Toracoscopia: resultados en 76 exploraciones por derrame pleural
Thoracoscopy: results for 76 examinations following pleural effusion
W. Torre Buxalleu, F.J. Ortega Morales, M. Hernández Alonso, M. Carbajo Carbajo
Servicio de Cirugía Torácica C.M.N. Marqués de Valdecilla. Santander
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Torre Buxalleu, F.J. Ortega Morales, M. Hernández Alonso, M. Carbajo Carbajo" "autores" => array:4 [ 0 => array:2 [ "nombre" => "W." "apellidos" => "Torre Buxalleu" ] 1 => array:2 [ "nombre" => "F.J." "apellidos" => "Ortega Morales" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Hernández Alonso" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Carbajo Carbajo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía Torácica C.M.N. Marqués de Valdecilla. Santander" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Thoracoscopy: results for 76 examinations following pleural effusion" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1984-01-24" "fechaAceptado" => "1984-09-20" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se recogen 76 protocolos de toracoscopia practicadas entre enero de 1978 y enero de 1983 en pacientes con derrame pleural, por distintos motivos.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se recogen las indicaciones, técnica y resultados de la exploración, haciendo especial hincapié en el aspecto diagnóstico del derrame pleural. La toracoscopia ha mostrado en nuestro medio, una rentabilidad del 73,4% en pacientes en que previamente no se había alcanzado un diagnóstico por otros procedimientos, o que presentaban dudas diagnósticas. Se revisa igualmente la evolución de aquellos pacientes en que la toracoscopia descartó patología pleural, o bien no fue concluyente.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">En los derrames pleurales metastásicos se practicó pleurodesis con talco a través del toracoscopio con buenos resultados.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La toracoscopia es una técnica útil en el estudio del paciente con derrame pleural y segura si se toman precauciones adecuadas.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The results of 76 thoracoscopies practiced between January 1978 and January 1983 following pleural effusion of different origin are described.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The indications, technique and results of the examination are discussed with emphasis on the diagnostic value in pleural effusion. Thoracoscopy proved effective in 73.4% of patients in whom other procedures had failed to establish a diagnosis or where diagnosis remained doubtful. The course of patients in whom thoracoscopy confirmed the absence of pleural pathology or in whom was non-conclusive is included.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">In patients with metastasic pleural effusion pleurodesis with talcum powder via the thoracoscope elicited favourable results. Thoracoscopy is both effective and safe if proper precautions are observed for patients with pleural effusion.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Thoracoscopy in the diagnosis of pleural effusion" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "A. Cantó" 1 => "E. Blasco" 2 => "F. Paris" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1977" "volumen" => "32" "paginaInicial" => "550" "paginaFinal" => "554" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/594934" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Boutin C, Cargnino P, Viallat JR, Rey F. Thoracoscopie. En Encycl. Médico-Chirurgicale. Encycl. Méd. Chir, Paris, Poumon 6000 N<span class="elsevierStyleSup">50</span> 1982; 6." ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." 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