Tratamiento quirúrgico del aspergiloma pulmonar
Surgical treatment of pulmonary aspergilloma
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Balibrea" "autores" => array:4 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Torres-Melero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "A.J." "apellidos" => "Torres" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Hernando" ] 3 => array:2 [ "nombre" => "J.L." "apellidos" => "Balibrea" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Cirugía. Hospital Clínico Universitario San Carlos. Madrid" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Departamento de Cirugía. Hospital Universitario San Carlos. (3.<span class="elsevierStyleSup">a</span> planta sur). Martín Lagos, s/n. 38040 Madrid." ] ] ] 1 => array:3 [ "autoresLista" => "M. Remezal" "autores" => array:1 [ 0 => array:3 [ "nombre" => "M." "apellidos" => "Remezal" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Departamento de Anatomía Patológica I. Hospital Clínico Universitario San Carlos. Madrid" "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Surgical treatment of pulmonary aspergilloma" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1994-07-01" "fechaAceptado" => "1994-10-11" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546494" "palabras" => array:3 [ 0 => "Aspergiloma pulmonar" 1 => "Hemoptisis" 2 => "Resecciones pulmonares" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546493" "palabras" => array:3 [ 0 => "Pulmonary aspergilloma" 1 => "Hemoptysis" 2 => "Lung resection" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La aspergilosis pulmonar puede considerarse hoy día enfermedad oportunista ya que los <span class="elsevierStyleItalic">Aspergillus</span> suelen colonizar cavidades pulmonares preexistentes. La forma anatomoclínica pleuropulmonar más característica es el aspergiloma.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La hemoptisis constituye el síntoma más frecuente, siendo la radiografía de tórax el método diagnóstico más sencillo.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La idoneidad del tratamiento quirúrgico es discutida especialmente en pacientes asintomáticos y/o elevado riesgo quirúrgico.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Presentamos nuestra experiencia en el tratamiento quirúrgico de 14 pacientes intervenidos en nuestro servicio, y se valoran diversos aspectos relacionados con la clínica, el diagnóstico, la actitud terapéutica y la evolución.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">En resumen, consideramos que la cirugía es el tratamiento de elección en pacientes con aspergiloma pulmonar sintomático, realizando preferentemente resecciones pulmonares y considerando operable a todo enfermo que no presente contraindicaciones generales para la cirugía.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Pulmonary aspergilloma can now be classified as an opportunistic disease given that <span class="elsevierStyleItalic">Aspergillus</span> tends to colonize preexisting cavities in the lung. Aspergilloma is the usual pleuropulmonary anatomical sign, hemoptysis is the most frequent sympton and a chest film is the simplest diagnostic tool. The advisability of surgery is disputed, particularly in asymptomatic patients and/or those at high surgical risk.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We describe 14 patients who underwent surgery in our department, evaluating aspects of their clinical signs, diagnosis, attitude toward treatment and the course of their disease.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We believe that for patients with symptomatic pulmonary aspergilloma, the treatment of choice is surgery, preferably lung resection. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 22 | 6 | 28 |
| 2024 October | 163 | 30 | 193 |
| 2024 September | 167 | 21 | 188 |
| 2024 August | 112 | 39 | 151 |
| 2024 July | 94 | 26 | 120 |
| 2024 June | 114 | 38 | 152 |
| 2024 May | 137 | 46 | 183 |
| 2024 April | 68 | 25 | 93 |
| 2024 March | 79 | 41 | 120 |
| 2024 February | 72 | 49 | 121 |
| 2024 January | 0 | 6 | 6 |
| 2023 December | 0 | 11 | 11 |
| 2023 November | 0 | 12 | 12 |
| 2023 October | 0 | 5 | 5 |
| 2023 September | 0 | 11 | 11 |
| 2023 August | 0 | 6 | 6 |
| 2023 July | 1 | 42 | 43 |
| 2023 June | 0 | 9 | 9 |
| 2023 May | 0 | 8 | 8 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 7 | 11 | 18 |
| 2023 February | 80 | 27 | 107 |
| 2023 January | 82 | 52 | 134 |
| 2022 December | 67 | 26 | 93 |
| 2022 November | 76 | 32 | 108 |
| 2022 October | 113 | 50 | 163 |
| 2022 September | 92 | 29 | 121 |
| 2022 August | 113 | 51 | 164 |
| 2022 July | 66 | 45 | 111 |
| 2022 June | 89 | 45 | 134 |
| 2022 May | 92 | 44 | 136 |
| 2022 April | 122 | 42 | 164 |
| 2022 March | 99 | 45 | 144 |
| 2022 February | 60 | 32 | 92 |
| 2022 January | 64 | 49 | 113 |
| 2021 December | 87 | 53 | 140 |
| 2021 November | 62 | 45 | 107 |
| 2021 October | 61 | 33 | 94 |
| 2021 September | 70 | 53 | 123 |
| 2021 August | 64 | 46 | 110 |
| 2021 July | 77 | 42 | 119 |
| 2021 June | 84 | 40 | 124 |
| 2021 May | 57 | 59 | 116 |
| 2021 April | 132 | 55 | 187 |
| 2021 March | 121 | 38 | 159 |
| 2021 February | 86 | 35 | 121 |
| 2021 January | 70 | 35 | 105 |
| 2020 December | 74 | 34 | 108 |
| 2020 November | 98 | 33 | 131 |
| 2020 October | 104 | 32 | 136 |
| 2020 September | 78 | 21 | 99 |
| 2020 August | 91 | 41 | 132 |
| 2020 July | 75 | 24 | 99 |
| 2020 June | 69 | 25 | 94 |
| 2020 May | 82 | 44 | 126 |
| 2020 April | 74 | 27 | 101 |
| 2020 March | 66 | 44 | 110 |
| 2020 February | 96 | 52 | 148 |
| 2020 January | 114 | 47 | 161 |
| 2019 December | 104 | 38 | 142 |
| 2019 November | 66 | 41 | 107 |
| 2019 October | 84 | 57 | 141 |
| 2019 September | 97 | 59 | 156 |
| 2019 August | 73 | 39 | 112 |
| 2019 July | 89 | 50 | 139 |
| 2019 June | 105 | 44 | 149 |
| 2019 May | 153 | 64 | 217 |
| 2019 April | 143 | 73 | 216 |
| 2019 March | 63 | 56 | 119 |
| 2019 February | 60 | 51 | 111 |
| 2019 January | 54 | 41 | 95 |
| 2018 December | 55 | 43 | 98 |
| 2018 November | 75 | 35 | 110 |
| 2018 October | 87 | 22 | 109 |
| 2018 September | 68 | 14 | 82 |
| 2018 May | 52 | 1 | 53 |
| 2018 April | 44 | 11 | 55 |
| 2018 March | 11 | 9 | 20 |
| 2018 February | 12 | 9 | 21 |
| 2018 January | 6 | 7 | 13 |
| 2017 December | 28 | 14 | 42 |
| 2017 November | 86 | 27 | 113 |
| 2017 October | 84 | 15 | 99 |
| 2017 September | 90 | 21 | 111 |
| 2017 August | 107 | 23 | 130 |
| 2017 July | 61 | 9 | 70 |
| 2017 June | 108 | 21 | 129 |
| 2017 May | 97 | 45 | 142 |
| 2017 April | 62 | 16 | 78 |
| 2017 March | 95 | 17 | 112 |
| 2017 February | 125 | 47 | 172 |
| 2017 January | 30 | 31 | 61 |
| 2016 December | 54 | 16 | 70 |
| 2016 November | 94 | 31 | 125 |
| 2016 October | 72 | 59 | 131 |
| 2016 September | 29 | 110 | 139 |
| 2016 August | 78 | 76 | 154 |
| 2016 July | 57 | 50 | 107 |
| 2016 June | 46 | 44 | 90 |
| 2016 May | 43 | 63 | 106 |
| 2016 April | 6 | 0 | 6 |
| 2016 March | 6 | 0 | 6 |
| 2016 February | 12 | 2 | 14 |
| 2016 January | 25 | 15 | 40 |
| 2015 December | 32 | 36 | 68 |
| 2015 November | 29 | 13 | 42 |
| 2015 October | 10 | 2 | 12 |
| 2015 September | 2 | 0 | 2 |
| 2015 June | 1 | 0 | 1 |
Show all
