Lobectomía videoasistida a través del triángulo auscultatorio en el tratamiento quirúrgico del carcinoma broncopulmonar. Experiencia preliminar
Video-assisted lobectomy through the auscultatory triangle for the surgical treatment of bronchopulmonary carcinoma. Preliminary experience
J.M. Gimferrer
, J. Belda, M. Catalán, M. Serra, M. Rubio, M. Iglesias
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jgimferr@medicina.ub.es
Correspondencia: Servicio de Cirugía Torácica. Hospital Clínic.Villarroel, 170. 08036 Barcelona. España
Correspondencia: Servicio de Cirugía Torácica. Hospital Clínic.Villarroel, 170. 08036 Barcelona. España
Institut Clínic de Pneumologia i Cirurgia Toràcica. Hospital Clínic. Universitat de Barcelona. Barcelona. España
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"apellidos" => "Gimferrer" "email" => array:1 [ 0 => "jgimferr@medicina.ub.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Belda" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Catalán" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Serra" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Rubio" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Iglesias" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Institut Clínic de Pneumologia i Cirurgia Toràcica. Hospital Clínic. Universitat de Barcelona. Barcelona. España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Cirugía Torácica. Hospital Clínic.Villarroel, 170. 08036 Barcelona. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Video-assisted lobectomy through the auscultatory triangle for the surgical treatment of bronchopulmonary carcinoma. Preliminary experience" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-07-25" "fechaAceptado" => "2002-09-17" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190524" "palabras" => array:3 [ 0 => "Lobectomía videoasistida" 1 => "Videotoracoscopia" 2 => "Carcinoma broncopulmonar" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190523" "palabras" => array:3 [ 0 => "Video-assisted lobectomy" 1 => "Videothoracoscopy" 2 => "Bronchopulmonary carcinoma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Describir la técnica de la lobectomía videoasis-tida a través del triángulo auscultatorio (LVAA) y valorar los resultados, inmediatos y a medio plazo, obtenidos me-diante este procedimiento quirúrgico en pacientes afectados de carcinoma broncopulmonar no microcítico, estadio I</p> <span class="elsevierStyleSectionTitle">Pacientes Y Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Desde abril de 1999 hasta mayo de 2002 hemos realizado 25 LVAA (24 lobectomías y una bilo-bectomía), en 25 pacientes con una edad media de 63,6 años (rango, 39-80)</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La mortalidad operatoria y postoperatoria fue nula. En dos casos se requirió la conversión a toracotomía convencional. Un paciente fue reintervenido por hemotórax y otro presentó una fístula broncopleural que fue tratado con drenaje pleural. La estancia media hospitalaria fue de 6,3 días. Con un seguimiento medio de 11,5 meses (rango, 1-36), 23 pacientes están libres de enfermedad. La supervivencia ac-tuarial (Kaplan-Meier) a los dos años fue del 93 ± 7%</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La LVAA constituye una intervención se-gura, que requiere sin embargo un aprendizaje específico. En nuestra serie, la morbilidad ha sido escasa y la mortali-dad nula. En los pacientes con carcinoma broncogénico en estadio I, los resultados en los dos primeros años de segui-miento son superponibles a los obtenidos a través de toraco-tomía convencional</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To describe a technique for video-assisted lobec-tomy through the auscultatory triangle (VALAT) and to assess early and medium-term outcome of the procedure in patients with non-small cell bronchopulmonary carcinoma in stage I</p> <span class="elsevierStyleSectionTitle">Patients And Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Between April 1999 and May 2002 we performed 25 VALAT procedures (24 lobectomies and 1 bilobectomy) in 25 patients with a mean age of 63.6 years (range 39–80)</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">No deaths occurred during or after surgery. Conversion to conventional thoracotomy was necessary in two cases. One patient was re-operated to resolve hemothorax and one developed a bronchopleural fistula that was treated by pleural drainage. The mean hospital stay was 6.3 days. Twenty-three patients have been disease-free throughout a mean follow-up period of 11.5 months (range 1-36). The two-year actuarial survival rate (Kaplan-Meier) was 93% ± 7%</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Valat is a safe procedure that neverthe-less requires specific training. The rate of complications was low in our patient series and mortality was nil. The outcome for patients with stage I bronchogenic carcinoma over a two-year follow-up period has been comparable to results obtained with conventional thoracotomy</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Videoendoscopic pulmonary lobectomy for cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "G.C. Roviaro" 1 => "C. Rebuffat" 2 => "F. Varoli" 3 => "C. Vergani" 4 => "C. Marini" 5 => "M. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 11 | 1 | 12 |
| 2024 October | 47 | 26 | 73 |
| 2024 September | 48 | 21 | 69 |
| 2024 August | 69 | 39 | 108 |
| 2024 July | 36 | 26 | 62 |
| 2024 June | 61 | 47 | 108 |
| 2024 May | 46 | 125 | 171 |
| 2024 April | 30 | 36 | 66 |
| 2024 March | 37 | 36 | 73 |
| 2024 February | 38 | 33 | 71 |
| 2023 December | 0 | 3 | 3 |
| 2023 November | 0 | 4 | 4 |
| 2023 October | 0 | 13 | 13 |
| 2023 September | 0 | 3 | 3 |
| 2023 August | 0 | 3 | 3 |
| 2023 July | 0 | 5 | 5 |
| 2023 June | 0 | 15 | 15 |
| 2023 May | 0 | 1 | 1 |
| 2023 March | 5 | 3 | 8 |
| 2023 February | 31 | 19 | 50 |
| 2023 January | 26 | 24 | 50 |
| 2022 December | 40 | 23 | 63 |
| 2022 November | 38 | 13 | 51 |
| 2022 October | 24 | 29 | 53 |
| 2022 September | 30 | 30 | 60 |
| 2022 August | 35 | 37 | 72 |
| 2022 July | 28 | 39 | 67 |
| 2022 June | 29 | 28 | 57 |
| 2022 May | 31 | 33 | 64 |
| 2022 April | 43 | 21 | 64 |
| 2022 March | 35 | 37 | 72 |
| 2022 February | 40 | 28 | 68 |
| 2022 January | 36 | 26 | 62 |
| 2021 December | 27 | 34 | 61 |
| 2021 November | 37 | 47 | 84 |
| 2021 October | 24 | 44 | 68 |
| 2021 September | 25 | 55 | 80 |
| 2021 August | 27 | 35 | 62 |
| 2021 July | 28 | 30 | 58 |
| 2021 June | 27 | 35 | 62 |
| 2021 May | 20 | 39 | 59 |
| 2021 April | 51 | 48 | 99 |
| 2021 March | 36 | 21 | 57 |
| 2021 February | 35 | 10 | 45 |
| 2021 January | 33 | 26 | 59 |
| 2020 December | 29 | 19 | 48 |
| 2020 November | 26 | 12 | 38 |
| 2020 October | 3 | 13 | 16 |
| 2020 September | 7 | 13 | 20 |
| 2020 August | 19 | 8 | 27 |
| 2020 July | 26 | 23 | 49 |
| 2020 June | 27 | 9 | 36 |
| 2020 May | 29 | 18 | 47 |
| 2020 April | 29 | 14 | 43 |
| 2020 March | 21 | 22 | 43 |
| 2020 February | 20 | 20 | 40 |
| 2020 January | 40 | 33 | 73 |
| 2019 December | 29 | 34 | 63 |
| 2019 November | 18 | 10 | 28 |
| 2019 October | 14 | 16 | 30 |
| 2019 September | 15 | 21 | 36 |
| 2019 August | 15 | 9 | 24 |
| 2019 July | 14 | 17 | 31 |
| 2019 June | 32 | 16 | 48 |
| 2019 May | 39 | 40 | 79 |
| 2019 April | 48 | 104 | 152 |
| 2019 March | 11 | 19 | 30 |
| 2019 February | 13 | 19 | 32 |
| 2019 January | 12 | 8 | 20 |
| 2018 December | 14 | 36 | 50 |
| 2018 November | 30 | 25 | 55 |
| 2018 October | 34 | 19 | 53 |
| 2018 September | 17 | 10 | 27 |
| 2018 May | 2 | 1 | 3 |
| 2018 April | 10 | 5 | 15 |
| 2018 March | 4 | 6 | 10 |
| 2018 February | 8 | 7 | 15 |
| 2018 January | 7 | 7 | 14 |
| 2017 December | 7 | 11 | 18 |
| 2017 November | 5 | 9 | 14 |
| 2017 October | 4 | 9 | 13 |
| 2017 September | 5 | 19 | 24 |
| 2017 August | 7 | 9 | 16 |
| 2017 July | 10 | 17 | 27 |
| 2017 June | 12 | 22 | 34 |
| 2017 May | 15 | 11 | 26 |
| 2017 April | 9 | 9 | 18 |
| 2017 March | 7 | 15 | 22 |
| 2017 February | 3 | 8 | 11 |
| 2017 January | 9 | 14 | 23 |
| 2016 December | 9 | 3 | 12 |
| 2016 November | 28 | 17 | 45 |
| 2016 October | 29 | 25 | 54 |
| 2016 September | 22 | 10 | 32 |
| 2016 August | 21 | 13 | 34 |
| 2016 July | 23 | 8 | 31 |
| 2016 June | 22 | 11 | 33 |
| 2016 May | 30 | 16 | 46 |
| 2016 April | 15 | 1 | 16 |
| 2016 March | 10 | 4 | 14 |
| 2016 February | 19 | 3 | 22 |
| 2016 January | 18 | 10 | 28 |
| 2015 December | 32 | 10 | 42 |
| 2015 November | 25 | 7 | 32 |
| 2015 October | 123 | 1 | 124 |
| 2015 September | 101 | 0 | 101 |
| 2015 August | 124 | 0 | 124 |
| 2015 July | 117 | 0 | 117 |
| 2015 June | 73 | 0 | 73 |
| 2015 May | 112 | 0 | 112 |
| 2015 April | 80 | 0 | 80 |
| 2015 March | 91 | 0 | 91 |
| 2015 February | 101 | 0 | 101 |
| 2015 January | 79 | 0 | 79 |
| 2014 December | 87 | 0 | 87 |
| 2014 November | 87 | 0 | 87 |
| 2014 October | 123 | 0 | 123 |
| 2014 September | 88 | 0 | 88 |
| 2014 August | 87 | 0 | 87 |
| 2014 July | 93 | 0 | 93 |
| 2014 June | 76 | 0 | 76 |
| 2014 May | 101 | 0 | 101 |
| 2014 April | 78 | 0 | 78 |
| 2014 March | 85 | 0 | 85 |
| 2014 February | 74 | 0 | 74 |
| 2014 January | 55 | 0 | 55 |
| 2013 December | 79 | 0 | 79 |
| 2013 November | 76 | 0 | 76 |
| 2013 October | 84 | 0 | 84 |
| 2013 September | 68 | 0 | 68 |
| 2013 August | 99 | 0 | 99 |
| 2013 July | 108 | 0 | 108 |
| 2013 June | 57 | 0 | 57 |
| 2013 May | 62 | 0 | 62 |
| 2013 April | 48 | 0 | 48 |
| 2013 March | 22 | 0 | 22 |
| 2000 January | 4113 | 0 | 4113 |
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