Broncoplastias en tumores broncopulmonares. Revisión de cincuenta casos
Bronchoplastic procedures for tumors of the lung and bronchi: 50 cases
M. Casillas Pajuelo*, J.M. Rodríguez Paniagua, J. García Sánchez-Girón, P. Díaz-Agero Álvarez, J.L. Gil Alonso, J.J. Mafé Madueño, F.J. de la Cruz Lozano
Servicio de Cirugía Torácica. Hospital Universitario La Paz. Madrid
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Revisión de cincuenta casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "388" "paginaFinal" => "393" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M. Casillas Pajuelo, J.M. Rodríguez Paniagua, J. García Sánchez-Girón, P. Díaz-Agero Álvarez, J.L. Gil Alonso, J.J. Mafé Madueño, F.J. de la Cruz Lozano" "autores" => array:7 [ 0 => array:3 [ "nombre" => "M." "apellidos" => "Casillas Pajuelo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Rodríguez Paniagua" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "García Sánchez-Girón" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Díaz-Agero Álvarez" ] 4 => array:2 [ "nombre" => "J.L." "apellidos" => "Gil Alonso" ] 5 => array:2 [ "nombre" => "J.J." "apellidos" => "Mafé Madueño" ] 6 => array:2 [ "nombre" => "F.J." "apellidos" => "de la Cruz Lozano" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía Torácica. Hospital Universitario La Paz. Madrid" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Cirugía Torácica. Hospital Universitario La Paz. P.° de la Castellana, 261.28046 Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Bronchoplastic procedures for tumors of the lung and bronchi: 50 cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1995-06-12" "fechaAceptado" => "1996-03-18" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546080" "palabras" => array:5 [ 0 => "Cirugía" 1 => "Broncoplastias" 2 => "Carcinomas" 3 => "Carcinoides" 4 => "Estudio funcional" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546079" "palabras" => array:5 [ 0 => "Surgery" 1 => "Bronchoplasty" 2 => "Carcinomas" 3 => "Carcinoids" 4 => "Function study" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las broncoplastias, en cirugía oncológica, son intervenciones cuya finalidad es extirpar el tumor, conservando la mayor cantidad de parénquima pulmonar y, en casos seleccionados, consiguen una supervivencia similar a las neumonectomías.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos una serie de 50 broncoplastias realizadas en 37 enfermos con carcinoma broncopulmonar, 12 con tumor carcinoide y uno con metástasis única pulmonar de un adenocarcinoma de colon.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se realizaron 27 intervenciones sobre el lado derecho y 23 en el izquierdo, en 2 casos no se hizo resección de parénquima pulmonar. En 5 pacientes se realizó simultáneamente una plastia de la arteria pulmonar.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La mortalidad operatoria a 30 días fue del 2% (un paciente) y la supervivencia acumulativa a 5 años de los enfermos con carcinoma es del 47% calculada con el método de Kaplan-Meier. Sólo hemos obtenido una supervivencia de 37 meses en uno de los 8 enfermos con adenopatías mediastínicas positivas; en estos últimos se hizo tratamiento complementario con radioterapia.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">En los tumores carcinoides la supervivencia es del 91,6%, estando en el momento actual todos vivos, excepto uno que falleció por una diverticulosis intestinal.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">El paciente operado de metástasis vive 12 años después de la cirugía. En 17 pacientes hemos realizado estudios funcionales espirométricos transcurrido un año desde la intervención y estudio de ventilación-perfusión de 13 de ellos, observando una discreta pérdida de la capacidad vital forzada y del volumen espiratorio máximo en un segundo, con una correlación normal de la ventilación-perfusión en el parénquima conservado.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Las técnicas broncoplásticas son el tratamiento de elección en tumores endobronquiales de bajo grado de malignidad y son un procedimiento quirúrgico eficaz en un grupo seleccionado de carcinomas.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Bronchoplasty in oncological surgery is performed to remove a tumor while preserving most of the pulmonary parenchyma. Survival in selected patients is similar to survival after lung removal.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">We report a series of 50 bronchoplastic procedures performed in 37 patients with bronchopulmonary cancer. Twelve had carcinoid tumors and 1 had single lung metastasis from adenocarcinoma of the colon. Twenty-seven operations were performed on the right side and 23 on the left. The pulmonary parenchyma was not resected in 2 patients. The pulmonary artery was also repaired in 5 patients.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Mortality at 30 days was 2% (1 patient) and survival at 5 years was 47% calculated according to the method of Kaplan-Meier. Survival was 37 months in only 1 of the 8 patients with mediastinal adenopathy, for whom complementary radiation therapy was provided.</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Survival among the patients with carcinoid tumors is 91.6% to date, as all but 1 are alive at present. The single death was due to intestinal diverticulosis. The patient with metastasis is alive 12 years after surgery. Spirometric function tests were performed in 17 patients 1 year after surgery and ventilation perfusion was studied in 13. A slight loss of forced vital capacity and maximum expiratory volume in 1 second, while ventilation perfusion corresponding to the parenchyma preserved was normal.</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Bronchoplasty is the treatment of choice for endobronchial tumors with low degrees of malignancy. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 10 | 5 | 15 |
| 2024 October | 72 | 28 | 100 |
| 2024 September | 81 | 30 | 111 |
| 2024 August | 114 | 50 | 164 |
| 2024 July | 68 | 38 | 106 |
| 2024 June | 76 | 35 | 111 |
| 2024 May | 62 | 43 | 105 |
| 2024 April | 36 | 23 | 59 |
| 2024 March | 36 | 38 | 74 |
| 2024 February | 33 | 35 | 68 |
| 2024 January | 0 | 22 | 22 |
| 2023 December | 0 | 11 | 11 |
| 2023 November | 0 | 28 | 28 |
| 2023 October | 0 | 14 | 14 |
| 2023 July | 0 | 4 | 4 |
| 2023 June | 0 | 2 | 2 |
| 2023 May | 0 | 2 | 2 |
| 2023 March | 8 | 4 | 12 |
| 2023 February | 25 | 17 | 42 |
| 2023 January | 24 | 35 | 59 |
| 2022 December | 35 | 29 | 64 |
| 2022 November | 32 | 18 | 50 |
| 2022 October | 29 | 31 | 60 |
| 2022 September | 41 | 15 | 56 |
| 2022 August | 36 | 48 | 84 |
| 2022 July | 18 | 33 | 51 |
| 2022 June | 28 | 24 | 52 |
| 2022 May | 23 | 32 | 55 |
| 2022 April | 29 | 32 | 61 |
| 2022 March | 56 | 31 | 87 |
| 2022 February | 32 | 27 | 59 |
| 2022 January | 24 | 37 | 61 |
| 2021 December | 18 | 41 | 59 |
| 2021 November | 16 | 38 | 54 |
| 2021 October | 15 | 54 | 69 |
| 2021 September | 16 | 73 | 89 |
| 2021 August | 12 | 49 | 61 |
| 2021 July | 13 | 32 | 45 |
| 2021 June | 19 | 44 | 63 |
| 2021 May | 20 | 28 | 48 |
| 2021 April | 20 | 58 | 78 |
| 2021 March | 55 | 36 | 91 |
| 2021 February | 33 | 21 | 54 |
| 2021 January | 19 | 15 | 34 |
| 2020 December | 22 | 12 | 34 |
| 2020 November | 23 | 12 | 35 |
| 2020 October | 9 | 8 | 17 |
| 2020 September | 2 | 10 | 12 |
| 2020 August | 17 | 10 | 27 |
| 2020 July | 27 | 18 | 45 |
| 2020 June | 9 | 11 | 20 |
| 2020 May | 16 | 20 | 36 |
| 2020 April | 10 | 9 | 19 |
| 2020 March | 13 | 22 | 35 |
| 2020 February | 22 | 15 | 37 |
| 2020 January | 29 | 18 | 47 |
| 2019 December | 13 | 22 | 35 |
| 2019 November | 11 | 7 | 18 |
| 2019 October | 12 | 8 | 20 |
| 2019 September | 15 | 20 | 35 |
| 2019 August | 6 | 3 | 9 |
| 2019 July | 10 | 23 | 33 |
| 2019 June | 19 | 8 | 27 |
| 2019 May | 17 | 24 | 41 |
| 2019 April | 12 | 46 | 58 |
| 2019 March | 11 | 13 | 24 |
| 2019 February | 9 | 8 | 17 |
| 2019 January | 11 | 11 | 22 |
| 2018 December | 6 | 12 | 18 |
| 2018 November | 18 | 17 | 35 |
| 2018 October | 25 | 6 | 31 |
| 2018 September | 13 | 7 | 20 |
| 2018 May | 4 | 1 | 5 |
| 2018 April | 15 | 6 | 21 |
| 2018 March | 7 | 7 | 14 |
| 2018 February | 10 | 9 | 19 |
| 2018 January | 6 | 5 | 11 |
| 2017 December | 9 | 14 | 23 |
| 2017 November | 7 | 9 | 16 |
| 2017 October | 9 | 6 | 15 |
| 2017 September | 4 | 6 | 10 |
| 2017 August | 10 | 9 | 19 |
| 2017 July | 5 | 2 | 7 |
| 2017 June | 12 | 11 | 23 |
| 2017 May | 11 | 12 | 23 |
| 2017 April | 7 | 8 | 15 |
| 2017 March | 5 | 6 | 11 |
| 2017 February | 3 | 6 | 9 |
| 2017 January | 4 | 6 | 10 |
| 2016 December | 7 | 7 | 14 |
| 2016 November | 17 | 11 | 28 |
| 2016 October | 24 | 23 | 47 |
| 2016 September | 13 | 9 | 22 |
| 2016 August | 21 | 7 | 28 |
| 2016 July | 22 | 9 | 31 |
| 2016 June | 20 | 5 | 25 |
| 2016 May | 19 | 5 | 24 |
| 2016 April | 12 | 0 | 12 |
| 2016 March | 6 | 0 | 6 |
| 2016 February | 13 | 1 | 14 |
| 2016 January | 20 | 8 | 28 |
| 2015 December | 22 | 15 | 37 |
| 2015 November | 23 | 9 | 32 |
| 2015 October | 11 | 2 | 13 |
| 2015 September | 2 | 0 | 2 |
| 2015 June | 1 | 0 | 1 |
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