La fluorescencia como guia de la toma de biopsias pleurales trans-toracoscopicas
The fluorescence as a guide for obtaining transthoracoscopic pleural biopsies
F. Sebastián Quetglás, D. Luna Sabaté, F. Romany Díez, N. Múgica Atorrasagasti, P. Teller Justes, R. Luque Díez, A. Celaya Pérez
Servicios de Cirugía Torácica y de Neumología. Hospital Na Sa de Aránzazu. San Sebastián
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Analisis de factores pronosticos" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "161" "paginaFinal" => "164" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Analysis of prognostic factors in survival after surgical treatment of lung cancer" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Gallén Castillo, J.L. Minguella, J. Planas Domingo, J. Broquetas, J.M. Sastre, N. Malats Riera" "autores" => array:6 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Gallén Castillo" ] 1 => array:2 [ "nombre" => "J.L." "apellidos" => "Minguella" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Planas Domingo" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Broquetas" ] 4 => array:2 [ "nombre" => "J.M." "apellidos" => "Sastre" ] 5 => array:2 [ "nombre" => "N." "apellidos" => "Malats Riera" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615318287?idApp=UINPBA00003Z" "url" => "/03002896/0000002400000004/v1_201509151100/S0300289615318287/v1_201509151100/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "La fluorescencia como guia de la toma de biopsias pleurales trans-toracoscopicas" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "165" "paginaFinal" => "168" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "F. Sebastián Quetglás, D. Luna Sabaté, F. Romany Díez, N. Múgica Atorrasagasti, P. Teller Justes, R. Luque Díez, A. Celaya Pérez" "autores" => array:7 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Sebastián Quetglás" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Luna Sabaté" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Romany Díez" ] 3 => array:2 [ "nombre" => "N." "apellidos" => "Múgica Atorrasagasti" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Teller Justes" ] 5 => array:2 [ "nombre" => "R." "apellidos" => "Luque Díez" ] 6 => array:2 [ "nombre" => "A." "apellidos" => "Celaya Pérez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicios de Cirugía Torácica y de Neumología. Hospital Na Sa de Aránzazu. San Sebastián" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "The fluorescence as a guide for obtaining transthoracoscopic pleural biopsies" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1987-10-01" "fechaAceptado" => "1988-03-16" "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 una serie de 15 enfermos con indicaciones claras para la práctica de toracoscopias diagnósticas y/o terapéuticas. Los enfermos fueron explorados transtoracoscópicamente guiándose, para la elección de la toma biópsica, de la fluorescencia pleural obtenida tras la inyección intravenosa de 4 cc de fluoresceína sódica al 10%. La exploración se realizó con luz azul obtenida la colocación de filtros en la fuente de luz fría. Se practicaron un total de 27 biopsias, en diferentes zonas con diversos grados de fluorescencia. Veintiuna biopsias sobre pleuras fluorescentes (77%), encontrando en todas ellas patología pleural; seis biopsias fueron sobre zonas no fluorescentes (13%) obteniendo diagnóstico anatomopatológico de fibrosis pleural y pleura normal.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La práctica de biopsias pleurales con la luz azul y fluoresceína es una técnica simple que no añade morbilidad a la exploración y que puede ayudarnos a elegir el mejor sitio a biopsiar. No es específica de carcinoma.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We present a seríes of 15 patients with clear indications for diagnostic and/or therapeutic thoracoscopy. The patients were transthoracoscopically explored and were guided by pleural fluorescence, obtained by means of intravenous injection of 10% sodium fluorescein, 4 cc, for collecting the biopsy specimen. The exploration was performed with blue light obtained after positioning philters in the cold light source. A total of 27 biopsy specimens were collected from different zones with distinct degrees of fluorescence. Twenty one (77%) biopsy specimens of fluorescent pleura disclosed anatomopathologic diagnosis of pleural fibrosis and normal pleura.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The technique of pleural biopsy by means of blue light and fluorescein is a safe and simple procedure which do not increase the morbidity of the exploration and may help us for choosing the best site to obtain the specimen. 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