Videotoracoscopia en el tratamiento quirúrgico del neumotórax: a propósito de 46 casos
Video-thoracoscopy in the treatment of pneumothorax: 46 cases
Servicio de Cirugía Torácica. Hospital de Cruces. Baracaldo. Vizcaya
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"apellidos" => "Casanova" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Mariñán" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Rojo" ] 5 => array:2 [ "nombre" => "J.C." "apellidos" => "Rumbero" ] 6 => array:2 [ "nombre" => "F." "apellidos" => "Vara" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía Torácica. Hospital de Cruces. Baracaldo. Vizcaya" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. J.M. Izquierdo. Servicio de Cirugía Torácica. Hospital de Cruces. 48903 Baracaldo. Vizcaya." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Video-thoracoscopy in the treatment of pneumothorax: 46 cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1994-12-16" "fechaAceptado" => "1995-09-06" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546215" "palabras" => array:2 [ 0 => "Videotoracoscopia" 1 => "Neumotorax" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546214" "palabras" => array:2 [ 0 => "Video-thoracoscopy" 1 => "Pneumothorax" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos en este trabajo nuestra experiencia en el tratamiento quirúrgico del neumotorax (NTX) mediante videotoracoscopia acumulada durante ios tres últimos años. Se han realizado 46 intervenciones endoscópicas (34 varones, 12 mujeres; edad media: 27 ± 9 años).</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La técnica empleada, previa anestesia general e intubación selectiva, ha sido el abordaje habitual con 3 incisiones a través de las que se introducía la óptica con la videocámara y el diferente instrumental endoscópico.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se han obtenido buenos resultados en 39 pacientes (84,7%). Se han producido recidivas en 4 casos (8,7%) durante los 3 años de seguimiento. Se realizó toracotomía en 3 pacientes (uno por falta de expansión pulmonar, otro por fuga persistente y el tercero por empiema encapsulado). La estancia media postoperatoria fue de 7,3 días.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La videotoracoscopia puede considerarse una buena alternativa terapéutica frente a la toracotomía en el tratamiento quirúrgico de los pacientes con NTX.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We report our 3-years experience with video-thoracoscopy for pneumothorax. Forty-six endoscopies (34 men, 12 women; mean age 27 ± 9 years) were performed.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Patients were under general anesthesia and intubation was selective. The conventional approach was used, with 3 incisions through which the camera and endoscopic instruments were inserted.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Resul were good in 39 (84.7%) patients. Pneumothorax recurred in 4 (8.7%) patients during the 3 years of followup. Thoracotomy was performed in 3 patients, because of lack of lung expansion in 1, persistent leak in another and encapsulated empyema in the third. Mean hospital stay after surgery was 7.3 days.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Video-thoracoscopy can be considered a good therapeutic alternative to thoracotomy in the surgical treatment of patients with pneumothorax.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The history of thoracoscopic surgery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.V. 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