Operabilidad en el carcinoma broncogenico. Valoracion por estudio gammagrafico pulmonar de perfusion, cuantitativo y diferencial
Operability in bronchogenic carcinoma. Evaluation with scintigraphic perfusion, qualitative and differential studies
A. Lopez-Encuentra, G. Varela, P. Martin-Escribano, J. Toledo, M. Gutierrez, A. Manrique, J. Diaz-Atauri
Secciones de Neumología y Cirugía Torácica. Servicio de Medicina Nuclear. Ciudad Sanitaria Primero de Octubre. Madrid
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Caracteristicas de la agudizacion asmatica" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "188" "paginaFinal" => "192" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prevalence of chronic bronchitis in non-smoking asthmatic women. Characteristics of asthmatic relapses" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. Fernandez Rego, A. Roman Rojo, J.L. Menendez Del Campo, P. Romero Alvarez, A. Alonso Gonzalez" "autores" => array:5 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Fernandez Rego" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Roman Rojo" ] 2 => array:2 [ "nombre" => "J.L." "apellidos" => "Menendez Del Campo" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Romero Alvarez" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Alonso Gonzalez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322304?idApp=UINPBA00003Z" "url" => "/03002896/0000002000000005/v1_201509151127/S0300289615322304/v1_201509151127/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Operabilidad en el carcinoma broncogenico. Valoracion por estudio gammagrafico pulmonar de perfusion, cuantitativo y diferencial" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "181" "paginaFinal" => "187" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "A. Lopez-Encuentra, G. Varela, P. Martin-Escribano, J. Toledo, M. Gutierrez, A. Manrique, J. Diaz-Atauri" "autores" => array:7 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Lopez-Encuentra" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Varela" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Martin-Escribano" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Toledo" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Gutierrez" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Manrique" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Diaz-Atauri" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Secciones de Neumología y Cirugía Torácica. Servicio de Medicina Nuclear. Ciudad Sanitaria Primero de Octubre. Madrid" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Operability in bronchogenic carcinoma. Evaluation with scintigraphic perfusion, qualitative and differential studies" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1983-11-05" "fechaAceptado" => "1984-03-03" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El problema de la tolerancia funcional a una neumo-nectomía es valorado en este estudio mediante la cuantificación diferencial de la perfusión pulmonar por metodología isotópica calculando el VEMS previsto postoperatorio. Siguiendo técnicas ya descritas, en una serie de 128 pacientes con carcinoma broncogénico protocolizados prospectivamente desde 1978 a 1982, en 10 pacientes se decidió inoperabilidad por encontrar un VEMS calculado postoperatorio menor de 800 ce; la correlación entre el VEMS calculado por esta técnica y el real postoperatorio hallado es alta en nuestra experiencia (r:0,93). En catorce neumonectomías de pacientes con VEMS real preoperatorio menor de 2.000 ce, que superaban el criterio anteriormente expuesto, uno fallecía en el período postoperatorio inmediato (7,1%). Este nivel de mortalidad operatoria es similar a poblaciones neumonectomizadas por carcinoma broncogénico sin ser seleccionadas por criterio funcional.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Teniendo presentes estos datos en relación a un valor absoluto del VEMS como límite de operabilidad, se efectúan diversas consideraciones acerca de si otros parámetros como el porcentaje del VEMS con respecto al teórico y la combinación con estudios hemodinámicos, pueden en el futuro ser índices mas exactos de predicción del riesgo operatorio.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The problem of the functional tolerance to pneumo-nectomy is evaluated in the present study by means of differential quantification of pulmonary perfusion by radioisotopic studies and calculation of predicted postoperative FEV<span class="elsevierStyleInf">1</span>. Using already described techniques, in a series of 128 patients with bronchogenic carcinoma pros-pectively undergoing a protocol study from 1978 to 1982, inoperability was decided on the basis of a calculated postoperative FEV<span class="elsevierStyleInf">1</span> of less than 800 cc. In our experience, the correlation between the FEV<span class="elsevierStyleInf">1</span> as calculated by this technique and the real postoperative values in high (r:0.93). In 14 pneumonectomies in patients with real postoperative FEV<span class="elsevierStyleInf">1</span> of less than 2000 cc (exceeding the above mentioned criteria), 1 patient died in the imme-diate postoperative period (7.1%). This rate of postoperative mortality is similar to that seen in populations undergoing pneumonectomy for bronchogenic carcinoma and not being selected on the basis of functional criteria.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In view of these data related to an absolute value of FEV<span class="elsevierStyleInf">1</span> as a limit to Operability, some considerations are developed as to whether other parameters, such as the ratio of FEV<span class="elsevierStyleInf">1</span> to its predicted value and the combination with hemodynamic studies, may be in the future more occurate predictors of operative risk.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:44 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 3 | 7 |
| 2024 October | 29 | 8 | 37 |
| 2024 September | 33 | 22 | 55 |
| 2024 August | 50 | 33 | 83 |
| 2024 July | 37 | 23 | 60 |
| 2024 June | 56 | 18 | 74 |
| 2024 May | 51 | 29 | 80 |
| 2024 April | 23 | 18 | 41 |
| 2024 March | 47 | 21 | 68 |
| 2024 February | 28 | 35 | 63 |
| 2023 March | 4 | 3 | 7 |
| 2023 February | 30 | 16 | 46 |
| 2023 January | 40 | 30 | 70 |
| 2022 December | 26 | 28 | 54 |
| 2022 November | 35 | 23 | 58 |
| 2022 October | 31 | 28 | 59 |
| 2022 September | 27 | 20 | 47 |
| 2022 August | 27 | 44 | 71 |
| 2022 July | 19 | 40 | 59 |
| 2022 June | 24 | 51 | 75 |
| 2022 May | 26 | 20 | 46 |
| 2022 April | 17 | 21 | 38 |
| 2022 March | 25 | 29 | 54 |
| 2022 February | 23 | 22 | 45 |
| 2022 January | 19 | 22 | 41 |
| 2021 December | 14 | 28 | 42 |
| 2021 November | 21 | 42 | 63 |
| 2021 October | 30 | 41 | 71 |
| 2021 September | 31 | 36 | 67 |
| 2021 August | 20 | 30 | 50 |
| 2021 July | 14 | 23 | 37 |
| 2021 June | 20 | 36 | 56 |
| 2021 May | 9 | 21 | 30 |
| 2021 April | 37 | 46 | 83 |
| 2021 March | 29 | 6 | 35 |
| 2021 February | 4 | 12 | 16 |
| 2021 January | 5 | 16 | 21 |
| 2020 December | 18 | 10 | 28 |
| 2020 November | 10 | 26 | 36 |
| 2020 October | 18 | 19 | 37 |
| 2020 September | 10 | 5 | 15 |
| 2020 August | 11 | 9 | 20 |
| 2020 July | 14 | 17 | 31 |
| 2020 June | 14 | 11 | 25 |
| 2020 May | 10 | 7 | 17 |
| 2020 April | 17 | 10 | 27 |
| 2020 March | 17 | 20 | 37 |
| 2020 February | 17 | 11 | 28 |
| 2020 January | 17 | 26 | 43 |
| 2019 December | 18 | 10 | 28 |
| 2019 November | 11 | 9 | 20 |
| 2019 October | 5 | 9 | 14 |
| 2019 September | 12 | 25 | 37 |
| 2019 August | 5 | 9 | 14 |
| 2019 July | 6 | 20 | 26 |
| 2019 June | 6 | 22 | 28 |
| 2019 May | 16 | 20 | 36 |
| 2019 April | 30 | 16 | 46 |
| 2019 March | 7 | 20 | 27 |
| 2019 February | 3 | 5 | 8 |
| 2019 January | 2 | 10 | 12 |
| 2018 December | 6 | 13 | 19 |
| 2018 November | 9 | 9 | 18 |
| 2018 October | 17 | 8 | 25 |
| 2018 September | 15 | 6 | 21 |
| 2018 May | 8 | 1 | 9 |
| 2018 April | 3 | 8 | 11 |
| 2018 March | 5 | 7 | 12 |
| 2018 February | 7 | 11 | 18 |
| 2018 January | 7 | 12 | 19 |
| 2017 December | 6 | 13 | 19 |
| 2017 November | 11 | 7 | 18 |
| 2017 October | 8 | 21 | 29 |
| 2017 September | 9 | 4 | 13 |
| 2017 August | 8 | 7 | 15 |
| 2017 July | 6 | 10 | 16 |
| 2017 June | 9 | 8 | 17 |
| 2017 May | 12 | 14 | 26 |
| 2017 April | 6 | 3 | 9 |
| 2017 March | 5 | 12 | 17 |
| 2017 February | 6 | 8 | 14 |
| 2017 January | 5 | 10 | 15 |
| 2016 December | 2 | 8 | 10 |
| 2016 November | 10 | 13 | 23 |
| 2016 October | 8 | 14 | 22 |
| 2016 September | 8 | 9 | 17 |
| 2016 August | 15 | 8 | 23 |
| 2016 July | 8 | 3 | 11 |
| 2016 June | 14 | 7 | 21 |
| 2016 May | 14 | 8 | 22 |
| 2016 April | 5 | 0 | 5 |
| 2016 March | 8 | 0 | 8 |
| 2016 February | 13 | 0 | 13 |
| 2016 January | 12 | 6 | 18 |
| 2015 December | 16 | 11 | 27 |
| 2015 November | 20 | 6 | 26 |
| 2015 October | 5 | 1 | 6 |
| 2015 September | 1 | 0 | 1 |
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