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Rodríguez-Froján, J. Castella, C. Puzo, C. Burgués, N. Vázquez" "autores" => array:5 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Rodríguez-Froján" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Castella" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Puzo" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Burgués" ] 4 => array:2 [ "nombre" => "N." "apellidos" => "Vázquez" ] ] ] 1 => array:2 [ "autoresLista" => "P. Coll, M. Garrigó, C. Moreno" "autores" => array:3 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Coll" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Garrigó" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Moreno" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615309984?idApp=UINPBA00003Z" "url" => "/03002896/0000003000000010/v1_201509151217/S0300289615309984/v1_201509151217/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Cirugía de corta estancia en la exploración quirúrgica del mediastino" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "489" "paginaFinal" => "491" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M.A. Callejas Pérez, E. Canalis Arrayás, J. Albort Ventura, J. Belda Sanchís, 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" => "E." "apellidos" => "Canalis Arrayás" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Albort Ventura" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Belda Sanchís" ] 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. 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" => "Rapid surgical exploration of the mediastinum" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1994-01-13" "fechaAceptado" => "1994-05-24" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec569886" "palabras" => array:3 [ 0 => "Cirugía de corta estancia (CCE)" 1 => "Exploración quirúrgica del mediastino" 2 => "Técnicas diagnósticas" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec569887" "palabras" => array:4 [ 0 => "Rapid surgery" 1 => "Mediastinum" 2 => "surgical exploration" 3 => "Diagnostic procedures" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Este estudio pretende valorar la morbimortalidad de la exploración quirúrgica del mediastino en pacientes afectados de una masa mediastínica o de adenopatías dentro de un programa de cirugía de corta estancia desarrollado a lo largo de estos últimos 8 años (1985-1993). De un total de 93 exploraciones mediastínicas, se efectuaron 65 mediastinoscopias transcervicales (MC), 20 mediastinotomías anteriores (MT), cuatro procedimientos combinados (MC+MT) y 4 videotoracoscopias. Hubo 34 linfomas, 28 metástasis de carcinoma broncopulmonar, 16 casos de tuberculosis ganglionar mediastínica y 15 casos que se incluyen en una miscelánea. No hubo mortalidad relacionada directamente con las técnicas quirúrgicas y la morbilidad se redujo a dos infecciones de la herida operatoria.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Esta modalidad diagnóstica en la exploración quirúrgica del mediastino, siempre que se lleve a cabo por grupos con experiencia en estas técnicas, puede efectuarse con todas las garantías y ello permite un mejor aprovechamiento de los medios sanitarios sin deterioro de la calidad asistencial.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">This study aimed to evalúate the morbi-mortality of surgical exploration of the mediastinum in patients with mediastinic masses or adenopathy in the context of a rapid-surgery program that has been operating over the past 8 years (1985-1993). A total of 93 mediastinic explorations have been carried out. Sixty-five involved transcervical mediastinoscopy, 20 were anterior mediastinotomies, 4 were combined procedures and 4 were video-thoracoscopies. We found 34 cases of lymphoma, 28 of metastasis of bronchopulmonary carcinoma and 16 of mediastinic-ganglionic tuberculosis; the 15 remaining cases were classified as miscellaneous. No deaths were directly related to the surgical procedures; morbility involved 2 wound infections.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Surgical exploration of the mediastinum is a safe diagnostic procedure, provided it is carried out by an experienced team, and allows care givers to take better advantage of therapeutic options with no loss of quality.</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 staging of lung cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S.G. Spiro" 1 => "P. Goldstraw" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1984" "volumen" => "39" "paginaInicial" => "401" "paginaFinal" => "407" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6087489" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Preoperative staging of lung cancer: accuracy of computed tomography versus mediastinoscopy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P. Goldstraw" 1 => "M. Kurzer" 2 => "D. 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