Neumotórax espontáneo: tratamiento consecutivo de una serie de 45 casos. Resultados preliminares del uso de la videotoracoscopia terapéutica
Spontaneous pneumothorax: treatment of 45 consecutive cases. Preliminary results of therapeutic video-assisted thoracoscopy
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"apellidos" => "Corral" ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Barreña" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615306578?idApp=UINPBA00003Z" "url" => "/03002896/0000003300000002/v1_201506200438/S0300289615306578/v1_201506200438/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Neumotórax espontáneo: tratamiento consecutivo de una serie de 45 casos. Resultados preliminares del uso de la videotoracoscopia terapéutica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "80" "paginaFinal" => "83" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "M. Fernández Ruiz, I. Peña Sáinz de Aja, R. Martínez Pardavila, A. Vizcaíno López, J.A. Arconada Chavaque, J. Sánchez Beorlegui" "autores" => array:6 [ 0 => array:3 [ "nombre" => "M." "apellidos" => "Fernández Ruiz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Peña Sáinz de Aja" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Martínez Pardavila" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Vizcaíno López" ] 4 => array:2 [ "nombre" => "J.A." "apellidos" => "Arconada Chavaque" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Sánchez Beorlegui" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía. Hospital San Millán. Logroño" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Vara de Rey, 24, 3.° A. 26002 Logroño." ] ] ] 1 => array:3 [ "autoresLista" => "A. Fernández Fernández" "autores" => array:1 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Fernández Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Urología. Hospital San Millán. Logroño" "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Spontaneous pneumothorax: treatment of 45 consecutive cases. Preliminary results of therapeutic video-assisted thoracoscopy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1996-03-19" "fechaAceptado" => "1996-06-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec545637" "palabras" => array:4 [ 0 => "Neumotórax espontáneo" 1 => "Cirugía videotoracoscópica" 2 => "Videotoracoscopia asistida" 3 => "CTV" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec545636" "palabras" => array:4 [ 0 => "Spontaneous pneumothorax" 1 => "Videothoracoscopy" 2 => "Videoassisted thoracoscopy" 3 => "VATS" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El advenimiento de los procedimientos derivados de la videotoracoscopia (CVT) ha supuesto un nuevo empuje en el tratamiento del neumotórax espontáneo. Se describe la experiencia inicial con un protocolo de estudio, utilizando esta técnica.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Corresponde a una serie consecutiva de pacientes que ingresaron en nuestro hospital, durante el año 1995, con diagnóstico de neumotórax espontáneo; se realizó diagnóstico por clínica y cuantificación del neumotórax por medida de la distancia interpleural en la radiografía de tórax. El tratamiento inicial fue el drenaje pleural; en el caso de neumotorax recidivante, imposibilidad de reexpansión pulmonar o fuga aérea persistente se indicó CVT.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se revisan 45 casos (30 varones y 15 mujeres), con una edad media de 29 años. En 11 casos (24%) se trataba de neumotórax recidivante (tratados previamente con drenaje pleural). Se localizó en 24 casos (54%) en el hemitórax derecho. El tratamiento inicial fue drenaje pleural; en 32 casos fue el único tratamiento. Se realizó CTV en 11 casos, en uno (9%) se convirtió en minitoracotomía o cirugía videotoracoscópica asistida (CTV); en 2 casos se realizó toracotomía convencional. El tiempo medio empleado con la videotoracoscopia fue de 80 min. El seguimiento medio fue de 3 meses. No observamos recidiva en los casos tratados con videotoracoscopia y cirugía.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La experiencia inicial nos muestra la CTV como una técnica a utilizar de preferencia en el tratamiento definitivo del neumotórax espontáneo. La disminución del dolor postoperatorio, aumento de la confortabilidad, ausencia de morbilidad destacable, menor estancia postoperatoria y pronta reanudación de la actividad normal del paciente, nos anima a utilizar este procedimiento, en sustitución de la cirugía abierta.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The appearance of procedures derived from video assisted thoracoscopy (VAT) has fostered new breakthroughs in the treatment of spontaneous pneumothorax. Our early experience with a study protocol using this technique is described.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Patients admitted to our hospital in 1995 with a diagnosis of spontaneous pneumothorax were enrolled consecutively. Diagnosis was based on symptoms and pneumothorax was quantifíed by measuring the interpleural distance observed on the chest film. The initial treatment was pleural drainage; VAT was ordered in cases of recurrence, when lung reexpansion failed or when air leakage was persistent.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Forty-five cases (30 men, 15 women) are reported. Mean age was 29 years. Eleven (24%) patients had had earlier pleural drainage but were suffering recurrences. The right side was involved in 14 (54%) cases. Initial treatment was pleural drainage and in 32 cases no other treatment was given. VAT was performed on 11 patients. In 1 (9%) patient the procedure became a minithoracotomy, or video-assisted thoracoscopic surgery. In 2 patients conventional thoracotomy was performed. Mean time the procedure lasted was 80 min. Mean follow-up was 3 months. There were no recurrences among patients treated with VAT and surgery.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Our initial experience demonstrates that VAT is the technique of preference for the definitive treatment of spontaneous pneumothorax. There is less postoperative pain, increased comfort, no noteworthy morbidity, shorter postoperative hospital stays and prompt return to normal activity for the patient; these advantages lead us to choose this treatment over open surgery.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:33 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "En: Neumotórax espontáneo" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J. Loscertales Abril" 1 => "F.J. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 2 | 5 |
| 2024 October | 36 | 11 | 47 |
| 2024 September | 40 | 12 | 52 |
| 2024 August | 53 | 25 | 78 |
| 2024 July | 33 | 25 | 58 |
| 2024 June | 48 | 21 | 69 |
| 2024 May | 58 | 22 | 80 |
| 2024 April | 21 | 14 | 35 |
| 2024 March | 37 | 24 | 61 |
| 2024 February | 37 | 34 | 71 |
| 2024 January | 0 | 2 | 2 |
| 2023 November | 0 | 5 | 5 |
| 2023 October | 0 | 2 | 2 |
| 2023 September | 0 | 3 | 3 |
| 2023 August | 0 | 1 | 1 |
| 2023 July | 0 | 2 | 2 |
| 2023 May | 0 | 2 | 2 |
| 2023 March | 5 | 4 | 9 |
| 2023 February | 19 | 17 | 36 |
| 2023 January | 20 | 29 | 49 |
| 2022 December | 24 | 26 | 50 |
| 2022 November | 35 | 17 | 52 |
| 2022 October | 26 | 34 | 60 |
| 2022 September | 30 | 19 | 49 |
| 2022 August | 31 | 36 | 67 |
| 2022 July | 22 | 32 | 54 |
| 2022 June | 21 | 26 | 47 |
| 2022 May | 34 | 31 | 65 |
| 2022 April | 27 | 28 | 55 |
| 2022 March | 28 | 33 | 61 |
| 2022 February | 35 | 30 | 65 |
| 2022 January | 25 | 28 | 53 |
| 2021 December | 14 | 36 | 50 |
| 2021 November | 25 | 39 | 64 |
| 2021 October | 14 | 34 | 48 |
| 2021 September | 10 | 39 | 49 |
| 2021 August | 16 | 31 | 47 |
| 2021 July | 10 | 25 | 35 |
| 2021 June | 13 | 36 | 49 |
| 2021 May | 16 | 22 | 38 |
| 2021 April | 28 | 53 | 81 |
| 2021 March | 10 | 22 | 32 |
| 2021 February | 10 | 10 | 20 |
| 2021 January | 14 | 22 | 36 |
| 2020 December | 13 | 17 | 30 |
| 2020 November | 11 | 15 | 26 |
| 2020 October | 30 | 12 | 42 |
| 2020 September | 15 | 5 | 20 |
| 2020 August | 18 | 12 | 30 |
| 2020 July | 25 | 15 | 40 |
| 2020 June | 13 | 11 | 24 |
| 2020 May | 31 | 9 | 40 |
| 2020 April | 20 | 8 | 28 |
| 2020 March | 20 | 12 | 32 |
| 2020 February | 16 | 12 | 28 |
| 2020 January | 35 | 18 | 53 |
| 2019 December | 23 | 27 | 50 |
| 2019 November | 9 | 3 | 12 |
| 2019 October | 15 | 11 | 26 |
| 2019 September | 13 | 21 | 34 |
| 2019 August | 15 | 5 | 20 |
| 2019 July | 19 | 26 | 45 |
| 2019 June | 24 | 16 | 40 |
| 2019 May | 21 | 25 | 46 |
| 2019 April | 22 | 17 | 39 |
| 2019 March | 18 | 16 | 34 |
| 2019 February | 7 | 8 | 15 |
| 2019 January | 13 | 10 | 23 |
| 2018 December | 21 | 13 | 34 |
| 2018 November | 29 | 18 | 47 |
| 2018 October | 27 | 11 | 38 |
| 2018 September | 30 | 10 | 40 |
| 2018 May | 7 | 1 | 8 |
| 2018 April | 8 | 3 | 11 |
| 2018 March | 7 | 17 | 24 |
| 2018 February | 6 | 9 | 15 |
| 2018 January | 5 | 4 | 9 |
| 2017 December | 10 | 14 | 24 |
| 2017 November | 7 | 18 | 25 |
| 2017 October | 12 | 19 | 31 |
| 2017 September | 3 | 20 | 23 |
| 2017 August | 14 | 21 | 35 |
| 2017 July | 13 | 20 | 33 |
| 2017 June | 11 | 48 | 59 |
| 2017 May | 12 | 30 | 42 |
| 2017 April | 7 | 12 | 19 |
| 2017 March | 8 | 20 | 28 |
| 2017 February | 6 | 23 | 29 |
| 2017 January | 2 | 14 | 16 |
| 2016 December | 16 | 14 | 30 |
| 2016 November | 13 | 20 | 33 |
| 2016 October | 19 | 43 | 62 |
| 2016 September | 26 | 30 | 56 |
| 2016 August | 32 | 26 | 58 |
| 2016 July | 32 | 17 | 49 |
| 2016 June | 20 | 11 | 31 |
| 2016 May | 16 | 7 | 23 |
| 2016 April | 8 | 0 | 8 |
| 2016 March | 12 | 0 | 12 |
| 2016 February | 12 | 1 | 13 |
| 2016 January | 19 | 5 | 24 |
| 2015 December | 20 | 15 | 35 |
| 2015 November | 27 | 5 | 32 |
| 2015 October | 7 | 2 | 9 |
| 2015 September | 1 | 0 | 1 |
| 2015 August | 1 | 0 | 1 |
| 2015 June | 1 | 0 | 1 |
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