Valoración de la resecabilidad del cáncer de pulmón mediante videotoracoscopia exploradora
Evaluating resectability in lung cancer using exploratory video-assisted thoracoscopy
Cátedra de Cirugía. Servicio de Cirugía General y Torácica. Hospital Universitario Virgen Macarena. Sevilla
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"apellidos" => "García Díaz" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Jiménez Merchán" ] 3 => array:2 [ "nombre" => "J.C." "apellidos" => "Girón Arjona" ] 4 => array:2 [ "nombre" => "C.J." "apellidos" => "Arenas Linares" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Cátedra de Cirugía. Servicio de Cirugía General y Torácica. Hospital Universitario Virgen Macarena. Sevilla" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Cátedra de Cirugía. Servicio de Cirugía General y Torácica. Hospital Universitario Virgen Macarena. Avda. Dr. Fedriani, s/n. 41071 Sevilla." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Evaluating resectability in lung cancer using exploratory video-assisted thoracoscopy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1995-06-20" "fechaAceptado" => "1995-12-19" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546202" "palabras" => array:3 [ 0 => "Videotoracoscopia exploradora" 1 => "Cáncer de pulmón" 2 => "Valoración de resecabilidad" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546203" "palabras" => array:3 [ 0 => "Exploratory video-thoracoscopy" 1 => "Lung cancer" 2 => "Resectability, assessment" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta nuestra experiencia en videotoracoscopia exploradora (VTE) en los pacientes afectados de cáncer de pulmón con indicación quirúrgica para valorar de forma definitiva la resecabilidad, realizando en el mismo acto operatorio una exploración completa, visual y quirúrgica, de la cavidad pleural, pulmón, mediastino y cavidad pericárdica si es necesario.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se practicó dicha técnica a 151 pacientes, considerándose 18 (11,9%) irresecables sin necesidad de realizar toracoto-mía exploradora. En otros tres ésta fue necesaria para una valoración adecuada. Mediante cirugía videoasistida fueron tratados 19 casos y a través de toracotomía estándar fueron resecados 111 pacientes. La morbilidad y mortalidad fueron nulas en el grupo de los pacientes explorados mediante VTE considerados irresecables.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se concluye que la VTE debe ser realizada en todos los pacientes con cáncer de pulmón e indicación quirúrgica antes de realizar la toracotomía, en el mismo acto quirúrgico, ya que supone un ahorro de toracotomías exploradoras (11,9% en nuestra casuística).</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We describe our experience using exploratory video-assisted thoracoscopy (EVT) to definitively evaluate resectability in patients with lung cancer who are candidatos for surgical resection. In a single procedure we performed full visual and surgical exploration of the pleural cavity, lung, medias-tinum, as well as of the pericardiac cavity when required.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The technique was used in 151 patients. Resection was judged non viable in 18 (11.9%) and performance of exploratory thoracotomy was deemed unnecessary. In 3 cases thoracotomy proved necessary for exploration. Nineteen patients were treated by video-assisted surgery; standard thoracotomy was used to resect 111. Morbidity and mortality were null in the group undergoing EVT in whom resection was judged viable.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We conclude that EVT should be used in all patients with lung cancer who are being considered for surgery before a thoracotomy is performed. EVT can be performed as part of the same surgical act, as it supposes a savings in exploratory thoracotomies (amounting to 11.9% in our series).</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La thoracoscopie: interet actuel" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C. Boutin" 1 => "P. Cargnino" 2 => "J. Viallat" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Poumon-Coeur" "fecha" => "1979" "volumen" => "1" "paginaInicial" => "23" "paginaFinal" => "29" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." 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