Biopsia pulmonar en la enfermedad intersticial difusa: videotoracoscopia frente a toracotomía
Lung biopsy in diffuse interstitial disease: videothoracoscopy versus thoracotomy
M.A. Callejas Pérez*, J. Belda Sanchis, X. Baldó Padró, E. Canalís Arrayás, M. Catalán Biel, J.M. Gimferrer Garolera
Servicio de Cirugía Torácica (Prof. Dr. J. Sánchez-Lloret Tortosa). Hospital Clínic i Provincial. Barcelona
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León Fábregas, A. de Diego Damiá, M. Martínez Francés, P. Cordero Rodríguez, M. Perpiñá Tordera" "autores" => array:5 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "León Fábregas" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "de Diego Damiá" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Martínez Francés" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Cordero Rodríguez" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Perpiñá Tordera" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615308309?idApp=UINPBA00003Z" "url" => "/03002896/0000003200000001/v1_201506230031/S0300289615308309/v1_201506230031/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Biopsia pulmonar en la enfermedad intersticial difusa: videotoracoscopia frente a toracotomía" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "10" "paginaFinal" => "13" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M.A. Callejas Pérez, J. Belda Sanchis, X. Baldó Padró, E. Canalís Arrayás, M. Catalán Biel, J.M. Gimferrer Garolera" "autores" => array:6 [ 0 => array:3 [ "nombre" => "M.A." "apellidos" => "Callejas Pérez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Belda Sanchis" ] 2 => array:2 [ "nombre" => "X." "apellidos" => "Baldó Padró" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Canalís Arrayás" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Catalán Biel" ] 5 => array:2 [ "nombre" => "J.M." "apellidos" => "Gimferrer Garolera" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía Torácica (Prof. Dr. J. Sánchez-Lloret Tortosa). Hospital Clínic i Provincial. Barcelona" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Cirugía Torácica. Hospital Clínic i Provincial. Villarroel. 170. 08036 Barcelona." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Lung biopsy in diffuse interstitial disease: videothoracoscopy versus thoracotomy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1995-04-25" "fechaAceptado" => "1995-07-11" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546042" "palabras" => array:3 [ 0 => "Biopsia pulmonar" 1 => "Enfermedad intersticial difusa" 2 => "Videotoracoscopia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546041" "palabras" => array:3 [ 0 => "Lung biopsy" 1 => "Diffuse interstitial disease" 2 => "Video assisted thoracoscopy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo del trabajo es evaluar y comparar los resultados de las biopsias pulmonares realizadas por videotoracoscopia (VTC) y por toracotomía limitada (TL) en la enfermedad intersticial difusa entre los años 1992 y 1994. En este período se han realizado 45 biopsias pulmonares (25 varones y 20 mujeres) con una edad media de 56 años. Treinta y una biopsias se efectuaron por VTC (grupo I) y 14 mediante toracotomía limitada (grupo II). En cada uno de los casos estudiados se determinó el tiempo quirúrgico, los días de estancia postoperatoria, el tiempo de permanencia del drenaje pleural y el volumen de la pieza de biopsia.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los resultados han mostrado que el diagnóstico se obtuvo en el 100% de los casos. La duración media de la intervención quirúrgica (tiempo quirúrgico) fue de 49,3 minutos para el grupo I y de 58,2 minutos para el grupo II. La estancia media postoperatoria fue de 6,7 días para el grupo I y de 10,1 días para el grupo II. El tiempo medio de permanencia del drenaje pleural fue de 3,8 días para el grupo I y de 5,9 días para el grupo II. El volumen medio de la pieza de biopsia fue de 6,5 cm<span class="elsevierStyleSup">3</span> para el grupo I y de 5,18 cm<span class="elsevierStyleSup">3</span> para el grupo II. La mortalidad fue de un paciente que pertenecía al grupo I sin relación directa con la técnica quirúrgica. En conclusión, la biopsia pulmonar por VTC es una técnica efectiva y útil para el diagnóstico de las enfermedades intersticiales difusas del pulmón. El material que se obtiene es en todo comparable con el de la biopsia por toracotomía. Disminuye de forma significativa (p < 0,05) la estancia media hospitalaria y el tiempo de permanencia del drenaje postoperatorio.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The aim of this work was to evaluate and compare the results of lung biopsies performed by videothoracoscopy (VT) and minithoracotomy (MT) in diffuse interstitial disease between 1992 and 1994. during which period 45 lung biopsies were performed on patients (20 women) with a mean age of 56 years. Thirty-one biopsies were performed by VT (group I) and 14 by MT (group II). For all patients we recorded duration of procedure, days to discharge after surgery, total time with a pleural drain in place, and volume of tissue sample.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Diagnosis was possible in all cases. Mean duration of surgery was 49.3 minutes for group I and 58.2 minutes for group II. Mean time to discharge was 6.7 days for group I and 10.1 for group II. Mean time of pleural drainage was 3.8 days for group I and 5.9 days for group II. Mean volume of tissue sample was 6.5 cm<span class="elsevierStyleSup">3</span> for group I and 5.18 cm<span class="elsevierStyleSup">3</span> for group II. One patient died in group I from causes unrelated to surgical technique. In conclusion, lung biopsy with VT is effective and useful for diagnosing diffuse interstitial lung diseases. The sample obtained is in every way comparable to that obtained by thoracotomy. Mean hospital stay and mean time of postoperative drainage decreases significantly (p < 0.05) with VT.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:21 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Present role of thoracoscopy in the diagnosis and treatment of diseases of the chest" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "M.J. Mack" 1 => "R.J. Aronoff" 2 => "T.E. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 6 | 3 | 9 |
| 2024 October | 44 | 16 | 60 |
| 2024 September | 65 | 12 | 77 |
| 2024 August | 88 | 28 | 116 |
| 2024 July | 66 | 31 | 97 |
| 2024 June | 65 | 27 | 92 |
| 2024 May | 63 | 34 | 97 |
| 2024 April | 52 | 28 | 80 |
| 2024 March | 57 | 30 | 87 |
| 2024 February | 47 | 50 | 97 |
| 2024 January | 0 | 3 | 3 |
| 2023 November | 0 | 1 | 1 |
| 2023 October | 0 | 3 | 3 |
| 2023 September | 0 | 1 | 1 |
| 2023 August | 0 | 1 | 1 |
| 2023 July | 0 | 2 | 2 |
| 2023 June | 0 | 1 | 1 |
| 2023 March | 6 | 3 | 9 |
| 2023 February | 33 | 15 | 48 |
| 2023 January | 40 | 22 | 62 |
| 2022 December | 49 | 27 | 76 |
| 2022 November | 48 | 19 | 67 |
| 2022 October | 47 | 33 | 80 |
| 2022 September | 37 | 18 | 55 |
| 2022 August | 31 | 43 | 74 |
| 2022 July | 40 | 39 | 79 |
| 2022 June | 38 | 30 | 68 |
| 2022 May | 29 | 34 | 63 |
| 2022 April | 35 | 33 | 68 |
| 2022 March | 43 | 34 | 77 |
| 2022 February | 27 | 31 | 58 |
| 2022 January | 62 | 31 | 93 |
| 2021 December | 22 | 34 | 56 |
| 2021 November | 26 | 43 | 69 |
| 2021 October | 55 | 40 | 95 |
| 2021 September | 41 | 44 | 85 |
| 2021 August | 49 | 36 | 85 |
| 2021 July | 31 | 28 | 59 |
| 2021 June | 31 | 29 | 60 |
| 2021 May | 18 | 38 | 56 |
| 2021 April | 51 | 34 | 85 |
| 2021 March | 46 | 25 | 71 |
| 2021 February | 43 | 21 | 64 |
| 2021 January | 16 | 21 | 37 |
| 2020 December | 31 | 16 | 47 |
| 2020 November | 20 | 8 | 28 |
| 2020 October | 26 | 7 | 33 |
| 2020 September | 19 | 8 | 27 |
| 2020 August | 14 | 14 | 28 |
| 2020 July | 20 | 19 | 39 |
| 2020 June | 18 | 8 | 26 |
| 2020 May | 23 | 17 | 40 |
| 2020 April | 14 | 7 | 21 |
| 2020 March | 22 | 13 | 35 |
| 2020 February | 21 | 22 | 43 |
| 2020 January | 22 | 11 | 33 |
| 2019 December | 30 | 23 | 53 |
| 2019 November | 15 | 7 | 22 |
| 2019 October | 29 | 13 | 42 |
| 2019 September | 13 | 37 | 50 |
| 2019 August | 11 | 9 | 20 |
| 2019 July | 13 | 31 | 44 |
| 2019 June | 14 | 19 | 33 |
| 2019 May | 11 | 42 | 53 |
| 2019 April | 20 | 30 | 50 |
| 2019 March | 5 | 25 | 30 |
| 2019 February | 6 | 12 | 18 |
| 2019 January | 2 | 8 | 10 |
| 2018 December | 4 | 14 | 18 |
| 2018 November | 15 | 18 | 33 |
| 2018 October | 15 | 10 | 25 |
| 2018 September | 4 | 7 | 11 |
| 2018 May | 3 | 2 | 5 |
| 2018 April | 6 | 22 | 28 |
| 2018 March | 10 | 14 | 24 |
| 2018 February | 4 | 14 | 18 |
| 2018 January | 9 | 13 | 22 |
| 2017 December | 8 | 17 | 25 |
| 2017 November | 7 | 10 | 17 |
| 2017 October | 9 | 18 | 27 |
| 2017 September | 6 | 15 | 21 |
| 2017 August | 8 | 12 | 20 |
| 2017 July | 5 | 18 | 23 |
| 2017 June | 8 | 19 | 27 |
| 2017 May | 9 | 16 | 25 |
| 2017 April | 10 | 24 | 34 |
| 2017 March | 4 | 13 | 17 |
| 2017 February | 3 | 7 | 10 |
| 2017 January | 4 | 11 | 15 |
| 2016 December | 13 | 13 | 26 |
| 2016 November | 23 | 13 | 36 |
| 2016 October | 16 | 16 | 32 |
| 2016 September | 22 | 21 | 43 |
| 2016 August | 20 | 10 | 30 |
| 2016 July | 26 | 15 | 41 |
| 2016 June | 28 | 24 | 52 |
| 2016 May | 21 | 5 | 26 |
| 2016 April | 6 | 0 | 6 |
| 2016 March | 9 | 0 | 9 |
| 2016 February | 8 | 0 | 8 |
| 2016 January | 23 | 6 | 29 |
| 2015 December | 31 | 19 | 50 |
| 2015 November | 25 | 7 | 32 |
| 2015 October | 6 | 2 | 8 |
| 2015 September | 2 | 0 | 2 |
| 2015 August | 1 | 0 | 1 |
| 2015 June | 1 | 0 | 1 |
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