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Disección endoscópica de pulmón. Modelo anatomoquirúrgico original para el aprendizaje práctico
Endoscopic dissection of the lung. An original surgical-anatomical model for learners
J. Moya Amorós*,1
* Departamento de Ciencias Morfológicas. Facultad de Medicina. Universidad de Barcelona
R. Pujol Rovira, R. Morera Abad
Servicio de Cirugía Torácica. Ciutat Sanitària i Universitària de Bellvitge. Universidad de Barcelona
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      "en" => array:1 [
        "titulo" => "Endoscopic dissection of the lung&#46; An original surgical-anatomical model for learners"
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    "fechaRecibido" => "1995-03-31"
    "fechaAceptado" => "1995-07-11"
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            0 => "Disecci&#243;n"
            1 => "Videotoracoscopia"
            2 => "Pulm&#243;n"
            3 => "Aprendizaje"
            4 => "Experimental"
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            1 => "Video-thoracoscopy"
            2 => "Lung"
            3 => "Learning"
            4 => "Experimental"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La cirug&#237;a videotoracosc&#243;pica &#40;VTC&#41; y la videoasistida &#40;VAST&#41; requieren de una infraestructura t&#233;cnica y un adiestramiento pr&#225;ctico muy espec&#237;fico&#46; Se presenta un modelo experimental que consiste en un simulador tor&#225;cico de poli&#233;ster&#44; de medidas similares a las de un adulto&#44; compartimentalizado en tres cavidades que permiten alojar un bloque cardiopulmonar en fresco de cerdo de un peso aproximado de 100<span class="elsevierStyleHsp" style=""></span>kg&#46; En el lado derecho se han realizado 8 torac&#243;stomos y en el izquierdo seis&#59; adem&#225;s&#44; en este &#250;ltimo se ha dispuesto una ventana de 4<span class="elsevierStyleHsp" style=""></span>x<span class="elsevierStyleHsp" style=""></span>3<span class="elsevierStyleHsp" style=""></span>cm que reproduce una minitoracotom&#237;a&#46; Con este dise&#241;o quedan reproducidas las dificultades que la caja tor&#225;cica impone en las maniobras de disecci&#243;n endosc&#243;pica del pulm&#243;n y la textura pulmonar que ofrece el esp&#233;cimen en fresco&#46; Las 35 disecciones endosc&#243;picas de pulm&#243;n evidencian que este modelo est&#225; adecuado a la realidad quir&#250;rgica&#44; es de bajo coste&#44; es de gran sencillez en su manejo y tiene la ventaja de no necesitar un estabulario de grandes animales&#44; caracter&#237;sticas que lo hacen id&#243;neo para el aprendizaje pr&#225;ctico de la disecci&#243;n endosc&#243;pica de pulm&#243;n&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Video-thoracoscopy &#40;VT&#41; and video assisted thoracic surgery &#40;VAT&#41; require practical skill in using specific technical infrastructure&#46; We present an experimental model based on a polyester thoracic simulator made to a size similar to that of an adult thorax&#44; divided into three cavities to allow placement of a fresh cardiopulmonary block from a pig weighing approximately 100<span class="elsevierStyleHsp" style=""></span>kg&#46; Fourteen thoracostomies have been performed&#44; 8 on the right side and 6 on the left&#46; On the left side we have also placed a 4<span class="elsevierStyleHsp" style=""></span>x<span class="elsevierStyleHsp" style=""></span>3<span class="elsevierStyleHsp" style=""></span>cm window that simulated a minithoracotomy&#46; This design reproduces the difficulties of maneuvering in the thoracic cage for endoscopic dissection of the lung&#44; and offers the texture of a fresh lung specimen&#46; The 35 endoscopic dissections of the lung performed demonstrate that this model approaches surgical reality&#44; is inexpensive and easy to manage&#44; and does not require keeping a stable of large animals&#44; making it an ideal tool for learning the technique of endoscopic dissection of the lung&#46;</p></span>"
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                      "titulo" => "Video assisted thoracic surgery study group data"
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Article information
ISSN: 03002896
Original language: Spanish
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