Utilidad de la biopsia pulmonar abierta en el diagnostico de las enfermedades pulmonares difusas
The usefulness of open lung biopsy in diffuse pulmonary disorders
J. Checa Ceballos, J. Gutierrez Sainz, B. Perez Cabrera, J.L. Martinez De Dueñas
Servicio de Cirugía General. C.S. Virgen de las Nieves. Granada
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Perez Neria, H. Ocaña Servin, A. Rojas Gonzalez, H. Rubio Monteverde, G. Carrillo Rodriguez, M. Selman Lama" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Perez Neria" ] 1 => array:2 [ "nombre" => "H." "apellidos" => "Ocaña Servin" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Rojas Gonzalez" ] 3 => array:2 [ "nombre" => "H." "apellidos" => "Rubio Monteverde" ] 4 => array:2 [ "nombre" => "G." "apellidos" => "Carrillo Rodriguez" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Selman Lama" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615320962?idApp=UINPBA00003Z" "url" => "/03002896/0000002100000006/v1_201509151106/S0300289615320962/v1_201509151106/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Utilidad de la biopsia pulmonar abierta en el diagnostico de las enfermedades pulmonares difusas" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "273" "paginaFinal" => "278" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Checa Ceballos, J. Gutierrez Sainz, B. Perez Cabrera, J.L. Martinez De Dueñas" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Checa Ceballos" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Gutierrez Sainz" ] 2 => array:2 [ "nombre" => "B." "apellidos" => "Perez Cabrera" ] 3 => array:2 [ "nombre" => "J.L." "apellidos" => "Martinez De Dueñas" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía General. C.S. Virgen de las Nieves. Granada" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "The usefulness of open lung biopsy in diffuse pulmonary disorders" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1985-02-07" "fechaAceptado" => "1985-06-08" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Según la bibliografía consultada, sorprende la escasa utilización que se hace en España de la biopsia pulmonar abierta para el diagnóstico de las enfermedades pulmonares difusas, a pesar de su alta rentabilidad diagnóstica y del menor número de complicaciones, al compararla con otros procederes teóricamente menos agresivos.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Exponemos nuestra experiencia en 30 casos consecutivos, en los que otras exploraciones habían sido inútiles; obtuvimos siempre tejido pulmonar y conseguimos un diagnóstico específico en más del 80% de los casos, suponiendo algunos de ellos una verdadera sorpresa.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Describimos la técnica quirúrgica y, a pesar de practicarla siempre bajo anestesia general y no dejar drenaje pleural, nuestra mortalidad ha sido nula, como en otras series, y las complicaciones muy poco frecuentes y de ninguna trascendencia, debiendo hacer constar que muchos de los enfermos de esta serie, el mayor de 73 años, mostraban alteraciones importantes y patología extratorácica coincidente que podia predisponer a la aparición de cuadros complicativos.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La tolerancia es muy buena; el tiempo medio de anestesia que precisa la intervención es de 33 minutos y los enfermos pueden volver muy pronto a su servicio de origen o ser dados de alta hospitalaria a las 48-72 horas.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Por todo ello, somos de la opinión de que la biopsia pulmonar abierta debe prodigarse mucho más para el correcto diagnóstico diferencial de las diversas enfermedades pulmonares difusas, diagnóstico que repercute en un tratamiento más correcto.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">According to the literature consulted by the authors, open lung biopsy for the diagnosis of diffuse pulmonary disorders is surprisingly little used in Spain, in spite of being a reliable diagnostic technique with a lesser number of complications than other, theoretically less agressive methods. The results for 30 consecutive cases in which other diagnostic procedures had not been successful, are reported. Pulmonary tissue always was obtained and a definite diagnosis established in more than 80% of all cases, with truly surprising results in some.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The surgical technique is described and, although total anesthesia always was used and no pleural drainage left, the mortality rale for the procedure was nil, as in other reported series and complications infrequent and slight; it must furthermore be noted that many of the patients, the eldest of which was 73 years old, presented severe alterations with extrathoracic pathology which would suggest predisposition for complicated clinical pictures. Tolerante was very good; the mean time required for the anesthesia for the intervention was 33 minutes and the patient could rapidly be returned to their respective wards and be discharged within 48-72 hours.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Because of these findings the authors recommend that open lung biopsy be used more often than it is at present for the correct differential diagnosis of the various diffuse pulmonary disorders with the consequent result of more correct treatment for such disorders.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:31 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 6 | 9 | 15 |
| 2024 October | 55 | 41 | 96 |
| 2024 September | 48 | 31 | 79 |
| 2024 August | 63 | 49 | 112 |
| 2024 July | 42 | 30 | 72 |
| 2024 June | 69 | 27 | 96 |
| 2024 May | 65 | 27 | 92 |
| 2024 April | 25 | 22 | 47 |
| 2024 March | 52 | 31 | 83 |
| 2024 February | 42 | 31 | 73 |
| 2024 January | 0 | 2 | 2 |
| 2023 December | 0 | 1 | 1 |
| 2023 November | 0 | 4 | 4 |
| 2023 October | 0 | 11 | 11 |
| 2023 September | 0 | 4 | 4 |
| 2023 August | 0 | 3 | 3 |
| 2023 July | 0 | 14 | 14 |
| 2023 May | 0 | 1 | 1 |
| 2023 March | 9 | 3 | 12 |
| 2023 February | 58 | 13 | 71 |
| 2023 January | 45 | 26 | 71 |
| 2022 December | 60 | 30 | 90 |
| 2022 November | 102 | 31 | 133 |
| 2022 October | 72 | 28 | 100 |
| 2022 September | 86 | 20 | 106 |
| 2022 August | 91 | 42 | 133 |
| 2022 July | 54 | 43 | 97 |
| 2022 June | 57 | 41 | 98 |
| 2022 May | 66 | 16 | 82 |
| 2022 April | 55 | 29 | 84 |
| 2022 March | 59 | 29 | 88 |
| 2022 February | 39 | 26 | 65 |
| 2022 January | 71 | 36 | 107 |
| 2021 December | 33 | 28 | 61 |
| 2021 November | 42 | 35 | 77 |
| 2021 October | 55 | 29 | 84 |
| 2021 September | 55 | 32 | 87 |
| 2021 August | 45 | 18 | 63 |
| 2021 July | 50 | 27 | 77 |
| 2021 June | 52 | 41 | 93 |
| 2021 May | 44 | 26 | 70 |
| 2021 April | 110 | 41 | 151 |
| 2021 March | 78 | 29 | 107 |
| 2021 February | 82 | 28 | 110 |
| 2021 January | 64 | 30 | 94 |
| 2020 December | 52 | 28 | 80 |
| 2020 November | 54 | 24 | 78 |
| 2020 October | 62 | 19 | 81 |
| 2020 September | 67 | 18 | 85 |
| 2020 August | 67 | 23 | 90 |
| 2020 July | 73 | 30 | 103 |
| 2020 June | 78 | 30 | 108 |
| 2020 May | 59 | 33 | 92 |
| 2020 April | 55 | 46 | 101 |
| 2020 March | 56 | 40 | 96 |
| 2020 February | 61 | 46 | 107 |
| 2020 January | 81 | 38 | 119 |
| 2019 December | 100 | 52 | 152 |
| 2019 November | 82 | 37 | 119 |
| 2019 October | 78 | 34 | 112 |
| 2019 September | 98 | 53 | 151 |
| 2019 August | 65 | 35 | 100 |
| 2019 July | 89 | 33 | 122 |
| 2019 June | 74 | 68 | 142 |
| 2019 May | 70 | 83 | 153 |
| 2019 April | 85 | 94 | 179 |
| 2019 March | 23 | 55 | 78 |
| 2019 February | 13 | 21 | 34 |
| 2019 January | 17 | 35 | 52 |
| 2018 December | 16 | 18 | 34 |
| 2018 November | 10 | 28 | 38 |
| 2018 October | 24 | 29 | 53 |
| 2018 September | 14 | 13 | 27 |
| 2018 May | 9 | 1 | 10 |
| 2018 April | 9 | 5 | 14 |
| 2018 March | 7 | 5 | 12 |
| 2018 February | 6 | 7 | 13 |
| 2018 January | 4 | 10 | 14 |
| 2017 December | 8 | 23 | 31 |
| 2017 November | 6 | 39 | 45 |
| 2017 October | 7 | 32 | 39 |
| 2017 September | 4 | 43 | 47 |
| 2017 August | 9 | 32 | 41 |
| 2017 July | 6 | 17 | 23 |
| 2017 June | 11 | 32 | 43 |
| 2017 May | 12 | 21 | 33 |
| 2017 April | 7 | 29 | 36 |
| 2017 March | 4 | 59 | 63 |
| 2017 February | 6 | 20 | 26 |
| 2017 January | 5 | 15 | 20 |
| 2016 December | 13 | 23 | 36 |
| 2016 November | 18 | 20 | 38 |
| 2016 October | 12 | 30 | 42 |
| 2016 September | 20 | 22 | 42 |
| 2016 August | 12 | 7 | 19 |
| 2016 July | 14 | 8 | 22 |
| 2016 June | 27 | 11 | 38 |
| 2016 May | 15 | 3 | 18 |
| 2016 April | 8 | 0 | 8 |
| 2016 March | 8 | 0 | 8 |
| 2016 February | 16 | 0 | 16 |
| 2016 January | 15 | 5 | 20 |
| 2015 December | 23 | 14 | 37 |
| 2015 November | 19 | 4 | 23 |
| 2015 October | 4 | 1 | 5 |
| 2015 September | 1 | 0 | 1 |
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