | 23 | 18 | 41 |
| 2016 August | 19 | 15 | 34 |
| 2016 July | 19 | 12 | 31 |
| 2016 June | 26 | 20 | 46 |
| 2016 May | 26 | 19 | 45 |
| 2016 April | 7 | 2 | 9 |
| 2016 March | 12 | 3 | 15 |
| 2016 February | 7 | 4 | 11 |
| 2016 January | 34 | 21 | 55 |
| 2015 December | 21 | 16 | 37 |
| 2015 November | 29 | 10 | 39 |
| 2015 October | 114 | 1 | 115 |
| 2015 September | 102 | 0 | 102 |
| 2015 August | 103 | 0 | 103 |
| 2015 July | 109 | 0 | 109 |
| 2015 June | 90 | 0 | 90 |
| 2015 May | 125 | 0 | 125 |
| 2015 April | 83 | 0 | 83 |
| 2015 March | 97 | 0 | 97 |
| 2015 February | 101 | 0 | 101 |
| 2015 January | 82 | 0 | 82 |
| 2014 December | 94 | 0 | 94 |
| 2014 November | 126 | 0 | 126 |
| 2014 October | 114 | 0 | 114 |
| 2014 September | 101 | 0 | 101 |
| 2014 August | 97 | 0 | 97 |
| 2014 July | 82 | 0 | 82 |
| 2014 June | 97 | 0 | 97 |
| 2014 May | 106 | 0 | 106 |
| 2014 April | 98 | 0 | 98 |
| 2014 March | 100 | 0 | 100 |
| 2014 February | 91 | 0 | 91 |
| 2014 January | 67 | 0 | 67 |
| 2013 December | 88 | 0 | 88 |
| 2013 November | 97 | 0 | 97 |
| 2013 October | 127 | 0 | 127 |
| 2013 September | 68 | 0 | 68 |
| 2013 August | 91 | 0 | 91 |
| 2013 July | 87 | 0 | 87 |
| 2013 June | 58 | 0 | 58 |
| 2013 May | 65 | 0 | 65 |
| 2013 April | 70 | 0 | 70 |
| 2013 March | 19 | 0 | 19 |
| 2000 January | 2627 | 0 | 2627 |
Show all
